For Providers
Now Accepting Referrals
Integrated psychiatric care and psychotherapy for adolescents 12+ and adults. Telehealth in Florida and New York.
Healing isn't about becoming who you were before. It's about understanding who you were then, who you are now, and who you want to be, and building the skills to get there.
DIFFERENT
PERSPECTIVES
BRIGHTER
POSSIBILITIES
Who I Work Well With
Adolescents 12+ and adults navigating:
- ●Complex trauma and PTSD
- ●Anxiety, depression, and chronic stress
- ●Sleep difficulties, hypervigilance, and emotional dysregulation
- ●Disordered eating and eating disorder concerns
- ●Self esteem, boundaries, relationship patterns, grief, and major life transitions
- ●Chronic illness and the emotional impact of ongoing medical conditions
- ●People who have been in treatment before but still feel like something is missing
- ●People who already have a therapist or prescriber and need another piece added to their care, not someone coming in to replace what is already working
Good mental
health care
should feel like
a team, not a
turf war.
My Philosophy
I treat the whole person, not the label.
I ask deeper questions because I want to understand the pattern beneath the symptom. My style is warm, direct, interactive, and real. I believe in genuine support, but I also believe in accountability.
Understanding why something is happening matters. So does figuring out what we're going to do with that information.
The way I practice comes from both lived and learned experience. I know what the textbooks say, but I also understand that real life is complicated and healing rarely happens in a straight line.
How I Work
My care combines psychiatric evaluation, medication management, psychotherapy, and practical skills that can actually be used outside of a session.
My approach is trauma informed and paced intentionally. Safety, stabilization, trust, and skills come first. Going deeper comes when someone is ready.
I incorporate DBT informed and STAIR informed approaches for emotional regulation, distress tolerance, boundaries, relationships, and patterns that keep repeating.
A more compassionate way forward.
My Approach to Medication
Medication recommendations are based on your symptoms, medical history, preferences, and treatment goals. When appropriate, I prescribe non-controlled psychiatric medications and discuss their potential benefits, risks, and alternatives with you. Treatment may include medication, psychotherapy, or a combination of approaches.
My practice does not prescribe controlled substances, including stimulant medications or benzodiazepines.
If someone needs a medication or level of care that falls outside of my practice, I'll be upfront about it and help guide them toward the appropriate provider.
Different perspectives.
Stronger support.
Better outcomes.
Collaborative Care
I genuinely value working with therapists, prescribers, primary care providers, and the other people already involved in someone's care.
If you refer someone to me, my goal is not to take your place. It is to add something useful to the care you are already providing.
With the patient's consent, I welcome communication and collaboration. Patients already have enough to carry. They should not also have to be the messenger between providers who are supposed to be working toward the same goal.
Refer a Patient
Alessandra Alvarez, MSN, APRN, PMHNP-BC
Psychiatric Mental Health Nurse Practitioner
Still Becoming Mental Health
Telehealth only | Florida + New York
Adolescents 12+ and adults | English + Spanish
- •Psychiatric evaluations
- •Medication management
- •Psychotherapy
Current availability: Afternoon appointments at this time. Limited weekend appointments may be considered on a case by case basis.