You’re bright & creative—
and your care should be too.
A holistic modern approach to somatics, psychotherapy & psychiatry —
LGBTQIA+, trauma-informed, compassionate, and individualized.
Supporting adults who struggle with: Attention,
Anxiety,
Depression,
Difficulty Connecting,
Gender and Sexual Identity,
Panic,
PTSD,
Social Anxiety,
Trauma,
Transitions, and more.
Reach out, and let’s talk about how I can help.
FAQs
What do you offer?
I offer an integrative and holistic approach to somatics, psychiatry, and mental health— you are able to receive therapy and medical treatment all together in one place.
A dedicated and keen listener, I intentionally only see a small group of patients. This allows me to provide each person in my practice with deeply individualized and attentive care. My approach integrates elements of somatics, mindfulness, and cognitive techniques within a psychoanalytical orientation, with a 360-degree focus on you and your life. Many people who have felt they couldn’t be helped by therapy are deeply surprised at how somatic work transforms long-standing emotional blocks and opens up new possibilities and connections with themselves and others.
What are your specialties?
I specialize in depression, anxiety disorders, loneliness, difficulty connecting, ADHD, trauma, transitions, PTSD, and C-PTSD.
I work with people of all ages, backgrounds, and identities. However, many of my patients are adults aged 18-47, part of LGBTQIA+ communities, including many queer, trans both/and/or non-binary individuals, and are also creatives of some type.
I have special experience with sex worker communities and with survivors of intimate partner violence. I always welcome the opportunity to provide an informed, nonjudgemental mental health care space for their needs.
How are you different from my psychologist/social worker/ therapist/ psychoanalyst/ counselor?
I provide individualized therapeutic experiences, integrating psychotherapy and somatics with the option for medical interventions in one place with one practitioner— saving you the stress and pain of searching for another provider (now or later) medically licensed to provide these services.
As a psychiatric nurse practitioner with a background in LGBTQIA+ primary care— I understand your health in a deep, holistic way. When we meet, if it seems that a blood test, supplement, or another strategy could help us meet your goals, I will discuss it with you as part of your routine care. I am always thinking on several levels and from several angles at once. This is one way that I provide 360-degree care that other types of practitioners often don’t provide.
Additionally, offering varied therapeutic approaches allows our work to grow with you and your needs and desires over time.
What’s more, stable and deep relationships developed and maintained over time are essential to integrative and holistic care. Too many times, my clients have stories of developing relationships with providers only to have them suddenly disappear.
When you enter my practice, I will be here with you for the long term. This used to be standard in the U.S., with family providers seeing people through all their life transitions, knowing their histories and their contexts deeply. I believe in bringing these more traditional values back while integrating them into modern mental health attitudes and approaches today.
What other experiences and background do you bring to your work?
Many! For one, before I began as a nurse practitioner, I studied feminist philosophy, visual art, and gender and sexuality. I also spent time studying religion and culture worldwide.
I have lived in various countries with very different cultures than the U.S., which gives me a broader perspective and approach to my patients and healthcare.
How are you different from a standard psychiatrist?
Great question. In today’s modern healthcare world, many psychiatrists are struggling and overburdened with very little energy, time, and attention to devote to their massive patient panels. For many of these psychiatrists, a visit comes down to the least amount of time they can spend making a diagnosis (even if it doesn’t quite fit), prescribing medications, and not much else. You will never have this experience with me.
I have specifically built my practice to maximize time, energy, and focus on my patients. The foundation of my practice is regular therapy sessions tailored to the individual. Many patients benefit from focusing on somatic approaches or integrating some amount of somatic work in our psychotherapy sessions. Integrative and holistic approaches to medications, supplements, and other techniques are all additionally included as they may benefit you.
Why do you intentionally keep a small panel of patients?
Well, when I was a primary care provider, I always took more time with my patients because I both wanted to and felt it was needed. People are complex, and healthcare is never just about medications and diagnoses. This is even more true in the field of mental health. To devote the proper time and energy to each patient, to give them the best experience, and to make sure I don’t set myself up for provider fatigue, or worse, burn-out… I decided to craft my private practice to be sustainable and efficient. So, this means having a small group of people who I get to know very well, and do deep and devoted work with. Voilà!
Do you only do medication management?
Not. At. All. In fact, many of my patients don’t seek me out initially for medication management at all but for psychotherapy and/ or somatic approaches. The great thing about this relationship is that if you are ever interested in or in need of medication, you don’t need to find another provider and start all over again. You can take those steps comfortably, knowing I already know you and where we want to go very well.
If you are currently on medication and looking for a provider, you can have one person who can provide both therapy and medication in one place. I also work well and happily with your other providers.
If you are mainly interested in medication management only, you will still benefit from my broad and holistic perspective and the extra time and attention I provide.
Do I need to stop seeing my other mental health providers?
Every situation is unique, but the short answer is— no. I know some providers sometimes demand to be the sole provider working with a client. However, I feel strongly that if you have a good team in place that is meeting your needs or who is in the process of working through a strategy, it may be that ending these treatments will be more disruptive than helpful.
I am happy to work as part of a team, and this willingness also distinguishes me from many other mental health providers. We will discuss where our work can complement or accelerate your progress in other modalities.
Additionally, I am always available to communicate with your other providers (with your consent). Say goodbye to the frustration of unanswered calls and emails. You’ll be happier, and your other providers will be, too. I have had many wonderful collaborative relationships with my clients' therapists and psychoanalysts and actively welcome and genuinely enjoy these opportunities.
Let’s talk together about the care that’s right for you.
"It’s a scary thing trying to get help, but Francesca’s honest, straight-forward, and compassionate approach helped to put me at ease."
— JEFFREY L., CLIENT