Photo of Apex Behavioral Health Services,PLLC, Psychiatric Nurse Practitioner in 98107, WA
Apex Behavioral Health Services,PLLC
Psychiatric Nurse Practitioner, APRN, MSN, PMHNP
Verified Verified
Seattle, WA 98107  (Online Only)
Please click on the website link to request an appointment. My name is Paul Kariuki, MSN PMHNP-BC. I graduated from the University of Texas Arlington and I am a board certified Psychiatric Mental Health NP. I am delighted to serve patients from preteen to older adults. I am experienced in treating patients with ADHD, depression, anxiety disorders, bipolar disorder, eating disorders, insomnia, substance use disorders among other disorders. I work closely with my patients to finding the best evidence based medication and psychotherapy modalities.
Please click on the website link to request an appointment. My name is Paul Kariuki, MSN PMHNP-BC. I graduated from the University of Texas Arlington and I am a board certified Psychiatric Mental Health NP. I am delighted to serve patients from preteen to older adults. I am experienced in treating patients with ADHD, depression, anxiety disorders, bipolar disorder, eating disorders, insomnia, substance use disorders among other disorders. I work closely with my patients to finding the best evidence based medication and psychotherapy modalities.
(833) 575-1926 View (833) 575-1926
Photo of Dorothy Chadika Burrell, Psychiatric Nurse Practitioner in 98107, WA
Dorothy Chadika Burrell
Psychiatric Nurse Practitioner, MSN, PMHNP, FNP-C
Verified Verified
1 Endorsed
Seattle, WA 98107  (Online Only)
My name is Dorothy Burrell, and I am a dual-certified nurse practitioner with expertise in psychiatry and family medicine. South University awarded me a Master of Science in Nursing with honors and a family medicine specialty. I completed my post-master certificate in psychiatric mental health nurse practitioner at Norwich University. I hold national certification with the American Academy of Nurse Practitioners and the American Nurses Credentialing Center. I am currently licensed to practice in Oregon and Washington.
My name is Dorothy Burrell, and I am a dual-certified nurse practitioner with expertise in psychiatry and family medicine. South University awarded me a Master of Science in Nursing with honors and a family medicine specialty. I completed my post-master certificate in psychiatric mental health nurse practitioner at Norwich University. I hold national certification with the American Academy of Nurse Practitioners and the American Nurses Credentialing Center. I am currently licensed to practice in Oregon and Washington.
(206) 589-2244 View (206) 589-2244
Photo of Ginette DiDomenico, Psychiatric Nurse Practitioner in 98107, WA
Ginette DiDomenico
Psychiatric Nurse Practitioner, ARNP
Verified Verified
Seattle, WA 98107  (Online Only)
Hi. The mind is very similar to our physical bodies; symptoms develop to let us know that something is amiss. Environments, stress, and trauma influence these symptoms. As our physical bodies seek to heal themselves, so does our minds. Difficulties can be looked at as opportunities for growth. I seek to come alongside and work together to help the healing and growth through therapy and if need be medication. Medication is not sufficient alone. Just as the physical body seeks to heal itself when hurt, so the mind/soul with encouragement can heal.
Hi. The mind is very similar to our physical bodies; symptoms develop to let us know that something is amiss. Environments, stress, and trauma influence these symptoms. As our physical bodies seek to heal themselves, so does our minds. Difficulties can be looked at as opportunities for growth. I seek to come alongside and work together to help the healing and growth through therapy and if need be medication. Medication is not sufficient alone. Just as the physical body seeks to heal itself when hurt, so the mind/soul with encouragement can heal.
(509) 204-8616 View (509) 204-8616
Substance Use Psychiatrists

How do substance and drug recovery or rehabilitation programs work?

In inpatient programs, individuals live in a facility with other clients in recovery; in outpatient programs, individuals reside at home. These facilities are staffed with healthcare professionals including physicians, nurses, psychologists, counselors, and psychotherapists. Staff often also includes people who have recovered themselves, serving as mentors and guides. These programs may use abstinence, harm reduction, detoxification, psychotherapy, and other methods.

How do 12-step programs combined with psychotherapy work?

Members of 12-step programs help each other reach abstinence and work to maintain it. These programs promote complete change in the individual’s emotional, mental, physical, and even spiritual perspectives. Some programs require that new members attend 90 meetings in 90 days. Many people do attend these programs in conjunction with their work in psychotherapy; the combination of therapy along with 12-step can be extremely effective.

How does harm reduction combined with psychotherapy work?

According to the Substance Abuse and Mental Health Services Administration, harm reduction prevents death, injury, disease, overdose, and substance misuse. People who choose harm reduction for substance use reduce the amount of drugs they consume. It is not abstinence-based like a 12-step program, but combining harm reduction with psychotherapy proves to be effective for many people.

Are there specific medications for substance and drug use?

There are medications approved to treat substance use disorder—such as buprenorphine, methadone, naltrexone, and acamprosate. These medications do help people cope with substance use as well as avoid the problem of relapse. Naltrexone can help reduce cravings, methadone is an opioid medication used to treat severe pain, and acamprosate may help ease symptoms like poor sleep and anxious feelings.