Miami, FL Therapy, Psychiatry, and Counseling

Hi, I'm Nikkia Gattuso, a board-certified psychiatric mental health nurse practitioner (PMHNP-BC). I work with adults and older adults experiencing anxiety, depression, ADHD, stress, insomnia, mood disorders, and life transitions. Many of my clients feel overwhelmed, emotionally exhausted, or stuck and are looking for practical solutions and lasting relief. My approach is warm, collaborative, and personalized. I take the time to listen, understand your goals, and create a treatment plan that helps you improve your mental health, build resilience, and feel more like yourself again.

My approach is collaborative, supportive, and focused on practical solutions. I specialize in treating anxiety, depression, ADHD, and mood disorders in adults and older adults. You can expect personalized care, thoughtful medication management, and a safe space to build resilience, confidence, and lasting emotional wellness. 

Reaching out for support can feel overwhelming, but you don't have to navigate life's challenges alone. Whether you're facing a difficult season or looking for lasting change, I'm here to help. When you're ready, I welcome the opportunity to support you on your journey toward healing and growth.

Shannon is a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) who manages and treats a wide range of mental health conditions including depression, anxiety, OCD, sleep disorders, bipolar disorder, and more. She is passionate about providing quality, compassionate, and comprehensive mental health services to her clients.

Shannon Schaal has been a valuable member of the healthcare field since 2012. Prior to becoming a nurse practitioner, Shannon worked as a registered nurse with patients in a variety of settings, including medical-surgical units, oncology, and pediatrics. Soon after, she transitioned to mental health, where she found her passion. After seeing that she could make a difference in the lives of others, she decided to further her education.

Shannon graduated Summa Cum Laude from the University of North Florida with a Bachelor of Science in Nursing. She then graduated with high honors from Regis College with a Master’s of Science in Nursing as a Psychiatric Mental Health Nurse Practitioner. She has experience working with clients in a variety of settings including inpatient, outpatient, and addictions. Shannon possesses strong clinical skills and a natural ability to build rapport with her clients.

We all go through challenges in life. Shannon is confident that she can support you on your journey to gain new perspectives and techniques that allow you to cope with whatever you may be struggling with.

I am Esther L. Pelissier, a dual board-certified psychiatric nurse and family nurse practitioner. During my time in healthcare, I've worked with clients aged 10–80 struggling with adjustment disorder, depression, anxiety, ADHD, bipolar disorder, and more. I believe everyone deserves to feel comfortable asking for help with their mental health, regardless of background. My goal is to create a judgment-free space where you can openly share concerns and feel heard. I strive to make every visit collaborative by building strong therapeutic relationships with my clients. I take time to understand your individual needs and work with you to create a treatment plan fitting your goals and lifestyle.

One of my biggest strengths is listening. Being heard is the foundation of meaningful care. I value consistency and planning, which help me stay present and focused on your needs. You'll always be met with kindness, respect, and dignity. My expertise is in treating ADHD, depression, and anxiety. With proper treatment, these are manageable or overcome.

Together, we can move through your mental health journey at a pace that feels right for you, adjusting care as needs evolve. No matter where you are on your journey, you don't have to face it alone.

Hello, I'm Marie Joassaint, a dual board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) and Family Nurse Practitioner (FNP-BC) with over 15 years of progressive healthcare experience, including 7 years as a PMHNP. My background in acute care informs a deeply comprehensive approach to mental wellness, recognizing the intricate connection between mind and body. I partner with children, adolescents, adults, and older adults navigating anxiety, depression, mood disorders, and trauma who are seeking integrated care addressing their complete physical and emotional landscape to achieve sustainable healing and resilience.

My method blends comprehensive psychiatric assessment with understanding your physical health. I specialize in pharmacotherapy, crisis intervention, and therapeutic communication. I guide you to participate in building personalized care plans. Expect clear explanations, shared decision-making, and genuine partnership.

I understand reaching out for support is a significant step, and I honor your courage. You're not alone on this journey; I'm here to provide a safe, empathetic space where your concerns are genuinely heard and your path to healing is thoughtfully guided. I look forward to connecting with you and exploring how we can achieve your well-being goals.

I'm Toni, a nurse practitioner board-certified in psychiatric mental health and adult medicine. I provide compassionate, evidence-based psychiatric care using a collaborative approach tailored to each individual's needs. I work with adolescents and adults experiencing anxiety, depression, mood disorders, ADHD, trauma-related concerns, sleep difficulties, and other mental health challenges. Clients seek care to better understand their symptoms, improve coping skills, enhance focus, restore balance, and achieve greater emotional well-being. 

My goal is to help clients overcome barriers, build resilience, and achieve emotional balance. I provide personalized treatment plans that may include medication management and practical strategies to improve coping skills. Whether beginning your mental health journey or seeking a new approach, I offer support tailored to your unique needs.

Taking the first step toward better mental health can be difficult, but you don't have to do it alone. I provide a supportive, compassionate space where you feel heard and valued. I invite you to schedule an appointment and begin your journey toward greater balance and well-being.

Margaret Keig is a Licensed Marriage and Family Therapist with 17years of experience collaborating with adults, teens, couples, and families seeking help with depression, anxiety, life transitions, trauma, addictions, grief and loss, relationship issues, sexuality, and spirituality. Additionally, she is a premarital course provider in Orange County, FL and is pursuing a sex therapy certification at Modern Sex Therapy Institutes. Margaret has many years of experience with LGBTQ+ communities, including work in HIV/AIDS and gender identity. 

Margaret received her Master of Science in Counseling with an emphasis in Marriage and Family Therapy from San Diego State University. She primarily utilizes solution-focused, motivational interviewing, EMDR, and Gottman Method approaches to therapy. 

Margaret tailors treatment to meet the needs of the individual, couple, or family. She strives to develop a nonjudgmental relationship with all clients and collaborate to build on your strengths, reach your goals, and live the life you imagine.

My approach is trauma-informed and grounded in Cognitive Behavioral Therapy (CBT) and Acceptance and Commitment Therapy (ACT). I help clients understand how their experiences have shaped the way they see themselves, their relationships, and the world around them. Together, we explore patterns, build insight, and work toward meaningful changes that feel true to who you are and where you want to go. When appropriate, I incorporate Accelerated Resolution Therapy (ART) to support trauma healing.

I believe therapy is most helpful when you feel comfortable being yourself and don’t have to arrive with everything figured out. Our work is collaborative, and I’ll meet you where you are while also encouraging you to look at things from new perspectives. We’ll explore what may be keeping you stuck, recognize your strengths, and find practical ways to move toward the life you want.

You don’t need the right words or a clear plan to begin therapy—just a willingness to show up and start somewhere. I encourage clients to ask questions, be curious, and bring their authentic selves into the room. Growth takes time, and the process can look different for everyone. If you’re ready to begin, I invite you to schedule an appointment.

My name is David J. DeJesus, and I am a Licensed Clinical Social Worker in the state of Florida. My work is grounded primarily in Bowen Family Systems Theory and psychodynamic thinking, with attention to how family history, relationships, and early experiences shape present-day patterns. I work with individuals and families navigating complex family dynamics, early recovery, anxiety, emotional regulation, internal conflict, and intergenerational patterns. I also integrate cognitive behavioral and dialectical behavior therapy-informed tools to support insight, coping skills, and intentional change. 

My approach is collaborative, reflective, and grounded in curiosity. I help clients better understand patterns in their relationships, family history, emotional reactions, and learned roles. Clients can expect a thoughtful, honest space that supports insight, coping skills, emotional regulation, and intentional change. 

Starting therapy can be a meaningful step toward understanding yourself and your relationships more clearly. My hope is to offer a space where you feel respected, supported, and encouraged as you work toward growth, healing, and more intentional change. I would be honored to support you in that process.

Marcus Hibbler is a dedicated and compassionate Registered Mental Health Intern with 2 years of extensive experience supporting children, adolescents, and adults facing a wide range of mental health challenges including autism spectrum disorders, ADHD, anxiety, depression, and trauma. Marcus is comfortable working with people of all ages and backgrounds, creating a welcoming and supportive environment where he administers personalized and effective care. Whether you’re seeking support for yourself or a loved one, Marcus is here to help you navigate your mental health journey with empathy and expertise.

Marcus received his Master of Science in Clinical Mental Health from Walden University. He primarily utilizes cognitive behavioral therapy to help clients develop practical skills to manage their mental health. Marcus may also use approaches including compassion-focused therapy, family systems, and motivational interviewing.

Marcus is dedicated to helping clients face life's challenges with understanding and support in a safe space where individuals of all ages can explore their thoughts and feelings and find their way forward. If you’re ready to take that first step toward positive change, Marcus is ready to meet you.

Korrie Watson is a Registered Clinical Social Work Intern who has 4 years of experience providing counseling to individuals dealing with anxiety, depression, anger management, behavioral issues, women's issues, substance use, grief, life transitions, divorce, sexual orientation, family conflict, and problematic sexual behavior. Korrie works with all ages and has spent time in various clinical settings including correctional facilities and geriatric care.

Korrie received her Master of Social Work from the University of Alabama. She is practiced in crisis intervention, psychoeducation, and educational and medical social work. Korrie often utilizes cognitive behavioral therapy, solution-focused therapy, and motivational interviewing in therapeutic sessions.

Korrie supports her clients in identifying their strengths, recognizing their weaknesses, and discovering their true potential. She is passionate about helping others increase their confidence with the end goal of overcoming life’s obstacles. Reach out to her today!

Marcus Hibbler is a dedicated and compassionate Registered Mental Health Intern with 2 years of extensive experience supporting children, adolescents, and adults facing a wide range of mental health challenges including autism spectrum disorders, ADHD, anxiety, depression, and trauma. Marcus is comfortable working with people of all ages and backgrounds, creating a welcoming and supportive environment where he administers personalized and effective care. Whether you’re seeking support for yourself or a loved one, Marcus is here to help you navigate your mental health journey with empathy and expertise.

Marcus received his Master of Science in Clinical Mental Health from Walden University. He primarily utilizes cognitive behavioral therapy to help clients develop practical skills to manage their mental health. Marcus may also use approaches including compassion-focused therapy, family systems, and motivational interviewing.

Marcus is dedicated to helping clients face life's challenges with understanding and support in a safe space where individuals of all ages can explore their thoughts and feelings and find their way forward. If you’re ready to take that first step toward positive change, Marcus is ready to meet you.

Jane Arthur is a Registered Mental Health Counselor Intern with 6 years of clinical experience. She specializes in helping individuals navigate life’s twists and turns through therapeutic art interventions. Jane supports clients with a direct, compassionate approach that fosters healing, self-expression, and personal growth.

Jane Arthur earned a Master’s in Art Therapy from Florida State University. She integrates art-making with evidence-based practices like cognitive behavioral therapy and dialectical behavioral therapy to support individuals in expressing emotions, building resilience, and reclaiming balance in their lives.

Jane understands that life can feel overwhelming, but you don’t have to face it alone. Whether you’re dealing with stress, anxiety, or feeling stuck, Jane creates a warm, supportive space to help you heal, grow, and move forward through creative expression and proven therapeutic tools.

Claudia Flores-Flamm is a Licensed Clinical Social Worker providing integrative and trauma-informed therapy for children, adolescents, adults, and parents dealing with trauma, depression, anxiety, ADHD, adjustment disorders, parenting, life transitions, grief and loss, bipolar disorder, and schizophrenia. Claudia has 5 years of experience working in inpatient, outpatient, and school settings. Her clinical knowledge and her lived experiences as a businesswoman, mother, and first-generation American allow for a meaningful foundation for understanding and supporting clients from all backgrounds.

Claudia has a Master's in Social Work from Florida State University. She uses evidence-based treatment models, such as cognitive behavioral therapy, cognitive processing therapy, play therapy, parent management training, and mindfulness techniques. Claudia is also trained in experiential therapy models, including IFS, AEDP, and Coherence therapy. She values normalizing therapy through her warm and relatable approach.

Claudia prides herself in developing a trusting relationship with clients so they feel truly seen in a non-judgmental space that allows for real change and growth. She recognizes that it takes great courage and self-awareness to seek therapy, and is deeply honored to safely hold your trust, your story, and your hope for solutions.

I am a registered mental health counselor intern (RMHCI) with 2 years of experience supporting clients through life’s challenges. I work with individuals, couples, and families across multiple generations. My work often focuses on navigating relational conflict, life transitions, grief, stress, and emotional difficulties. I provide a warm and collaborative space where we can explore your concerns, consider new perspectives, and build solutions together.

I earned my master’s in professional counseling from Texas State University, where I studied family systems and conflict resolution. My approach is eclectic and tailored to your needs, drawing from person-centered, solution-focused, and family-systems work. I also have training in financial wellness and welcome conversations about money-related stress.

Starting counseling can feel hard, but you have already taken the first step. I will offer a supportive, compassionate space where you can share openly, gain clarity, and move toward meaningful change. We will work together to understand your goals and create a path toward healing and growth at your own pace.

Denise Ludwig-Coe is a Licensed Mental Health Counselor (LMHC) with 17 years of experience in the mental health field. Denise is also a Clinical Nurse Specialist for 40+ years and is highly motivated to play a part in helping others to decrease the pain that often accompanies many life challenges. Denise works well with all people because of her deep respect for the diversity, yet sameness, among all people; especially when at times there may be overwhelming feelings in trying to adapt to illness, loss/grief, transitioning to older age, depression, anxiety, anger, stress, alcoholism/addiction, pain, and a sense of helplessness, and not knowing where to turn. Her passion is to offer a sense of comfort and hope to those who reach out for help. Because of Denise’s dual career choice, she has also been active in helping those in the medical field, including nurses with mental health and substance use issues and who may be involved in an alternative to discipline program in Florida. Her approach is person-centered and eclectic. She draws from the field of positive psychology and coaching, and uses mindfulness, motivational interviewing, cognitive-behavioral therapy (CBT), trauma-focused therapy, as well as 12-Step Facilitation therapy, and stress management practices.

Denise completed both her Bachelor of Science in Nursing (BSN) and her Master of Science in Nursing (MSN) with a clinical specialty in Psychiatric/Mental Health Nursing at Syracuse University. She worked many years in direct clinical work with mental health clients in hospitals as well as in the community. Denise also worked in Public Health dealing with mental health and family issues among Spanish-speaking families living in Syracuse. She wasprivileged to teach and clinically supervise nursing students at the associate and bachelor's degree levels. Recognizing many of the stressors inherent in the health professions and wanting to play a part in strengthening caregiver resiliency and decreasing compassion fatigue, Denise returned to school and completed her Master of Science (MS) in Counseling at Nova Southeastern University, specializing in Substance Abuse Counseling and Education. Later, becoming more aware of how trauma and adverse childhood experiences impact the extended physical and mental health of people, she returned to school at Capella University to seek a PhD with a focus on the impact of trauma and later addictions in women. Due to her needing to become the primary caregiver to her dying parents, Denise did not complete the dissertation and instead received a master’s degree in Multidisciplinary Human Services. She has been a Certified Addictions Professional (CAP) in Florida. She also served as a nurse in the US Army reserves and worked in a combat support field hospital. Because of her diverse experiences in mental health, Denise has a broad base of knowledge and expertise. She is currently a Clinical Supervisor for Mental Health Counselor interns.

Part of being human means we all go through difficult times, when we don't know what to do and we feel unable to think straight. We may make decisions that make our situations even more complicated. We may feel shame or fear of loss (job, relationship, esteem of others) if we were to say out loud our thoughts and feelings. Maybe we are grieving and feel our pain will never end, BUT talking to a mental health professional can help. Talking to someone who listens with compassion, never judging or telling you what to do, but listens, and by being fully present, helps you to feel less alone, and more able to regain the direction for your life. If you are ready to reach out, Denise is ready to join you in your journey. Schedule an appointment with her today.

Jennifer Marvin is a 63-year-old Licensed Mental Health Counselor (LHMC) with over 40 years of experience working in various parts of the mental health field. She specializes in working with children, adolescents, LGBTQA youth, and adults in order to help them find solutions and relief, especially those who are suffering from substance and alcohol use-related problems, addiction, anxiety, and depression. 

Jennifer completed her Master's degree in Mental Health Counseling from Webster University-Orlando. Jennifer utilizes multiple approaches including cognitive behavioral therapy (CBT), rational emotive therapy (REBT), empathic listening, solutions-focused therapy (SFT), and behavioral therapy (BT). 

Jennifer is ready to help you to explore your options and solutions in order to ease your experience through life's challenges. If you are ready to make positive changes and to work towards resolving the issues that are holding you back, schedule an appointment to see her today.

Brett Burlone is a Licensed Mental Health Counselor with over 20 years of experience in helping individuals and couples navigate various challenges such as anxiety, depression, substance abuse, trauma, marriage and relationship issues, and life transitions. He provides a warm, empathetic, and respectful space to meet clients where they are and work toward therapeutic goals at a comfortable pace.

Brett received his Master’s in Counseling and Psychology from Troy University. He uses a compassionate, client-centered approach grounded in evidence-based practices including mindfulness techniques, cognitive behavioral strategies, and motivational interviewing to help clients gain insight and find practical solutions.

If you’re ready to begin your journey, Brett would love to help you get started. Please feel free to reach out to schedule your first session. Brett believes therapy is a partnership and is here to guide and support you through whatever life may bring.

Margaret Keig is a Licensed Marriage and Family Therapist with 17years of experience collaborating with adults, teens, couples, and families seeking help with depression, anxiety, life transitions, trauma, addictions, grief and loss, relationship issues, sexuality, and spirituality. Additionally, she is a premarital course provider in Orange County, FL and is pursuing a sex therapy certification at Modern Sex Therapy Institutes. Margaret has many years of experience with LGBTQ+ communities, including work in HIV/AIDS and gender identity. 

Margaret received her Master of Science in Counseling with an emphasis in Marriage and Family Therapy from San Diego State University. She primarily utilizes solution-focused, motivational interviewing, EMDR, and Gottman Method approaches to therapy. 

Margaret tailors treatment to meet the needs of the individual, couple, or family. She strives to develop a nonjudgmental relationship with all clients and collaborate to build on your strengths, reach your goals, and live the life you imagine.

My approach is trauma-informed and grounded in Cognitive Behavioral Therapy (CBT) and Acceptance and Commitment Therapy (ACT). I help clients understand how their experiences have shaped the way they see themselves, their relationships, and the world around them. Together, we explore patterns, build insight, and work toward meaningful changes that feel true to who you are and where you want to go. When appropriate, I incorporate Accelerated Resolution Therapy (ART) to support trauma healing.

I believe therapy is most helpful when you feel comfortable being yourself and don’t have to arrive with everything figured out. Our work is collaborative, and I’ll meet you where you are while also encouraging you to look at things from new perspectives. We’ll explore what may be keeping you stuck, recognize your strengths, and find practical ways to move toward the life you want.

You don’t need the right words or a clear plan to begin therapy—just a willingness to show up and start somewhere. I encourage clients to ask questions, be curious, and bring their authentic selves into the room. Growth takes time, and the process can look different for everyone. If you’re ready to begin, I invite you to schedule an appointment.