What patients are saying
Overall rating
5.00
About Mikaela Spence
Focus areas
Anxiety
Depression
Psychiatric Medication Management
Attention-Deficit / Hyperactivity Disorder (ADHD)
Medication Management
Psychiatric Medication Review
Bipolar Disorder
Medication Review
Clientele seen
Children (<13)
Adults (25-64)
Teenagers (13-17)
Seniors (65+)
Young adults (18-24)
Individuals
Treatment approaches
Person-Centered
Cognitive Behavioral (CBT)
Motivational Interviewing
Mindfulness-Based (MBCT)
Identity
Gender
FemaleLanguages spoken
English
Getting to know Mikaela Spence
I am a Psychiatric Mental Health Nurse Practitioner. I have over 17 years of experience working in psychiatry, 5 of which are as a medication prescriber.
I follow a patient-centered approach where we work together as a team to develop a treatment plan. I do not treat the diagnosis; I treat the patient as a whole, addressing symptoms that help improve quality of life.
I typically work with children, adolescents, and young adults, although I do have a good deal of experience with older clients as well. I do not provide psychiatric care for elderly patients. I am LGBTQIA+ friendly. I have experience working with patients who have/had struggles with trauma, ADHD, Autism Spectrum Disorder, Depression, Anxiety, Bipolar Disorder, aggression, and psychosis.
I like to create a calm tone in my appointments where I focus on the patient's concerns and the efficacy of their medications. I have a minimalist approach to medication prescribing, where I aim to prescribe the least amount of medication needed for a patient to feel comfortable and content in their day-to-day lives. I start doses low and move up carefully in dosage only as needed to reach those goals.
I started my career in mental health because of my personal past history and struggles with anxiety and depression. I wanted to understand myself better and to provide help for others struggling in the ways that I have. I know how it feels to be on both sides of treatment, and I use that experience to hopefully alleviate some of the pain others experience in an understanding and supportive way. I won't talk down to you; I will listen to your concerns, and I will do what I can to help you.
I follow a patient-guided approach to goal setting. Where are the places in your life where you feel like you need the most help, and how can I help get you there?
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In-network insurances
Aetna
BlueCross BlueShield
Cigna
UnitedHealthcare
UnitedHealthcare Oxford
Popular visit reasons
Agoraphobia
Pain Management Consultation
Pediatric Attention-Deficit / Hyperactivity Disorder (ADHD)
Psychiatry Consultation
Psychotherapy
Psychotherapy Intake / Initial Visit
Sleep Problems
Worry
Agoraphobia
Pain Management Consultation
Pediatric Attention-Deficit / Hyperactivity Disorder (ADHD)
Psychiatry Consultation
Education and background
Practice names
Education and training
- Maryville University, Master's in Nursing
NPI number
1073915187
Patient reviews
All reviews have been submitted by patients after interacting with the practice.
Overall rating
5.00
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1 review
Most relevant
Less than 6 months agoInitials hiddenVideo visit
How soon can I make an appointment with Mikaela Spence?
Generally, Mikaela Spence has appointments available on Zocdoc within 1 week. You can see Mikaela Spence's earliest availability on Zocdoc and make an appointment online.
Is Mikaela Spence accepting new patients?
Mikaela Spence generally accepts new patients on Zocdoc. You can see Mikaela Spence's earliest availability on Zocdoc and schedule an appointment online.
Does Mikaela Spence accept my insurance?
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Can I make an appointment with Mikaela Spence online?
Yes, you can make an appointment online with Mikaela Spence using Zocdoc. It’s simple, secure, and free.
What practice does Mikaela Spence work with?
Mikaela Spence works with Rula Health - Psych Services.
What are common reasons for patients to see Mikaela Spence?
Mikaela Spence frequently sees patients for Pain Management Consultation, Psychiatry Consultation, Psychotherapy, Psychotherapy Intake / Initial Visit, and Sleep Problems. You can see other visit reasons for Mikaela Spence on their profile.
What languages does Mikaela Spence speak?
Mikaela Spence speaks English.