You've felt unheard in past care.
Here, listening comes first. Evaluations are unhurried, and your history is treated as the starting point — not a checkbox.
Psychiatric evaluations and medication management from a board-certified psychiatric nurse practitioner with 36 years in healthcare. Real listening, tailored plans, steady follow-through — no rushing, no guessing.

Most people who reach out have already tried something — and left feeling unheard or unsure. Care here is built on what you tell us, not around it.
You've felt unheard in past care.
Here, listening comes first. Evaluations are unhurried, and your history is treated as the starting point — not a checkbox.
Appointments felt rushed — or dragged on without answers.
You'll leave visits with a clear plan, a reason behind each decision, and next steps you understand.
Medication changes felt like guesswork.
Adjustments are tailored, tracked, and explained. We fine-tune together instead of hoping something sticks.
You want care that respects who you are.
Veterans, first responders, seniors, and LGBTQ+ adults are welcomed with care built around real lives.
Every path starts with a proper evaluation. What follows is shaped around your goals, your history, and what actually helps.
A thorough first visit — real listening, careful assessment, a clear picture of what's going on.
Tailored plans, thoughtful adjustments, and steady fine-tuning over time — not a one-size prescription.
Adult ADHD evaluation and ongoing management, focused on how it actually shows up in your life.
Evidence-based care for adults who feel stuck in the loop — with time and attention to get it right.
Careful evaluation and stabilization for bipolar-spectrum and related mood conditions.
Team approach with your therapist and PCP — plus referrals when talk therapy will move things forward.

36 years in healthcare. Board-certified psychiatric-mental health nurse practitioner, licensed in Florida and Colorado. Direct yet approachable — an active listener who treats treatment as a team effort with you.
"Nurturing change and growth, one choice at a time."
A calm path from first visit to steady rhythm — no guesswork, no filler.
A 45–60 minute virtual visit to hear your story, understand what's going on, and rule things in or out with care.
A clear treatment plan — medication if it fits, therapy referrals when helpful, and the reasoning behind each choice.
Follow-ups to track how it's landing, adjust, and stay in step with the life you're building.
A private-pay practice — no insurance billing.
Clear rates, known before you book.
No mystery — you'll know what you're paying for before you book. Full breakdown, payment details, and the cancellation policy on the rates page.
Initial evaluation
$325
45–60 minutes
No — this is psychiatric care: evaluations and medication management by a board-certified psychiatric nurse practitioner. We refer to therapists when talk therapy will support your goals.
Virtually across Florida and Colorado. Sheilah is licensed and board-certified in both states.
No — New Leaf is a private-pay practice. You pay directly and know the cost up front: $325 for the initial evaluation, $150 per follow-up, and $75/month for refills. Full details are on the Rates & payment page.
The initial psychiatric evaluation is 45–60 minutes. Follow-up visits are typically 15–30 minutes.
Prescribing decisions are individualized and made after a full evaluation. Please discuss specifics during your visit.
Book a virtual psychiatric evaluation, or send a brief non-clinical message if you'd like to ask a general question first.
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