Adult Psychiatry · Kidney-Aware Care
Mental health care that understands kidney disease and dialysis.
Support for mood, anxiety, sleep, treatment stress, and the emotional impact of living with chronic kidney disease.
Symptoms are considered alongside dialysis, sleep, medications, and medical concerns.
Recommendations are personalized to your health, routine, goals, and daily life.
With your permission, care may be coordinated with your nephrology or dialysis team.
When Support May Help
Kidney care can affect more than physical health.
A psychiatric evaluation may help when emotional or behavioral changes begin affecting treatment, relationships, sleep, or daily functioning.
Low mood
Feeling discouraged, withdrawn, emotionally numb, or without hope.
Anxiety and sleep
Persistent worry, difficulty relaxing, poor sleep, or fear around treatment.
Treatment burnout
Feeling overwhelmed, exhausted, or tempted to shorten or miss treatment.
Grief and adjustment
Struggling with changes in independence, work, relationships, or identity.
What Care May Include
Focused care built around your needs.
Psychiatric evaluation
A thoughtful review of symptoms, history, kidney care, safety, and daily functioning.
Medication management
Medication may be considered with attention to kidney function and current treatments.
Supportive psychotherapy
Brief support for adjustment, grief, fear, motivation, and treatment stress.
Care coordination
Communication with your care team may occur when appropriate and authorized.
Why Novascend
Psychiatric care informed by dialysis nursing and care coordination.
John Christopher R. Eugenio, PMHNP-BC, CCM, brings experience in dialysis nursing, behavioral health, case management, and care coordination. His approach considers both emotional symptoms and the practical realities of ongoing medical treatment.
“My goal is to listen carefully and help you build a plan that feels thoughtful, practical, and manageable.”
Getting Started
Three simple steps.
Schedule
Select an available appointment online.
Talk
Discuss your symptoms, kidney care, medications, and goals.
Plan
Review personalized recommendations and next steps.
Common Questions
Before you schedule
Can I receive care before starting dialysis?
Yes. Eligible adults at different stages of chronic kidney disease may request an evaluation.
Do you prescribe psychiatric medication?
Medication may be prescribed when clinically appropriate after an evaluation.
Can you communicate with my kidney-care team?
Yes, when clinically appropriate and with your authorization.
Where are appointments available?
Telehealth is available to eligible adults located in California. Limited in-person care is available in Los Angeles.
Urgent symptoms need immediate support.
Call 911 or go to the nearest emergency department for a life-threatening emergency. Call or text 988 for mental health crisis support.
Ready to Begin?
Support your mental health during kidney care.
Schedule an evaluation with a provider who understands the realities of kidney disease and dialysis.
Adults 18+ · California telehealth · Limited Los Angeles in-person care