Adult Psychiatry Across California
Care for your mind. A better path forward.
Personalized psychiatric care for adults experiencing anxiety, depression, ADHD, sleep concerns, trauma, life transitions, or the emotional impact of chronic illness.
When Care May Help
You do not have to wait until everything feels unmanageable.
People begin psychiatric care for many reasons. Sometimes symptoms are obvious. Other times, life simply starts feeling harder than it used to.
Your mood feels different
Worry, sadness, irritability, emotional numbness, or loss of interest is beginning to affect daily life.
Sleep or focus is getting harder
Poor sleep, racing thoughts, forgetfulness, restlessness, or trouble concentrating is affecting work, school, or home.
Life has changed
A health diagnosis, loss, relationship change, caregiving role, or major transition has become difficult to carry alone.
You are carrying too much
Work, family, caregiving, or other responsibilities leave little space for your own emotional health.
Unsure how to explain what you are feeling?
You do not need a diagnosis—or perfect words—to begin.
The first appointment is a conversation about what has changed, what feels difficult, and what support may be appropriate.
Mental Health by the Numbers
You Are Not Alone. Help Is Possible.
Explore the facts and see how common, understandable, and treatable these conditions can be.
Mental health concerns affect people across every profession, culture, background, and stage of life.
Seeking support is a sign of strength. Personalized care can reduce distress and help restore stability, connection, and daily functioning.
View NIMH sourcePersistent worry, panic, physical tension, or avoidance is not a lack of resilience. It may reflect an alarm system that stays active even when you are safe.
Anxiety is highly responsive to evidence-based care. Treatment can help calm the nervous system and restore confidence and emotional balance.
View NIMH sourceOngoing sleep difficulty can affect mood, concentration, physical health, emotional regulation, and daytime safety.
Rest is foundational to mental health. A careful evaluation can identify what is disrupting sleep and guide a safer, more restorative plan.
View NHLBI sourceDepression is more than temporary sadness. It can affect sleep, energy, motivation, concentration, physical comfort, and hope.
Even in darkness, progress is possible. Individualized treatment can help restore connection, purpose, and daily functioning.
View NIMH sourceADHD may remain unrecognized until adulthood, especially when it appears as overwhelm, disorganization, inconsistent focus, or difficulty completing tasks.
Executive-function challenges are not character flaws. A thoughtful evaluation can guide practical treatment and more sustainable routines.
View NIMH sourceIntrusive thoughts and compulsive rituals are symptoms of a treatable condition—not reflections of character, values, or intent.
Evidence-based treatment can loosen the cycle and help you regain greater freedom, confidence, and control in daily life.
View NIMH sourceWhat We Treat
Conditions We Support
Choose a concern to explore symptoms, evaluation, and care options.
Psychiatric Care & Support
Care designed around the whole picture.
Psychiatric evaluation, medication management, renal-informed care, and support navigating complex health needs.
Psychiatric Evaluation
A thoughtful first step to understand your symptoms, medical history, daily functioning, concerns, and treatment goals.
Explore EvaluationsMedication Management
Careful prescribing, clear education, ongoing monitoring, and collaborative follow-up shaped around your response and goals.
Explore Medication ManagementRenal-Informed Psychiatry
Psychiatric care for mood, sleep, adjustment, treatment fatigue, and the emotional demands of chronic kidney disease and dialysis.
Explore Renal-Informed CareCare Coordination & Navigation
Personalized guidance to organize care, connect with resources, and navigate complex medical and behavioral health needs.
Explore Care CoordinationHow Care Works
A clear path to begin care.
From your first request to ongoing follow-up, each step is designed to feel organized, supportive, and easy to understand.
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Request Care
Choose a visit type and briefly share what support you are seeking.
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Complete Intake
Share symptoms, health history, medications, concerns, and goals.
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Initial Evaluation
Meet with your provider for a thoughtful psychiatric assessment.
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Care Plan
Review options, education, next steps, and follow-up recommendations.
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Ongoing Care
Continue visits to monitor progress and adjust your plan when needed.
Dialysis & CKD Mental Health
Psychiatric care that understands kidney disease.
Support for depression, anxiety, sleep concerns, treatment fatigue, and the emotional weight of living with CKD or dialysis.
- Kidney-aware medication review
- Visits designed around treatment schedules
- Care coordination when appropriate
Mental Health & Kidney Care
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Depression is common during dialysis.
Clinical interviews identify depression in about 23% of adults receiving dialysis.
Kidney International · Systematic review02 / 03
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Anxiety symptoms are also common.
Pooled studies found elevated anxiety symptoms in about 42% of people receiving dialysis.
Systematic review and meta-analysis03 / 03
The burden is real
Mental health can affect daily treatment.
Depression and anxiety are linked with lower quality of life and can make complex treatment routines harder to manage.
Reviews of psychosocial health in dialysis careThese statistics describe group-level findings and do not replace individualized medical or psychiatric evaluation.
For Dialysis Facilities & Organizations
Support your patients— and strengthen quality performance.
Novascend helps dialysis organizations build practical behavioral health workflows around depression screening, follow-up, referral, and psychiatric care.
Screening Workflow
PHQ-9 and GAD-7 implementation, staff education, documentation guidance, and referral pathways.
Clinical Follow-Up
Psychiatric evaluation, medication management, telehealth access, and coordinated behavioral health support.
Program Support
Referral tracking, workflow consultation, and quality-performance support for facility leadership.
CMS determines ESRD QIP requirements and payment adjustments. Novascend supports clinical workflows and behavioral health access but does not guarantee QIP scores, payment outcomes, insurance coverage, or reimbursement.
Choose Your Next Step
Looking for care—or representing a facility?
Select the path that best fits what you need today.
For Patients
Start psychiatric care.
Request an evaluation and begin a personalized treatment plan.
For Facilities
Discuss a behavioral health partnership.
Schedule a consultation to review your screening workflow, referral needs, and psychiatric support options.
A Personal Note From the Founder
The medical chart told part of your story. I learned to listen for the rest.
A chart can document your diagnosis, laboratory results, and treatment. It cannot fully show the fear, exhaustion, or uncertainty you may be carrying.
For a decade, I cared for people receiving dialysis. I saw how easily anxiety, depression, exhaustion, and uncertainty could be overlooked while patients were managing complex medical treatment.
My background also includes behavioral health nursing, charge-nurse leadership in skilled nursing, and hospital and medical-group case management through roles with Providence Medical Foundation and UCLA Health.
Those experiences shaped the care approach behind Novascend Neurowellness: psychiatric care that considers your symptoms, medical history, responsibilities, and goals as parts of one complete story.
A decade in dialysis nursing
Behavioral health and skilled-nursing experience
Hospital case management and care coordination
Board-certified psychiatric mental health care
My goal is for you to feel heard, informed, and involved—not reduced to a diagnosis, laboratory result, or medical condition.
Providence Medical Foundation and UCLA Health are referenced only to describe professional experience.
Questions & Support
Before you begin.
Quick answers about care, scheduling, payment, and what to expect.
What services does Novascend provide?
Novascend provides psychiatric evaluations, medication management, telehealth psychiatry, Dialysis & CKD Mental Health support, mobile psychiatry when available, and private-pay concierge case management.
Who can receive care?
Novascend serves adults 18 and older who are physically located in California at the time of care. Each inquiry is reviewed to determine whether the practice is an appropriate fit.
How do I request an appointment?
Submit a request online, call, or email the practice. We will review your inquiry and guide you through scheduling, required forms, fees, and visit preparation.
What happens during the first appointment?
The first visit is a comprehensive psychiatric evaluation focused on symptoms, history, medications, functioning, concerns, goals, and treatment recommendations.
Do you offer telehealth and prescribe medication?
Secure telehealth visits are available throughout California when clinically appropriate. Medication may be recommended after evaluation based on diagnosis, safety, history, and goals.
Do you accept insurance?
Contact the practice for current insurance and payment options. Private-pay services may be available. A superbill may be provided when eligible, but reimbursement is not guaranteed.
Choose Your Next Step
Ready for a clearer path forward? We’ll help you take the next step.
Begin care for yourself, or connect with us about behavioral health support for your facility.
For Patients
Start psychiatric care.
Request an evaluation and begin a personalized plan.
Begin CareFor Facilities
Discuss a partnership.
Explore screening, referral, and psychiatric support options.
Facility ConsultImmediate Help
Crisis support is available now.
If you are in immediate danger, call 911 or go to the nearest emergency room. For mental health crisis support, call or text 988.