Where this experience comes from
Justina's clinical background includes years of critical-care nursing — titrating high-risk intravenous medications and caring for patients on continuous dialysis — followed by advanced-practice work with patients who carry several chronic diagnoses at once. Her psychiatric practice is informed by that history: she is used to prescribing when the usual choices need to be reconsidered.
Polypharmacy review
She has led polypharmacy review in skilled-nursing settings — systematically auditing multi-drug regimens to remove inappropriate prescribing and reduce medication-related adverse events. The same review — what is each medication for, is it still needed, is it interacting with something else — is part of how she approaches every patient.
Working with your other providers
When a psychiatric medication affects a medical condition, or vice versa, Justina coordinates with your primary care provider or specialists so that everyone is working from the same plan.
What this includes
- Evidence-based prescribing with renal, cardiac, hepatic, and diabetic comorbidities
- Polypharmacy review and simplification where appropriate
- Drug-interaction screening
- Planned tapering when a medication is no longer needed
- Coordination with primary care and specialists
How to get started
Online scheduling and practice contact options are being finalized. This page will update as soon as they are available. New patients begin with a comprehensive psychiatric evaluation.