Canonical page: https://www.hermindandwellness.com/services Adult psychiatric care · El Paso and Texas telehealth # Care for what you're carrying. Anxiety, low mood, emotional changes, or questions about medication can be hard to untangle alone. Elizabeth Ghadimi, PMHNP-BC, helps adults understand their concerns and consider appropriate next steps. Women-centered, welcoming to all adults · English and Tagalog · In-person El Paso and Texas telehealth [Use insurance ↗](https://care.headway.co/providers/elizabeth-ghadimi)Request self-pay care →[Meet Elizabeth →](https://www.hermindandwellness.com/elizabeth-ghadimi) Returning for follow-up care? [See direct insurance and self-pay follow-up pathways](https://www.hermindandwellness.com/#care). Self-pay follow-ups are $95 for 30 minutes; requests are confirmed by the practice. Thoughtful psychiatric evaluations and medication management when appropriate. [Anxiety & panic](https://www.hermindandwellness.com/#anxiety)[Depression & mood](https://www.hermindandwellness.com/#depression)[Pregnancy & postpartum](https://www.hermindandwellness.com/#postpartum)[Stress & sleep](https://www.hermindandwellness.com/#stress)[Evaluation & medications](https://www.hermindandwellness.com/#evaluation)[Affirming adult care](https://www.hermindandwellness.com/#affirming)[Trauma-related questions](https://www.hermindandwellness.com/#trauma) What we can discuss ## Real questions. Individual answers. These are concerns you can discuss during psychiatric evaluation and follow-up care, not separate programs you must choose between. Symptoms often overlap. An evaluation considers your history, experiences, goals and other possible explanations; medication is considered when appropriate. The reading links below are optional educational resources, not additional steps required to request care. 01 / Anxiety & panic ### When worry starts running your day. Persistent worry, panic, or burnout can affect sleep, focus, work, and relationships. These experiences can overlap. - Worry, tension, or feeling constantly on edge. - Exhaustion or stress that affects daily life. [Explore anxiety guides →](https://www.hermindandwellness.com/learn/topics/anxiety/)[Preparing to discuss anxiety →](https://www.hermindandwellness.com/learn/anxiety-when-to-seek-help/) 02 / Depression & mood ### When you don't feel like yourself. Changes in mood, interest, energy, or sleep can have different causes. An evaluation can help clarify what is happening. - Low mood, lost interest, or irritability. - Disrupted sleep or changes in energy. [Depression resources →](https://www.hermindandwellness.com/learn/topics/depression/)[Mood changes resources →](https://www.hermindandwellness.com/learn/topics/mood-changes/) 03 / Pregnancy & postpartum ### You deserve support through major changes. Persistent mood or anxiety concerns during pregnancy or after birth deserve timely, individualized support. - Overwhelming sadness, worry, or guilt. - Changes affecting daily routines and functioning. [Pregnancy & postpartum guides →](https://www.hermindandwellness.com/learn/topics/pregnancy-and-postpartum/)[When to ask for help →](https://www.hermindandwellness.com/learn/postpartum-anxiety-depression-when-to-seek-help/) 04 / Stress, burnout & sleep ### When the demands don't let up. Caregiving, changing roles, healthcare work, grief, and chronic stress can affect mental well-being. Trouble sleeping and exhaustion may warrant assessment, particularly when they overlap with anxiety or mood changes. Useful to consider: What is draining your energy, and how have sleep and daily routines changed? [Stress & burnout reading →](https://www.hermindandwellness.com/learn/topics/stress-and-burnout/)[Sleep & mental health →](https://www.hermindandwellness.com/learn/topics/sleep-and-mental-health/) 05 / Evaluation & medication ### Understand your options before deciding. Ask about what has changed, your treatment history, and whether medication may be appropriate. An evaluation does not automatically lead to a prescription. [Preparing for a first evaluation →](https://www.hermindandwellness.com/learn/topics/first-psychiatric-evaluation/)[Medication questions to ask →](https://www.hermindandwellness.com/learn/psychiatric-medication-questions-first-appointment/) 06 / Life transitions & affirming care ### Care that considers your experiences. Your identity is not a diagnosis. LGBTQ+ adults and people navigating cultural, family, relationship, or work changes deserve respectful, culturally responsive care. - Questions about affirming psychiatric care. - Stress or mood changes through a major life change. [Affirming care guides →](https://www.hermindandwellness.com/learn/topics/affirming-and-cultural-care/)[Life transitions reading →](https://www.hermindandwellness.com/learn/topics/women-and-life-transitions/) 07 / Trauma-related questions ### Room to discuss what is affecting you. Distressing experiences can affect sleep, sense of safety, and daily life. Psychiatric evaluation can help clarify next steps, including referrals when appropriate. - Feeling on edge or avoiding reminders. - Distressing memories or sleep disruption.[Trauma-related education →](https://www.hermindandwellness.com/learn/topics/trauma-and-ptsd/) Care should respect your life and identity. Elizabeth's practice is women-centered and welcomes all adults, including LGBTQ+ adults, first-generation immigrants and healthcare workers. Identity is not a diagnosis. [Read about respectful, culturally responsive care →](https://www.hermindandwellness.com/learn/topics/affirming-and-cultural-care/) Ready when you are ## One thoughtful next step. Use insurance to check appointment options through Headway, or request self-pay care with HMW. You can also begin with a free 15-minute introduction. Initial self-pay evaluation: $175 / 60 minutes · Follow-up: $95 / 30 minutes [Use insurance ↗](https://care.headway.co/providers/elizabeth-ghadimi)Request self-pay care →Free 15-minute introduction →[Optional private mood & anxiety self-check →](https://www.hermindandwellness.com/self-check) For your questions ## Explore more in the Learning Library. Practical patient education on anxiety, mood, medication questions, postpartum mental health and getting started with care. [Browse all published guides →](https://www.hermindandwellness.com/learn/#guides)