Psychiatric Providers in East Texas

Yes. Continuity of care is one of our core standards — you see the same provider at every visit, so your care stays personal and coordinated rather than handed off between rotating staff. That continuity matters clinically: a provider who already knows your history, what you've tried, and how you respond can make better, faster decisions with you over time. It also makes the relationship easier, since you're not re-explaining your story at each appointment. If you ever need to be seen and your provider is unavailable, our team will help you find the soonest safe option.

Yes — we hold space for new patients and aim for same-week access. When you call (430) 288-5800, our intake team will match you with the right provider for your needs and find the earliest available appointment, in person in Tyler or by secure video. If your situation feels urgent but isn't an emergency, let us know and we'll do our best to prioritize you. If you're ever in immediate danger, call 911, or call or text 988 to reach the Suicide & Crisis Lifeline at any hour.

Yes. Karen A. English, PMHNP-BC, focuses on child and adolescent psychiatry and family-centered care, so families can find support for younger patients under the same roof as adult care. Whether psychiatric care is appropriate for a particular child or teen depends on their age, symptoms, and needs — which a comprehensive evaluation is designed to clarify. Parents and guardians are part of the process, and findings and options are explained in clear, family-friendly terms. If we aren't the right fit for a specific situation, we'll help point you toward appropriate resources.

Yes. All of our providers offer telepsychiatry to patients located anywhere in Texas, including full first evaluations by secure video — not just quick follow-ups. Video visits remove travel, childcare, and distance barriers, and many patients use a mix of in-person and virtual appointments over time. The evaluation, the provider, and the ongoing medication oversight are the same in either setting. A few situations call for an in-person visit, and your provider will tell you clearly if that applies to you.

A psychiatric-mental health nurse practitioner (PMHNP-BC) is a board-certified advanced-practice clinician who can evaluate and diagnose mental health conditions, prescribe and manage medication, and coordinate therapy. Every provider at our practice is a board-certified PMHNP with years of clinical experience. For the conditions most people seek help with — anxiety, depression, ADHD, mood concerns, trauma, and medication management — a PMHNP provides comprehensive, continuous care. If you'd like to understand how the role compares to a physician psychiatrist, see our guide to PMHNP vs psychiatrist.

Yes. As board-certified PMHNPs, our providers diagnose, prescribe, and manage psychiatric medication, and they coordinate therapy as part of your overall plan. Prescribing is always paired with monitoring — your provider tracks how a medication is working, watches for side effects, and adjusts the plan with you rather than setting it and forgetting it. Because diagnosis, prescribing, and therapy coordination happen under one roof, the pieces of your care stay aligned. You can read more about ongoing care on our medication management page.

You don't have to figure it out alone — call (430) 288-5800 and our team will match you based on your needs, age, and goals. As a quick guide: James Baughman focuses on veteran, trauma, and treatment-resistant depression care; Antonio Brigham on holistic care for complex and severe mental illness; Karen A. English on child, adolescent, and family care; and Mikel Aviso on culturally informed adult psychiatry and medication management. You're also welcome to read each provider's full profile to get a feel for their background and approach before you decide. If your needs change over time, we can help you find the best fit within the practice.

Yes. Mikel Aviso, PMHNP-BC, practiced in the Philippines, the United Kingdom, and the United States before joining us, and he treats culture, language, and family context as part of the clinical picture rather than background detail. That matters because the way distress is described, what a family considers a symptom, and how comfortable someone feels asking for help all vary — and missing that can lead to the wrong read. Every provider here works to understand your context before recommending a plan. If something about your background feels relevant to your care, say so at your first visit.

Our team treats a broad range of conditions, including anxiety, depression, ADHD, bipolar and other mood disorders, PTSD and trauma, OCD, and more, alongside specialized care for treatment-resistant depression and addiction. You can browse the full list on our conditions we treat page. Care typically begins with a psychiatric evaluation that clarifies what's going on before any plan is set. If you're unsure whether we treat your specific concern, reach out and we'll let you know or help point you in the right direction.

Every provider is a licensed advanced-practice registered nurse, and their licensure can be verified through the Texas Board of Nursing. Board certification (PMHNP-BC) reflects national certification specific to psychiatric-mental health nursing. We're glad for patients to confirm credentials — transparency is part of trustworthy care. If you have questions about a provider's background or scope of practice, ask at your first visit and they'll answer directly.