

I am a Licensed Mental Health Counselor and Qualified Supervisor with over 15 years of experience working with clients of all ages. At this time I am available to see clients 18 years and older, dealing with a variety of challenges and concerns, including anxiety, depression, life changes and transitions, stress management, and spiritual beliefs/faith.
I'm Karina Astigarrabia Ferraz, PMHNP-BC — a Board-certified Psychiatric-Mental Health Nurse Practitioner practicing in Florida. Before specializing in psychiatry, I spent years as a Board certified nurse in cardiac intensive care, an experience that deepened my understanding of how the mind and body are inseparable. That background shapes the way I practice: I see mental health as rooted in biology, physiology, and lived experience — not just symptoms to be managed. I believe therapy is one of the most powerful and underutilized tools in mental health care. My work centers on evidence-based approaches — Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), and Interpersonal Therapy — integrated with a positive psychiatry framework that focuses on your strengths, resilience, and capacity to heal. When medication is appropriate, I incorporate it thoughtfully as part of a broader, individualized plan. Clients often describe me as warm, unhurried, and genuinely curious about their lives. I collaborate with Brain X Dynamics as an independent clinician, sharing a commitment to whole-person, holistic care — including attention to brain metabolism and the biological foundations of emotional well-being.
Hi, I'm a Licensed Clinical Social Worker with a heart for supporting individuals through the transformative journey of parenthood. Specializing in perinatal mental health, I provide compassionate, bilingual therapy to help you navigate the emotional highs and lows of pregnancy, postpartum, and beyond. With a degree from Rutgers University and years of experience working with children, teens, adults, couples, and families, I understand that every journey is unique.
My approach is warm, empowering, and always centered on meeting you exactly where you are. Together, we’ll create a space for healing, growth, and renewed strength.
I have a heart for walking with people who are looking for someone to listen and care about their unique circumstances. I work with both couples and individuals; some specializations include marital counseling, grief, addiction, anxiety, depression, spiritual/existential discernment, trauma, suicidal ideation, family dysfunction, and career counseling.
I am a dedicated Nurse Practitioner with a strong background in mental health and primary care, committed to providing compassionate, patient-centered care. I earned my advanced practice degree from Wilkes University and have experience working with diverse populations across various clinical settings.
My approach is collaborative and holistic—I believe in treating the whole person, not just symptoms. I work with clients experiencing anxiety, depression, mood disorders, ADHD, and life transitions. I strive to create a supportive, non-judgmental environment where clients feel heard, understood, and empowered.
I utilize evidence-based treatments, including medication management when appropriate, and incorporate supportive and solution-focused approaches tailored to each individual’s needs. My goal is to help clients achieve stability, improve daily functioning, and enhance their overall quality of life.
I understand that seeking help can be a big step, and I am here to support you throughout your journey with respect, empathy, and professionalism.











Headway makes it easy to find support for your mental health — from finding the right provider, to understanding costs, to scheduling with ease.