I am a dual certified nurse practitioner in Family Practice and Psychiatry managing patients from age 14 through adulthood in general neurology and psychiatry since 2014 (with RN experience since 1995). I am an ADHD certified clinical services provider, specializing in adult Attention Deficit Hyperactivity Disorder (ADHD). I also provide headache and migraine management and also work with patients that have found typical antidepressants unhelpful, those with Treatment Resistant Depression (TRD). I use Ketamine and Esketamine, as well as Transcranial Magnetic Stimulation for those suffering from TRD. I truly enjoy working with patients with Multiple Sclerosis and TRD. MS is a complicated neurological disease, and usual psychiatric treatment options are limited, but I have found Ketamine and/or TMS very effective and these options do not interfere with DMT for their MS. I work with many adult ADHD patients with complicated comorbid conditions.