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Julie Ann Therese, PMHNP-BC is the Founder & CEO of Alternative Awakenings Psychiatry, a group practice with multiple rotating providers. She provides medication management with therapy integration (no stand-alone therapy). Julie supports adults and women, with a focus on perinatal mental health and the Filipino-American community.
Diagnoses are based on clinical findings; she does not offer evaluations solely to obtain a specific diagnosis (e.g., ADHD).
For immediate response please call/text our office at 530-691-0193 or +18555985659
UPDATED HOURS OF OPERATION AS OF 4/01/2026
Front office hours: Weekdays 8 am to 5 pm.
Providers’ office hours are by APPOINTMENT only:
Monday/Tuesday from 9AM to 7PM
Wednesday 9AM-12PM
Thursday 9AM-5PM
Friday 9AM-12PM.
Weekend hours for CONSULTATIONS ONLY: 12PM-5PM
BOOKING PROCESS:
A deposit is requested to reserve your appointment time. For Headway patients, this deposit is fully refundable. It is not applied as payment for services unless insurance cannot be verified, a claim cannot be submitted due to incomplete or inaccurate insurance information, no valid payment method is available in Headway or Alma, or you are otherwise responsible for the charges.
UPDATES AS OF 3/30/2026
Practice & Availability Disclaimer
Julie is nearing her maternity leave and has 2 providers covering. Julie will remain actively involved in the practice by monitoring, supervising, and approving treatment plans as part of a collaborative clinical team to ensure continuity and quality of care.
Tired of feeling like you have to educate your therapist before you can actually begin? You deserve a therapist who actively celebrates who you are. I specialize in LGBTQI2-S affirmative care and work with individuals, couples, and families navigating identity, relationships, and the lifelong work of becoming more fully yourself. With over 8 years training mental health professionals in gender-affirming practices, you won't spend our sessions explaining the basics. You can just show up, exactly as you are.
I'm glad you're here. I provide an environment where you can share your experiences and current stressors while shedding what no longer serves you to become your best self. I work with individuals impacted by trauma, anxiety, depression, and life transitions.
Having trouble scheduling ? just call 707-269-6642 or email [email protected]
Zlatoslava (Z) Karga, DNP, PMHNP-BC Board-Certified Psychiatric Nurse Practitioner
I am a board-certified Psychiatric Nurse Practitioner and Doctor of Nursing Practice with six years of clinical experience serving individuals across the lifespan. As a U.S. veteran, I bring a deep respect for resilience, service, and the diverse paths that shape each person’s mental health journey.
My practice is grounded in a holistic approach to assessment and treatment—one that honors not only where you are in life, but who you are as a whole person. I believe effective care goes beyond symptom management. It requires curiosity, collaboration, and a willingness to think outside the box to find solutions that truly fit your needs.
I am committed to building long-term therapeutic relationships based on trust, transparency, and mutual respect. Whether we’re exploring innovative treatment options or navigating life’s challenges together, my goal is to create a space where you feel seen, supported, and empowered to move toward meaningful change.
We all have moments in our lives when we may feel overwhelmed, stressed, anxious, or simply in need of extra support in reaching a balanced life. I am here to work with you on overcoming some of life’s biggest challenges. My experience has been with a focus on improving your overall quality of life. Collaboratively, I work with my clients to help them heal from the effects of trauma, work through grief and loss, life transitions, depression, anxiety, parenting struggles or relationship issues. I also have experience in helping parents and children who are managing early childhood development or ADHD concerns.
I’m a licensed therapist with a background in supporting adults and teens through anxiety, trauma, life transitions, and relationship stress. I earned my graduate degree in counseling and have worked in both community-based and private practice settings, which has helped me understand the real-life pressures people carry—work, family, finances, identity, and burnout.
My style is practical and compassionate: we look at patterns, the stories you’ve learned to live by, and what it would feel like to respond differently—more grounded, more empowered, and more like “you.” I often integrate inner child work, trauma-informed care, and skills for emotional regulation and ADHD/executive functioning.
I primarily work with adults who want to improve communication, rebuild trust, and create more secure connection.
As your Psychiatric-Mental Health Nurse Practitioner, I want you to know that I am here for you every step of the way. You can trust that I am fully committed to your well-being and dedicated to providing you with the highest quality of care.
Something positive, warm, and uplifting about me as your PMHNP is that I genuinely believe in your strength and resilience. I see your potential for growth and healing, even during the toughest of times. Together, we'll navigate through the challenges.
Zaheen is an LCSW for the last seven years and has been a clinician for 11 years. Zaheen's approach is eclectic; she uses a Person in Environment and Multicultural models. Zaheen explores your current coping skills and teaches about self care. Zaheen's main focus area is working with adults who are struggling with everyday stressors or transitions in their lives. Zaheen's style is warm, open minded, and empowering. In her spare time, Zaheen enjoys practicing what she teaches (self care).
You’re the one everyone relies on. You get things done, show up, and keep it together—but lately, it feels like too much. Your mind won’t slow down, you’re constantly overthinking, and even when you “rest,” you don’t actually feel better.
From the outside, you look like you have it all together. Inside, you’re exhausted.
I work with high-achieving women who are tired of carrying everything on their own. Whether it’s anxiety, burnout, or feeling disconnected from yourself, we’ll work together to help you feel grounded, clear, and back in control of your life.
I have completed Phase 1 Brainspotting training through Pacific Trauma Center and may integrate Brainspotting into sessions for clients interested in exploring a deeper brain-body approach to healing.
My goal is to create a space where you feel comfortable, understood, and supported. I know that seeking help for your mental health can take courage, and I deeply respect each person’s journey. I take time to listen, collaborate, and find a treatment plan that fits your individual needs and lifestyle. I value open communication and believe that healing happens best when we work together as a team.
Hi, and welcome! Life’s challenges can feel overwhelming, whether you’re dealing with anxiety, depression, or grief. You may feel stuck, stressed, or unsure how to move forward. My goal is to provide a supportive, non-judgmental space where you can explore your concerns, feel understood, and start building the tools to regain control and find peace.


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