

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.
I know life can feel overwhelming, and you don’t have to handle it alone. I’m here to support you through stress, intense emotions, and major life changes with a space that feels safe, calm, and free of judgment. Together, we can slow things down, make sense of what you’re feeling, and help you reconnect with your strengths and what matters most to you.
I am a Psychiatric Mental Health Nurse Practitioner dedicated to provide compassionate, personalized care for individuals experiencing anxiety, depression, mood disorders, and other mental health challenges. My goal is to create a space where you feel heard, respected and understood. I am here to support you every step of the way.


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