Integrated psychiatric care your patients can actually access
Therapy & Mind offers a rare combination: a PMHNP who provides both psychiatric medication management and EMDR therapy — in one practice, serving California and Washington via telehealth.
David Irias
MSN, APRN, PMHNP-BC
Why this matters for your patients: one provider does both
Most patients with complex trauma need a prescriber and a therapist — two intake appointments, two billing relationships, and two clinicians who rarely communicate. David Irias is a board-certified PMHNP who also delivers EMDR therapy, allowing your patient to receive integrated medication management and evidence-based trauma treatment in a single, coordinated relationship. This is especially valuable for high-achieving professionals who are time-constrained and often reluctant to navigate multiple providers.
Primary Focus
Also Addressed
The High-Functioning Professional
Executives, attorneys, physicians, and tech workers whose external success masks internal distress, chronic stress, or unresolved trauma.
Prior Therapy, Limited Progress
Patients who have completed talk therapy without adequate relief — particularly where trauma processing was not the primary modality.
Medication + Therapy Needed
Patients requiring both pharmacological management and trauma-focused therapy who prefer a single integrated provider relationship.
Undiagnosed or Late-Diagnosed ADHD
High-achieving adults who compensated well enough to avoid diagnosis but are now experiencing dysfunction under increased demands.
Privacy-Conscious Patients
Those who prefer a cash-pay model to keep mental health treatment off insurance records — common among professionals with licensure concerns.
Telehealth-Preferred
Patients with demanding schedules, travel-heavy roles, or limited access to specialized in-person care in their area.
| Service | CA | WA | Format | Notes |
|---|---|---|---|---|
| EMDR Therapy | ✓ | ✓ | Telehealth | Standard & intensive formats; somatic integration |
| Psychiatric Evaluation | ✓ | ✓ | Telehealth | Initial eval $450–$600; comprehensive diagnostic workup |
| Medication Management | ✓ | ✓ | Telehealth | Follow-ups $150–$450; care coordination available |
| ADHD Evaluation & Treatment | ✓ | ✓ | Telehealth | Adult ADHD; stimulant & non-stimulant management |
| Individual Psychotherapy | ✓ | ✓ | Telehealth | CBT, somatic, trauma-informed approaches |
| Financial Therapy | ✓ | ✓ | Telehealth | Psychological relationship with money; trauma & financial patterns |
Submit the Referral Form
Complete the secure online form with provider and patient information — approximately 3–4 minutes.
ImmediateWe Contact the Patient
Our team reaches out to the referred patient within 1–2 business days to schedule a free 15-minute consultation.
Within 1–2 business daysFree Consultation Call
Patient meets with David to confirm fit and review the treatment approach before committing to a full evaluation.
15-minute call, no costIntake & Treatment
Full psychiatric evaluation or EMDR intake scheduled. Coordinated care notes sent to referring provider upon patient consent.
Within 1–2 weeksCare Coordination
With signed patient consent, Therapy & Mind will share treatment summaries, medication updates, and progress notes with your office. We welcome collaborative communication and are available by email for clinical questions.
Urgent Referrals
For patients requiring expedited intake, contact us directly by phone or email and mark the referral form as "Urgent." We will prioritize scheduling within 48–72 hours when capacity allows.
⚠ Not a crisis service. For acute psychiatric crisis, contact 988, the nearest ED, or mobile crisis services.
Currently Accepting
New patients in California and Washington. Telehealth only.
David Irias is a board-certified Psychiatric Mental Health Nurse Practitioner with over a decade of experience in nursing, behavioral health, and interdisciplinary care. He is licensed in both California and Washington and trained in EMDR therapy — a combination that allows him to provide integrated psychiatric and trauma-focused treatment without fragmenting care across multiple providers.
His practice specializes in high-achieving professionals who present with high functioning on the outside but significant internal distress — chronic stress, emotional numbness, self-criticism, and patterns that talk therapy alone has not resolved.
Credentials & Licensure
- ✓ MSN, Psychiatric Mental Health
- ✓ APRN — Advanced Practice RN
- ✓ PMHNP-BC (Board Certified)
- ✓ EMDR Trained
- ✓ CA License: Active
- ✓ WA License: Active
Modalities
- ✓ EMDR Therapy
- ✓ Somatic Approaches
- ✓ CBT
- ✓ Trauma-Informed Care
- ✓ Psychopharmacology
- ✓ Financial Therapy
Ready to refer a patient?
Use the secure online form for all referrals, or reach out directly with clinical questions. We respond to provider inquiries within one business day.
Complete Online Referral Form →