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Photo of Melina Spanos

Melina Spanos

Psychiatric Nurse Practitioner, MSN, PMHNP-BC
Rivia Mind
Accepting clients Last Updated 2 days ago

If you are the one who holds everything together at work and at home, anxiety and depression can be easy to miss from the outside and exhausting to live with on the inside. You might look “fine” while your mind never shuts off, your body stays tense, your sleep is unreliable, and simple decisions feel heavier than they should. You may be carrying guilt for feeling irritable, numb, or overwhelmed, and wondering why willpower is not enough.

In our work together, my goal is to create a space where you feel heard, supported, and understood. Many adults want care that is clear, practical, and compassionate, not rushed and not one-size-fits-all. My hope is that you feel empowered in your healing and see meaningful improvements in your daily life, including steadier mood, calmer thoughts, better focus, and a stronger sense of control over your wellbeing.

I specialize in anxiety, depression, ADHD, and trauma-related concerns. I also have experience supporting adults through crisis stabilization, emotional regulation, and long-term mood management. If you have been living with symptoms that have not improved with standard approaches, you are not alone. I have additional expertise in treatment-resistant depression through ketamine-assisted therapy and Spravato administration, with a focus on helping you feel more grounded, hopeful, and able to engage in your life again.

Many people I work with describe patterns like high-functioning anxiety, constant mental load, anticipatory worry, and trouble relaxing; depression that looks like numbness, fatigue that rest does not fix, low motivation, or pulling away from others; ADHD-related challenges with focus, follow-through, organization, and mental overwhelm; trauma-related symptoms such as hypervigilance, emotional reactivity, shutdown, or feeling stuck in survival mode; or mood concerns that may include major depressive disorder, bipolar disorder, persistent depressive disorder, or PMDD patterns

My approach to care is collaborative, compassionate, and evidence-based. I focus on truly understanding your story so we can create a treatment plan that feels supportive, personalized, and sustainable. This may include psychiatric evaluation, medication management using evidence-based psychopharmacology, and supportive therapy focused on stabilization and day-to-day coping. When you are ready, we can also build skills that help with emotional regulation, stress response, and long-term resilience.

Mental healthcare can change lives. I am driven by the belief that everyone deserves compassionate, evidence-based care that helps them feel more grounded, hopeful, and in control of their wellbeing. If you are ready for care that takes you seriously and meets you where you are, I would be honored to support you.


Specialties

Addiction ADHD Alcohol Misuse or Abuse Anger management Anxiety Athletic Performance Behavioral Issues Bias and Discrimination Bipolar Disorder Body Image Borderline Personality Disorder (BPD) Career Concerns Caregiver Support Chronic Medical Condition Chronic Pain College adjustment Cultural Adjustment Depression Diet and Nutrition Divorce Drug Addiction Dual diagnosis Eating Disorders Emotional Regulation Excoriation Disorder Executive Functions Existential Challenges / Crises Family Conflict Financial Insecurity Food Insecurity Gambling Gaming Addiction Gender Identity Grief and Loss Hoarding Housing Insecurity Identity Development Immigration Stress Impulse Control Internet Addiction Intimate Partner Abuse Life Transitions Obsessive-compulsive disorder (OCD) Parenting Perfectionism Personality Disorders Phobias Psychosis & Pre-Psychotic Symptoms Race Based Trauma Racial Identity Relationship Issues Religion or Spirituality Self-esteem Self-harm Sexual Abuse Sexual Assault Sexual Health Sexuality Sexual Orientation Sleep Social Anxiety Social Isolation Stress Stress from Academics Substance Abuse Suicidality Trauma & PTSD Trichotillomania

Insurance & Payment

In-Network Insurance Plans

Melina Spanos is in network for the following plans:

Aetna AllWays Health Partners Anthem Anthem Blue Cross Carelon Cigna and Evernorth First Health Magellan Behavioral Health Medicare Northwell Direct Optum Oxford TRICARE UMR UnitedHealthcare Wellfleet

NPI Number

1518786276

Rates

Rates not provided

Practice Hours

Monday 8:00 a.m. - 6:00 p.m.
Tuesday 10:00 a.m. - 8:00 p.m.
Wednesday 9:00 a.m. - 7:00 p.m.
Thursday 8:00 a.m. - 6:00 p.m.
Friday --
Saturday --
Sunday --

Treatment Approaches

Body positivity Career Counseling Cognitive Behavioral Therapy (CBT) Compassion Focused Culturally Sensitive Depth Therapy Eclectic Executive Functions Coaching Existential Feminist Health at Every Size Holistic Humanistic Insight Therapy Integrative Interpersonal and Social Rhythm Therapy (IPSRT) Interpersonal Therapy (IPT) Lifespan Integration Medication Management Meditation Mentalization Based Treatment (MBT) Mind-Body Mindfulness Mindfulness-Based Cognitive Therapy (MBCT) Motivational Interviewing Multicultural Positive Psychology Psychodynamic Relational Solution Focused Brief Therapy (SFBT) Somatic Strength-Based Supportive Transpersonal Trauma Focused

Modalities

Individuals

Age Groups

Young Adults (18-25) Adults (26-64) Seniors (65+)

Communities

Activists Artists Athletes Deaf or Hard of Hearing First-Gen Immigrants Indigenous Peoples International Kink / BDSM LGBQ+ Neurodiverse People of Color People with Disabilities Polyamorous STEM Trans non-binary gender fluid Undocumented Veganism Veterans

Meeting Options

Video sessions available

Qualifications

  • License(s): CT-13957

More About Me

  • Languages Spoken: English
  • Gender(s): Cisgender, Woman
  • Religion(s): Orthodox Christian