Psychiatric care you can reach from home

Evaluations and medication management for adults across Oregon, by video or in our Portland office.

Psychiatric nurse practitioner
Licensed in Oregon
Video visits across Oregon

A woman sits on the floor of a bright living room with a laptop on a low table, on a video call

If you are in crisis, call or text 988 (the Suicide and Crisis Lifeline), any time. In an emergency, call 911.

Meet Arianna Perez

I'm a psychiatric mental health nurse practitioner in Portland, Oregon. I see adults for a psychiatric evaluation and for ongoing medication management, in my office or by video from wherever you are in Oregon.

A visit is a conversation. I ask about your health, your history and what you hope will change, and we decide together whether medication belongs in the plan. I explain what a medicine can and cannot do, the risks, and what to watch for.

If you also see a therapist or a primary care clinician, I can work alongside them, with your permission.

Arianna Perez

Psychiatric mental health nurse practitioner

A leather sofa, a rattan chair and a stool under a floor lamp in a wood-panelled room

Video
Licensed in Oregon
Office
In person in Portland
Adults
Evaluation and follow-up
60 min
First visit

How I practice

Time to talk
The first visit is long enough to tell your story, not just to adjust a dose.
Plain answers
I explain what a medicine is for, what it can do, and what to watch for.
Your decision
Medication is a choice we make together, and you can ask to change or stop at any visit.
Shared care
With your permission, I keep your therapist and primary care clinician in the loop.

How I can help

I see adults for a psychiatric evaluation and for ongoing medication management.

Psychiatric evaluation

An hour to go through your history, your health, your sleep and what you hope will change. You leave with a plan and a clear idea of what comes next.

A light blue sofa with patterned cushions under a framed print, beside a red tripod lamp

Medication management

Shorter follow-up visits to see how a medicine is working for you, adjust it if needed and answer your questions, by video or in the office.

A small study with a desk, laptop, table lamp and leather armchair in warm light

Starting a medication

Before a first prescription we talk through what it is for, how it may help, the common side effects and what to do if something worries you.

A large modern lounge with beige and burgundy sofas, a shag rug and white round tables

Changing or stopping a medication

Dose changes are planned together, one step at a time. Please don't stop a prescribed medicine on your own; call first.

A lit lantern hanging on a dark wooden plank wall

Working with your care team

With your written permission, I share notes and plans with your therapist or primary care clinician so everyone works from the same plan.

A white wicker chair and a wooden stool in a bright white room with a radiator

How we begin

Starting care can feel like a lot. Here is the order of things.

01
Write or call
Send a message or call the office. We reply by email or phone, and we answer questions about fees before you book anything.
02
The evaluation
A first visit of about an hour, in the office or by video, to go through your history, your health and your goals.
03
Follow-up visits
Shorter visits to see how things are going. Your clinician sets the pace, and we don't promise a number of visits.
04
Regular review
From time to time we look at the whole plan together and space visits out when that makes sense.

What clients say

Words about what a visit felt like.

“I never felt rushed. Arianna listened first, and explained each option in plain words.”
Doug H.
“Living far from a city, I expected a long drive. The video visit felt calm and was easy to set up.”
Renata V.
“She asked what I wanted from the visit before suggesting anything. I felt like a person, not a chart.”
Tyrese B.
“Every question got a straight answer, including the ones I was embarrassed to ask.”
Hao L.
“The office is quiet and the room feels warm. Nothing about the visit felt hurried.”
Darya S.
“I knew what would happen at each step, and what each follow-up was for. That helped me relax.”
Brett W.

“I never felt rushed. Arianna listened first, and explained each option in plain words.”
Doug H.
“Living far from a city, I expected a long drive. The video visit felt calm and was easy to set up.”
Renata V.
“She asked what I wanted from the visit before suggesting anything. I felt like a person, not a chart.”
Tyrese B.
“Every question got a straight answer, including the ones I was embarrassed to ask.”
Hao L.
“The office is quiet and the room feels warm. Nothing about the visit felt hurried.”
Darya S.
“I knew what would happen at each step, and what each follow-up was for. That helped me relax.”
Brett W.