I’m a board-certified psychiatric mental health nurse practitioner (PMHNP-BC) providing telepsychiatry throughout California.
My work is grounded in careful listening and seasoned clinical judgment. I work collaboratively with you — you are always the expert on your experience.
Care is offered at an individualized pace that supports meaningful and sustainable change.
Special focus areas
ADHD and Autism across the lifespan
Anxiety, depression, OCD, PTSD, bipolar
Services
Evaluation and diagnosis
Medication management
Integrated psychotherapy
Who I work with
Children
Adolescents
Adults
How I can Support You
Comprehensive psychiatric evaluation
Medication management
ADHD and autism evaluation
Integrated psychotherapy
Trauma-informed care
Care for children, adolescents, and adults
Let’s Connect
I value your privacy and encourage secure messaging through Spruce
Request a free 15-minute telephone consultation
Telephone consultations are available for new patients considering care. You can request to schedule through secure messaging via Spruce. These brief calls are intended to discuss your needs and next steps.
There is no obligation to begin care after a consultation.
For general inquiries, you may email info@karazertuchepmhnp.sprucecare.com
Please do not include sensitive health information in standard email.

