Nicole  Miele

Nicole Miele

Psychiatric Mental Health Nurse Practitioner, PMHNP

Not accepting new clients at 110 Main St, East Greenwich, RI 02818, USA (updated October 12, 2019)


Specialties & Expertise

  • Anxiety
  • Depression
  • Postpartum anxiety and depression
  • Mood changes around the menstrual cycle / Premenstrual dysphoric disorder (PDD)
  • Trauma
  • Infertility counseling
  • Medication management

Professional statement

Nicole Miele is a board certified Psychiatric Mental Health Nurse Practitioner in East Greenwich, RI. She sees women ages 18 - 45 for anxiety, mild to moderate depression, post-traumatic stress disorder, mood changes around the menstrual cycle, as well as postpartum anxiety and depression. While a major part of Nicole's role is medication management, she only prescribes medications when absolutely necessary, and tries to limit to one medication for each client. She also offers psychotherapy.

Nicole takes a holistic approach to her practice, taking into consideration nutrition, sleep hygiene, and exercise when assessing her clients' overall health. She may recommend evidence-based dietary supplements and if appropriate, can order lab work to see if there are any medical conditions and vitamin deficiencies that may be causing anxiety and depression. Nicole also offers GeneSight genetic testing if clients have been on multiple medications and either have not had a positive outcome, or have experienced significant adverse effects, in order to reduce the trial-and-error period that can ensue with psychotropic medications.

Nicole is dedicated to understanding what is happening in the lives of her clients and offering high quality, individualized, therapeutic care.


Message to clients

I provide medication management and therapy services in a safe, therapeutic environment. My follow up appointments are 30-45 minutes to allow me to better understand what is happening in my clients' lives.


Specialties

Anxiety - Generalized anxiety, social anxiety, panic attacks

Depression - Sleep and energy disruption, overall mood disturbance, inability to enjoy yourself, and difficulty being motivated, amongst many other symptoms

Postpartum anxiety and depression - Anxiety and depression after childbirth that may include insomnia, loss of appetite, irritability, and difficulty bonding with the baby

Mood changes around the menstrual cycle / Premenstrual dysphoric disorder (PDD) - Severe, sometimes disabling extension of premenstrual syndrome (PMS) that can cause extreme mood shifts and disrupt your work or affect relationships.

Trauma - Including dealing with past sexual assault, childhood trauma, environmental trauma (e.g. witnessing/experiencing violence), PTSD (post traumatic stress disorder)

Infertility counseling - Experience working with infertility, pregnancy loss, perinatal psychology (mental health issues while pregnant)

Medication management - Optimizing medication use to treat psychiatric conditions


General expertise




Out-of-pocket fees

  • Ongoing session fee: $225 (30min)
  • Initial sessions: $300 (90min)
  • Ongoing session fee: $300 (45min)

Therapist's note

Nicole can provide you with paperwork for reimbursement from your insurance company if you are seeking out-of-network sessions.


Location(s)

Address

110 Main Street

#308

East Greenwich, RI 02818

Hours
  • Sun Closed
  • Mon 8:00am-1:00pm
  • Tue 8:00am-4:30pm
  • Wed 8:00am-4:30pm
  • Thu Closed
  • Fri Closed
  • Sat Closed

Work and Education

Private Practice, 2016 - Present

Boston College, 2015 - 2017

Quality Behavioral Health, 2015 - 2016

Northeastern University, CAGS/MSN, 2015

Drexel University, MSN, 2011

Massachusetts College of Pharmacy and Health Sciences, BSN, 2007

Rhode Island College, BA, 2005


Languages

  • English
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