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.