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Nicole Miele is a board certified Psychiatric Mental Health Nurse Practitioner in East Greenwich, RI specializing in anxiety and depression during the pregnancy and the postpartum period. She also sees women ages 18 - 45 for anxiety, mild to moderate depression, post-traumatic stress disorder, and mood changes around the menstrual cycle. 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.
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
I am currently accepting pregnant and postpartum women for therapy, and women interested in an integrative mental health approach to treat symptoms of stress, anxiety, PMDD, and perimenopause.
Nicole Miele is accepting clients using listed insurances, paying listed fees, or using health insurance out-of-network benefits other than:
This provider can support you in getting reimbursement from your insurance company if you are seeking out-of-network reimbursement. Here are the out-of-network billing options they provide: