Huntington Beach, CA · In-person & telehealth

You've carried this long enough. Let's find what actually helps.

Board-certified psychiatric care for children through older adults, from a nurse practitioner who takes the time other schedules don't allow — including treatment-resistant depression and Spravato (esketamine) therapy when other options haven't worked.

Most calls take under five minutes. No referral needed — just a conversation about what you need.

Board-certified PMHNP HIPAA-compliant care In-network with major insurers

At a glance

Care built around the whole person

  • Now accepting new patients — in-person and telehealth
  • MSN, Psychiatric Mental Health Nurse Practitioner — Azusa Pacific University
  • TMS Visiting Fellowship — Duke University
  • Sees ages 6 through late adulthood
  • Fluent in English and Portuguese; conversational Spanish
Sylvia Guthrie, PMHNP, founder of Kind Nursing Psychiatry

Credentials

Certification
PMHNP-BC, board-certified
Graduate training
Azusa Pacific University
Advanced fellowship
TMS, Duke University
California license
Active NP license & furnishing number
Languages
English, Portuguese, Spanish

About Sylvia

A multicultural lens on modern psychiatric care

Born in Brazil and practicing in the United States since 2012, Sylvia founded Kind Nursing Psychiatry to bring a genuinely multicultural, unhurried style of care to Huntington Beach — treating patients not as a diagnosis to manage, but as a full person navigating a specific life, family, and culture.

The practice centers on careful diagnostic evaluation and thoughtful medication management, with particular experience in treatment-resistant depression and advanced interventions including Spravato (esketamine) therapy. Sylvia works across the lifespan, from school-age children through older adults, and sees care as a collaboration — between provider, patient, and, where helpful, family.

"Reaching out for help is already the hardest part. My job is to make everything after that feel manageable."

Advanced treatment

Spravato (esketamine) for treatment-resistant depression

For patients who haven't found relief through standard antidepressants, Spravato offers an FDA-approved, in-office treatment option — administered under direct clinical supervision, with careful monitoring before, during, and after each session.

Sylvia's training includes an advanced fellowship at Duke University in transcranial magnetic stimulation, giving her additional depth in treatment-resistant depression beyond first-line medication strategies.

FDA
Approved treatment pathway
1:1
Supervised in-office sessions
TMS
Duke fellowship in-depth training
6–65+
Ages seen across the practice

Moments of care

What getting better can look like

Three moments along the way — the quiet relief of finally exhaling, the steady footing that comes with progress, and the reconnection that's usually the real goal.

A woman standing by a sunlit window, eyes closed, breathing easily
Quiet relief
A man walking along the shoreline at sunrise, calm and unhurried
Steady progress
A family laughing together outdoors
Reconnection

Services

How care unfolds, from first visit onward

Every relationship starts with a full evaluation, then a plan that's revisited as things change — never a one-size prescription pad.

01

Psychiatric evaluation

A comprehensive diagnostic assessment — history, symptoms, and goals — that becomes the foundation for everything that follows.

02

Medication management

Ongoing, carefully monitored prescribing with regular follow-up, adjusted as your response to treatment becomes clear.

03

Spravato (esketamine) therapy

In-office, supervised esketamine treatment for depression that hasn't responded to standard approaches.

04

Telehealth & coordinated care

Secure video visits when in-person isn't practical, with coordination alongside your therapist or primary care provider.

Conditions treated

Areas of focus

ADHD Anxiety Autism Bipolar disorder Borderline personality disorder Dissociative disorders Eating disorders OCD PTSD & trauma Suicidal ideation Personality disorders Treatment-resistant depression

Who I see

Ages & insurance

Children (6–10), preteens, teens, adults, and older adults (65+).

In-network with most major plans, including:

Aetna Anthem Blue Shield BlueCross BlueShield Cigna Health Net Medi-Cal Medicare Molina Optum TRICARE

Why people wait — and why they don't have to

If any of this sounds familiar

Hesitation before that first call is normal. Here's what's usually behind it — and what's actually true.

"I don't know if this is serious enough."

You don't need to be in crisis to benefit from an evaluation. Most people who reach out are simply trying to feel like themselves again.

"I've already tried medication and it didn't help."

That's exactly the case Spravato and advanced treatment planning are built for — when standard options haven't been enough.

"I'm worried about the cost."

The practice is in-network with most major insurers, including Medicare and Medi-Cal. Coverage is typically confirmed before your first visit.

"I don't have time for another appointment."

Many follow-up visits happen by secure telehealth — no commute, no waiting room, no missed work for a routine check-in.

Request an appointment

Frequently asked

Good to know before your first visit

Do you accept my insurance? +

Most major plans are accepted, including Aetna, Anthem, Blue Shield, BlueCross BlueShield, Cigna, Health Net, Medi-Cal, Medicare, Molina, Optum, and TRICARE. Contact the office to confirm your specific plan and benefits before your first visit.

What is Spravato, and who is it for? +

Spravato (esketamine) is an FDA-approved nasal treatment for depression that hasn't improved with standard antidepressants. It's administered in the office under direct supervision, with monitoring for a period after each dose. It isn't a first-line treatment — it's typically considered after other options have been tried.

Do you offer telehealth visits? +

Yes. Many follow-up visits can be done by secure video. Initial evaluations and Spravato sessions are conducted in person.

What happens at the first appointment? +

The first visit is a full diagnostic evaluation — history, current symptoms, and treatment goals — which is used to build a plan tailored to you, not a standard script applied to everyone.

Is my information kept confidential? +

Yes. All care follows HIPAA privacy standards. Information is shared outside the practice only with your written consent, or as required by law.

Contact

Get in touch

New practice details are being finalized — check back soon, or use the placeholders below as a guide for what's coming.

01

Reach out

Call, email, or send the form below — whichever feels easiest.

02

A short conversation

A few questions about what's going on, and what kind of appointment fits best.

03

Your first visit

A full evaluation, and a plan built around you — not a script applied to everyone.

Phone

Coming soon

Email

Coming soon

Office location

Huntington Beach, CA · address to follow

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Now accepting new patients Request appointment