Anxiety and depression
Talk through worry, panic, numbness, low mood, or exhaustion and the context that may be keeping it in place.

Mindsett services
Virtual care with room for the clinical questions and the human context behind them.

Care with context
Finding a psychiatric nurse practitioner in Virginia often means you have reached the point where white-knuckling it is no longer a plan. You may be dealing with anxiety that will not quiet down, a low mood that feels unlike you, changing focus or sleep, medication questions, or several things that do not fit neatly in one box.
At Mindsett, Natalie Desseyn, FNP-C, PMHNP-BC, is a double board-certified family and psychiatric mental health nurse practitioner. That dual perspective makes room for a fuller conversation about symptoms, health history, hormones, stress, sleep, current medications, and what daily life actually looks like before deciding what comes next.
You do not need to come in with the right label or a polished timeline. The first visit is a place to start making sense of the pattern, ask direct questions, and build a plan you understand.
What care can include
Talk through worry, panic, numbness, low mood, or exhaustion and the context that may be keeping it in place.
Explore attention concerns, executive-function strain, medication questions, and the overlap with anxiety or burnout.
Cycle-related symptoms, PMDD, postpartum changes, perimenopause, and sleep disruption deserve a closer look.
Discuss starting, continuing, adjusting, or questioning a prescription with clear information about benefits and tradeoffs.
Make space for the ways work, caregiving, grief, parenting, relationships, and change can reshape how you feel.
You do not need a perfect explanation before you seek support. Naming what has changed is enough to begin.
What to expect
Appointments are virtual for people located in Virginia. You can meet from a private space, bring your questions as they are, and leave knowing what happens next.
We talk about what feels difficult, when it changed, your health history, current medications, and the real-world context around your symptoms.
We review what may be contributing and discuss support that fits your goals, which may include medication, therapy, coordination with another clinician, practical changes, or a combination.
Follow-up makes room to see what is changing, ask questions, address side effects, and adjust as your life changes.
Virtual care across Virginia
Mindsett provides virtual psychiatric appointments for patients who are physically located in Virginia at the time of care. A private setting and reliable internet connection help make room for a conversation that is honest and useful.
Virtual care can make it easier to show up around work, school, parenting, and a full life. It is not meant to rush the clinical work. There is still space to bring up the question you forgot to ask last time, the medication change that has you unsure, or the feeling that something is simply not adding up.
Explore medication management →Before you begin
If you can, keep a list of current prescriptions, supplements, past treatment, and questions nearby. It is helpful, but not a prerequisite. You do not need a tidy history to deserve a useful first conversation.
Mindsett is not an emergency service. If you are in immediate danger or having thoughts of harming yourself, call or text 988, call 911, or go to the nearest emergency department.
Insurance participation can differ by state. The FAQ has current Virginia billing information, and the appointment process is the right place to confirm practical details before you begin.
Frequently asked questions
A psychiatric mental health nurse practitioner can evaluate mental-health concerns, discuss treatment options, prescribe when appropriate, and provide follow-up care. At Mindsett, those conversations also make room for your sleep, stress, hormones, medical history, relationships, and the practical realities of your life.
You will meet with Natalie Desseyn, FNP-C, PMHNP-BC, Mindsett’s founder and a double board-certified family and psychiatric mental health nurse practitioner. She provides care for children ages eight and up, teens, and adults who are located in Virginia at the time of their appointment.
Yes. Virginia appointments are virtual. You will need a private location in Virginia and a reliable internet connection so you can speak openly during your visit.
Yes. You do not need to arrive with a diagnosis or a decision about medication. A first appointment can be a place to talk through what has changed, what you have already tried, and which next steps make sense for you.
No. Mindsett is not an emergency service. If you are in immediate danger or having thoughts of harming yourself, call or text 988, call 911, or go to the nearest emergency department.
A gentler place to begin
Start with a conversation about what is happening, what has been tried, and what could feel different.
Book an appointment