Services for All of Arizona
info@fourpathwaysmh.com

Four Pathways Mental Health

Integrative Psychiatry for the Overlooked and Misunderstood

When Things Don’t Quite Add Up

You may be getting through the day, but something still feels off.

    • Anxiety that isn’t improving
    • Burnout that doesn’t lift, no matter what you try
    • Focus issues that don’t fully make sense
    • Mood, sleep, or energy shifts, especially around hormones
    • Medications that never quite worked the way they should

If you’ve been told everything looks normal, you’re not imagining it.

This is where we take a closer look.

Pathways

Start here based on what you’re dealing with:

Mood, sleep, or focus changing with hormones?

These shifts often get dismissed or misattributed. We take those connections seriously.

→ Hormonal mental health support

Struggling with focus, follow-through, or mental overload?

Whether or not you’ve ever been diagnosed, we look at what’s actually getting in the way.

→ Focus & executive function support

Feeling burned out, anxious, or constantly on edge?

When stress stops being temporary and starts feeling like your baseline, something deeper may be going on.

→ Anxiety & burnout care

Tried medications before but they didn’t quite work right?

Side effects, partial relief, never fully stable. You may need a more individualized approach.

→ Medication optimization & complex care

Our Approach

Care here begins with careful assessment, not quick conclusions.

We take time to understand your full picture, including your history, symptoms, daily functioning, and factors that may have been overlooked.

From there, care is individualized. Medication is one tool, not the default, and may be combined with lab work, lifestyle changes, and coordination with other providers when helpful.

If you use cannabis or are considering it, that’s part of the picture too, not something to leave out of the conversation.

The goal is steady, meaningful progress, not quick fixes or one-size-fits-all care.

How Care Works

If you’ve felt rushed, dismissed, or like your appointments barely scratch the surface, how care is delivered matters as much as the care itself. Longer visits, consistent support, and time to actually understand patterns make a real difference.orks

Subscription Care 

Regular visits with ongoing adjustments and space to go deeper, not just check a box each month. This is where most people see the most meaningful progress.

Flexible Care

For those who prefer to schedule as needed, without a set commitment.

Insurance-Based Care

Available for medication management and evaluation, with a more traditional visit style.

What Clients Say After Working Together

“I am so glad I found Heather, She is the most knowledgeable and caring BH Nurse Practitioner I have ever met. She took the time to listen to my concerns and provided me with the best possible care. I would highly recommend her to anyone looking for a new behavioral health professional!”
-JL –

“I felt that Ms. De Teresa was fully listening to me and cared about me. I love that she wants to work with me and uses a full-body approach.”
– BH –
“Heather created a space where I felt truly heard and understood. She didn’t just prescribe medications, we decided on my treatment plan together, and she worked within my budget and everyday life. Her respect for my decisions and non-judgmental attitude made the experience even more valuable. I highly recommend her to anyone seeking genuine care and personalized support.”
– KB –
“Very professional, easy to talk to, a lot of helpful information.”
– AS –
“Heather De Teresa is awesome to chat with! Check her out if you want a provider that’s not just professional but also fun and easy to talk to. She’s super chill, funny, and open-minded. It’s like talking to a friend who just gets it. She helped me figure out a plan that actually made sense for my life.”
– HC –
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Veronica Holt profile picture
Veronica Holt
13 days ago
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Heather has been amazing, she is always so kind and easy to connect with. She has listened to all of my concerns and guided me through to the right path for me. I appreciate all of our conversations and she always makes me feel cared and heard.
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Joseph Casillas profile picture
Joseph Casillas
38 days ago
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Heather is amazing! I was a mess when I first arrived and she had me on the right track in no time. I can't say enough positive things about Four Pathways.
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Jade Rice profile picture
Jade Rice
224 days ago
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I am a therapist and have had several clients work with Heather. Heather is one of the few prescribers i feel comfortable sending clients to, especially when it comes to vulnerable or at risk communities, such as the LGBTQ+ community. She creates a supportive, safe, and affirming environment for patients to explore their challenges and needs through a strength based lens and works collaboratively. Heather is great at creating individualized and persona connections with her patients and referral sources which I really appreciate. I find comfort in knowing that when I send clients to her, she won't automatically prescribe multiple medications without first exploring their individual growth journey, ongoing needs, and preferences regarding medications. I highly recommend considering this group if you are seeking out services.
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Olivia K. profile picture
Olivia K.
392 days ago
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Heather is a gem! She's an such authentic, and truly caring health provider with extensive knowledge on ADHD. I felt so understood from the first I read her bio which then prompted me to contact her. From the first time we spoke, I felt even more understood. She always took the time to listen/understand me as well as informing/explaining things to me to make sure I understood. She was very thorough with her diagnosis procedure and always made sure to move at the pace and take the route that I was most comfortable with which is something I greatly appreciate. I always felt misunderstood, like my struggles were overlooked and trivialized even though they affected my daily life so evidently. Getting this diagnosis has been such a relief and now I can begin moving forward by using the right tools to help me adapt to the demands of today's world, while also optimizing my unique abilities and appreciating how I've naturally, uniquely and beautifully been wired by God. Jill is a fantastic receptionist, she was so caring and eager to help when I misremembered the time of my first appointment and needed to reschedule it. So she worked her magic and was able to find an opening for me on the same day which I was so very appreciative of. Four Pathways is run incredibly, with such dedication to helping, informing and improving the lives of others and I'm so glad to have found it!! I will definitely be recommending them to anyone in search of a place that offers mental health services. Heather and her team are just fabulous, truly deserving of all their flowers 🙂
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salvatore cosenza profile picture
salvatore cosenza
411 days ago
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Very thorough and tailored treatment from the start!
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Johnny Nguyen profile picture
Johnny Nguyen
484 days ago
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Heather is absolutely amazing - she is immediately welcoming and continually so easy to talk to, on top of being the most thorough and diligent health professional I have ever encountered.
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Sharon Bonham profile picture
Sharon Bonham
532 days ago
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Heather is a breath of fresh air. I was so relieved to find her. She is kind, caring, a great listener, intuitive, experienced and makes you feel comfortable and that she is on your team. She is extremely knowledgeable and versed in this field. I am finally excited about my future and in the work we will do together. I highly recommend Heather, I am grateful and blessed to have found her 🙏🏻
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Edwin Kim profile picture
Edwin Kim
631 days ago
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Heather has been a blessing in my mental health journey. It's clear that she cares and can relate to your point of view. She listens to your concerns and provides suggestions for your overall well being and not solely on the medicinal aspect.
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Elece Reynolds profile picture
Elece Reynolds
637 days ago
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I've only had one session so far but this is the most comfortable I've been talking to a mental health professional. I usually shut down and give yes or no answers because I feel judged but something about her feels relatable and like she believes me and isnt just patronizing me. I also like that she isn't just focused on meds. Good vibes.
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Scarlette Ortiz profile picture
Scarlette Ortiz
662 days ago
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Best practice ever! Safe and encouraging environment. Heather Bradley is absolutely amazing. First time ever someone has actually listened to me and my needs and have actually done their best to not just meet them but go above and beyond. Thanks to her I feel like I’m finally able to breath and function the way I’ve always wanted. I’m eternally gratefully for such an amazing experience! 100000000000000/10 recommend!
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Ready To Take A Closer Look?

If something has felt off and you haven’t found the right fit yet, this might be it. Schedule a free 15-minute consultation and let’s figure out together if we’re a good match.

Four Pathways Mental Health | Arizona