Four Pathways Mental Health

A Sanctuary for the Misunderstood and Overlooked

Where Mental Health Meets Whole Health

Many people come to me because they’re tired of being treated like a checklist. Their symptoms don’t fit neatly into one category, and neither do they.

At Four Pathways Mental Health, care is thoughtful, integrative, and focused on the full picture, including mental and physical health, stress load, identity, and lived experience. If you’re navigating anxiety, ADHD, depression, burnout, chronic stress, or mood changes connected to health, you’ll find steady, compassionate support here.

Treatment blends careful medication management with lifestyle guidance and evidence-informed holistic tools when appropriate, always tailored to you.

Understanding Your Experience

Mood shifts that begin to affect work, relationships, or stability
Feeling burned out, overwhelmed, or disconnected from yourself
Persistent worry or mental restlessness that won’t fully settle
Chronic illness or fatigue that drains energy over time
Feeling dismissed, misunderstood, or overlooked within the healthcare system

Our Approach

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Care here begins with careful assessment, not quick conclusions. We take time to understand your history, current symptoms, stress patterns, and any relevant medical factors before making treatment decisions.

From there, we develop a clear, individualized plan. Medication is used thoughtfully and adjusted carefully. When clinically indicated, targeted lab work may be reviewed or ordered to help clarify contributing factors. Care may also include lifestyle guidance and coordination with your other providers so your treatment feels connected, not fragmented.

The goal is steady, meaningful progress without unnecessary complexity.

Areas of Focus

Care that addresses every layer of mental health.

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Anxiety

Learn practical strategies to calm the mind, support nervous system regulation, and find steadier peace in daily life.

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Depression

Restore energy, purpose, and motivation while building habits and supports that strengthen emotional stability.

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ADHD

Develop personalized strategies for focus, organization, and follow-through that fit your unique brain and lifestyle.

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Emotional Regulation

Gain insight into patterns, strengthen coping skills, and navigate mood shifts with greater clarity and self-awareness.

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Stress & Burnout

Rebuild resilience, reduce overwhelm, and restore balance after prolonged stress or demanding life seasons.

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Life Transitions

Receive guidance and support during major changes, loss, or identity shifts to move forward with confidence and stability.

Care & Coverage

At Four Pathways Mental Health, care is available through insurance-based and private-pay options. Click below to learn how each pathway works and what may be the best fit for you.

Learn More

Four Pathways Insights

A monthly integrative mental health newsletter offering holistic wellness guidance, mind–body tools, and science-backed insights.

Join the Newsletter

Client Testimonials

“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 –

Start Your Journey Today

Healing begins with connection. Schedule a complimentary 15-minute consultation to discuss your needs, explore your options, and see how Four Pathways can support your journey toward calm, clarity, and renewal.

Schedule a Free Consultation