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📌 Guest: Denis Grigorov, Psychiatric Nurse Practitioner 📍 Clinic: Monrovia, California 🌐 Services: In-person and virtual psychiatric care across the state of California In this episode of the Clinical Excellence Series, Rich sits down with Denis Grigorov, a psychiatric nurse practitioner who runs a private psychiatric clinic serving patients throughout California both in person and via telehealth. Denis specializes in helping adults who may appear high functioning on the outside but feel overwhelmed by anxiety, depression, burnout, sleep issues, ADHD, or mood-related challenges. His approach focuses on understanding the full picture of a patient’s mental health, including mood symptoms, sleep patterns, stress levels, medication history, and overall life circumstances. A key part of Denis’s philosophy is taking the time to truly understand each person’s situation before recommending treatment. Unlike many high-volume clinics where patients may feel rushed, Denis emphasizes longer, personalized assessments and meaningful conversations that help uncover what is actually driving someone’s symptoms. During the episode, Denis explains how his process begins with a complimentary 15-minute consultation, which allows potential patients to ask questions and determine whether the clinic is a good fit. If both sides agree to move forward, the next step is a comprehensive one-hour psychiatric evaluation that explores the patient’s mental health history, current symptoms, and treatment goals. Another important theme of the conversation is the collaborative nature of psychiatric care. Denis believes treatment should never be forced on patients. Instead, he works closely with them to develop a plan that may include medication management, therapy referrals, or other evidence-based interventions depending on their needs and preferences. He also discusses the importance of collaboration between psychiatric providers and therapists, explaining how coordinated care between different professionals can lead to better outcomes for patients. Throughout the discussion, Denis highlights the value of patient-centered psychiatry, where individuals feel heard, respected, and fully informed about their treatment options. Patients frequently report that they appreciate his clear explanations about medications, potential side effects, and how different treatments work. The conversation also touches on the growing role of telehealth in mental health care. Denis notes that most of his patients now choose virtual appointments because they offer convenience, eliminate travel time, and allow people to receive care from the comfort of their own homes without sacrificing quality. Ultimately, Denis’s goal is simple: to help people feel like themselves again and regain a sense of calm, stability, and control in their lives. Topics discussed in this episode: -What a psychiatric nurse practitioner does -Treating anxiety, depression, ADHD, and burnout -How psychiatric evaluations work -Medication management and patient collaboration -The importance of working with therapists and other providers -Personalized mental health care in private practice -Telehealth psychiatry and virtual appointments -Helping high-functioning individuals who feel overwhelmed -Why feeling heard is critical in mental health treatment