Treatment Methods

As a Board Certified Psychiatric Nurse Practitioner, Cheryl Marrs specializes in evidence-based psychiatric medical treatments, including pharmacological and nonpharmacological interventions.  Her treatment philosophy centers around a collaborative approach towards achieving a better quality of life. She aims to minimize the use of medication and use her prescriptive authority in a realistic and practical way. 

  • Medication Management:

    • Full prescriptive authority specializing in psychotropic medications.  I do not prescribe benzodiazepines long term and will start a tapering schedule very soon after our first appointment if you have been taking these medications  for an extended time.

  • Condition Related Laboratory Analysis and Interpretation

Holistic Treatments

  • Cognitive Behavioral Therapy:
    Identify any thinking biases and use thought records to help correct disruptive thoughts and behavior. Usually used when treating mood disorders and anxiety.

  • Dialectical Behavioral Therapy Skills:
    Examine dialects in our life that cause us discomfort. Uses mindfulness, distress tolerance, and radical acceptance to help manage mood disorders, dysfunctional behaviors, and maladaptive coping skills.

  • Existential Therapy:
    Assist in examining what's important in life. Often used in the midst of major life events.

  • Interpersonal Social Rhythms Therapy:
    Examines daily routines to help correct mood disorders, anxiety and insomnia.

  • Sleep Hygiene:
    Used to treat various kinds of insomnia without medications. Examines circadian rhythms and sleep habits/patterns.

  • Solution-Focused Therapy:
    This is a brief intervention to solve specific problems. Examines “Why Now” and “What Works”.

  • Mindfulness:
    Practice used to help train the brain, giving us better control over our thoughts. Aides in helping to turn off ruminating thoughts. Used for a variety of different issues including depression, Bipolar, anxiety, and insomnia.

  • Guided Meditation:
    Used to relax and interrupt disturbing thoughts. Allows us to have better control over our own thoughts and aids in relaxation and sleep.

  • Other Treatments:
    Provide basic consultation and recommendations on herbal and supplemental treatments used for various psychiatric conditions.

SERVICES I OFFER

With You Every Step of the Way

Your well-being is my ultimate concern. Since 1995, I have provided patients in the Lexington area with a wide range of nursing services (including many years as a Hospice Nurse and a business owner as a Legal Nurse Consultant).  Since receiving my Doctor of Nursing Practice in 2015 I have provided  psychiatric and psychological/counseling services to suit patients' needs. Whether you’re an individual (age 15 and up), a couple, or a family looking for help - my individualized treatment strategies are designed to strengthen your confidence and assist you in the healing process. Take a look at the services I offer and get in touch with me today.

PSYCHIATRIC SERVICES

Sleep Disorders

  • Insomnia

  • Difficulty falling asleep

  • Middle night wakening

  • Early morning wakening

  • Nightmares

Mood Disorders

  • Depression

  • Cycling moods

  • Irritability

  • Bipolar disorder

Thought Disorders

  • Paranoia

  • Hallucinations

Cognitive Issues

  • Memory problems and forgetfulness

  • Poor focus and attention

  • Easily distracted

  • Hyperactivity

  • Disorganized thinking

Perinatal Concerns

  • Postpartum depression

  • Postpartum anxiety

  • Postpartum sleep issues

  • Medication management during pregnancy

Anxiety Disorders

  • General anxiety

  • Panic attacks

  • Post Traumatic Stress Disorder (PTSD)

  • Specific phobias

  • Social anxiety

  • Feeling overwhelmed

 

LIFESTYLE AND WELLNESS

Behavior Change​

  • Lifestyle changes

  • Quit smoking

  • Substance abuse

  • Addiction

Time Management and Structure

  • Daily routine management

  • Setting boundaries

  • Creating more daily structure

 

 

If you would like me to communicate to your Primary Car Provider what our treatment plan consists of, please click the link to sign the Communication Consent Form and bring to your next office visit.

Counseling

INDIVIDUAL THERAPY

In my therapy sessions, we’ll work to solve current problems and improve positive thinking and behavior. I will help you “re-frame” your reactions and provide you with valuable tools to cope with life’s obstacles. I’m confident you’ll find my personalized Individual Therapy beneficial and inspirational. Get in touch to book an appointment.