Josie Desmarais, PMHNP-BC 
How Long Does a Psychiatric Evaluation Take? Reviewed by Josie Desmarais, PMHNP-BC · Board-Certified Psychiatric-Mental Health Nurse Practitioner · Last updated June 2026 A psychiatric evaluation takes 60 to 90 minutes for an initial appointment. Follow-up visits are shorter — typically 30 to 45 minutes, depending on what is being addressed. That length reflects the … Read more
Depression vs. Bipolar Disorder: How to Tell the Difference Reviewed by Josie Desmarais, PMHNP-BC · Board-Certified Psychiatric-Mental Health Nurse Practitioner · Last updated June 2026 Depression and bipolar disorder share many of the same symptoms — low mood, fatigue, sleep disruption, difficulty functioning. The core difference is this: depression affects mood in one direction (low), … Read more
ADHD in Adults: Signs You Were Never Diagnosed as a Kid Reviewed by Josie Desmarais, PMHNP-BC · Board-Certified Psychiatric-Mental Health Nurse Practitioner · Last updated June 2026 A significant percentage of adults with ADHD were never diagnosed in childhood — particularly women, high-IQ adults, and anyone who learned to mask their symptoms through extra effort. … Read more
Cortisol and Belly Fat: What Chronic Stress Does to Your Body Reviewed by Josie Desmarais, PMHNP-BC · Board-Certified Psychiatric-Mental Health Nurse Practitioner · Last updated June 2026 Chronic stress raises cortisol, and elevated cortisol — particularly when it stays high day after day — drives the body to store fat preferentially in the abdomen. This … Read more
Burnout vs. Depression: How to Tell the Difference Reviewed by Josie Desmarais, PMHNP-BC · Board-Certified Psychiatric-Mental Health Nurse Practitioner · Last updated June 2026 Burnout and depression share enough symptoms to be genuinely confusing — exhaustion, low motivation, difficulty concentrating, emotional flatness. The core difference is context and persistence: burnout is driven by chronic stress … Read more
Physical Symptoms of Anxiety You Might Not Recognize Reviewed by Josie Desmarais, PMHNP-BC · Board-Certified Psychiatric-Mental Health Nurse Practitioner · Last updated June 2026 Anxiety is not just a feeling — it is a full-body physiological event. The most overlooked physical symptoms of anxiety include GI distress, jaw clenching, chest tightness, derealization, tingling in the … Read more
How Much Does an ADHD Evaluation Cost? Reviewed by Josie Desmarais, PMHNP-BC · Board-Certified Psychiatric-Mental Health Nurse Practitioner · Last updated June 2026 You can start with a comprehensive psychiatric evaluation for ADHD at Trust Psychiatry in West Palm Beach. Short answer: ADHD is diagnosable and treatable in adults. A psychiatric evaluation can confirm the … Read more
How to Stop Taking Suboxone: A Guide to Tapering Safely Reviewed by Josie Desmarais, PMHNP-BC · Board-Certified Psychiatric-Mental Health Nurse Practitioner · Last updated June 2026 Stopping Suboxone requires a supervised tapering protocol — not a cold stop. Buprenorphine withdrawal is real, it is prolonged, and it can be genuinely miserable. But with the right … Read more
Can You Get Suboxone at Urgent Care? Reviewed by Josie Desmarais, PMHNP-BC · Board-Certified Psychiatric-Mental Health Nurse Practitioner · Last updated June 2026 Most urgent care centers cannot prescribe Suboxone. They typically do not have MAT-trained providers on staff, do not maintain the monitoring infrastructure buprenorphine treatment requires, and are not built for the ongoing … Read more
Can Prozac Make ADHD Worse? Reviewed by Josie Desmarais, PMHNP-BC · Board-Certified Psychiatric-Mental Health Nurse Practitioner · Last updated June 2026 The right combination starts with an accurate ADHD treatment assessment of what’s really driving your symptoms. Short answer: ADHD is diagnosable and treatable in adults. A psychiatric evaluation can confirm the diagnosis and guide … Read more