PMHNP-BC, Psychiatric Mental Health Nurse Practitioner
Accepting new clients with a 2-3 week wait; out of office from late June to early July
Young adults / college students (18 - 24)
Specialties & expertise
- Mood swings around menstrual cycle
- Premenstrual dysphoric disorder
- Postpartum anxiety and depression
- Psychiatric medication management
- Genetic testing
Nicole Miele is a board certified Psychiatric Mental Health Nurse Practitioner in East Greenwich, RI. She sees women ages 18 - 45 for anxiety, mild to moderate depression, post-traumatic stress disorder, mood changes around the menstrual cycle, as well as postpartum anxiety and depression. While a major part of Nicole's role is medication management, she only prescribes medications when absolutely necessary, and tries to limit to one medication for each client. She also offers psychotherapy.
Nicole takes a holistic approach to her practice, taking into consideration nutrition, sleep hygiene, and exercise when assessing her clients' overall health. She may recommend evidence-based dietary supplements and if appropriate, can order lab work to see if there are any medical conditions and vitamin deficiencies that may be causing anxiety and depression. Nicole also offers GeneSight genetic testing if clients have been on multiple medications and either have not had a positive outcome, or have experienced significant adverse effects, in order to reduce the trial-and-error period that can ensue with psychotropic medications.
Nicole is dedicated to understanding what is happening in the lives of her clients and offering high quality, individualized, therapeutic care.
Anxiety – Generalized anxiety, social anxiety, panic attacks
Depression – Sleep and energy disruption, overall mood disturbance, inability to enjoy yourself, and difficulty being motivated, amongst many other symptoms
Postpartum anxiety and depression – Anxiety and depression after childbirth that may include insomnia, loss of appetite, irritability, and difficulty bonding with the baby
Mood changes around the menstrual cycle / Premenstrual dysphoric disorder (PDD) – Severe, sometimes disabling extension of premenstrual syndrome (PMS) that can cause extreme mood shifts and disrupt your work or affect relationships.
Trauma – Including dealing with past sexual assault, childhood trauma, environmental trauma (e.g. witnessing/experiencing violence), PTSD (post traumatic stress disorder)
Infertility counseling – Experience working with infertility, pregnancy loss, perinatal psychology (mental health issues while pregnant)
- Blue Cross Blue Shield
- Johnson & Wales University (United Health)
- Providence College (United Health)
- United Health
- RISD Student Insurance (United Health)
- URI / University of Rhode Island Student Insurance (United Health)
- Initial session: $300 (90min)
- Ongoing sessions: $225 (30min) or $300 (45min)
Therapist's note: Nicole can provide you with paperwork for reimbursement from your insurance company if you are seeking out-of-network sessions.
Message to clients
"I provide medication management and therapy services in a safe, therapeutic environment. My follow up appointments are 30-45 minutes to allow me to better understand what is happening in my clients' lives."
Treatment approachesCognitive Behavioral Therapy (CBT)In cognitive behavioral therapy, you work with a therapist in a structured way, attending a limited number of sessions. Cognitive behavioral therapy helps you become aware of inaccurate or negative thinking, so you can view challenging situations more clearly and respond to them in a more effective way. (learn more)
Mindfulness PracticesMindfulness practices include but are not limited to developing awareness, attention, and remembering. In mindfulness-informed therapy, clients develop tools to become aware of what is occurring within and around them, so they can begin to untangle from mental preoccupations and difficult emotions. Self-acceptance and compassion are also core elements of mindfulness-informed therapy. (learn more)
Education and work experience
Private Practice, 2016 - Present
Boston College, 2015 - 2017
Quality Behavioral Health, 2015 - 2016
Northeastern University, CAGS/MSN, 2015
Drexel University, MSN, 2011
Massachusetts College of Pharmacy and Health Sciences, BSN, 2007
Rhode Island College, BA, 2005