Four Pathways Mental Health

A Sanctuary for the Misunderstood and Overlooked

Where Mental Health Meets Whole Health

At Four Pathways Mental Health, I support adults whose mental health concerns don’t fit neatly into one box. Care here is slower and more thoughtful, focused on understanding the broader context of your life, including your mental and physical health, patterns of stress, identity, and lived experience.

If you’re navigating anxiety, ADHD, depression, burnout, chronic stress, or mood changes related to health, you’ll find compassionate, steady support here. My integrative approach blends medication management with lifestyle guidance and holistic tools when appropriate, creating care that is individualized, grounded, and designed around the whole of who you are.

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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Traditional psychiatry often separates the mind from the body, but lived experience is rarely that simple. An integrative approach brings together evidence-based medication care with holistic perspectives, creating a more complete understanding of your mental and physical health.

We look at how your mind, body, and daily life influence one another, connecting emotional patterns, physical health, and lifestyle habits. By weaving these pieces together, your care plan becomes thoughtful, individualized, and aligned with who you are, supporting clarity, steadiness, and long-term well-being.

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 offered through thoughtfully structured insurance-based and private-pay options.
Click below to learn more about how each pathway works and what level of support 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