Conditions
Our Approach
Your Struggle Does Not Define You
Living with a mental health condition can feel isolating — but it is far more common than most people realize, and far more treatable than most people believe.
Afoma Nwankwo, PMHNP-BC, brings over 14 years of clinical experience, genuine compassion, and evidence-based tools to every appointment. Whether you have been living with a condition for years or are seeking clarity for the first time, this is a place where you will be heard, respected, and supported.
What We Address
Conditions & Diagnoses
Click any condition to learn more about how we approach treatment. If you do not see your concern listed, reach out — this list is not exhaustive and we are happy to discuss your specific situation.
ADHD
ADHD is one of the most common neurodevelopmental conditions in both children and adults, affecting focus, impulse control, organization, and emotional regulation. It is frequently misunderstood and underdiagnosed — especially in women and older adults.
Afoma offers thorough ADHD evaluations across all age groups, followed by individualized treatment plans that may include medication management, behavioral strategies, and coordination with schools or therapists. Getting the right diagnosis is the first step toward building the life you deserve.
Anxiety Disoders
Anxiety disorders — including generalized anxiety, social anxiety, panic disorder, and specific phobias — are among the most prevalent mental health conditions worldwide. Anxiety is more than everyday worry; it can become debilitating, disrupting work, relationships, and physical health.
Treatment is highly effective. Afoma evaluates the type and severity of anxiety, explores contributing factors, and creates a personalized plan that may include medication, lifestyle recommendations, and referrals to evidence-based therapy. You do not have to live in a constant state of dread.
Autism Symptom Management
Many individuals on the autism spectrum experience co-occurring mental health challenges such as anxiety, mood dysregulation, irritability, and sleep disturbances. Psychiatric support for autism focuses on managing these secondary symptoms rather than “treating” autism itself — supporting quality of life on the individual’s own terms.
Afoma provides medication management and psychiatric care tailored to autistic individuals across the lifespan, always within a framework of respect for neurodiversity and close collaboration with families, therapists, and support providers.
Bipolar Disoder
Bipolar disorder involves cycles of mood episodes — from elevated, energized manic or hypomanic states to depressive lows — that can be disruptive and, at times, dangerous. It is often misdiagnosed as depression alone, leading to years of inadequate treatment.
Accurate diagnosis is critical. Afoma conducts careful longitudinal assessments to distinguish bipolar disorder from other mood conditions, then develops a stabilization plan with appropriate mood-stabilizing medications and ongoing monitoring. With the right treatment, people with bipolar disorder lead full, stable lives.
Depression
Depression is more than sadness — it can drain your energy, cloud your thinking, disrupt sleep and appetite, and make it nearly impossible to find joy in anything. It affects people of every age, background, and walk of life, and it is one of the most treatable conditions in psychiatry.
Afoma assesses for the type and severity of depression — including major depressive disorder, persistent depressive disorder, postpartum depression, and seasonal depression — and develops a personalized treatment plan. Getting help is a sign of strength, not weakness.
Eating Disorders
Eating disorders — including anorexia, bulimia, binge eating disorder, and ARFID — are serious mental health conditions with significant physical health consequences. They are rooted in complex psychological factors and require compassionate, multi-disciplinary care.
Afoma supports patients with the psychiatric component of eating disorder treatment, which often includes addressing co-occurring anxiety, depression, or trauma. Care is provided in close coordination with dietitians, therapists, and medical providers to ensure a holistic, safe approach to recovery.
Insomnia
Insomnia — difficulty falling asleep, staying asleep, or waking too early — affects millions of people and is often both a symptom and a driver of other mental health conditions. Chronic poor sleep degrades mood, cognition, physical health, and quality of life significantly.
Afoma evaluates insomnia in its full context, distinguishing primary insomnia from sleep difficulties related to anxiety, depression, ADHD, PTSD, or medications. Treatment may include sleep hygiene guidance, targeted medications, and coordination with sleep medicine specialists when needed.
Mood Disorders
Mood disorders encompass a broad range of conditions affecting emotional state and regulation — including depression, bipolar disorder, cyclothymia, premenstrual dysphoric disorder (PMDD), and mood disorders due to medical conditions. They are among the leading causes of disability worldwide.
Accurate diagnosis is the foundation of effective treatment. Afoma conducts thorough psychiatric evaluations to identify the specific mood disorder, rule out contributing medical factors, and create a medication and support plan tailored to your unique presentation and life circumstances.
Obsessive-Compulsive Disorder (OCD)
OCD involves recurring, intrusive thoughts (obsessions) and repetitive behaviors or mental rituals (compulsions) performed to temporarily relieve anxiety. It is frequently mischaracterized as a quirk or preference — in reality, it can be severely disabling and deeply distressing.
Afoma evaluates and manages OCD with evidence-based psychiatric care, which typically includes medication (SSRIs) as a foundational component alongside referral to specialized OCD therapy (ERP). With the right combination of support, the grip of OCD can be significantly loosened.
Treatment is highly effective. Afoma evaluates the type and severity of anxiety, explores contributing factors, and creates a personalized plan that may include medication, lifestyle recommendations, and referrals to evidence-based therapy. You do not have to live in a constant state of dread.
Schizophrenia & Psychotic Disorders
Schizophrenia and related psychotic disorders — including schizoaffective disorder and brief psychotic disorder — involve disruptions in thinking, perception, emotion, and behavior. These conditions require expert psychiatric management and a long-term, trusting care relationship.
Afoma provides ongoing psychiatric management for patients with psychotic disorders, with a focus on medication stabilization, psychoeducation, relapse prevention, and strong coordination with case managers, family members, and community supports. Recovery is possible — and the definition of recovery is yours to set.
Substance Use Disorders
Substance use disorders involve a compulsive pattern of use despite significant negative consequences. They are not a matter of willpower or moral failure — they are chronic health conditions with biological, psychological, and social roots that respond to the right treatment.
Afoma provides psychiatric evaluation and co-occurring disorder treatment for patients with substance use concerns, addressing underlying anxiety, depression, trauma, or other conditions that often drive or complicate substance use. Treatment is compassionate, non-judgmental, and focused on the whole person.
Alcohol Use Disorder
Alcohol use disorder affects people across all demographics and is one of the most underrecognized conditions in psychiatric practice. It exists on a spectrum — from hazardous use to physical dependence — and often co-occurs with depression, anxiety, PTSD, and other conditions.
Afoma evaluates and manages alcohol use disorder as part of a comprehensive psychiatric assessment, addressing co-occurring mental health conditions, providing medication-assisted treatment when appropriate, and working closely with addiction specialists and counselors for a collaborative recovery plan.
Trauma & PTSD
Post-traumatic stress disorder develops after exposure to traumatic events and can cause flashbacks, nightmares, hypervigilance, emotional numbness, and difficulty trusting others. Trauma affects people of every age, and the wound does not have to be visible for the pain to be real.
Afoma provides trauma-informed psychiatric care with deep respect for each patient’s pace and readiness. This includes medication management for PTSD symptoms and close coordination with trauma-specialized therapists for evidence-based treatments like EMDR or CPT. Healing is not linear — but it is possible.
Behavioral Disorder
Behavioral disorders — including Oppositional Defiant Disorder (ODD), Conduct Disorder, and Intermittent Explosive Disorder — are frequently rooted in underlying anxiety, mood dysregulation, trauma, or neurodevelopmental conditions. They are most common in children and adolescents, but can persist into adulthood.
Afoma evaluates behavioral presentations with a comprehensive lens, identifying contributing psychiatric factors and developing plans that include family psychoeducation, behavioral strategies, medication when clinically indicated, and school coordination. Disruptive behavior is often a signal — and it deserves a thoughtful response, not just a label.
Weight Management
Weight management is deeply intertwined with mental health. Emotional eating, binge-restrict cycles, food as coping, and the psychological impact of weight stigma are real clinical concerns. Psychiatric medications can also affect weight, requiring careful monitoring and management.
Afoma addresses the mental health dimension of weight-related challenges — helping patients understand and address the emotional and behavioral factors involved, while also managing psychiatric medication profiles to minimize metabolic side effects. This is approached with dignity, not judgment.
Sleep Problems
Sleep problems extend beyond insomnia to include hypersomnia (excessive sleep), irregular sleep-wake rhythms, nightmare disorder, and sleep disruption associated with anxiety, depression, PTSD, or bipolar disorder. Sleep and mental health are bidirectional — each profoundly affects the other.
Afoma evaluates sleep concerns holistically, identifying psychiatric contributors and crafting individualized treatment strategies. Depending on the presentation, this may involve medication optimization, behavioral interventions, sleep hygiene coaching, or referral to sleep medicine specialists for polysomnography and further evaluation.
Who We Serve
Psychiatric Care for Every Stage of Life
Mental health needs are different at every age — and so is our approach. Afoma is trained and experienced across the entire lifespan.
Children
Compassionate evaluations and treatment for the youngest patients, always in partnership with parents and caregivers.
Early childhood through age 11
Adolescents
Age-appropriate, developmentally sensitive care for teens navigating identity, school pressure, social challenges, and mood changes.
Ages 12–17
Adults
Full-spectrum adult psychiatric care addressing the demands of work, relationships, parenting, and the full complexity of adult life.
Ages 18–64
Seniors
Specialized geriatric psychiatric care honoring the life experience of older adults, with expert attention to cognitive health and polypharmacy.
Ages 65 and older
We're Here for You
Not Sure If We Can Help?
You do not need a clear diagnosis, a referral, or the perfect words to describe what you are going through. If something feels off — if your mood, sleep, focus, relationships, or ability to function has changed — that is reason enough to reach out.
