Physically and verbally striking out, Excessive crying and tearfulness, Negativity, Problems with concentration, Inability or refusal to take direction, Isolation or lack of communication with family and peers, Dramatic changes in grades at school, Behavioral or attendance referrals from schools, Secretiveness about friends or running with “wrong” peers, Self-harming activities, Bullying, Unusual irritability, Changes in personal hygiene or appearance

Courage Virtual Group Medical/Med Consult has helped many individuals manage their illnesses better. It has been shown to alleviate mental health stigma, reduce isolation in patients with mental illness, and improve outcomes in patient life than individual treatment. The group will meet every Monday from 2:00 to 3:00 pm, in a virtual line, to discuss and share ideas regarding their fears and concerns regarding medication and medical concerns. It’s beneficial to the newly diagnosed with mental illness. This includes: Psychoeducation on medication management/compliant/medication side effects, mediation benefits, and depression treatments, Sleep hygiene, healthy sleeping habits, Physical activity, Behavioral activation, Substance use/Sigma regarding substances used to treat mental illness, and Identity formation

World-winning CBT is used to treat any teen living with childhood anxiety and panic attacks. Adolescents will meet Virtually online each week to learn different ways CBT can be used while enhancing their coping skills to help them manage their anxiety effectively. The adolescent will begin learning about anxiety/panic attacks and how the disease reforms their body and mind. The world-winning team will introduce the core principles of CBT and teach about the connections between their thoughts, feelings, and behaviors. Group participants will also learn about the different types of cognitive distortions (unhelpful thoughts) and how they can increase anxiety. Lastly, they will learn how to challenge and reframe these unhelpful thoughts to reduce anxiety. There will also be opportunities for participants to share their experiences with anxiety and practice coping skills in a group setting, develop a plan to support them in managing their anxiety, and engage in interactive games that reinforce the new learnings. Group details: Meets virtually on Wednesdays at 3:30 p.m. Five consecutive weeks long. Each session lasts between 60-90 minutes Groups are closed but offered consistently throughout the year; Participants will be with the same group members each week.

Initial visits are conducted in the office face-to-face. Subsequent visits or therapy sessions are done virtually in the comfort of your home, using video, telephone, text, or email counseling. Services include: Patient self-scheduling through a HIPAA-compliant, secure website. Making all appointments through the Courage website. Operating hours: Monday through Friday: 9 AM - 7 PM Saturday: 9 AM - 3 PM Sunday: Closed School day hours for kids and parents can be requested during the initial intake. Hours can be extended during a crisis.

Medicare Medicaid Military insurance (TRICARE) Private health insurance Self-payment

IT’S OK TO ASK FOR HELP, CALL COURAGE WORLD WINNING TEAM. WE ARE HERE TO HELP YOU EVERY STEP OF THE WAY!

Dr. Solange Missibi is a dedicated and compassionate psychiatric nurse practitioner committed to providing high-quality mental health care to individuals across the lifespan (children, adolescents, adults, and geriatric population) in need. With a strong background in nursing and a passion for mental health advocacy, she aims to make a positive impact on the lives of patients struggling with psychiatric disorders. Having completed her advanced education in psychiatric nursing, Dr. Solange possesses a deep understanding of the complexities of mental health conditions and the importance of a holistic/comprehensive care approach. She combines clinical expertise in both inpatient and outpatient settings with a warm and empathetic approach, creating a safe and a supportive environment for patients to express their concerns and work towards healing. With a focus on evidence-based practices and personalized treatment plans, Dr. Solange collaborates closely with patients to develop patient-centered treatment plans, strategies for managing symptoms, improving coping skills, and enhancing overall well-being. She believes in the power of education and empowerment, striving to educate patients and their families about mental health and destigmatize seeking help for psychological issues. As a PMHNP, Dr. Solange’s role is comprehensive, including clinician, therapist, educator, and mental health advocate. In her practice, Dr. Solange Missibi advocates for a patient-centered approach that prioritizes individual needs, preferences, and goals. She is known for her strong therapeutic communication skills, genuine empathy, and unwavering dedication to improving the lives of those struggling with mental health challenges. By fostering a trusting and supportive environment, she advocates and empowers patients to actively participate in their treatment decisions, ensuring that care plans align with their goals for mental wellness and recovery. As a compassionate psychiatric nurse practitioner, Dr. Solange Missibi is driven by a deep sense of purpose and a genuine desire to help individuals achieve mental wellness and live fulfilling lives. With her expertise, compassion, and dedication, she is a trusted ally and advocate for those navigating the complexities of mental health challenges. EDUCATION AND TRAINING Board Certified Nurse Practitioner: 2023 Doctor of Nursing Practice (DNP): 2024 Master of Science in Nursing (BSN/MSN): 2021/2023 Associate Degree in Nursing (AND, Registered Nurse): 2011 Certifications: ANCC adult psychiatric and mental health clinical nurse specialist, 2023 MEMBERSHIPS AND ASSOCIATIONS: American Psychiatric Nurses Association District of Columbia Nursing Association (DCNA) American Nurses Association (ANA) Psychiatric Practice Hours Mon - Friday: 8 am- 8 pm Sat - Sun: 9 am – 2 pm

Stella Okeke], PMHNP (Psychiatric Mental Health Nurse Practitioner) As a board-certified psychiatric mental health nurse practitioner with 16 years of experience, I am dedicated to providing comprehensive, compassionate, and evidence-based care to individuals experiencing mental health challenges. My practice encompasses a wide range of psychiatric conditions, including mood disorders, anxiety disorders, psychotic disorders, and substance use disorders, holistic care, I have worked with different groups of patients such as child, Adolescent and Adults, it’s has given knowledge and wide range of experience in this mental health despite the challenges. I have had 16 year of experience working with this groups of individuals, most of all, I have learned a lot. I obtained my Bachelor of Science in Nursing (BSN) from [Shenandoah University], followed by a Master of Science in Nursing (MSN) with a specialization in psychiatric mental health from [Walden University]. I am committed to ongoing professional development and staying abreast of the latest advancements in psychiatric care, and as such, I continually seek out opportunities for continuing education and training. This is why I have enrolled myself in DNP program specialization in Adolescent and elderly adults care. In my practice, I emphasize the importance of collaborative, patient-centered care. I work closely with individuals, their families, and interdisciplinary teams to develop personalized treatment plans that promote holistic well-being. Whether through medication management, psychotherapy, or health promotion and education, I strive to empower my patients to achieve and maintain optimal mental health. Additionally, I am passionate about reducing the stigma surrounding mental illness and promoting mental health awareness in the community. I have participated in outreach programs, educational seminars, and advocacy efforts to promote mental health literacy and improve access to care for all individuals. I am dedicated to upholding the highest standards of ethical practice and am an active member of professional organizations such as the American Psychiatric Nurses Association (APNA) and the American Nurses Association (ANA). In my free time, I enjoy volunteering, staying active in my local community, and spending quality time with family and friends. I am deeply committed to making a positive impact on the lives of those I serve and am honored to be a part of their journey toward mental wellness. I am currently accepting new patients and look forward to the opportunity to support individuals in achieving their mental health goals.