Pillar I · Mind
Psychiatry, done the way it should have always been done.
Real appointment lengths, validated measures, and a plan that changes when the evidence says it should — in person in Coral Gables or by telehealth across Florida.
What to expect
Start with the pattern you recognize.
Real appointment lengths. Validated symptom measures when useful. Medication decisions with context. Labs when clinically indicated. And a plan that changes when the evidence says it should — because sometimes the antidepressant isn't failing, the workup was.
Depression & TRD
Mood & Momentum
Adult ADHD
Focus & Flow
Anxiety & Panic
Calm & Confidence
Calm & Confidence
Calm & Confidence
Calm & Confidence
You do not need to know the diagnosis before you book — start with the pattern you recognize. Bipolar disorder, PTSD, and related conditions are also treated.
- Core
Medication Management
Comprehensive evaluations and thoughtful follow-ups for depression, anxiety, ADHD, OCD, PTSD, bipolar disorder, insomnia, and related conditions.
Book My Evaluation →
-Core
Therapy & Skills
Evidence-based individual therapy and structured skill-building — standalone or coordinated with medication care so important context stays connected.
Explore therapy →
-Precision
Precision Assessment
A broader entry point when mood, medications, sleep, hormones, energy, weight, or performance overlap and you want clarity on the best next step.
Book the $249 assessment →
Thrive Connect
Care that does not disappear between visits.
Thrive Connect adds optional structure between appointments through planned outreach, support, and connection — designed to complement clinical care rather than replace it.
- Scheduled outreach calls and texts
- Therapist sessions focused on connection, purpose, and routine
- Community events and small groups through Reset Club
- Optional family updates with patient permission
-The Thrive App
Your whole treatment, in your pocket.
Every patient gets the secure app on day one — the place your care actually lives between visits.
Message the practice securely
HIPAA-secure messaging — no clinical details over regular text or email, ever.
See your own numbers
HIPAA-secure messaging — no clinical details over regular text or email, ever.
Book and reschedule
Appointments, reminders, and telehealth links in one place.
Goals with follow-through
The goals we set at your visit, tracked between visits with your check-ins attached.
Journal privately
Entries you can keep private or share before a visit, so the hour starts where the week actually was.
Sync your wearable
Apple Health, Fitbit, or Google Fit — sleep and activity can be reviewed alongside clinical progress.
Questions
Psychiatry questions
Dr. Borrego is a doctorate-prepared psychiatric nurse practitioner (DNP, PMHNP-BC) and certified registered nurse anesthetist (CRNA) — licensed in Florida to evaluate, diagnose, and prescribe for psychiatric conditions. The dual training in psychiatry and anesthesia is exactly what allows IV ketamine and Spravato® care to be delivered in-house by the same clinician who manages your psychiatric plan.
Start with a psychiatric evaluation if mental health is the main concern. Choose the $249 Precision Assessment if the picture is broader or unclear, or use the 2-minute fit assessment for a quick directional starting point.
Many psychiatry, therapy, and wellness services can be delivered by telehealth to eligible patients in Florida. IV ketamine, Spravato®, TMS, and IV lounge services require in-person care in Coral Gables.
No. Assessments are for evaluation and treatment planning. Prescriptions, procedures, labs, or other treatments are recommended only when clinically appropriate after an individualized review.
Let’s Thrive provides outpatient care and is not an emergency service. If you are in suicidal crisis or emotional distress and need immediate support in the United States, call or text 988. For an immediate medical emergency, call 911.
Start here
Ready to feel like yourself again?
Book a psychiatric evaluation, choose the $249 Precision Assessment, or take the 2-minute fit assessment first. You do not need to diagnose yourself before you arrive.
Booking a first visit commits you to nothing beyond it — benefits verified before you’re charged anything.
Prefer to talk first? Call (786) 933-9143