Ryann Rathbone, MSN APRN, PMHNP-BC

Ryann is a board certified Psychiatric Mental Health Nurse Practitioner (PMHNP), who provides psychiatric assessments, diagnostic services and medication management with psychoeducation. Ryann works from a holistic, client-centered and evidence-based perspective, specializing in the treatment of adults suffering from trauma, mood, anxiety and thought disorders. She is committed to an integrated model of care by partnering with clients, other healthcare providers and psychotherapists.

Ryann received her Masters of Nursing and subsequent training as a Psychiatric Mental Health Nurse Practitioner from the University of Texas in Austin. After working in marketing for several years, she returned to school to follow her life-long passion of helping others. She found this by combining nursing with her interest in psychology/therapy. She has experience working with clients in inpatient settings, outpatient private practices and integrated care model community clinics.

Through her work and life experience, Ryann has seen the resilience and strength of the human heart and mind, in the face of great suffering. She has a profound desire to support others in their journey toward healing and living their best life.

Ryann sees clients who are 16+ years of age.  She participates with Aetna, BCBS PPO, Cigna, Compsych, and United.

Rebecca Griganavicius, MSN APRN, PMHNP-BC

Rebecca is dual certified as a Psychiatric Mental Health Nurse Practitioner and a Family Nurse Practitioner. Rebecca received her Masters of Nursing as a Family Nurse Practitioner at Texas State University. She received her post master’s certificate for Psychiatric Mental Health Nurse Practitioner at the University of Texas Rio Grande Valley. Rebecca is in the Nurse Corps for the Navy Reserves. She has experience with adolescents in a residential setting and inpatient setting. She has worked in inpatient and outpatient settings as well as dual diagnosis. Rebecca enjoys spending time with her family, being outdoors and reading.

Rebecca sees clients who are 16+ years of age.  She participates with Aetna, BCBS PPO, Cigna, Compsych, Tricare and United.

Linda von Kreisler, MSN APRN, PMHNP-BC

Linda is one of the most experienced psychiatric nurse practitioners in Austin. She is well versed in psychiatric diagnosis and psychopharmacology, which has earned her an excellent reputation in the Austin psychotherapy community and a steadfast base of referring providers who reach for her number first.

Linda has a warm demeanor, dedication, and ability to connect with people–these skills lay the foundation for her psychotherapy and medication management visits at Clear Water, as well as combined treatments outside therapists. She has an excellent intuitive feel for what is important to her patients.

Linda has been dedicated to mental health care throughout her professional career and brings a vast array of experience to her practice. The settings in which she has worked include public health, home health care, inpatient hospital units, residential treatment programs, a chemical dependency center, and private practice.

She has treated patients, supervised nurses, directed departments, and taught nursing students. She integrates such approaches as systems theory, cognitive behavioral and psychodynamic therapies in both individual and group settings. Linda enjoys spending time with her granddaughter, exercising, keeping up with friends and family, and travelling. 

Linda sees clients who are 16+ years of age.  She participates with Aetna, BCBS PPO, Cigna, Compsych, Humana, Tricare and United.

Tracy Figlan, MSN APRN, PMHNP-BC

It takes strength and courage to reach out for assistance. Thank you for taking that first step towards self-discovery and creating the life you have envisioned. Each person has an individualistic life experience, therefore each treatment plan is personalized and may include supportive medication, therapy, or both.

I work with clients age 18 years and older, who may have depression, PTSD, anxiety, bipolar, ADHD, addiction and other mental health diagnoses. In therapy, my therapeutic style is goal oriented, non-judgmental, supportive, and strength-based. I primarily apply techniques from cognitive-behavioral therapy, dialectical behavioral therapy, acceptance and commitment therapy, psychodynamic psychotherapy, mentalization, schema therapy, and brief solution-focused therapy.

Tracy has been a registered nurse since 2005, working with diverse populations in the areas of trauma, hospice, chemical dependency, and psychiatric nursing. She graduated from the Psychiatric Mental Health Nurse Practitioner program at The University of Texas at Austin. Tracy graduated summa cum laude from Texas Tech University, School of Nursing.

When not working, she enjoys volunteering in the community, spending time with family and friends, and being outdoors.

Tracy sees clients who are 18+ years of age.  She participates with Aetna, BCBS PPO, Cigna, Compsych, Humana, Tricare and United.

Christine Kilkenny, MSN APRN, PMHNP-BC

I’m a Psychiatric Mental Health Nurse Practitioner. I’ve been a psychiatric nurse since 2008. I started my career as an LVN at the Austin State Hospital. I received my RN in 2014 and continued working in multiple inpatient hospitals around Austin. I received my Masters of Nursing at the University of Texas Health Science Center San Antonio in 2018. I have experience with adolescents, adults, and geriatrics. Psychiatric nursing is my passion and I work together with my patients to achieve stability and wellness. I strive to help my patients achieve wellness using the least amount of medications at the lowest therapeutic doses. I believe in having my patient actively involved in the decisions making
process regarding their care.

I was born in France and came to the US as an infant. I’ve lived in the Austin area my entire life. I love being a mom and a wife. I spend a lot of my free time outside swimming, camping, hiking, or gardening. I have three rambunctious dogs and love helping animals in need.

Christine sees clients who are 16+ years of age.  She participates with Aetna, BCBS PPO, Cigna, Compsych, Humana, Tricare and United.

Magdalene Rozmiarek, MSN APRN, PMHNP-BC

I am a board-certified Psychiatric Nurse Practitioner who embraces a holistic approach with the use of evidence-based medication management, complimentary treatments, and lifestyle changes to achieve your goals. I embrace a safe, compassionate, non-discriminatory and culturally centered approach to care. My aim is to create a nurturing environment that allows you to be heard so we can create a treatment plan together.

My professional areas of interests include depression, anxiety, obsessive compulsive disorder, panic disorder, mood disorders, substance use disorders, trauma, and ADHD. 

It takes a lot of courage to take this step and I hope to help you throughout your journey. I look forward to hearing from you! 

Magdalene sees clients who are 16+ years of age.  She participates with Aetna, BCBS PPO, Cigna, Compsych, Humana, Tricare and United. 

Erma Gatica, MSN APRN, PMHNP-BC

Erma is a board-certified Psychiatric Nurse Practitioner dedicated to providing compassionate, non-discriminating, client-centered care. She is skilled in the use of pharmacological treatment, therapeutic communication, psychoeducation, and multidisciplinary collaboration to promote optimal functioning and sustained mental wellness for individuals suffering from mental illness.

Erma has been a psychiatric nurse practitioner for approximately 8 years. She earned her Master of Science in Nursing at The University of Texas at Austin. She also has a master’s degree in Health Psychology and a bachelor’s degree in psychology.

Erma has had more than 12 years of experience working with individuals with various psychiatric conditions. She has worked as a clinical assistant, RN, and nurse practitioner in a variety of settings. She has worked in long term care facilities, inpatient psychiatric hospitals, medical hospitals, outpatient clinics, and community settings. Erma has served a wide range of populations including geriatric, child/adolescent, and adults. She has also worked with individuals suffering from homelessness.

Erma has experience working with patients with mood disorders such as Major Depressive Disorder and Bipolar Disorder; Schizophrenia (and other thought disorders); Dementia; ADHD; anxiety disorders such as OCD and Generalized Anxiety Disorder; trauma; and substance use disorders. Erma also has experience identifying personality disorders such as Borderline Personality Disorder, Obsessive Compulsive Personality Disorder, Narcissistic Personality Disorder, and others.

While Erma’s primary role is medication management, she firmly believes that medications are only a part of an individual’s journey to mental wellness. She believes that medications may be necessary but are rarely—if ever—sufficient. Part of the psychoeducation she provides includes realistic expectations and limitations of medications. She maintains a holistic approach to mental health through collaborative efforts with patients, family members, medical providers, therapists, case managers, and other entities involved in the patient’s care.

Erma firmly believes that all individuals deserve respect and quality psychiatric care regardless of sex, race, ethnicity, religion/creed, sexual orientation, age, and/or disability.

Erma sees clients who are 16+ years of age.  She participates with Aetna, BCBS PPO, Cigna, Compsych, Humana, United and Tricare.

 Emily Ashley, DNP, APRN, PMHNP-BC

Emily is a board certified Psychiatric Mental Health Nurse Practitioner (PMHNP) with a doctoral degree in nursing practice. She values high quality, evidence-based, holistic mental health care. While providing psychiatric assessment, diagnosis, medication management, and psychoeducation, Emily ensures the client is at the center of decision making. She adheres to a compassionate and non-judgemental approach when managing mental health.

You may feel stuck in your journey of healing. Desmond Tutu said, “There is only one way to eat an elephant: a bite at a time.” Small steps forward and little changes will add up over time. Emily’s philosophy is to support you in taking these small steps toward re-building your “foundation”. She specializes in the holistic treatment of adults suffering from trauma, mood, anxiety, thought disorders including co-occurring substance use disorders.

Emily sees clients who are 16+ years of age.  She participates with Aetna, BCBS PPO, Cigna, Humana, United and Tricare.  

Christie Torres, MSN APRN, PMHNP-BC

Christie is a board certified Psychiatric Mental Health Nurse Practitioner (PMHNP) with a masters degree in nursing administration and leadership. During her career she has provided care to patients of all ages, with a focus on adolescent and young adult issues, substance use disorders, co-occurring diagnosis, anxiety, mood, and developmental disorders. She values a holistic, inclusive, collaborative, evidence-based approach to client care that includes therapeutic, medical, and alternative therapies. Her philosophy stems from the understanding that each person has their own unique journey, requiring an individualized approach to care and healing.

Christie sees clients 18+ years of age.  She participates with Aetna, BCBS PPO, Cigna, United and Tricare. Network participation contract is pending with Humana.  

Rebecca Scaduto, MSN APRN, PMHNP-BC

I am a board-certified psychiatric nurse practitioner specializing in substance use and addiction as well as general psychiatry. In my practice I strive to provide care that centers the patient, making myself a guide of available options rather than the final decision-maker. I believe that to provide exceptional care, it is necessary to know the whole person and regularly use non-pharmacological tools to aid in my patients’ recovery such as lifestyle modifications and brief psychotherapeutic interventions. Whatever your psychiatric needs I am excited to start this journey with you to a more fulfilling and sustainable life.

I began my career as a research assistant at the University of Texas at Austin working on studies investigating some of the very medications I am able to use in my clinic today. Because of my roots in research, I pride myself in practicing with an evidence-based approach and look forward to discussing both new and tried-and-true medication options with my patients. After my time in academia, I went on to enter clinical practice as a registered nurse working at a dual diagnosis substance use disorder treatment facility. Once I received my certification as a psychiatric nurse practitioner I continued to work in residential substance use care as well as an outpatient clinic and bring several years of experience in the mental health and substance use fields. In addition to addiction, I work with patients seeking help for anxiety, depression, bipolar disorder, and thought disorders.

Rebecca sees clients 16+ years of age.  She participates with BCBS PPO, Cigna, Humana, Tricare and United.  Network participation contracts are pending with Aetna and Compsych.