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My name is Heather, and I prefer people refer to me as Heather, not Dr. Muxworthy. I have worked as a Psych RN, CNS, and NP for the past 35 years. My passion has been to work with people with bipolar disorder, major depression, anxiety disorders. I have a subspecialty in Personality Disorder. I am well versed in Dialectical Behavior Therapy, as well as Cognitive Therapy and other modalities. I am a therapist at heart and also can prescribe psychotropic medications.
My journey to becoming a mental health provider began with a desire to help others achieve greater self-insight and personal growth. Witnessing the impact that understanding oneself and developing effective coping strategies can have on one's life inspired me to pursue this path. After earning my degree from Columbia University and gaining experience in various settings, I became committed to gaining the skills needed to support individuals in their personal development and emotional well-being.
Born and raised in WNY, attended SUNY Buffalo, obtaining my bachelor's in psychology and master's in Social Work there.
I enjoy working with people of all ages who are striving to move through and process the difficult life experiences, changes and transitions we all experience such as grief & loss, divorce, trauma, addictions of all kinds, parenting and behavioral problems in children and adolescents.
Hi, I’m a board-certified Psychiatric Mental Health Nurse Practitioner with over 20 years of nursing experience across acute care, leadership, and education. I’ve worked with children, adolescents, and adults managing depression, anxiety, bipolar disorder, ADHD, trauma, and complex mental health needs. My approach is warm, collaborative, and practical. I believe in meeting people where they are and creating a safe space to be heard. Together, we’ll build a treatment plan that feels realistic, supportive, and centered around your goals.
I’m Stephanie Jairam, a Psychiatric Mental Health Nurse Practitioner (PMHNP) and Family Nurse Practitioner. I work with adults and adolescents navigating ADHD, anxiety, depression, insomnia, PTSD, PMDD, OCD, and other mood-related concerns who are seeking supportive, effective treatment.
My background in healthcare gives me a well-rounded perspective—I don’t just see a diagnosis, I see you as a whole. I take a holistic approach, recognizing the close connection between mental and physical health. I’m known for being collaborative, non-judgmental, and thorough, and I strive to create a space where you feel heard, understood, and supported throughout your care.
Starting therapy can feel overwhelming. I am a therapist who will listen to what you need and assist you with achieving your personal goals. During the therapeutic process you will be able to understand more about yourself, as well as what role your environment plays in your life. I work from a trauma informed perspective and will be supportive in exploring how past challenges are currently affecting your life. I utilize Cognitive Behavioral Therapy (CBT) within my therapeutic approach, specifically Acceptance and Commitment Therapy (ACT) which will allow you to learn more about using mindfulness in your life, and in your personal journey through therapy. I have experience working with adults who have Anxiety, Depression, and Bipolar Disorder with a variety of stressors. I look forward to connecting and being able to support you.
I take a holistic perspective with my clients to address the health of body, mind, and spirit. I believe that a solid therapeutic relationship between client and therapist is a crucial part of the healing process, and that techniques and therapy approaches must “fit” the client in order to be effective—there is no “one size fits all” therapy.


Headway makes it easy to find support for your mental health — from finding the right provider, to understanding costs, to scheduling with ease.