

Prisca Oketch, APRN, PMHNP-BC, with over 17 years of dedicated clinical experience, specializes in comprehensive mental health treatment. I combine evidence-based psychiatric care with compassionate listening, creating personalized treatment plans that address each patient's unique needs. I am accepting new patients of all ages, from children to adults, both for cash pay and insurance with same-day availability.
Mental health counseling is a form of help that can be tailored to meet the diverse needs of many individuals. Some mental health professionals, including me, intentionally incorporate spiritual or religious elements into their therapeutic practices. I do so because I primarily serve a Christian community, because my clients also adhere to religious principles in their own lives, and I subscribe to the belief that people experiencing distress can especially benefit from the help of God and spiritual empowerment.
Welcome! I am a compassionate psychiatric nurse practitioner with a strong foundation in mental health care. I specialize in therapeutic communication, medication management, and promoting wellness. I bring a holistic approach to care based upon the foundations of psychology and behavioral health.
I believe that the healing space happens when someone feels safe, seen, and respected. My approach is warm, direct, and grounded, while also being able to challenge and empower my clients. I bring both clinical and real-world understanding into sessions. So, whether you are feeling stuck, over-whelmed, or just ready for a change, we will move at a pace that not only honors you, but provides you with the tools you will need to continue on your personal healing journey.
I see therapy as a collaboration between two people dealing with the messiness of being human. For me, being professional isn’t about appearances—it’s about a serious commitment to the ethics of counseling, to learning the craft of therapy, and to supporting your self-understanding as it evolves in real time.
My primary goal is to understand your life and your hopes on your terms. We work from there to help you get more of what you want and less of what you don't.
While my background includes a clinical license and training in a range of approaches to therapy, I also have a longstanding interest in history, philosophy, and literature. However, I don’t bring that book learning directly into our sessions; I hold that knowledge lightly and draw on it only when it may help. Whether you’re wrestling with deeper questions about purpose or just trying to get through a stressful week, I’m interested in helping you shift your life in ways that make what you want more likely.
I work well with people from a wide range of backgrounds and belief systems. You don’t need a particular worldview—or any specific way of talking about yourself—to work with me. If you’re willing to share what’s going on for you, we can usually work together.
I help clients move from survival mode into intentional living. Our work strengthens self-trust, clarifies values, and shifts relationship dynamics that no longer serve you. You can expect honest dialogue, practical direction, and space to grow at a steady, sustainable pace.
Accepting new patients. I am a board-certified psychiatric mental health nurse practitioner at Holsan Behavioral Health who provides medication management with psychotherapy to ages six and older. I offer in-person appointments in Raleigh, NC, and telehealth services across the state of North Carolina. I specialize in attention difficulties, behavioral challenges, mood challenges, anxiety, psychosis, personality disorders, sleep, military issues, and trauma.


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