Mental health care that Anchors you
Board-certified Psychiatric Mental Health Nurse Practitioner Nicole Guzman, PMHNP-BC, delivers compassionate, evidence-based care exclusively via telehealth — from anywhere in Texas, on your schedule.
Insurance Accepted
- Blue Cross Blue Shield
- Cigna
- Aetna
- Optum / UnitedHealth
- Medicare 🎉 Now Accepted
Not sure if your plan is covered? Email us and we'll verify your benefits before your first visit.
Comprehensive psychiatric care — all via telehealth
Personalized treatment plans built around you, not a checklist. We treat the full spectrum of psychiatric conditions for patients ages 10 and older across all of Texas.
Anxiety & Depression
Evidence-based treatment for generalized anxiety, panic disorder, social anxiety, and major depressive disorder.
Learn more →ADHD
Comprehensive evaluation and medication management for adults and adolescents with attention-deficit/hyperactivity disorder.
Learn more →Bipolar Disorder
Thoughtful mood stabilization and ongoing management to help you achieve lasting balance.
Learn more →Insomnia & Sleep
Sleep is foundational to mental health. We address root causes rather than just suppressing symptoms.
Learn more →Medication Management
Thoughtful prescribing and ongoing monitoring to find the right medication at the right dose for you.
Learn more →Medical Weight Management
Evidence-based weight loss support at the intersection of mental health, metabolic wellness, and overall well-being.
Learn more →Addiction & Substance Use
Compassionate psychiatric evaluation and medication management for alcohol, opiate, and amphetamine addiction — treating the whole picture.
Learn more →Schizophrenia & Psychosis
Compassionate, supportive care for individuals living with psychotic disorders — emphasizing stability and quality of life.
Learn more →Neurofeedback
Drug-free brain training that helps regulate mood, focus, and anxiety by retraining brainwave patterns.
Learn more →Three simple steps to feeling like yourself again
Book Online
Schedule through our secure portal or text us at 972-630-0222. We'll verify your insurance before your first appointment — no surprises. Medicare is now proudly accepted.
Meet Virtually
Join your HIPAA-compliant video appointment from home, work, or anywhere in Texas. No commute, no waiting room.
Get Your Plan
Receive a personalized treatment plan — medication, therapy, lifestyle guidance, or neurofeedback — built specifically for you.
Prefer to text? So do we — just text 972-630-0222 anytime.
Real talk about mental health.
Written by Nicole — no jargon, no scare tactics. New posts every Monday and Thursday.

Depression Isn't Sadness — Here's What It Actually Feels Like
The most common version of depression doesn't look dramatic. It looks like going through the motions.

Is It Anxiety or Is It Just Stress? A Psychiatric Nurse Practitioner Explains
Everyone gets stressed. Here's how to tell when it's crossed into something that deserves attention.

Bipolar Disorder — What It Really Looks Like
It's not just mood swings. Bipolar disorder is one of the most misunderstood conditions we treat.
Nicole Guzman, MSN, APRN, PMHNP-BC
Founder & CEO, Anchor Psychiatry
“Effective psychiatric care starts with truly hearing the patient’s story — and making sure they feel heard.”
Nicole Guzman (previously practicing as Nicole Kaiser) is a board-certified Psychiatric Mental Health Nurse Practitioner and the Founder and CEO of Anchor Psychiatry. She brings a deeply human, patient-centered approach to mental health treatment — one rooted in listening, respect, and evidence-based practice.
Many individuals seeking care for anxiety and depression have felt rushed, dismissed, or misunderstood in the past. Nicole’s goal is to change that experience entirely — creating a space where patients feel heard, seen, and actively involved in their own treatment.
With experience caring for diverse patient populations of all ages, Nicole provides thoughtful psychiatric evaluation and medication management tailored to each individual’s needs. She takes a genuinely collaborative approach to treatment planning, recognizing that no two patients — and no two journeys — are the same.
Nicole is also passionate about the intersection of mental health, metabolic health, and overall well-being. Through Anchor Psychiatry, she offers compassionate medical weight management services using evidence-based treatments, always without judgment.
As a Texas-based provider rooted in Rockwall and serving the greater Dallas-Fort Worth area via telehealth, Nicole is committed to making high-quality psychiatric care accessible, ethical, and genuinely human. Anchor Psychiatry reflects her belief that mental health care should feel supportive, empowering, and like it was made for you.
Frequently asked questions
Do I need to come in person?
No. Anchor Psychiatry is entirely virtual. All appointments are conducted via secure, HIPAA-compliant video — all you need is a smartphone, tablet, or computer with a camera. We serve patients throughout Texas.
What insurance do you accept?
We are proud to accept Medicare, along with Blue Cross Blue Shield, Cigna, Aetna, and Optum/UnitedHealth. If you're unsure whether your specific plan is in-network, email us at NicoleGuzman@anchor-psychiatry.com and we'll verify your benefits before your first appointment.
What ages do you treat?
We treat adolescents and adults ages 10 and older. If you're a parent seeking care for your child or teenager, we're happy to discuss whether our practice is the right fit.
What happens at my first appointment?
Your first visit is a comprehensive psychiatric evaluation — typically 45 to 60 minutes. We'll discuss your symptoms, personal history, goals, and any previous treatments. You'll leave with a clear understanding of your diagnosis (if applicable) and a personalized treatment plan.
Do you prescribe controlled substances?
Yes, when clinically appropriate. We follow all Texas and federal guidelines for prescribing, including registration with the Texas Prescription Drug Monitoring Program (PDMP). We take a careful, evidence-based approach to controlled substance prescribing.
How do I schedule an appointment?
You can book online through our patient portal, text us at 972-630-0222 (calling works too!), or email us at NicoleGuzman@anchor-psychiatry.com. Provider referrals can be sent to Referrals@anchor-psychiatry.com.
What if I'm in a mental health emergency?
If you or someone you know is in immediate danger, please call 911 or go to your nearest emergency department. You can also call or text the 988 Suicide & Crisis Lifeline. Anchor Psychiatry is not an emergency or crisis service.
What our patients say
I'd been putting off getting help for years. I thought I just needed to push through. Nicole listened to everything without rushing me — and for the first time, I actually felt like someone understood what I was experiencing.
The telehealth format was a game-changer for me. I have three kids and getting to an office just wasn't realistic. Being able to meet with Nicole from my own home made all the difference.
My daughter was struggling and I didn't know where to turn. Anchor Psychiatry got us in quickly, and the care has been thoughtful and consistent. I finally feel like we have the right support.
I was nervous about starting medication. Nicole walked me through everything — what to expect, what to watch for — and checked in regularly. That level of attention means everything.
I'd tried other providers before. The difference here is that Nicole actually takes time to get to know you. This isn't a conveyor belt. It's real care.
* Representative patient experiences. Individual results vary.
You deserve to feel well.
Quality psychiatric care shouldn't require a long commute or a months-long wait. Book your first appointment today — we'll meet you where you are, virtually, anywhere in Texas.