Years in Practice: 31+ Years
School: Washington University School of Medicine
Year Graduated: 1986

School: Maryville University 
Catherine McAuley School of Nursing 
Year Graduated: 2019​​

Ann Chartrand RN, PMHNP-BC

School: University of Missouri St. Louis
Year Graduated: 2019

Accepted Insurances: Anthem, Cigna, Medicare, Medicaid, Mercy, United Healthcare

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Gordon Robinson, MD

Accepted Insurances: Aetna, Anthem/BCBS, Cigna, Medicare, Medicaid, Mercy, United Healthcare, Self Pay

Years in Practice: > 2 Years
School: University of Southern Indiana
Year Graduated: 2017

Lexxie Gramke MSN, PMHNP, AGPCNP

Accepted Insurances: Aetna, Anthem/BCBS, Cigna, Medicare, Medicaid, Mercy, United Healthcare, Self Pay

The state of our mental health can strongly impact every facet of our day-to-day lives and, as a provider who is dual certified in psychiatry-mental health and primary care, I have seen firsthand the effects that mental health can have on physical health and vice versa. Because of this, it is critical for patients to have access to mental health care that is effective, safe, and individualized to meet their specific needs to improve their quality of life. Whatever mental health needs you may have, there is hope for a brighter tomorrow with the right treatment plan, and we will work together to find it.

I want all of my patients to leave their session feeling heard. Listening takes time and I take as much time as possible with my patients to find the process that will work for them and ensure they understand the steps we will be taking toward bettering their mental health. I work with adults 17 years and older. 

Not accepting new patients

Rebecca Palmer DNP, PMHNP-BC

Grief, trauma, and every day emotional stressors affect the body and mind differently.  I enjoy working with first responders and those with occupational stress but accept patients of all ages and mental or emotional health concerns. A treatment goal of mine is to compassionately assist individuals to move past challenging life events towards developing more effective ways to cope along with a stronger sense of self. 

Accepted Insurances: Aetna, Anthem/BCBS, Cigna, Medicare, Medicaid, Mercy, United Healthcare, Self Pay, Tricare

Rose Psara PMHNP-BC

I believe that all patients should be respected and actively participate in treatment plans, and properly educating my patients leads to better outcomes. Optimal mental health involves all aspects of an individual and not simply medication management. Every person leaving my office will know how, why and what we are doing to try to help him/her feel better and be healthier. I enjoy working with adolescents and adults motivated to improve their mental health.
My practice is informal and relaxed, designed to reduce "white coat" anxiety and stigma toward mental health treatment. I like to call it "Psychiatry with Personality."

I believe all clients should be treated based on their individual circumstances, as we all face different challenges and have unique needs. I am driven to help others overcome personal obstacles through establishing solid, trusting relationships, improving self-awareness, and by use of evidence-based pharmacological and non-pharmacological interventions. I believe that in order to achieve optimal mental health, clients should be included in determining goals for treatment and fully understand their treatment plan. Although my function is primarily medication management, I discuss coping strategies and provide support for all of my clients based on their individual need. 

School: Barnes Jewish College of Nursing (AGPCNP)
Year Graduated: 2014

School: Maryville (PMHNP)

Year Graduated: 2020