Mental Health Care Designed Around You

At Psychiatry By Design, our mission is to provide compassionate, evidence-based psychiatric care tailored to the unique needs, goals, and experiences of each individual. We believe mental healthcare should be collaborative, accessible, and thoughtfully designed around the whole person—not just a diagnosis. Through comprehensive evaluation, medication management, and integrated therapeutic support, we help patients build lasting wellness and meaningful change.

Meet Your Provider

Welcome! I'm Lacy Pippin, MSN-Ed, APRN, PMHNP-BC, CARN-AP

I provide personalized psychiatric care that combines evidence-based treatment with a collaborative, whole-person approach. My goal is to help individuals better understand their mental health concerns and develop treatment plans tailored to their unique needs, strengths, and goals.

[Learn More About Lacy]

Welcome, and thank you for considering Psychiatry By Design for your mental health care.

I am a board-certified Psychiatric Mental Health Nurse Practitioner with more than a decade of nursing experience and specialized training in psychiatry and addiction treatment. Throughout my career, I have had the privilege of working with individuals facing a wide range of mental health concerns, including depression, anxiety, bipolar disorder, ADHD, trauma-related disorders, psychotic disorders, and substance use disorders.

My professional background includes both inpatient and outpatient psychiatric care, where I have worked with individuals experiencing acute mental health crises as well as those seeking long-term support and stability. These experiences have reinforced my belief that effective mental health treatment requires more than simply managing symptoms—it requires understanding the whole person.

At Psychiatry By Design, I strive to create a welcoming, judgment-free environment where patients feel comfortable sharing their concerns and actively participating in treatment decisions. I believe that the most effective care is collaborative, individualized, and grounded in evidence-based practice. Rather than taking a one-size-fits-all approach, I work closely with each patient to develop a treatment plan that reflects their unique experiences, goals, strengths, and challenges.

In addition to general psychiatric care, I have a special interest in addiction treatment and recovery-focused care. I understand that mental health and substance use concerns often intersect, and I am passionate about helping individuals navigate both with compassion, dignity, and practical support.

Whether you are seeking answers for longstanding symptoms, navigating a new diagnosis, or simply looking for a provider who will listen and partner with you in your care, my goal is to provide thoughtful, personalized treatment designed around your individual needs.

I look forward to supporting you on your journey toward improved mental health and overall well-being.

Beyond the Office

When I'm not caring for patients, I enjoy spending time with my husband and three children, traveling, learning about emerging developments in mental health care, and finding creative ways to balance the many demands of family, work, and everyday life. These experiences help shape my understanding that mental health exists within the context of our relationships, responsibilities, and personal goals—and that treatment should reflect the realities of everyday living.

Services Offered

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Psychiatric Evaluation

Every person's story is unique. A psychiatric evaluation provides an opportunity to explore your symptoms, challenges, strengths, and goals in a supportive, judgment-free environment. Together, we will review your mental health history, current concerns, and factors that may be impacting your emotional well-being. This thorough assessment helps guide treatment recommendations that are tailored specifically to your needs.

Medication Management

Medication can be a valuable tool in supporting mental health when used thoughtfully and collaboratively. Medication management visits focus on monitoring symptoms, evaluating treatment effectiveness, addressing side effects, and making adjustments when needed. Treatment decisions are guided by current evidence, clinical expertise, and your individual goals to ensure that your care remains safe, effective, and personalized.

ADHD Treatment

Attention-Deficit/Hyperactivity Disorder (ADHD) can affect focus, organization, time management, motivation, and daily functioning across multiple areas of life. Treatment begins with a comprehensive evaluation to better understand your symptoms, history, and unique challenges. When appropriate, care may include medication management, behavioral strategies, education, and supportive interventions designed to improve focus, productivity, and overall quality of life.

Addiction Treatment

Recovery is not simply about stopping substance use—it is about building a healthier, more fulfilling life. Addiction treatment is provided in a compassionate, nonjudgmental environment where we work together to understand the factors contributing to substance use and develop a personalized recovery plan. Treatment may include medication management, relapse prevention strategies, recovery support, and coordination with therapy or community resources when appropriate.

Medication-Assisted Treatment (MAT)

Medication-Assisted Treatment combines evidence-based medications with supportive care to help individuals achieve and maintain recovery from substance use disorders. MAT can reduce cravings, decrease withdrawal symptoms, and lower the risk of relapse while supporting long-term recovery goals. Treatment plans are individualized and may include medications such as buprenorphine when clinically appropriate, along with ongoing monitoring, education, and recovery-focused support.

Integrated Therapy

Mental health treatment is most effective when symptoms, behaviors, and life experiences are addressed together. Integrated therapy combines therapeutic interventions with psychiatric care, allowing treatment to be coordinated within a single provider relationship. Sessions may incorporate supportive therapy, cognitive-behavioral techniques, motivational interviewing, solution-focused strategies, and skill development alongside medication management when appropriate. This whole-person approach promotes deeper understanding, lasting growth, and meaningful change.

Conditions Treated

Depression
Bipolar disorder
PTSD and trauma-related disorders
Substance use disorders
Adjustment disorders

Anxiety
ADHD
Personality disorders
Obsessive-compulsive disorder
Psychotic disorders

Please note: The conditions listed above are not an exhaustive list of the concerns we may be able to address. If you are unsure whether Psychiatry By Design can assist with your specific mental health needs, please contact us. We would be happy to discuss your concerns and explore whether our services are an appropriate fit for your goals and treatment needs.

Important Notice

Psychiatry By Design is not a crisis or emergency service. If you are experiencing a medical or psychiatric emergency, have thoughts of harming yourself or others, or believe you are in immediate danger, call 911 or go to your nearest emergency department immediately.

If you are experiencing emotional distress or suicidal thoughts and need immediate support, call or text 988 to reach the Suicide & Crisis Lifeline.

Messages submitted through this website, including contact forms and email, are not monitored continuously and should not be used for urgent or emergency concerns.

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