Meet Dr. Tatiana DeGraffenreid, DNP, PMHNP-BC
Thoughtful, integrative psychiatric care that honors your story and supports lasting change.
My path to psychiatry began with a deep curiosity about what shapes our inner world and a passion for helping people feel more like themselves again. After nearly a decade in nursing and mental health, I pursued advanced training to become a Psychiatric-Mental Health Nurse Practitioner so I could offer more comprehensive, personalized care.
I'm a psychiatric-mental health nurse practitioner based in Washington State, offering telehealth care for children, adolescents, and adults. I believe healing happens in safe, collaborative relationships where you feel seen, understood, and supported.
I'm especially passionate about supporting neurodivergent minds, healing from trauma, navigating anxiety and OCD, and the unique mental health experience that can arise in perimenopause and beyond. My goal is to create a space where your story is honored, your strengths are recognized, and together, we build a plan that feels supportive and sustainable.
We
We work together as partners. Your voice, goals, and values guide the care we create.
Collaborative
We
Neurodivergent Support
ADHD, Autism, sensory needs, executive function challenges, and more.
Anxiety Relief
Worry, overthinking, panic, social anxiety, and stress.
Care that is personalized, collaborative, and grounded in evidence.
Whole-person
I consider the full picture; mind, body, relationships, environment, and life story.
You don't have to naviagate this alone. I'm here to walk alongside you.
I support children, adolescents, and adults who are looking for...
Who I work best with
Trauma Healing
Compassionate support for past experiences and complex stress.
MY APPROACH
Evidence-Based
Treatment is informed by research and clinical expertise, tailored to you.
Women's Mental Health
PMDD, perimenopause, hormonal transitions, and motherhood.
Warmly Attuned
Compassionate, non-judgmental care in a space where you can breathe and be heard.
Life & Mood Support
Depression, low mood, life transitions, grief, and burnout.
Why Choose Harmonious Mind Psychiatry?
I combine evidence-based medication management with trauma-informed, neurodiversity-affirming care and holistic support for stress, sleep, and nervous system regulation. Together, we'll build a plan that feels safe, collaborative, and aligned with your goals.
How We Work Together
I start by getting to know your story, your strengths, challenges, and what you hope for.
Together, we explore what might be driving how you feel and function; mentally, emotionally, and physically.
We check in, adjust as needed, and support your evolution over time with compassion and curiosity.
Clarify Patterns
Listen & Understand
Adjust with Care
Build a Thoughtful Plan
Medication can be life-changing when it's the right fit. I also address sleep, stress, nutrition, movement, relationships, and hormonal changes, so we can support your brain and body as a whole.
I collaborate with therapists and other providers you trust to create seamless, coordinated care that supports you from all sides.
I create a personalized plan that may include medication, therapy coordination, and lifestyle and nervous system support.