Holistic Mental Healthcare for adults in NC-Medication Management and Therapy Services

Meet Alyssa, PA-C

Alyssa offers medication management and therapy services via telehealth to adults in NC.

You’re going to love the care you receive.

Alyssa Ramirez, PA-C | Joy Spring Mental Health
“We delight in the beauty of the butterfly, but rarely admit the changes it has gone through to achieve that beauty.’ It’s a powerful reminder that growth often involves struggles and transformations before we reach our full potential.”​

Boring but important: Alyssa bring over six years experience working with complex clients with comorbid mental health conditions, trauma, and medical comorbidities. She has a special interest in perinatal mental health and works with adults 18 and older to help them find true wellness and health. 

Outside the Office

When I’m not working, you’ll usually find me outside—hiking, gardening, swimming, walking my dogs, or soaking up the sun with a hot cup of coffee. I love traveling with my husband, exploring new places and cultures, and finding joy in life’s little rituals.

Also, let’s be real: I stay well-fed to avoid being hangry. Snack breaks are non-negotiable.

Fun Facts That Might Come Up in Session
  • I love the color yellow (bright car, bold clothes, sunny vibes—yes, really)

  • I’m the friend who brings the sunshine and the snacks

  • I’ll probably ask you about your sleep, your breakfast, and your coping playlist

  • I believe wellness isn’t just about medication—it’s about how you eat, move, rest, and relate to yourself and others


Why I’m Passionate About Mental Health

Mental health touches every part of our lives—from how we think and feel to how we show up in our relationships, careers, and goals. Psychiatry gives me the opportunity to make a real difference by helping people reconnect with their values, regain energy, and step into the version of themselves they want to be.


What It’s Like to Work With Me

Sessions with me are collaborative, thorough, and grounded in curiosity and care. We’ll explore your full story—when your symptoms started, what’s helped, what hasn’t, and where you want to go next.

You can expect:

  • A team-based, nonjudgmental approach

  • Space to reflect, ask questions, and get real answers

  • A personalized plan that actually fits your life

  • Focus on the full picture—not just symptoms, but habits, hormones, and nervous system health

Whether you’re a student, a busy parent, a young professional, or just feeling overwhelmed by everything on your plate—this is care built around you.


A Special Passion: Perinatal Mental Health

After experiencing the emotional ups and downs of pregnancy and postpartum myself, I developed a deep passion for supporting others through that incredibly tender and transformative time. I understand how lonely, exhausting, and confusing it can feel—and I’m here to help you feel more grounded, supported, and understood.


My Philosophy

Mental health is whole-person health. I love helping people connect the dots between their diagnosis and their daily habits, their stress and their nervous system, their identity and their goals. It’s all connected—and we’ll explore it together.

Answers to Your Questions about Mental Healthcare

General Mental Health Basics

We offer both as my schedule allows. In general, we have more availability for medication appointments. If you are interested in both and our therapy slots are full, we will help you connect with another therapist while we manage your medication.

This will be determined during your intake appointment. Brief appointments are ideal for time-limited specific concerns or for clients who are stable and transitioning out of recurring therapy or have already been in recurring therapy in the past. It is also helpful for clients who have challenging schedules or financial concerns that do not accommodate recurring therapy.

No! we see young adults and young-at-heart adults from diverse backgrounds. We have additional training and experience working with the college health and perinatal mental health populations but you do not have to identify with those groups to receive care.

Depressionanxiety, social anxiety, OCDPTSDbipolar disorder, ADHD (with non-stimulants only)

No. Our services are offered predominantly through telehealth and I do not prescribe any controlled substances.

Yes. Clients who live locally, may request an in-person appointment.​

Yes. We know how challenging juggling all these responsibilities can be and we will make a plan that will help you succeed all aspects of your life-including academic life.

What to expect for Virtual Appointments

Yes, in order to provide effective care, we must be able to see you.  You are not required to use your camera for asynchronous classes.

No, you will need to reschedule.   Please be aware there is a cancellation fee for appointments not cancelled within 24 hours.

The best feature of having a virtual appointment option is the convenience!  Come as you are, baby drool, messy house, and all. You must be clothed (shirts required, and you may not be using mind altering substances during your appointment.

You will be able to access your appointment from any device with internet and a camera.  Due to state licensing regulations, you must be in NC or VA at the time of your appointment.  Please try to give yourself a quiet and private place.  (Some patients find their vehicles (parked-not driving!) or bathroom to be great escape locations for their appointment.

Practice Policies for clients seeking 1-on-1mental healthcare

Yes, we will collaborate with your individual therapist.

No.  Due to the boundaries established by the DEA system, providers cannot prescribe controlled substances to patients they have not initially seen in person.  It is anticipated that the COVID pandemic exception will expire.  That said, we have many modalities that are safe and effective and provide a long-term solutions so that controlled substances may not be necessary. We are committed to helping patients connect with their best-selves (which involves the courageous exploration of a values-driven life, rather than avoidance and symptom management).

Yes. Please plan to sign a release of information so we can communicate with your medication provider as needed.