

Personalized Care. Evidence-Based Solutions.
Helping you achieve mental health and wellness through expert medication management and compassionate support.
At Hopeful Mind Mental Health we will work closely to develop a personalized medication plan that addresses your concerning symptoms and supports your unique goals. Seeing patients ages 18 and above.
Hopeful Mind Mental Health
Carissa Kajenski, APRN, PMHNP-BC
Partnering With You for Better Mental Health
At Hopeful Mind Mental Health PLLC, we are a team of licensed mental health professionals serving New Hampshire and Maine. We offer both telehealth and in-person appointments for adults ages 18 and up. Our services include psychiatric medication management and therapy, with a focus on personalized care to support your well-being and quality of life.
Please note: There is currently a waitlist for therapy services. If you’re interested in being added to the list, we encourage you to reach out.

CONDITIONS TREATED
Anxiety
Anxiety can feel overwhelming and disruptive, but it’s manageable with the right care.
OCD
Providing treatment to help manage intrusive thoughts and compulsive behaviors.
Bipolar Disorder
Management to help stabilize mood swings and support balance for those living with bipolar disorder.
Eating Disorders
Medication management to support the treatment of eating disorders, to improve emotional and physical well-being.
ADHD
Helping manage symptoms of inattention, hyperactivity, and impulsivity through tailored medication plans.
Panic Disorder
Helping you regain control and navigate life with greater calm and confidence.
Depression
With the right treatment, relief is possible, allowing you to regain hope and enjoyment in daily life.
PTSD
Supporting recovery with medication management to reduce distressing symptoms and improve daily functioning.
Alcohol Abuse
Supporting your journey to overcome alcohol abuse and embrace a healthier, more empowered you.

WHY US?
EXPERIENCED PROFESSIONAL
I have been licensed as a psychiatric nurse practitioner for over 10 years, with extensive experience in a variety of settings, including community mental health, corrections, and private practice. For the past eight years, I have successfully run my own private practice, providing high-quality care to individuals in need. It is truly a privilege to serve the community and support individuals on their journey to improved mental health and well-being. My diverse background equips me to understand and address the unique challenges each patient faces, ensuring personalized and effective care.
PERSONALIZED CARE
I believe in a collaborative approach to care, where your preferences and goals are central to the treatment process. Together, we will explore medication options that align with your needs, discussing the potential benefits and risks of each. Once a plan is in place, I will closely monitor your response to treatment, ensuring that adjustments are made as needed to optimize symptom management. My goal is to help you achieve meaningful and lasting improvements in your quality of life through ongoing support and care tailored specifically to you.
COMPASSIONATE APPROACH
I understand that deciding whether to take medication can be a difficult and deeply personal decision. My approach is grounded in empathy and understanding, creating a safe and supportive environment where you feel heard and respected. Medication is here to assist in managing symptoms, and I am well-versed in selecting the right options while remaining conservative in my prescribing practices. My goal is to provide care that not only addresses your symptoms but also honors your individual experiences and fosters trust throughout your journey to wellness.
Collaborative Partnership
Your voice matters. Together, we’ll build a treatment plan that reflects your values and goals.
Proven Track Record
With over eight years successfully running my own practice, I have helped many patients achieve meaningful results.
Conservative Prescribing Philosophy
I believe in a balanced approach to medication, using the least intervention necessary to achieve optimal results.
Supportive Environment
I create a nonjudgmental and welcoming space where you can feel comfortable discussing your concerns.
Flexible, Secure Telehealth
HIPAA-compliant telehealth platforms to ensure your privacy while providing care that fits your schedule.
HOW IT WORKS
Step 1
Submit an Inquiry Form
Start by filling out our inquiry form to let us know you're interested in services. Once we receive and review your form, we’ll reach out to discuss the next steps and guide you through the process.
Step 2
Schedule Your Appointment
Connect with Erika, our medical assistant, via the Spruce Healthcare app or by phone to schedule your full psychiatric intake appointment
Step 3
Spruce Healthcare App
You will receive an invitation to the Spruce Healthcare app, our secure communication platform. Follow the instructions to download and set up the app for seamless communication.
Step 4
Complete Required Forms
You’ll receive links to our office policy forms and a brief psychiatric history form through the Spruce Healthcare app. Once these forms are completed and submitted, we will schedule your first appointment.
INSURANCES ACCEPTED
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Ready to begin your journey? I’m here to support you every step of the way.
If you have any questions, need more details, or want to explore how therapy can help you, feel free to reach out. I’m here to listen, offer guidance, and help you move forward.
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What's the best way to get started as a patient?To get started, please complete the HIPAA compliant Patient Inquiry Form. Once submitted, our team will review your information and contact you within 48 business hours to guide you through the next steps. ➡️ Patient Inquiry Form
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What services do you offer?I provide comprehensive psychiatric care through the following services: Psychiatric Evaluations – A thorough assessment to understand your mental health needs and develop a personalized treatment plan. Medication Management – Ongoing monitoring and adjustments to ensure safe and effective medication use. Telehealth Services – Secure and convenient virtual appointments, allowing you to receive care from the comfort of your home or at work. I specialize in treating: Anxiety Disorders Depression Bipolar Disorder Post-Traumatic Stress Disorder (PTSD) Obsessive-Compulsive Disorder (OCD) ➡️ Patient Inquiry Form
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Do you accept minors?No, we do not accept minors at this time.
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What are your hours of business?Our hours of business are Monday through Thursday 7:30 a.m. to 3:00 p.m.
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Do take insurance?We take most major commercial insurances to include Anthem Blue Cross Blue Shield, Cigna, EverNorth, Point 23 Health, United Healthcare, Optum, Tufts, Harvard Pilgrim, Health Plan, UMR.
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How does telehealth work with your office?At this time, I exclusively offer Telehealth appointments for evaluations and follow-ups using the Spruce Healthcare app, a HIPAA-compliant platform that ensures secure and private virtual visits. How to Get Started with Spruce: Invitation Sent During Onboarding – As part of the onboarding process to become a patient, you will receive an invitation to join the Spruce Healthcare app. Download the App – The app is available for both iPhone and Android and can be easily installed on your phone. Set Up Your Account – Follow the instructions in the invitation to create your account and connect with my practice. How Your Telehealth Appointment Works: No Waiting Room – There is no virtual waiting room. I Will Send a Text – At your scheduled appointment time, I will send a text message through the Spruce app to confirm that you’re ready. I Initiate the Video Call – Once you confirm, I will start the video session on my end. Features of Spruce Healthcare App: ✔ Secure Video Calls – Used for Telehealth visits. ✔ Text Messaging – Secure messaging for communication. ✔ Phone Calls – The app also supports calls when needed. Start the process by accessing the HIPPA compliant inquiry form: ➡️ Patient Inquiry Form If you have any questions about setting up or using Spruce, feel free to contact my office for assistance!
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How do I know if you are in-network with my insurance company?To verify whether I am in-network with your insurance plan, you can contact your insurance provider directly. Provide them with my information: Name: Carissa Kajenski NPI Number: 1700294139 Your insurance company can confirm your coverage and any potential out-of-pocket costs. If you have additional questions, feel free to reach out to my office.
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Do you accept self-pay patients?Yes, we accept self-pay patients. Our rates are as follows: Initial evaluation: $300 Follow-up visits (15-30 minutes): $125 Payment is due at the time of service. If you have any questions about payment options, please feel free to reach out to our office. ➡️ Patient Inquiry Form
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What credit cards do you accept?We accept MasterCard and Visa for payment. We also accept Health Savings Account (HSA) and Flexible Spending Account (FSA) cards.
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Do you offer out-of-network benefits?No, I do not offer out-of-network benefits. I focus on in-network insurance to ensure patients have access to covered services with minimal out-of-pocket costs. If you would like to verify whether I am in-network with your insurance plan, you can contact your insurance provider and provide my Name and NPI number: 1700294139. If you have any additional questions, feel free to reach out.
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Do you provide superbills for reimbursement?Yes, I provide superbills for self-pay patients who wish to seek reimbursement from their insurance provider. A superbill is an itemized receipt of services that you can submit to your insurance company for possible out-of-network reimbursement. Reimbursement is not guaranteed and depends on your specific insurance plan. I recommend contacting your insurance provider to verify your out-of-network benefits and reimbursement policies. If you need a superbill, please let me know, and I’ll be happy to provide one.
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Do you offer therapy or just medication management?I only offer medication management and do not provide therapy. However, therapy can be an important part of mental health treatment, and I encourage patients to consider working with a licensed therapist alongside medication management for comprehensive care. If you are looking for a therapist, I recommend visiting Psychology Today, where you can search for licensed therapists based on location, specialty, and insurance coverage. If you have any questions, feel free to reach out!