You don't have to have it all
figured out to begin healing.
Personalized psychiatric evaluations, medication management, and psychotherapy for adults and adolescents ages 12 and older. Telehealth appointments available in Florida and New York, in English and Spanish.
Request a ConsultationMeet Alessandra Alvarez
MSN, APRN, PMHNP-BC
- Psychiatric Mental Health Nurse Practitioner
- Bilingual | English & Spanish
- Telehealth in Florida and New York
My goal is to understand your story.
Healing begins when someone finally feels heard.
I'm here to walk beside you — at your pace.
OUR STORY
My path. Your care. One shared belief.
Long before I became a Psychiatric Mental Health Nurse Practitioner, I experienced firsthand how mental health can shape individuals, families, relationships, and entire life journeys. Those experiences gave me a deep appreciation for the courage it takes to ask for help and the importance of feeling genuinely seen, heard, and understood.
Over the past decade, my work in healthcare has allowed me to see the system from nearly every perspective. I've cared for patients at the bedside, guided families through some of the most difficult moments of their lives as an oncology nurse navigator, led multidisciplinary teams, advocated within complex healthcare systems, and now provide psychiatric care as a PMHNP.
Each role has reinforced one belief: People deserve more than a diagnosis or a prescription. They deserve someone willing to understand the full story.
Still Becoming was built on that belief.
PHILOSOPHY
Your experiences, relationships, physical health, and daily life all matter when understanding your mental health.
I take time to listen, explain treatment options, and make decisions with you. Together, we develop a plan that reflects your needs, preferences, and goals.
SPECIALTIES
What I Help With
Personalized psychiatric care for the whole you— rooted in evidence, shaped by your story.
Trauma Recovery
Helping you move beyond survival mode and reconnect with a life that feels meaningful.
Burnout & High Performers
Support for people navigating sustained stress, demanding roles, caregiving responsibilities, and emotional exhaustion.
Anxiety & Depression
Treating more than symptoms by understanding the whole person behind them.
Chronic Illness & Medical Trauma
Because healing isn't only physical. Together we'll address the emotional impact of chronic illness, medical trauma, and life-changing diagnoses.
COLLABORATION
Collaborative Care
Healing happens when every part of your care works together — thoughtfully, and in harmony.
The best mental health care doesn't happen in isolation. When appropriate, I collaborate with therapists, primary care providers, and other healthcare specialists to ensure every aspect of your care works together.
Are you a therapist, physician, or healthcare professional interested in collaborating or referring a patient?
For ProvidersTHE PROCESS
The Evaluation Process
A thoughtful beginning, never rushed.
Getting to know you is an important part of creating the right plan for your care.
Here's what you can expect:
Step One
Complimentary 15-Minute Call
A complimentary 15-minute introductory call to discuss your questions and whether the practice may meet your needs. This call does not include a psychiatric evaluation, treatment, or prescribing.
Step Two
Comprehensive Psychiatric Evaluation
A 60-minute evaluation where we take a deep dive into your history, current concerns, goals, and overall wellbeing.
Step Three
Personalized Treatment Plan
Together, we'll create a collaborative plan that supports your unique needs and long-term wellness.
We move at your pace and prioritize your comfort every step of the way.
OUR APPROACH
My Approach to Medication
Medication recommendations are based on your symptoms, medical history, preferences, and treatment goals. When appropriate, I prescribe non-controlled psychiatric medications and discuss their potential benefits, risks, and alternatives with you. Treatment may include medication, psychotherapy, or a combination of approaches.
My practice does not prescribe controlled substances, including stimulants such as Adderall or Vyvanse, or benzodiazepines such as Xanax, Ativan, or Klonopin.
If someone needs a medication or level of care that falls outside of my practice, I'll be upfront about it and help guide them toward the appropriate provider.
WHY STILL BECOMING
Why Choose Still Becoming
Mental health care should feel personal, not transactional. At Still Becoming, you're more than a diagnosis—you're a whole person with a story that matters.
My approach combines psychiatric expertise with a whole-person perspective, integrating evidence-based treatment with the understanding that your mental health is shaped by your experiences, relationships, and everyday life.
WHOLE-PERSON APPROACH
We look beyond symptoms to understand the bigger picture of your health.
COLLABORATIVE PARTNERSHIP
Thoughtful care decisions made together, with your voice at the center.
TRAUMA-INFORMED CARE
Compassionate, evidence-based care that honors your unique journey.
MORE THAN MEDICATION
Medication can be part of the plan—but it's never the only conversation.
You deserve care that sees the full you.
That's the Still Becoming difference.
RIGHT FIT
Is This Practice the Right Fit?
Finding the right psychiatric provider matters.
Still Becoming is likely a great fit if you're looking for thoughtful, collaborative psychiatric care that values both medication and the bigger picture of your mental health.
This practice may be a good fit if you:
- Want to understand the "why" behind your symptoms.
- Value collaboration and shared decision-making.
- Are open to personalized treatment that may include medication, psychotherapy, and lifestyle interventions.
- Want ongoing support, thoughtful follow-up, and a treatment plan that can evolve with your needs.
This practice may not be the best fit if:
- You need a provider who prescribes or manages controlled substances, including stimulant medications or benzodiazepines.
- You require intensive outpatient, residential, or inpatient psychiatric treatment.
- You're experiencing a psychiatric emergency or need immediate crisis intervention.
- Your needs require a level of care beyond what can be safely provided through an outpatient telehealth practice.
If I believe another provider or program is better equipped to meet your needs, I'll always be honest about that and help guide you toward the most appropriate level of care. My priority is making sure you receive the support that's right for you—even if that means it isn't with me.
INFORMATION
Frequently Asked Questions
POLICIES
Practice Policies
Clear, thoughtful policies so you always know what to expect.
This website is intended for informational purposes only and does not establish a provider-patient relationship. A therapeutic relationship begins only after a completed evaluation and mutual agreement to proceed with treatment.
INSURANCE & FEES
Insurance & Fees
I'm committed to making quality psychiatric care accessible while keeping the process simple and transparent.
I accept select insurance plans through Alma and Headway. Participation varies by state and specific plan. Please confirm network participation and benefits through the platform you will use before scheduling. Benefit verification is an estimate, not a guarantee of coverage or payment. Your actual responsibility depends on your plan and how the claim is processed.
Self-Pay Rates
Clearly listed rates for patients paying out of pocket.
Comprehensive Psychiatric Evaluation
60 min
Required for all new patients before beginning treatment.
Medication Management
up to 30 min
Individual Psychotherapy
up to 45 min
Psychiatry + Psychotherapy
up to 60 min
You don't have to do this alone.
Contact
Let's Connect
Whether you're ready to begin or simply have questions, I'm here to help.
Get in Touch
Phone
786-383-3674Fax
(417) 265-2730
Instagram
@stillbecomingmentalhealthMailing Address
1065 SW 8 Street #2228, Miami, Florida 33130
Virtual business mailing address. In-person appointments are not offered at this location.
Alma
Schedule, pay, and manage your appointments
Headway
Book an appointment through Headway
Messages are not continuously monitored. Do not use email, text, or Alma messages for emergencies. If you have a medical emergency or are in immediate danger, call 911 or go to the nearest emergency department. Do not wait for a response from the practice.