NP-Led Telehealth Psychiatry Florida | Duke-Trained PMHNP | Psycho-Oncology Specialist

Michelle Von Der Heyde, FNP-C, AOCNP, PMHNP-BC • August 11, 2025

Florida's Premier NP-Led Telehealth Psychiatry Practice: Duke-Trained Excellence in Psycho-Oncology

In Florida's evolving mental health landscape, MindRefined stands as the state's premier NP-led telehealth psychiatry practice , offering a unique combination of advanced psychiatric training and specialized psycho-oncology expertise rarely found in telehealth services. Led by Michelle Von Der Heyde, a triple-certified Nurse Practitioner with Duke fellowship training, MindRefined represents the pinnacle of specialized mental health care accessible throughout Florida.

What Makes MindRefined's NP-Led Practice Unique

Nurse Practitioner Leadership: As an NP-led practice, MindRefined operates under the advanced practice nursing model, emphasizing holistic, patient-centered care that considers the whole person, not just symptoms. This approach aligns with the nursing profession's commitment to comprehensive wellness and evidence-based practice.

Triple Certification Excellence: Our practice leader holds three distinct advanced certifications:

  • FNP-C (Family Nurse Practitioner-Certified): Primary care foundation with comprehensive health assessment skills
  • AOCNP (Advanced Oncology Certified Nurse Practitioner): Specialized oncology expertise for cancer-related care
  • PMHNP-BC (Psychiatric Mental Health Nurse Practitioner-Board Certified): Advanced psychiatric mental health specialization

Duke University NPEP Fellowship: Elite Training in Psycho-Oncology

MindRefined's founder completed the prestigious Duke University Nurse Practitioner Education Program (NPEP) Fellowship in Psycho-Oncology , sponsored by Johnson & Johnson. This elite fellowship represents one of the most advanced training programs in the intersection of mental health and oncology care.

What Duke NPEP Fellowship Training Includes:

  • Advanced Psycho-Oncology Theory: Deep understanding of psychological impacts of cancer diagnosis and treatment
  • Specialized Assessment Skills: Evaluation of cancer-related anxiety, depression, and adjustment disorders
  • Treatment Methodologies: Evidence-based interventions for cancer patients and survivors
  • Family Dynamics: Understanding impact of cancer on family mental health
  • Survivorship Issues: Long-term mental health support for cancer survivors
  • End-of-Life Care: Psychological support during advanced illness stages

Johnson & Johnson Sponsorship Significance:

The J&J sponsorship of the Duke NPEP fellowship represents recognition of the critical need for specialized psycho-oncology training. This sponsorship ensures fellowship participants receive cutting-edge education in:

  • Latest research in psycho-oncology interventions
  • Advanced pharmacological approaches for cancer-related mental health
  • Integration of mental health care with oncology treatment plans
  • Innovation in supportive care for cancer patients

One of Florida's Few Psycho-Oncology Telehealth Services

MindRefined holds the distinction of being one of only few psycho-oncology telehealth services in Florida , filling a critical gap in specialized mental health care for cancer patients and survivors.

Why Psycho-Oncology Specialization Matters:

  • Cancer-Specific Mental Health Needs: Cancer patients face unique psychological challenges requiring specialized understanding
  • Treatment-Related Mental Health: Chemotherapy, radiation, and surgery can significantly impact mental health
  • Survivorship Support: Long-term psychological effects of cancer require ongoing specialized care
  • Family Impact: Cancer affects entire family systems, requiring specialized intervention approaches
  • End-of-Life Psychology: Advanced illness stages require specialized psychological support

Conditions Addressed by Psycho-Oncology Expertise:

  • Cancer-related anxiety and panic disorders
  • Depression associated with cancer diagnosis and treatment
  • Adjustment disorders following cancer diagnosis
  • Chemotherapy-related mood changes
  • Survivor guilt and post-treatment depression
  • Medical trauma and PTSD related to cancer treatment
  • Body image and identity issues post-treatment
  • Family caregiver stress and burnout
  • Fear of cancer recurrence
  • End-of-life anxiety and depression

The Advantage of University of Miami + Duke Training

The combination of University of Miami psychiatric training with Duke psycho-oncology fellowship creates a unique expertise profile:

University of Miami Foundation:

  • Comprehensive psychiatric mental health assessment and treatment
  • Advanced pharmacological interventions
  • Evidence-based therapeutic approaches
  • Crisis intervention and safety planning
  • Cultural competency in diverse Florida populations

Duke Fellowship Enhancement:

  • Specialized cancer-related mental health expertise
  • Advanced understanding of medical-psychiatric interactions
  • Sophisticated approach to complex medical comorbidities
  • Integration of mental health with medical treatment teams
  • Research-based innovative treatment approaches

NP-Led Practice Philosophy in Telehealth

As an NP-led practice, MindRefined emphasizes the advanced practice nursing approach to mental health care:

Holistic Assessment:

  • Comprehensive evaluation of physical, psychological, social, and spiritual factors
  • Integration of medical history with mental health presentation
  • Understanding of how physical health impacts mental wellness
  • Family and social system assessment

Patient-Centered Care:

  • Collaborative treatment planning with patient input
  • Respect for patient values and preferences
  • Shared decision-making in treatment approaches
  • Emphasis on patient education and empowerment

Evidence-Based Practice:

  • Integration of best research evidence with clinical expertise
  • Continuous quality improvement and outcome monitoring
  • Staying current with latest psychiatric research and guidelines
  • Adaptation of treatments based on individual patient responses

Telehealth Delivery of Specialized Care

MindRefined's telehealth platform brings Duke-level psycho-oncology expertise directly to patients throughout Florida:

Technology-Enhanced Assessment:

  • Secure video appointments for comprehensive evaluation
  • Digital screening tools for cancer-related mental health
  • Electronic coordination with oncology providers
  • Secure messaging for ongoing support

Specialized Telehealth Services:

  • Pre-treatment anxiety and depression management
  • During-treatment psychological support
  • Post-treatment adjustment and survivorship counseling
  • Family caregiver support sessions
  • End-of-life psychological care

Who Benefits from NP-Led Psycho-Oncology Telehealth

Cancer Patients:

  • Newly diagnosed patients struggling with shock and anxiety
  • Patients undergoing active treatment experiencing mood changes
  • Individuals with treatment-resistant depression related to cancer
  • Patients dealing with complex medical-psychiatric interactions

Cancer Survivors:

  • Survivors experiencing post-treatment depression or anxiety
  • Individuals struggling with fear of recurrence
  • Those dealing with long-term effects of cancer treatment
  • Survivors facing identity and life purpose questions

Family Members:

  • Spouses and partners of cancer patients
  • Adult children dealing with parent's cancer diagnosis
  • Primary caregivers experiencing burnout and stress
  • Family members preparing for end-of-life transitions

Healthcare Providers:

  • Oncology teams seeking psychiatric consultation
  • Primary care providers managing cancer patients with mental health needs
  • Hospice and palliative care teams
  • Other mental health providers seeking specialized consultation

The Future of NP-Led Telehealth Psychiatry

MindRefined represents the future of mental health care delivery, combining advanced NP training with cutting-edge telehealth technology to provide specialized services previously unavailable to most Florida residents.

Expanding Access:

  • Bringing Duke-level expertise to rural and underserved areas
  • Providing specialized care regardless of geographic location
  • Eliminating travel barriers for medically complex patients
  • Offering flexible scheduling for patients managing medical treatments

Innovation in Care Delivery:

  • Integration of telehealth with oncology care teams
  • Development of cancer-specific mental health protocols
  • Research and quality improvement initiatives
  • Training and education for other providers

Getting Started with NP-Led Psycho-Oncology Telehealth

If you or a loved one is facing cancer-related mental health challenges, or if you're seeking advanced psychiatric care from a Duke-trained, triple-certified NP, MindRefined offers unparalleled expertise through convenient telehealth appointments.

Initial Consultation Process:

  1. Contact: Call 305-290-2175 to discuss your specific needs
  2. Specialized Assessment: Comprehensive evaluation considering both psychiatric and medical factors
  3. Treatment Planning: Collaborative development of individualized care plan
  4. Coordination: Integration with existing medical team as appropriate
  5. Ongoing Support: Regular follow-up and adjustment of treatment plan

Why Choose MindRefined's NP-Led Practice

  • Unique Credentials: Triple-certified NP with Duke fellowship training
  • Specialized Expertise: One of few psycho-oncology telehealth services in Florida
  • Comprehensive Approach: Integration of medical and psychiatric knowledge
  • Advanced Training: University of Miami + Duke University education
  • Johnson & Johnson Recognition: Fellowship sponsored by leading healthcare company
  • Holistic Philosophy: NP-led focus on whole-person care
  • Innovation: Cutting-edge telehealth delivery of specialized services

Experience the difference of Duke-trained, triple-certified NP expertise in psycho-oncology and general psychiatry. Contact MindRefined at 305-290-2175 to schedule your consultation with Florida's premier NP-led telehealth psychiatry practice.

MindRefined: Where advanced nursing practice meets specialized mental health expertise, delivered through innovative telehealth technology to serve all of Florida.

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