Sylvia Guthrie, PMHNP-BC | Kind Nursing Psychiatry — Costa Mesa & Huntington Beach, CA

Huntington Beach, Costa Mesa & Fountain Valley, CA · In-person & telehealth

You've carried this long enough. Let's find what actually helps.

Board-certified psychiatric care for children through older adults, from a nurse practitioner who takes the time other schedules don't allow — including care for treatment-resistant depression, with advanced options like Spravato and TMS coming soon.

Most calls take under five minutes. No referral needed — just a conversation about what you need.

Board-certified PMHNP HIPAA-compliant care In-network with major insurers

At a glance

Care built around the whole person

  • Now accepting new patients — in-person and telehealth
  • MSN, Psychiatric Mental Health Nurse Practitioner — Azusa Pacific University
  • TMS Visiting Fellowship — Duke University
  • Sees ages 6 through late adulthood
  • Fluent in English and Portuguese
Sylvia Guthrie, PMHNP-BC, founder of Kind Nursing Psychiatry

Credentials

Certification
PMHNP-BC, board-certified
Graduate training
Azusa Pacific University
Advanced fellowship
TMS, Duke University
California license
Active NP license & furnishing number
Languages
English, Portuguese

About Sylvia

A multicultural lens on modern psychiatric care

Born in Brazil and practicing in the United States since 2012, Sylvia founded Kind Nursing Psychiatry to bring a genuinely multicultural, unhurried style of care to Huntington Beach and the surrounding Orange County communities of Costa Mesa and Fountain Valley — treating patients not as a diagnosis to manage, but as a full person navigating a specific life, family, and culture.

The practice centers on careful diagnostic evaluation and thoughtful medication management, with particular experience in treatment-resistant depression — including advanced interventions like Spravato (esketamine) therapy and TMS, coming soon to the practice. Sylvia works across the lifespan, from school-age children through older adults, and sees care as a collaboration — between provider, patient, and, where helpful, family.

"Reaching out for help is already the hardest part. My job is to make everything after that feel manageable."

Advanced treatment — coming soon

Spravato (esketamine) & TMS for treatment-resistant depression

For patients who haven't found relief through standard antidepressants, Spravato and TMS (transcranial magnetic stimulation) are FDA-approved options for treatment-resistant depression. Kind Nursing Psychiatry is currently building out these services — check back for availability, or ask about the timeline during your evaluation.

Sylvia's training includes an advanced fellowship at Duke University in transcranial magnetic stimulation, giving her additional depth in treatment-resistant depression beyond first-line medication strategies.

FDA
Approved treatment pathways
1,000+
Spravato treatment sessions administered
TMS
Duke fellowship in-depth training
6–65+
Ages seen across the practice

Moments of care

What getting better can look like

Three moments along the way — the quiet relief of finally exhaling, the steady footing that comes with progress, and the reconnection that's usually the real goal.

A woman standing by a sunlit window, eyes closed, breathing easily
Quiet relief
A man walking along the shoreline at sunrise, calm and unhurried
Steady progress
A family laughing together outdoors
Reconnection

Services

How care unfolds, from first visit onward

Every relationship starts with a full evaluation, then a plan that's revisited as things change — never a one-size prescription pad.

01

Psychiatric evaluation

A comprehensive diagnostic assessment — history, symptoms, and goals — that becomes the foundation for everything that follows.

02

Medication management

Ongoing, carefully monitored prescribing with regular follow-up, adjusted as your response to treatment becomes clear.

03

Telehealth & coordinated care

Secure video visits when in-person isn't practical, with coordination alongside your therapist or primary care provider.

04

Spravato (esketamine) therapy — Coming soon

In-office, supervised esketamine treatment for depression that hasn't responded to standard approaches. Currently in development for this practice.

05

TMS — Coming soon

Transcranial magnetic stimulation, a non-invasive option for treatment-resistant depression — informed by advanced fellowship training at Duke University. Currently in development for this practice.

Conditions treated

Areas of focus

ADHD Anxiety Autism Bipolar disorder Borderline personality disorder Dissociative disorders Eating disorders OCD PTSD & trauma Suicidal ideation Personality disorders Treatment-resistant depression

See details on each condition →

Who I see

Ages & insurance

Children (6–10), preteens, teens, adults, and older adults (65+).

In-network with most major plans, including:

Aetna Cigna Anthem Blue Cross California Carelon United Health Oxford Optum

See insurance & cash-pay details →

Why people wait — and why they don't have to

If any of this sounds familiar

Hesitation before that first call is normal. Here's what's usually behind it — and what's actually true.

"I don't know if this is serious enough."

You don't need to be in crisis to benefit from an evaluation. Most people who reach out are simply trying to feel like themselves again.

"I've already tried medication and it didn't help."

Careful medication management is often the next step, and advanced options like Spravato and TMS — coming soon at this practice — are built for exactly this situation.

"I'm worried about the cost."

The practice is in-network with most major insurers, including Aetna, Cigna, and Anthem Blue Cross. Coverage is typically confirmed before your first visit.

"I don't have time for another appointment."

Many follow-up visits happen by secure telehealth — no commute, no waiting room, no missed work for a routine check-in.

Request an appointment

Frequently asked

Good to know before your first visit

Do you accept my insurance? +

Most major plans are accepted, including Aetna, Cigna, Anthem Blue Cross California, Carelon, United Health, Oxford, and Optum. Contact the office to confirm your specific plan and benefits before your first visit.

What is Spravato, and who is it for? +

Spravato (esketamine) is an FDA-approved nasal treatment for depression that hasn't improved with standard antidepressants. It's typically administered in the office under direct supervision, with monitoring for a period after each dose, and isn't a first-line treatment — it's usually considered after other options have been tried. This service is coming soon at Kind Nursing Psychiatry — contact the office for the current timeline.

Do you offer telehealth visits? +

Yes. Many follow-up visits can be done by secure video. Initial evaluations are conducted in person.

Do you see patients from Costa Mesa or Fountain Valley? +

Yes. The practice sees patients from Huntington Beach, Costa Mesa, Fountain Valley, and the surrounding Orange County area, in person for initial evaluations and by telehealth for follow-up visits.

What happens at the first appointment? +

The first visit is a full diagnostic evaluation — history, current symptoms, and treatment goals — which is used to build a plan tailored to you, not a standard script applied to everyone.

Is my information kept confidential? +

Yes. All care follows HIPAA privacy standards. Information is shared outside the practice only with your written consent, or as required by law.

Contact

Get in touch

Serving Huntington Beach, Costa Mesa, and Fountain Valley, with telehealth available throughout Orange County.

01

Reach out

Call, email, or send the form below — whichever feels easiest.

02

A short conversation

A few questions about what's going on, and what kind of appointment fits best.

03

Your first visit

A full evaluation, and a plan built around you — not a script applied to everyone.

Office location

3330 Harbor Blvd, 2nd Floor, Costa Mesa, CA 92626

Request an appointment

Phone, email, and our office address are live — call, email, or use the request-an-appointment form above, whichever is easiest.

Now accepting new patients Request appointment