We provide integrative and functional psychiatric care for high-performing professionals, athletes, and families—rooted in science, shaped by lived experience, and grounded in the body’s natural capacity to heal.
Now welcoming patients virtually & in-person in Texas
Where Mind, Body, and Purpose Align
Hi and Welcome, I’m Mira Pistillo, PMHNP
I am a psychiatric nurse practitioner and psychotherapist specializing in integrative psychiatry in The Woodlands, TX. My practice focuses on holistic, functional, and integrative psychiatry approaches to help patients achieve mental clarity, emotional balance, and overall wellness. Through personalized care in integrative psychiatry, I combine evidence-based treatments, lifestyle strategies, and psychotherapy to support long-term mental health.
I believe healing happens when we treat the whole person—mind, body, and spirit—and empower people to reconnect with their own strength, balance, and resilience.
I blend my background in exercise science, immunology, and trauma-informed care with psychiatric training to offer something different: a space where driven individuals and active minds can break through anxiety, burnout, and emotional overwhelm with practical tools, deep compassion and evidence-based CARE THAT DOESN’T COMPROMISE WHO YOU ARE.
If you’re looking for care that’s thoughtful, thorough, and grounded in both science and lived experience—YOU’RE IN THE RIGHT PLACE.
I take the time to listen deeply, understand the full picture, and create personalized, whole-person treatment plans that go beyond symptom management. This is not one-size-fits-all psychiatry—this is CARE BUILT AROUND YOU.
As someone who speaks English, Serbian, Croatian, and Spanish – I welcome patients from diverse cultural and linguistic backgrounds. I strive to create a space where you feel seen, understood, and supported in your native language whenever possible.


Beyond the Prescription Pad
Do You…..?
Anxiety, Depression, Burnout
Feel exhausted before the day even begins?
Struggle to focus, stay motivated, or enjoy the things that once lit you up?
Snap at the people you love even though you don’t want to?
Lie in bed with your mind racing, unable to shut it off?
You’re not lazy, broken, or weak—you’re burned out, overwhelmed, and likely doing far more than anyone realizes. I work with high-achieving professionals who are feeling mentally and emotionally maxed out.
Together, we build a treatment plan that gets you back to yourself—with clarity, energy, and emotional steadiness.
Using a personalized blend of psychotherapy, medication, supplements, nutrition, and nervous system tools like breathwork, mindfulness, and movement, we’ll create a path toward balance that actually works for your life.
Performance Anxiety and Recovery In Athletes
Feel wired but tired—constantly stuck between overtraining and mental exhaustion?
Worried that medications might dull your edge or slow your recovery?
Struggling with sleep, focus, or motivation off-season—or suspect undiagnosed ADHD?
As a former strength coach and exercise scientist, I get it. You need support that honors your goals, not one-size-fits-all care that treats you like you’re just a diagnosis. I help athletes and active individuals manage anxiety, mood swings, and attention issues without compromising their performance.
We’ll use targeted strategies—like natural supplementation, brain-body therapies, and tailored lifestyle changes—alongside or in place of medication, depending on your needs.
ADHD, Autism & Emotional Regulation in Kids
Are your child’s tantrums intense and unpredictable?
Do they struggle to sit still, complete tasks, or follow through with directions?
Is bedtime a constant battle—and focus at school even harder?
You’re not failing as a parent, and your child isn’t just “being difficult.” I work with kids facing emotional and behavioral challenges to improve focus, regulation, and day-to-day functioning—at school and at home.
We also work closely with parents to reduce stress, build structure, and respond with confidence. Treatment may include medication, biofeedback, movement, sleep support, and parent coaching so the whole family feels more connected and supported.

Multicultural & Immigrant Mental Health
Do you feel stuck between two cultures—like you’re never quite enough for either?
Are you tired of explaining your values or faith to providers who don’t understand?
Does guilt, pressure, or silence weigh on you more than words can say?
As someone who has lived between cultures and carries the weight of generational trauma, I know the quiet strain of trying to belong—to your family, your culture, and yourself—all at once. That invisible tension of honoring your roots while forging your own way is real, and it deserves care.
My approach is culturally sensitive, trauma-informed, and deeply rooted in respect for your lived experience. Whether you’re navigating identity confusion, emotional silencing, or the pressure of intergenerational expectations, I’ll meet you with compassion, clarity, and tools to help you feel more grounded, empowered, and whole.


How Can I Help You
Healing isn’t one-size-fits-all. That’s why I use a layered, integrative approach—combining science-backed psychiatry with lifestyle medicine and mind-body therapies. Every treatment plan is personalized and collaborative. Whether you’re looking to avoid medications, optimize performance, or finally feel like yourself again, we’ll find a path that fits your life and honors your values
Personalized Medication Management: Evidence-based prescribing tailored to your unique biology, goals, and sensitivities – never rushed, never one-size-fits-all
Therapy – Informed Psychiatry: Sessions may include Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, Motivational Interviewing, and supportive therapy to deepen insight, regulate emotions, and shift patterns
Lifestyle Coaching & Habit Building: Sustainable routines in sleep, nutrition, movement, and stress – designed to support long-term mental wellness
Targeted Supplements & Botanical Medicine: Thoughtfully selected, evidence-based vitamins, minerals, and herbs to support or replace pharmaceuticals when appropriate
Nutritional Psychiatry & Gut-Brain Health: Optimizing diet, nutrient levels, and inflammation to support mood, focus, and emotional balance
Functional Labs: Including inflammatory markers like CRP, homocysteine, and micronutrient panels to uncover root contributors to mental health symptoms
“Out of suffering have emerged the strongest souls; the most massive characters are seared with scars.”
— Khalil Gibran
What People Are Saying
Mira is phenomenal!
I finally felt heard, seen, and understood—without having to explain everything.
Mira is amazing!
She gets to the heart of what’s going on with warmth, clarity, and compassion.
I felt safe from the first appointment
Mira has a calm, grounded energy that made it easy to open up and start doing the work.
Schedule a Free Consultation
I offer a free 15-min consultation call to learn more about you and your treatment goals to see if we would be a good fit. Please be sure to read over my services page to learn more about my appointment types and fees before booking your call.
