Whether you’re interested in a traditional psychiatry approach — focused on evaluation, diagnosis, and medication management — or a more integrative path that incorporates lifestyle, nutrition, and mind-body strategies, care is shaped around your needs and preferences.
Now offering virtual and in-person appointments in Texas
Psychiatric Care and Mental Health Treatment in The Woodlands, Texas
Hi, I’m Mira Pistillo – Psychiatric Nurse Practitioner and Psychotherapist
I provide outpatient psychiatric care in The Woodlands, TX, specializing in the treatment of anxiety, mood disorders, burnout, and attention-related conditions.
My approach offers two distinct paths: traditional psychiatry for those who want focused evaluation and medication management, and integrative psychiatry for those who want to incorporate lifestyle, nutrition, supplements, mind-body strategies, and advanced functional lab testing to uncover deeper biological contributors to mental health.
My background in exercise science, immunology, and trauma-informed care allows me to take a more comprehensive and individualized approach to treatment.
I take the time to understand the full picture and develop thoughtful, personalized treatment plans.
How I Approach Psychiatric Care
Conditions and Populations I Treat
Anxiety, Depression, Burnout
I work with adults experiencing anxiety, mood symptoms, and burnout—often in the context of high performance and sustained stress.
Treatment is structured, individualized, and focused on improving clarity, emotional regulation, and day-to-day functioning.
Care may include psychiatric evaluation, medication management, psychotherapy, and targeted lifestyle interventions, depending on your needs.
Performance Anxiety and Recovery In Athletes
I work with athletes and high-performing individuals experiencing anxiety, mood symptoms, sleep disruption, and attention-related challenges.
Care is designed to support both mental health and performance, with thoughtful consideration of how treatment impacts focus, recovery, and overall function.
My background in exercise science and strength coaching informs a targeted, individualized approach that may include medication, psychotherapy, and performance-aligned lifestyle strategies.
ADHD, Autism & Emotional Regulation in Children
I provide psychiatric evaluation and treatment for children experiencing ADHD, autism spectrum traits, and emotional regulation challenges.
Care focuses on improving attention, behavior regulation, sleep, and daily functioning at home and school.
Treatment is individualized and may include medication management, behavioral strategies, and structured support for parents to improve consistency and reduce stress within the family system.
Culturally Sensitive Psychiatric Care
I provide culturally sensitive psychiatric care for individuals from diverse backgrounds, including immigrant and multilingual communities.
Treatment is trauma-informed and grounded in respect for cultural values, family dynamics, and lived experience.
Care focuses on reducing emotional distress, improving coping, and supporting individuals navigating identity, intergenerational expectations, and acculturation stress.
How I Can Help You
Care is structured, individualized, and guided by clinical judgment and your specific needs.
Treatment may include psychiatric evaluation, medication management, and psychotherapy, with consideration of lifestyle, nutritional, and biological factors when appropriate.
The focus is on improving clarity, emotional stability, and overall functioning in daily life.
Patient Experiences
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 brief 15-min consultation call to discuss your needs and determine whether my practice is a good fit for you.
This call is an opportunity to briefly review your goals and see if working together makes sense clinically and practically.