MEET YOUR PROVIDER

Robert Beukema

DNP, PMHNP-BC. Ten years at the bedside before I ever wrote a prescription.

Why I Do This Work

I prescribe propranolol for performance anxiety because I understand exactly what it does. It eliminates the physical symptoms: racing heart, shaky voice, sweating through situations you're prepared for. Your body stops hijacking your performance.

I know this from personal experience, not just clinical training.

I didn't recognize my ADHD until my 30s. It didn't match what I expected: no "racing thoughts," just unfinished projects, memory gaps from constant distraction, difficulty sitting down despite knowing exactly what needed doing. I tried Adderall. It helped with focus but made me irritable with the people I care about. For me, the trade-off pointed toward non-stimulants. For you, the math might be different.

That's what performance-focused psychiatry looks like. Not pushing medication regardless of cost. Not withholding it because of stigma. Just honest assessment of whether this specific tool removes your specific barrier. I know what these conditions feel like from the inside, and I can see your situation clearly from the outside.

From Bedside to Prescriber

I learned psychiatry on a hospital's inpatient unit.

I stayed for a decade.

Before I could prescribe anything, I spent ten years as a psychiatric nurse watching thousands of medication decisions play out in real time. Not from the prescriber's chair, but from the bedside where you see what actually happens.

Which side effects become deal-breakers. What happens when treatment gets too complicated. Why most medication failures aren't about picking the wrong drug. Ten years of that changes how you think about prescribing.

Crisis psychiatry added something else: precision about who needs intensive intervention and who needs good outpatient care.

You're probably in the second category. My job is being certain about that distinction, then helping you function better without overcomplicating things.

Nursing is still my foundation. I hold a Doctor of Nursing Practice and I'm board-certified as a psychiatric nurse practitioner, not a physician. That path is the reason I prescribe the way I do.

Data, Not Guesswork

I've lived with ADHD and anxiety. That helps me understand what you're describing. It doesn't decide your dose. The rating scales do.

I measure where you start and again at every check-in. When your scores improve and you feel it, you'll know it's working, and so will I. When a rough week makes everything feel worse but the scores hold steady, that's worth a closer look, not a reason to tear up the plan. Decisions made from data stay steady when feelings swing.

That's how Solana Psychiatry manages medication, and it's the part of this work I trust most.

About the practice

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Brief call to confirm fit and answer questions. No pressure, no commitment.

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Initial Evaluation

Comprehensive assessment, personalized treatment plan, first prescription if appropriate. If we can't help, you don't pay for the visit.

$250 | About an hour

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