Calico Mental Health Associates

Todd Karakashian




Todd Karakashian

My Approach

I am a board certified Psychiatric Mental Health Nurse Practitioner(PMHNP) in private practice in Northwest Portland.

I seek to help you lead a contented, fulfilled life and will work with you to develop, refine and achieve goals for your mental health.  I offer psychiatric evaluation and diagnosis, medication management and limited psychotherapy services to ages 12 and up. My work is similar to that of a psychiatrist, except that I approach mental health from a nursing perspective.

In my experience, every person, regardless of background, and no matter how difficult their life experience has been, is gifted with unique strengths and the capacity to heal. Healing can happen in many different ways and can involve psychological, medical and spiritual elements. In my view, the role of any health care practitioner is to help create the conditions for this healing to happen.

I believe that the best care happens when the person offering care and the person seeking it work together as partners. I am knowledgeable and experienced in the field of mental health care, but you are the expert about you. Your thoughts, feelings, knowledge, experience, values, concerns and preferences are essential to the process.


Education and Licensing

I trained at Oregon Health and Science University (OHSU) and have a Master’s degree in Nursing, specializing in psychiatry. I am licensed in the states of Oregon and Washington to provide psychiatric care, including the prescription of medications. I am also board-certified as a Family Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) by the American Nurses Credentialing Center.

I am the Past President and an active Board member of the Oregon chapter of the American Psychiatric Nurses Association (APNA), which is the national professional organization for psychiatric nursing.

A note on medications

As a psychiatric provider, I often offer psychotropic medication as a modality to support healing.

I view medication as a means, not an end in itself. People choose to take medication when they need the support it provides, whether that is for a short period of time or indefinitely. Part of my role is to advise you about medications, how and when they might be helpful, what the risks or adverse effects might be, and to ensure that your experience with them is safe and effective.

The decision to take medication is a personal choice that can and should be reconsidered from time to time. I can support you in that decision making process. If you decide to discontinue psychotropic medications, I will support you in doing that safely and comfortably.


Office Location:

1133 NW 21st Ave, Suite 104
Portland, OR  97209