A Nurse Practitioner for you!

Nathalie Héloïse Graveline, Nurse Practitioner (NP) with more than 25 years of experience in nursing – most of them caring for people with concurrent disorders who struggled with persistent or complex health problems. 

Concurrent Disorders

Many people have health problems which are complicated by mental health and or substance use disorders.

We have in our community some mental health services and some addiction services. That’s a good thing.

Health practitioners such as myself, who have been working in either the mental health or the addictions fields of practice, know that a significant number of people, in fact, struggle with concurrent disorders.

The term concurrent disorders refers to co-occurring mental health and addiction disorders. 

Ever felt like a table-tennis ball? 

Many people who struggle with concurrent disorders have felt frustrated that they have been sent to other agencies to deal with the “other part” of their problem first.

patients with concurrent disorders are often treated like a table tennis ball

Concurrent Disorders Care

Research on concurrent disorders shows that people who receive services that have an integrated or coordinated approach have better health outcomes.

Some programs or services do that. Unfortunately, it is not the case everywhere.

What about when the person with concurrent disorders is also sick with something else?  Well, that adds to the puzzle, doesn’t it?

Solving Complex Health Problems

Complex health issues are like a big puzzle with a solution

Mental health problems + substance use problems + physical health problems + psychosocial problems = a complex puzzle

In my former nurse practitioner practice, in Ottawa, that’s what I did. 

I looked after people who struggled with their complex puzzles.

Nurse Practitioner Practice A.K.A. Advance Practice Nursing

As a Nurse Practitioner, I will:

  • assess your symptoms using
    • advance clinical skills
    • assessment tools
    • diagnostics tests such as lab tests.
  • diagnose
  • discuss my findings with you and propose a treatment plan


    To meet your treatment goals

I might:

  • prescribe medications and recommend other types of therapies.
  • provide health counselling or psychotherapy
  • consult other providers or refer to other health disciplines

and we will

  • periodically  reassess and modify the treatment plan as needed

I believe in the integrated use of conventional and complementary therapies. 

If concurrent disorders are not part of your problem, that’s great! You can easily deduce that if I’m used to complex puzzles, I can more easily tackle simpler ones.

Presently, I have part-time access to a psychotherapy office, not a full fledged clinic. Consequently, there are some things I am not able to offer. However, I have worked as an outreach nurse and that has taught me to do much with what is on hand. So, I welcome your call, to discuss how I might be able to help you.

Check out the FAQ in the client info section.

Isn’t it time to invest in your health recovery process? 

Let’s get you back on an even keel.