Care That Starts With You
Pillar Psychiatry in Texas and New Mexico is a telehealth psychiatry practice providing unrushed, cash-based care for adults.
I, Heather Spengler, a board-certified psychiatric mental health nurse practitioner, offer thoughtful evaluations, diagnosis, and medication management through secure video visits designed around your needs, your pace, and your goals.
Specialized In
Bipolar Disorder
Personalized evaluation and medication management to support mood stability and ongoing mental health needs.
Depression
Compassionate psychiatric care and medication management focused on your symptoms and individual needs.
Anxiety
Supportive evaluation and medication management to help address anxiety symptoms and their impact on daily life.
Schizophrenia
Ongoing psychiatric care and medication management focused on symptom monitoring and continuity of care.
PTSD
Individualized psychiatric care and medication management for symptoms related to trauma and PTSD.
ADHD
Psychiatric evaluation and medication management focused on attention, focus, and daily functioning.
How It Works
Your care begins with a detailed virtual psychiatric evaluation, where I listen carefully to your history, symptoms, and goals.
Next, I provide clear diagnostic feedback and create a collaborative treatment plan that may include medication management.
Follow-up visits are unrushed, scheduled at convenient times, and focused on reviewing progress, adjusting medications, and answering your questions.
Core Services
Evaluations, diagnosis, medications, education, follow-up.
Explore how psychiatric evaluations, mental health diagnoses, and ongoing medication management work together to provide stability, lessen symptoms, and support your daily functioning over time.
Psychiatric Evaluations
Mental Health Diagnoses
Medication Management
Schedule
Explore MoreMy Mission & Vision
To provide thoughtful, unhurried psychiatric care that treats every adult as a unique person whose story, struggles, and strengths deserve time, respect, and clinical clarity.
Support Grounded In Real-Life Experience
I created Pillar Psychiatry so each person receives careful, unhurried care. My years in hospice, corrections, and medication-assisted treatment taught me to listen deeply, explain clearly, and honor every story.
You can expect straightforward guidance, steady support, and a safe place to talk honestly.