Kiran Annam

Kiran Annam, ARNP, PMHNP-BC Psychiatric Nurse Practitioner I am a board-certified Psychiatric Mental Health Nurse Practitioner with additional board certifications in Family Practice and Acute Care. My clinical background spans primary care, acute care, and psychiatry, which allows me to approach mental health treatment with a broad, systems-based perspective rather than a narrow, symptom-only lens. My practice philosophy is rooted in precision. Many patients come to psychiatry after trying multiple medications that didn’t work—or worked only partially, or caused side effects that outweighed the benefits. In my experience, this is rarely because someone is “treatment resistant.” More often, it’s because the right questions were never fully explored. I specialize in thoughtful, medication-based psychiatric care for adults, with a particular focus on patients who want a more deliberate, individualized approach. I take time to understand not only current symptoms, but also how prior medications affected mood, sleep, energy, cognition, and overall functioning, as well as what life circumstances were present at the time. This allows treatment decisions to be based on patterns, not guesswork. My additional training in family and acute care informs how I think about psychiatry as part of the whole person—sleep, physiology, stress response, medical co-morbidities, and medication tolerability all matter. I aim to use the lowest effective dose, with clear goals and exit criteria, and to avoid unnecessary polypharmacy whenever possible. I believe people deserve to understand why a medication is being recommended, what we are watching for, and how we will adjust if something isn’t working. Treatment is a shared process, not a one-sided decision. At Precision Psychiatry, the goal is not to rush to the next prescription, but to arrive at the right one—carefully, transparently, and with respect for the individual sitting in front of me.