Renewance: Tailored to Your Mental Health
Our Mission is to provide exemplary care to those seeking to revitalize their mind and spirit through compassionate, comprehensive service. Services are based on evidenced based practice that delivers profound patient centered care with the best clinical outcome.
Our Goal
Our goal is to help you REVIVE (restore your life) and RELIVE (live optimally and grow)
Dedicated To You
With a strong background in medication management of psychiatric disorders, we are dedicated to helping our clients achieve mental wellness.
Quality Of Life
Your quality of life is important as it impacts how you think, feel, and act in daily life
How We Help
Following this thorough intake and assessment process, we will review and discuss appropriate medication options. Our approach is holistic and individualized, focusing on the overall well-being of each person. Treatment options may include evidence-based medication management, psychotherapy, recreational therapy, and peer support.
We Can Help You Feel Better!
Services
Our services revolve around you and your mental health needs. We provide diagnosis and treatment for a range of mental health conditions, including depression, anxiety, panic disorder, mood disorders, schizophrenia, insomnia, PTSD, and OCD. Services are available for adults ages 18 to 75.
Each client will undergo a comprehensive assessment, which includes an evaluation of the chief complaint, psychiatric and medical history, prior medication trials, mental status examination, suicide and homicide risk assessment, laboratory testing, and an electrocardiogram (ECG), if necessary.
HIDDEN
Depression
Depression is a common and serious medical illness that negatively affects how you feel, the way you think, and how you act. It is characterized by persistent feelings of sadness, hopelessness, and a lack of interest or pleasure in activities once enjoyed. Depression can lead to a variety of emotional and physical problems and can decrease a person’s ability to function at work and at home.
Symptoms of depression can vary from mild to severe and can include:
- Persistent sad, anxious, or “empty” mood
- Loss of interest or pleasure in hobbies and activities
- Decrease in energy or increased fatigue
- Difficulty concentrating, remembering, or making decisions
- Insomnia, early-morning wakefulness, or excessive sleeping
- Appetite or weight changes
- Thoughts of death or suicide, or suicide attempts
- Restlessness or irritability
- Physical symptoms that do not respond to treatment, such as headaches, digestive disorders, and pain
(Reference used: American Psychiatric Association, www.psychiatry.org)
Anxiety
Anxiety is a natural and often necessary response to stress or potential danger. It’s characterized by feelings of worry, nervousness, or fear. While it’s normal for people to experience anxiety at times—like when faced with a problem at work, before taking a test, or making an important decision—anxiety disorders involve more than just temporary worry or fear. They are persistent and can interfere with daily activities.
There are several types of anxiety disorders, including:
- Generalized Anxiety Disorder (GAD): Excessive and uncontrollable worry about various aspects of everyday life, such as health, work, or social interactions, lasting for six months or more.
- Panic Disorder: Characterized by recurrent and unexpected panic attacks—sudden episodes of intense fear that trigger severe physical reactions when there is no real danger or apparent cause.
- Social Anxiety Disorder (Social Phobia): Intense fear and avoidance of social situations due to embarrassment, self-consciousness, and concern about being judged or humiliated.
- Specific Phobias: Intense fear of specific objects or situations, such as heights, animals, or flying, which leads to avoidance behavior.
- Separation Anxiety Disorder: Excessive fear or anxiety about being separated from significant attachment figures.
- Agoraphobia: Fear of being in situations where escape might be difficult or help unavailable in the event of a panic-like or embarrassing symptoms.
Symptoms of anxiety can vary widely but may include:
- Excessive worry or fear
- Restlessness or feeling on edge
- Irritability
- Difficulty concentrating
- Muscle tension
- Fatigue
- Sleep disturbances
- Physical symptoms such as increased heart rate, sweating, trembling, dizziness, and gastrointestinal issues
(Reference used: American Psychiatric Association, www.psychiatry.org)
Mood Disorders
Mood disorders are a group of mental health conditions that primarily affect a person’s emotional state, causing significant alterations in mood and impacting daily functioning. These disorders are characterized by extreme and prolonged emotional states, ranging from deep sadness and despair to excessive energy and elation. Mood disorders can significantly interfere with a person’s ability to carry out daily activities.
Common Types of Mood Disorders:
Major Depressive Disorder (MDD):
Characterized by persistent and intense feelings of sadness or loss of interest in activities once enjoyed. Symptoms include changes in appetite or weight, sleep disturbances, fatigue, feelings of worthlessness or excessive guilt, difficulty concentrating, and thoughts of death or suicide.
Bipolar Disorder:
Marked by alternating periods of depression and mania. During manic episodes, individuals may experience elevated mood, increased activity, decreased need for sleep, grandiosity, racing thoughts, and impulsive behavior. Bipolar disorder is categorized into Bipolar I Disorder and Bipolar II Disorder, based on the intensity and duration of manic episodes.
Persistent Depressive Disorder (Dysthymia):
A chronic form of depression with symptoms lasting for at least two years. While symptoms may be less severe than those of major depressive disorder, they are more persistent and can interfere with daily life.
Cyclothymic Disorder:
A milder form of bipolar disorder, characterized by periods of hypomanic symptoms (less severe than mania) and depressive symptoms that last for at least two years. The symptoms are not as intense as those in bipolar disorder but can still cause significant distress or impairment.
Seasonal Affective Disorder (SAD):
A type of depression that occurs at a specific time of year, typically in the fall or winter, when there is less natural sunlight. SAD is thought to be related to changes in light exposure affecting the body’s internal clock and serotonin levels.
- Symptoms of Mood Disorders:
- Persistent feelings of sadness, emptiness, or hopelessness
- Extreme mood swings
- Changes in appetite and weight
- Sleep disturbances (insomnia or excessive sleeping)
- Low energy or fatigue
- Difficulty concentrating or making decisions
- Feelings of worthlessness or guilt
- Loss of interest or pleasure in activities
- Physical symptoms (such as pain or digestive problems) with no apparent cause
Causes and Risk Factors:
Mood disorders can be influenced by a combination of genetic, biological, environmental, and psychological factors. Common risk factors include:
- Family history of mood disorders
- Brain chemistry and hormonal imbalances
- Trauma, stress, or significant life changes
- Chronic medical conditions or substance abuse
(Reference used: American Psychiatric Association, www.psychiatry.org)
Schizophrenia
Schizophrenia is a chronic and severe mental health disorder that affects how a person thinks, feels, and behaves. It is characterized by a range of symptoms that can significantly impair a person’s ability to function in daily life. Schizophrenia is a complex condition and often involves a combination of genetic, brain chemistry, and environmental factors.
Symptoms of Schizophrenia:
Schizophrenia symptoms generally fall into three categories: positive, negative, and cognitive symptoms.
Positive Symptoms: These symptoms represent a change in behavior or thoughts, including:
- Hallucinations: Sensing things that aren’t real, such as hearing voices, seeing things that aren’t there, or feeling touched when nothing is present.
- Delusions: Strongly held false beliefs that are not based in reality, such as believing one has extraordinary abilities, is being persecuted, or has a special mission.
- Disorganized Thinking: Difficulty organizing thoughts, leading to fragmented and incoherent speech. Individuals may switch topics rapidly or speak in ways that are difficult to understand.
- Movement Disorders: This can include agitated body movements or lack of movement (catatonia).
Negative Symptoms: These symptoms reflect a decrease or loss of normal functions. They can include:
- Blunted Affect: Reduced expression of emotions, such as facial expressions or tone of voice.
- Alogia: Reduced speech output or difficulty speaking.
- Anhedonia: Inability to experience pleasure from normally pleasurable activities.
- Avolition: Lack of motivation to initiate and sustain purposeful activities.
Cognitive Symptoms: These symptoms affect memory and thinking processes, including:
- Poor Executive Functioning: Difficulty understanding information and using it to make decisions.
- Trouble Focusing or Paying Attention: Difficulty maintaining attention or concentrating on tasks.
- Working Memory Problems: Issues with remembering information immediately after learning it.
Causes and Risk Factors:
The exact cause of schizophrenia is not fully understood, but it is believed to involve a combination of genetic, biological, and environmental factors.
Potential risk factors include:
- Genetics: Having a family history of schizophrenia increases the risk.
- Brain Chemistry and Structure: Imbalances in neurotransmitters like dopamine and glutamate, as well as structural abnormalities in the brain, may contribute to the disorder.
- Environmental Factors: Factors such as prenatal exposure to viruses or malnutrition, complications during birth, and psychosocial factors may also play a role.
- Substance Use: Some drugs, including cannabis and amphetamines, have been linked to triggering schizophrenia symptoms in vulnerable individuals.
Early diagnosis and continuous treatment are crucial for the best possible outcomes.
(Reference used: American Psychiatric Association, www.psychiatry.org)
Insomnia
Insomnia is a common sleep disorder characterized by difficulty falling asleep, staying asleep, or getting restful and restorative sleep. It can result in poor sleep quality and can significantly impact an individual’s daily life and overall health. Insomnia can be acute (short-term) or chronic (long-term).
Types of Insomnia:
- Primary Insomnia: Sleep problems not directly associated with any other health condition or problem.
- Secondary Insomnia: Sleep problems caused by another health condition, such as depression, anxiety, arthritis, cancer, heartburn, pain, medication, or substance use.
Symptoms of Insomnia:
- Difficulty falling asleep at night
- Waking up during the night or too early in the morning
- Not feeling well-rested after a night’s sleep
- Daytime tiredness or sleepiness
- Irritability, depression, or anxiety
- Difficulty paying attention, focusing on tasks, or remembering
- Increased errors or accidents
- Ongoing worries about sleep
Causes of Insomnia:
Insomnia can be caused by various factors, including:
- Stress and anxiety
- Poor sleep habits or lifestyle choices
- Mental health disorders, such as depression and anxiety
- Medical conditions that cause discomfort or pain
- Medications that interfere with sleep
- Caffeine, nicotine, and alcohol consumption
- Environmental factors like noise, light, or an uncomfortable sleep environment
(Reference used: American Psychiatric Association, www.psychiatry.org)
PTSD - Post Traumatic Stress Disorder
Post-Traumatic Stress Disorder (PTSD) is a mental health condition that’s triggered by experiencing or witnessing a terrifying event. People with PTSD may experience a range of symptoms, including:
- Intrusive memories such as flashbacks and nightmares
- Avoidance of places, events, or objects that are reminders of the trauma
- Negative changes in thinking and mood, such as feeling detached from friends and family
- Changes in physical and emotional reactions, such as being easily startled or having trouble sleeping
PTSD can affect anyone who has gone through a traumatic event, not only combat veterans but also survivors of physical or sexual assault, accidents, natural disasters, or other serious incidents.
(Reference used: American Psychiatric Association, www.psychiatry.org)
OCD - Obsessive Compulsive Disorder
Obsessive-Compulsive Disorder (OCD) is a chronic mental health condition characterized by uncontrollable, recurring thoughts (obsessions) and behaviors (compulsions) that a person feels the urge to repeat over and over. These obsessions and compulsions can significantly interfere with daily activities and cause distress.
Obsessions: Obsessional thoughts are unwanted and distressing. They can include:
- Fear of contamination or dirt
- Intense need for order or symmetry
- Aggressive or horrific thoughts about harming oneself or others
- Unwanted thoughts, including taboo topics such as sex, religion, or harm
Compulsions: Compulsive behaviors or rituals are actions that a person feels driven to perform in response to an obsession. Examples include:
- Excessive cleaning or handwashing
- Ordering and arranging items in a particular way
- Repeatedly checking things (e.g., locks, appliances)
- Counting, tapping, or repeating certain words
Individuals with OCD often realize that their obsessions are irrational, but the anxiety they cause can compel them to engage in compulsive actions, which provide only temporary relief.
Obsessive-Compulsive Disorder (OCD) is a chronic mental health condition characterized by uncontrollable, recurring thoughts (obsessions) and behaviors (compulsions) that a person feels the urge to repeat over and over. These obsessions and compulsions can significantly interfere with daily activities and cause distress.
Obsessions: Obsessional thoughts are unwanted and distressing. They can include:
- Fear of contamination or dirt
- Intense need for order or symmetry
- Aggressive or horrific thoughts about harming oneself or others
- Unwanted thoughts, including taboo topics such as sex, religion, or harm
Compulsions: Compulsive behaviors or rituals are actions that a person feels driven to perform in response to an obsession. Examples include:
- Excessive cleaning or handwashing
- Ordering and arranging items in a particular way
- Repeatedly checking things (e.g., locks, appliances)
- Counting, tapping, or repeating certain words
Individuals with OCD often realize that their obsessions are irrational, but the anxiety they cause can compel them to engage in compulsive actions, which provide only temporary relief.
(Reference used: American Psychiatric Association, www.psychiatry.org)
Renewance Behavioral Health, PLLC is a virtual telehealth care service that uses an evidenced based approach to provide culturally competent care that is patient centered.
Amy Burse
DNP, FNP-BC, PMHNP-BC
About Amy Burse, DNP, FNP-BC, PMHNP-BC
She has over 13 years of experience in various settings, such as inpatient hospitalization, home health, case management, urgent care, and outpatient clinics. Her primary focus has always been the patient and their family and she is dedicated to improving patient outcomes by staying abreast of best clinical practice and treatment. She is passionate about assessing individuals from a whole health perspective, to include a comprehensive state of being that encompasses physical, mental, social, and spiritual aspects of a person. She provides a personalized approach to treatment planning and implementation. She is familiar with various platforms for the delivery of treatment which allows her to engage with those in remote areas.
She is engaged in organizations and committees that give back to the community and carries a robust knowledge base in which she uses to disseminate information.
Get In Touch
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Call
270-306-4626
RenewanceRNR@gmail.com
Location
Serving Christian County and Surrounding Areas
Hours / Central Time
Friday and Saturday 9am-4:30pm
Sunday 1pm-5pm
Accepted Insurance Agencies