Deep Insight

Melanie Bourke is a Psychiatric/Mental Health Nurse Practitioner (PMHNP) primarily practicing in Las Vegas, and licensed to provide care in Nevada, Oregon, Washington, and Minnesota. Melanie completed her Doctorate in Nursing Practice (DNP) at the University of Minnesota in 2017, and after graduation joined the Department of Psychiatry and Behavioral Sciences at the U of MN where she provided specialty care for patients experiencing a First Episode of Psychosis, Neurodevelopmental Disorders (ADHD and ASD), and Treatment Resistant Depression. Melanie uses a holistic, person-centered approach in care, including pharmacological (medication) treatments, complementary and alternative therapies, and psychotherapy. Melanie holds herself to a high standard for how healthcare should be delivered and has seen far too often that there is not enough time devoted to understanding the person seeking care. She prides herself on being a resource, supporting patients with finding the tools needed to achieve individual health and wellness goals. Melanie believes every person is worthy of connection and those connections with others are imperative for maintaining good health, and the basis for her approach to care. Melanie joined our team in 2023 as a way to continue her care practice and incorporate innovative, evidence-based healthcare. There is increasing interest in psychedelic medicine in psychiatry because it has been shown to be effective and safe in treating depression and other psychiatric disorders that have not responded to conventional methods, such as medication. Melanie is excited to complete certification for psychedelic-assisted therapy in 2023 to provide the highest quality of care for our patients. In her free time, she enjoys spending time with her partner and dog Sid, outdoors hiking, camping, and learning how to snowboard.

Guadalupe Gabba is a board certified psychiatric mental health nurse practitioner (PMHNP-BC) with 30 years of nursing experience. She is passionate about providing compassionate mental health services to adolescents and adults. Guadalupe possesses a strong medical background allowing her to develop treatment plans that will take into consideration any medical issues that patients may be managing in addition to mental health issues. She follows evidence-based guidelines joined with clinical experience, personal observation, and intuition. Over the course of thirty years of nursing practice, Guadalupe worked in many practice areas, including geriatrics, emergency room, critical care, pain management, psychiatry, and procedural psychiatry. She enjoys working with a diverse population and variety of age groups. She is flexible and integrative in her approach to meeting the needs and desired outcomes of her patients. Guadalupe is a wholehearted listener and is passionate about applying her experience and compassion with clients as they begin to address issues. Helping guide them to improved quality of life and to attain a sense of fulfillment and regained sense of joy in life. Her practice includes medication management, Spravato and Transcranial Magnetic Stimulation for the treatment of depression.

Tricia is a board-certified psychiatric nurse practitioner (PMHNP-BC) at the Bend location. She supports adult and adolescent patients by offering medication management and psychotherapy in person and via telehealth. Prior to her work at Deep Insight, Tricia was a hospice case manager working in the Cincinnati, Ohio community during the beginning of the COVID-19 pandemic and later as a staff nurse at Michigan Medicine’s child/adolescent psychiatric inpatient unit in Ann Arbor, Michigan. After observing patients repeatedly try ineffective treatments, she was drawn to learn about new highly effective treatment modalities for treatment-resistant depression such as ketamine in form of Spravato and upcoming psychedelic-assisted therapy. She is accepting, non-judgmental and passionate about holistically treating the whole person with a focus on mental health. Tricia holds a Master’s in Social Work and a Master of Science in Nursing. Outside her practice, she enjoys spending time with her cat and dog (who is a trained therapy dog) and spending time outdoors exploring the PNW.

Wendy Zamora is one of our psychiatric nurse practitioners. Wendy’s practice is whole person based, relying on her empathetic, nonjudgmental listening skills. Wendy performs comprehensive psychiatric assessments to help you understand what your symptoms mean and how they can be managed with psychiatric medication or lifestyle changes. Wendy received her BA in Psychology from Lewis & Clark, her BSN from Oregon Health Sciences University, and received her graduate MSN from Gonzaga University. One could say she is PNW through and through. She is inspired by all the patients who surprise her with unexpected improvement. She loves seeing smiles on other’s faces and witnessing kindness toward others. Wendy believes that considering the whole person and integrating exercise, healthy diet habits and managing life circumstances are all important. She is appreciative of your interest in alternative treatments and will provide support for those as appropriate. Wendy practices with the view of “unconditional positive regard” and prides herself in helping patients feel at ease.

Jen Chauvin is one of our Psychiatric Nurse Practitioners. Jen works on consultations and follow-ups for new and existing clients for Spravato (esketamine), IV Ketamine, and TMS (transcranial magnetic stimulation) for all our clinic locations in Oregon and Nevada. Originally from Portland, Oregon, Jen started her nursing career in emergency psychiatry at University Medical Center in New Orleans, Louisiana. During that time, the city was still recovering and rebuilding from the devastation of Hurricane Katrina, and there was a tremendous lack of mental health resources for residents, as well as a steadily growing number of houseless people living in poverty. Inspired by her experience working in the emergency room seeing patients continue to come back with symptoms of depression, and PTSD, she moved back to the Pacific Northwest to obtain her Psychiatric Mental Health Nurse Practitioner degree. Shortly after she received her Doctor of Clinical Practice degree. Jen also works in psychiatry for a major hospital system in the metro-Portland area, primarily serving a low-income, homeless, minority population, including violent, forensic (criminal), and court-committed mental health, adult patients. In 2021, we began utilizing Spravato on locked psychiatric inpatient units for those who met the criteria, which was truly groundbreaking for those with treatment-resistant depression to finally be given the opportunity to receive life-changing treatment. Jen states she could not be happier to work with such an amazing group of clients and coworkers. It is so encouraging to see the progress and improvements that clients have experienced over time, and I feel very lucky to be a part of the journey to alleviate treatment-resistant depression. These are exciting times we are in with the use of psychedelics for mental health treatment, and my plans for this year include training to be a certified facilitator for psychedelic-assisted therapy. I am really looking forward to what the future will bring for my clients.

Melinda is a psychiatric Mental Health Nurse Practitioner (PMHNP) practicing in Portland, Oregon. She completed her Bachelor of Nursing (BSN) at Linfield University and her advanced practice nursing degree from Gonzaga University. She gained advanced training in Perinatal Mental Health in her post graduate studies and holds certification as a Perinatal Mental Health provider (PMH-C). In her practice, Melinda uses a person-centered, holistic approach that includes medication management, complementary and alternative therapies, and supportive psychotherapy. She feels strongly that each person’s mental health is influenced by their age, gender, language, faith, sexual and gender identity, and the path toward healing must incorporate all of these facets. Most importantly, she believes that we are not defined by our diagnosis. Melinda has spent more than 20 years working in the nursing profession. She has practiced in clinical and hospital settings as a women’s health nurse, high-risk labor and delivery nurse, and postpartum nurse. After witnessing the stigmatization of mental health concerns in pregnancy and the disparity of adequate services, she continued her education to help fill the gap for this underserved population. Melinda draws on this unique training and experience to guide her approach to psychiatry which may benefit individuals with mental health concerns related to premenstrual distress, perinatal mood and anxiety disorders, birth trauma, pregnancy loss, or abortion. Melinda also recognizes that partners and fathers are also deeply affected by these life events and seeks to provide care for partners as well. Melinda is a proud recipient the Daisy Award, an award honoring individual nurses for their "extraordinary compassion and skill." She strives to use her skillset to provide quality services to anyone seeking comprehensive, affirming mental healthcare.

I'm truly passionate about giving you the best care possible, considering your entire well-being. You're important, and understanding you is my priority. With certifications in family practice, lifestyle medicine, and psychiatric mental health, I approach healthcare in a holistic way. I believe in empathetic listening, thorough psychiatric assessments, and finding the right balance between lifestyle adjustments and medication management. Let's explore together how your emotions, physical health, and spiritual well-being all play a role in your overall health. I'm also open to alternative treatments and will support you in the best way possible. If needed, I can connect you with psychotherapists for additional support. Together, we'll work towards improving both your mental and physical health, aiming for a happy and balanced life.

Jesse Morris is a board certified Psychiatric Mental Health Nurse Practitioner (PMHNP) based in Portland, Oregon. She completed her Bachelor of Nursing (BSN) at Concordia University and her advanced practice degree from Frontier Nursing University. Jesse uses an integrative approach to care, recognizing that mental health is multifaceted and complex. She blends conventional medicine with exercise, nutrition, psychotherapy, and a range of complementary and alternative treatment modalities. During her mental health career, she has primarily worked in settings offering innovative and non-traditional treatment options. Her experience has given her a profound understanding that healing extends far beyond pharmaceuticals -- it encompasses every facet of our lives. Guided by the mantra "to understand, we must first listen", Jesse provides a safe space for her patients driven by empathy and honesty. Jesse provides care to individuals of all ages with a passion for treating adolescents and young adults. She believes in the value of equipping individuals with essential tools for behavioral and emotional well-being, especially during transitional phases of growth and development. Furthermore, Jesse has a special interest in treating individuals struggling with eating disorders and body dysmorphia. Drawing from her holistic practice, Jesse emphasizes the mind-body connection and the relationship with our bodies on the path toward congruency and wellness. Personally, Jesse fills her time with snowboarding, mountain biking, hiking, and running. She loves to read, laugh with her family and friends, and spend time with her yellow doggie and small tiger cat.