What I offer

Psychiatric care built around the whole person

My work centers on thoughtful assessment, diagnostic clarity, medication management, and the development of practical systems that actually improve care. I am particularly interested in the intersection of medical, psychiatric, developmental, and social factors, because that intersection is where most people actually live.

Who I work with

Care across every season of life

Ages 6–12

Children

Thoughtful evaluation and support for children navigating attention, mood, anxiety, and neurodevelopmental differences. I work closely with families and, when appropriate, with schools and other providers.

Commonly addressed

ADHD & attention difficultiesAnxiety & OCDAutism spectrum evaluationMood disordersBehavioral concernsDevelopmental differencesTrauma & PTSDPediatric chronic illnessSleep disorders

Ages 13–17

Adolescents

Teen years are complicated. I offer a non-judgmental space for adolescents dealing with depression, anxiety, identity, neurodivergence, and the pressures of growing up in a world that wasn't built for every kind of mind.

Commonly addressed

Depression & mood disordersAnxiety & panicADHD & executive functionAutism & neurodivergenceLGBTQIA+ identity & gender-affirming careTrauma & PTSDOCD & related disordersEating disordersSubstance use & dual diagnosisIdentity & self-conceptSchool-related stress

Ages 18–64

Adults

Comprehensive psychiatric evaluation and medication management for adults. I specialize in neurodivergent adults, late-identified autism and ADHD, and those navigating complex or treatment-resistant presentations.

Commonly addressed

Depression & bipolar spectrumAnxiety, panic & OCDTrauma & PTSDLate-identified ADHD & autismLGBTQIA+ affirming & gender-affirming careNeuropsychiatric symptomsPersonality disordersPsychosis & schizophrenia spectrumSubstance use & dual diagnosisPerinatal & postpartum mental healthEating disordersGrief & life transitionsChronic illness & medical psychiatryTreatment-resistant presentationsIntegrative & functional approaches

Ages 65+

Older Adults

Geriatric psychiatry with patience, depth, and genuine expertise. I support older adults through late-life transitions, cognitive changes, behavioral symptoms, and the full complexity of aging, including the intersection of medical and psychiatric factors.

Commonly addressed

Late-life depression & anxietyCognitive changes & dementiaNeuropsychiatric & behavioral symptomsMedication review & optimizationGrief & life transitionsChronic illness & medical psychiatrySleep disorders & insomniaHospice & palliative care psychiatryCaregiver support coordinationIntegrative & functional approaches

Areas of particular interest

Where I go deep

Beyond general family and psychiatric practice, I bring focused expertise and genuine curiosity to these areas.

LGBTQIA+ Affirming Care

Fully affirming psychiatric care for LGBTQIA+ individuals across all identities and expressions. You will not be pathologized or asked to justify who you are. Gender-affirming care, identity exploration, and the unique mental health needs of queer and trans individuals are areas of genuine focus.

Autism & Neurodevelopment

Diagnostic evaluation, affirming care, and medication management for autistic individuals across the lifespan, from newly identified children to adults who've spent decades undiagnosed.

Gerontology & Late-Life Psychiatry

The psychiatric needs of older adults are distinct and often underserved. I bring geriatric-specific expertise to mood, cognition, behavioral symptoms, and the complexity of aging.

Neuropsychiatry

The brain and the mind are not separate. I approach psychiatric symptoms with attention to neurological, medical, and developmental contributors that are often missed in standard evaluations.

Integrative & Functional Medicine

Medication is one tool among many. I incorporate integrative and functional medicine perspectives, including lifestyle, nutrition, sleep, gut-brain connection, somatic factors, and root-cause thinking, alongside evidence-based psychiatric practice.

Complex & Comorbid Presentations

Many of my patients have seen multiple providers without resolution. I specialize in untangling complex, multi-diagnosis presentations where medical, psychiatric, developmental, and social factors overlap.

Human Consciousness & Meaning

I take seriously the existential and philosophical dimensions of psychiatric experience, questions of identity, meaning, and what it means to be a mind in a body.

Clinical approach

What a visit actually looks like

01

Thorough initial evaluation

I take time. Initial appointments are longer than you may be used to, because I want to understand your history, your context, and what has and hasn't worked before.

02

Diagnostic clarity

I work to understand what is actually going on, not just what fits a billing code. That sometimes means revisiting prior diagnoses, exploring medical contributors, or sitting with complexity.

03

Collaborative treatment planning

You are part of the plan. I explain my thinking, share options, and make decisions with you, not for you. Medication is discussed honestly, including what it can and can't do.

04

Ongoing medication management

Follow-up appointments track how you're doing, adjust as needed, and stay attentive to the full picture, not just symptom checklists.

05

Interdisciplinary coordination

I collaborate with therapists, PCPs, specialists, schools, and other providers when it serves your care. We all work better together.

How it works

Tele-health and In-Person appointments, done thoughtfully

Appointments are conducted via secure video and audio. You connect from wherever is private and comfortable, home, office, car, wherever works. I have practiced telehealth across multiple settings and believe it can be just as effective as in-person care when done with intention.  In-person appointments currently available in Dubuque, IA.

PlatformSecure, HIPAA-compliant video
What you needA device with camera and microphone, and a private space
SchedulingContact me to discuss availability and fit
States servedSee contact page for current licensure

Let's figure out if we're a good fit

I don't take every referral, and I want you to find the right provider, whether that's me or someone else. Reach out and let's talk.

Hesper Nowatzki Health

Telehealth and in-person psychiatric care across the lifespan, from children to older adults, delivered with warmth, curiosity, and a deep respect for every kind of mind.

Credentials

Hesper Nowatzki Health, LLC
DNP, ARNP, PMHNP-BC, FNP-BC
Licensed in Illinois, Iowa, Wisconsin

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This website provides general information about professional background, clinical services, and current practice location. Website content is not a substitute for individualized medical evaluation, diagnosis, or treatment, and use of this site does not establish a clinician-patient relationship.