About Me
Meet Tiara Shackleford, MSN, PMHNP-BC, FNP-C
As a dual-certified Psychiatric-Mental Health Nurse Practitioner (PMHNP-BC) and Family Nurse Practitioner (FNP-C),
I bring a comprehensive and compassionate approach to patient care, rooted in both clinical expertise and a deep commitment to holistic wellness.
My advanced training in family medicine, psychiatry, and addiction medicine enables me to deliver integrated care that addresses both physical and behavioral health needs.
Over the course of my career, I have served diverse populations across a range of healthcare settings, including hospitals, community health centers, urgent care clinics, and addiction treatment facilities. This broad experience has provided me with valuable insights into the complexities of mental health and substance use disorders, enhancing my ability to offer nuanced and effective care.
I am deeply committed to supporting individuals in overcoming challenges such as anxiety, depression, mood disorders, schizophrenia, and substance use disorders. My practice emphasizes individualized, evidence-based treatment plans tailored to each patient’s unique needs, preferences, and goals.
My approach is collaborative and patient-centered, fostering strong therapeutic relationships built on trust, empathy, and open communication. I believe in empowering patients and their families to actively participate in the healing process and make informed decisions about their care.
As a dedicated healthcare provider, I continuously pursue ongoing education and professional development to remain current with emerging best practices in mental health and addiction treatment. This ensures that the care I provide is both cutting-edge and compassionate.
It is a privilege to walk alongside individuals and families on their path to recovery and wellness. I am honored to serve with integrity, empathy, and excellence.
My Qualifications
As a dual board-certified Family Nurse Practitioner (FNP) and Psychiatric Mental Health Nurse Practitioner (PMHNP), I bring a unique blend of medical and mental health expertise to each patient encounter. With advanced training in both primary care and psychiatry, I’m equipped to address the full spectrum of health—from physical symptoms to emotional and psychological well-being.
In addition to my clinical experience, I have specialized training in integrative and functional medicine, allowing me to identify root causes rather than just treat symptoms. I stay up to date with evidence-based practices and continually expand my knowledge in holistic approaches to healing, including nutrition, lifestyle medicine, and mind-body therapies. My goal is to help you restore balance and achieve sustainable wellness.
How I Work
At Total Vitality, I take a collaborative, whole-person approach to care. Our work together begins with a comprehensive evaluation that looks at your physical health, mental and emotional well-being, lifestyle habits, and spiritual values if desired. From there, we co-create a personalized care plan that may include:
•Medication management (when appropriate)
•Nutritional and lifestyle recommendations
•Functional lab testing
•Evidence-based supplements
•Psychotherapeutic techniques such as CBT
•Faith-based strategies (optional and patient-directed)
Every plan is individualized. I emphasize education, empowerment, and shared decision-making—because healing is not one-size-fits-all.
Why Choose Me
Many patients come to me after feeling unheard, rushed, or stuck in a cycle of symptom-focused care. My approach is different. I take the time to listen, connect, and understand your story—because true healing starts with being seen and valued.
Whether you’re struggling with mood disorders, PTSD, insomnia, anxiety, depression, fatigue, brain fog, or simply feel out of alignment—I’m here to walk with you toward wholeness. This, my friend, is psychiatry that listens and wellness that lasts!