A Different Approach to Psychiatry
Mental health care shouldn't feel like a five-minute conversation followed by a prescription.
At Blue Sky, appointments are collaborative. I want to understand not only what symptoms you're experiencing, but what may be contributing to them and how they're affecting your life.
You’ll be heard no judgment.
Your appointment is a conversation, not a checklist.
Your experiences, concerns, preferences, and treatment goals matter.
Medication is a tool, not the entire treatment plan.
When medication is appropriate, we'll use it thoughtfully. We'll also consider factors such as sleep, stress, lifestyle, physical health, coping patterns, relationships, and nervous system regulation.
You’ll understand your options.
I'll explain your options, including potential benefits, risks, and alternatives, so you can make informed decisions about your care.
No judgment. No pressure. Just thoughtful, straightforward psychiatric care.
Visit lengths Initial 60 minutes · Follow-up 30 minutes
Medication used sparingly and with precision.
How I Can Help
I work with adults in Nevada and Colorado who look like they’re holding it together and know something still isn’t right.
Depression
The flatness, heaviness, the irritability, or the sense that you’ve gone missing from your own life even if you’re still getting things done.
Mood Concerns
When your mood, energy, sleep, or motivation keep shifting, you deserve a careful look at what’s going on not a five-minute assumption.
Anxiety
Your mind won’t settle. Worry, dread, feeling on edge, panic, or that wired-tired feeling when your body won’t let you rest.
Burnout & Overwhelm
You’re showing up for work, family, and everyone else. Underneath, you’re depleted, stretched thin, or quietly checked out.
Life Transitions
Breakups, new babies, career changes, grief, moves, caregiving the seasons where the old ways of coping stop working.
Optional bridge: If any of this sounds like you, we can start with a real conversation.
Why Choose Blue Sky
One Consistent Provider
Build a relationship with a provider who gets to know you over time. No rotating clinicians you don’t retell your story every visit.
Thoughtful Medication Management
Medication is prescribed when clinically appropriate not automatically.
Education, not Just Instructions
Understand what you're taking, why you're taking it, and what alternatives exist.
Whole Person Perspective
Your mental health doesn't exist separately from sleep, stress, relationships, physical health, lifestyle, and life experiences.
Convenient Telehealth Care
Access psychiatric care without adding another commute or waiting room to your day.
Collaborative Decision-Making
Questions are encouraged. Your preferences matter.
Hi, I’m Kelli.
KELLI SOTO, DNP-C, APRN, PMHNP-BC
I've spent more than 16 years in nursing and years caring for individuals experiencing mental health care challenges. Throughout my career, I've seen how discouraging psychiatric care can feel when someone leaves an appointment with another prescription but still doesn't understand why they feel the way they do or why a particular treatment was recommended.
I created Blue Sky Psychiatry & Wellness because I wanted to practice differently as an online psychiatric nurse practitioner. My approach to collaborative psychiatric care is thoughtful, straightforward, and personalized. I'll listen, ask questions, explain my clinical reasoning, and help you understand your options for psychiatric medication management online. Sometimes medication is an important part of getting better. Sometimes the answer isn't simply adding another medication. My job as your psychiatric provider is to help you figure out the difference.
You are an active participant in your treatment, not simply the recipient of it.
What to Expect?
What Does Working Together Look Like?
01
We start with your story.
Your initial psychiatric evaluation gives us time to discuss what you're experiencing, your history, previous treatments, medications, health, lifestyle, stressors, and what you hope will change.
02
We make sense of the bigger picture.
I'll share my clinical impressions and explain what I believe may be contributing to your symptoms. If a diagnosis is appropriate, we'll discuss what it means, and why.
03
We decide what comes next, together.
We'll review treatment options, which may include medication, lifestyle changes, supportive strategies, therapy recommendations, or collaboration with your other healthcare providers.
04
We continue to evaluate.
Follow-up appointments aren't simply prescription refills. We'll discuss what's improving, what isn't, side effects or concerns, and whether your treatment still makes sense.
Insurance
Using Insurance? Let’s Make It Easier.
Blue Sky Psychiatry & Wellness accepts several insurance plans in addition to self-pay.
Our Insurance Plans
BLUE CROSS
BLUE SHIELD
Curative
CIGNA
CARELON
AETNA
There Can be Clearer Skies Ahead.
You Deserve More Than Simply to Get Through the Day.
You don't have to wait until everything falls apart before asking for help.
Whether you're experiencing anxiety, depression, burnout, mood changes, or simply know that something doesn't feel right, we can start by having a conversation.
