

I’m Karen Scoggins, a board-certified Psychiatric Mental Health Nurse Practitioner and founder of Roots and Reverie, LLC. I provide telehealth psychiatric care with a focus on medication management for anxiety, mood disorders, ADHD, and sleep concerns in children, teens, and adults. My approach is collaborative and supportive, helping clients feel both grounded and hopeful as they work toward their goals. I believe in creating a safe space where every person feels heard, respected, and empowered on their journey to wellness.
Hello, my name is Miguel A. Diaz and I am a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) with a Doctor of Nursing Practice (DNP) degree. I was born and raised in rural South Texas, which gives me a deep understanding of the unique challenges our local communities face when it comes to mental health care. My experience as a U.S. Army veteran has taught me the importance of resilience, service, and compassion—values I bring to every client relationship.
I specialize in providing psychiatric evaluation, medication management, and treatment for a wide range of mental health concerns, including anxiety, depression, and ADHD. My practice focuses on increasing access to care for children, adolescents, adults, and seniors, especially those living in underserved rural areas. Whether you’re new to mental health treatment or looking for ongoing support, you can expect care that is empathetic, evidence-based, and tailored to your individual needs.
I welcome you to reach out and take that first step toward improving your well-being.


Headway makes it easy to find support for your mental health — from finding the right provider, to understanding costs, to scheduling with ease.