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Mental Health Services in Winston, OR
We are dedicated to fostering mental wellness and promoting healthier living within Douglas County and surrounding communities in Oregon. Our practice exists to provide effective outpatient, individualized psychological care, treating a range of mental health disorders while offering a neutral ground for individuals, families, and couples. With decades of combined experience, our team specializes in creating safe spaces for healing, energizing clients, and customizing treatment plans to address unique needs.

Our focus is on helping individuals grow from their struggles, heal from pain, and move toward their desired life goals. We prioritize compassionate care, evidence-based practices, and holistic approaches to mental health, empowering clients to build resilience and achieve lasting positive change.
Services
Mental Health Counseling Medication Management Outpatient Care Addiction Treatment Crisis Support
Highlights and features
  • We have over 40 years of combined experience in mental health care.
  • Our team includes board-certified psychiatric nurse practitioners and licensed therapists.
  • We offer individualized treatment plans tailored to each client's unique needs.
  • Our providers specialize in medication management and evidence-based counseling.
  • We serve Douglas County with a focus on reducing mental health stigma.
Services
Mental Health Counseling
Our licensed therapists provide individualized counseling for adults and geriatric patients, addressing anxiety, depression, trauma, and other mental health disorders. We use evidence-based techniques to foster emotional resilience and personal growth. Our approach emphasizes a safe, nonjudgmental environment for clients to explore challenges and develop coping strategies.
Medication Management
Board-certified psychiatric nurse practitioners offer comprehensive medication evaluation and management for mental health conditions. This service ensures optimal treatment outcomes through personalized medication plans and regular monitoring. We prioritize safe, effective pharmacological interventions combined with therapeutic support to address complex mental health needs.
Addiction Treatment
Specialized programs address addiction and co-occurring disorders, including alcohol, drugs, and behavioral addictions. Our team employs integrated approaches combining counseling and medical support to treat underlying causes. We focus on relapse prevention, recovery skills, and holistic healing to support long-term sobriety and mental wellness.
Crisis Support
Immediate assistance is available for mental health crises through our Douglas County Crisis Hotline and urgent care referrals. We prioritize rapid intervention for acute distress, suicidal ideation, or safety concerns. Our protocols ensure clients receive timely, appropriate care during critical moments.
Outpatient Care
Flexible outpatient programs allow clients to receive care while maintaining daily routines. Services include scheduled therapy sessions, group counseling, and follow-up appointments tailored to individual schedules. This model supports consistent treatment without hospitalization, promoting gradual progress and stability.
People
Tamara Lee
Founder, Board-Certified Psychiatric Mental Health Nurse Practitioner (Retired)
Tamara Lee has over 40 years of mental health experience, including 15 years in inpatient psychiatric care and 18 years in private practice. She founded Second Wind Mental Health to provide compassionate outpatient care, specializing in medication management and counseling for adults and geriatric patients.
Pazely Spencer
Board-Certified Psychiatric Mental Health Nurse Practitioner
Pazely Spencer specializes in psychiatric care, offering evidence-based treatment for mental health disorders. With a focus on holistic approaches, she works closely with clients to develop personalized care plans that address both immediate and long-term mental health needs.
Ronnie Bustamante
Clinical Social Work Associate
Ronnie Bustamante brings over a decade of experience in supporting teens, adults, and active-duty service members. He focuses on empowering clients to make positive changes through tailored therapeutic interventions and practical tools for achieving mental health goals.
Michael Smith-Fernandez
Licensed Clinical Social Worker
Michael Smith-Fernandez has 10 years of experience in mental health, including five years in addiction treatment. He specializes in addressing co-occurring disorders and provides compassionate care to help clients navigate complex emotional and behavioral challenges.
Amber Cripe
Professional Counselor Associate, Certified Drug and Alcohol Counselor
Amber Cripe holds a master's degree in clinical mental health counseling and specializes in addiction treatment. She uses an integrative approach to address clients' holistic needs, fostering resilience and healthy coping strategies for lasting recovery and mental wellness.
Questions
What mental health services do you offer?
We provide counseling, medication management, addiction treatment, and crisis support for adults and geriatric patients in a safe, nonjudgmental environment.
Do you accept insurance?
We accept Medicare, Medicaid, Medicare Managed Plans, and most commercial insurances. Some providers may also offer out-of-network billing options.
Are your providers licensed?
Yes, our team includes board-certified psychiatric nurse practitioners, licensed clinical social workers, and certified counselors with specialized training.
How can I schedule an appointment?
Complete our New Patient Inquiry Form online, and we'll contact you to schedule based on clinician availability and your clinical needs.
Do you offer emergency services?
For urgent mental health crises, contact the Douglas County Crisis Hotline at 1-800-866-9780 for immediate assistance.
What areas do you serve?
We primarily serve Douglas County, Oregon, and surrounding communities with outpatient mental health care.
Reviews (1)
Lucy Swayngim
Nov 03, 2019 Report
Tamara is knowledgeable and skilled at prescribing psychotropic medications. Staff is friendly and efficient. Tamara's dog is an added bonus!