Welcome to ND Health Solutions -

We are excited to walk the path of mental and physical health health with you in Dickinson, ND and the surroundings communities.

Meet the Team

Owner/operator

Christina Shockley, FNP, PMHNP

I have been a nurse for over 20 years and have worked in many different capacities. At the start of my advanced practice nursing career in family medicine it was revealed to me the true need for mental health practitioners in our area. I continued to further my education to become proficient in this capacity.

I work along side other providers as well as focusing on patient-centered care to give the support, direction, and care of each individual as well as their families with medication management. Safety, education, and evidence-based knowledge is a passion of mine and is incorporated in the care given.

I am licensed in both North Dakota and Montana as a board-certified APRN (advanced practice registered nurse). I treat a variety of mental health aliments such as (but not limited to) anxiety, depression, PTSD, bipolar, addiction, and ADHD to children starting from ages 6 up to older adult.

During our time together, for initial evaluations, it is important to gather as much information regarding the reason for your current visit as well as a thorough medical, social, and psychiatric history. Many follow-up appointments will be scheduled every 4 weeks until we are not adjusting medications or dosages. Once we find the right medication regime and you feel comfortable we may schedule appointments out further. Remember every person is different and individualized care is a goal so follow up appointments will vary amongst people.

Reception

Ryanne Evenson

Ryanne has been a proud member of the Dickinson community for almost three years. With a passion for helping others and creating a warm, supportive environment, Ryanne looks forward to greeting clients and ensuring their experience is as smooth and comfortable as possible.

As someone who values connection and community, Ryanne is eager to be a positive presence, offering kindness and assistance to everyone who walks through the door. Whether scheduling appointments, answering questions, or simply sharing a friendly smile, she is dedicated to making every client feel seen and supported.

In her free time Ryanne enjoys being outdoors. She enjoys riding her horse, fishing, and attending concerts.

Director of Mental Health Services

Mackenzie Brossart, LCSW

Welcome! I’m so glad you’re here. As a therapist, I am truly passionate about helping individuals navigate life’s challenges and discover their inner strengths. I have been fortunate to call North Dakota my home for the last 12 years and I am a Licensed Clinical Social Worker who is able to to practice in both North Dakota and Montana.

I am currently seeing clients 5 and up! Here is what you can expect!

In our therapy sessions, younger clients can expect a warm, safe, and fun environment where they can express themselves through play. Since children often communicate their thoughts and emotions best through play rather than words, I incorporate techniques from play therapy to help them explore their feelings, process experiences, and build coping skills in a natural and engaging way.

During sessions, we might use toys, games, art, storytelling, or role-playing to work through emotions and challenges. These activities allow children to express their thoughts in a way that feels comfortable while also helping them develop problem-solving skills, emotional regulation, and confidence. I tailor each session to the child’s needs, ensuring a supportive space where they can grow and thrive at their own pace.

For adolescents and teens, sessions may include a mix of talk therapy, creative expression, and skill-building exercises to help navigate emotions, relationships, and life transitions. My goal is to create a space where they feel heard and understood while working toward growth and self-confidence.

For adults of all ages, therapy is a place for reflection, problem-solving, and healing. Whether addressing anxiety, depression, life transitions, relationship challenges, or personal growth, sessions are collaborative and tailored to individual goals. I utilize evidence-based approaches to help clients gain insight, develop coping strategies, and find balance in their lives.

No matter the age, my approach is person-centered, compassionate, and focused on creating a space where clients feel comfortable exploring their thoughts and emotions while building the skills to navigate life’s challenges.

Mental Health Services- Therapy

Teresa Steele, LMSW

Raised on the edge of rural North Dakota, I am beyond excited to be able to bring mental health services to my hometown of Beach, ND. I have looked forward to this day and point of my career! I am excited to bring high quality mental health therapy to our rural community and start bridging the gap of limited services to our area. My education and skill set allow me to work through a variety of life challenges with clients ages 5 and up.

Most recently, I have acquired training and certification in sand tray therapy form the international association of sand tray therapy. This approach to therapy is fun and interactive while allowing clients of all ages (sand tray is not just for kids) to explore trauma in a "safer" and less threatening way. In addition, I hold training in a variety of different therapeutic approaches to help clients with various life challenges.

I look forward to meeting you! Let's see if we are a good fit and start working on goals to make your life the way you want to live it.

**Medicaid clients will need a referral to schedule with Teresa**

Our Services

Pharmacological Services

Psychopharmacology-

Psychopharmacology is the study and use of medications to manage mental health conditions. Our providers work closely with clients to determine if medication may be a helpful part of their treatment plan. We take an individualized approach, considering each person’s unique symptoms, history, and needs to find the most effective and well-tolerated options. Whether addressing anxiety, depression, ADHD, or other mental health concerns, we offer ongoing medication management to ensure the best outcomes while prioritizing safety and well-being.

ADHD Testing-

Attention-Deficit/Hyperactivity Disorder (ADHD) can impact focus, organization, impulse control, and daily functioning. Our comprehensive ADHD testing process includes clinical interviews, standardized assessments, and behavioral observations to provide an accurate diagnosis. Testing is available for children, adolescents, and adults, helping individuals better understand their strengths and challenges. A clear diagnosis allows for the development of personalized treatment plans, which may include therapy, medication, or lifestyle adjustments to improve focus and daily success.

Genetic Testing for Mental Health-

Genetic testing is a cutting-edge tool that helps personalize mental health treatment by analyzing how an individual’s genes may influence their response to certain psychiatric medications. This non-invasive test provides valuable insight into medication metabolism and potential effectiveness, allowing providers to make more informed decisions about treatment options. While genetic testing does not replace clinical expertise, it can serve as a helpful guide in finding the most suitable medications with fewer side effects, leading to more effective and tailored car. We offer both Genesight and Genomind.

Therapy Services

Seeking therapy is a powerful step toward growth, healing, and improved well-being. Depending on your needs, therapy can be tailored to individuals, couples, or families. Below is an overview of each type of therapy and how it may benefit you.

Individual Therapy-

Individual therapy is a one-on-one process between a client and a therapist, focusing on personal concerns, emotions, and goals. Whether you’re dealing with anxiety, depression, life transitions, trauma, or personal growth, therapy provides a safe and confidential space to explore your thoughts and feelings. Your therapist will work with you to develop coping strategies, increase self-awareness, and improve your overall well-being.

Couples Therapy-

Couples therapy is designed for partners who want to strengthen their relationship, improve communication, or navigate challenges together. Whether facing conflict, trust issues, major life changes, or simply wanting to enhance their connection, couples can benefit from a structured space to understand each other better. Therapists help partners identify patterns, improve problem-solving skills, and foster a deeper emotional bond.

Family Therapy-

Family therapy involves multiple family members working together to improve communication, resolve conflicts, and strengthen relationships. This type of therapy is helpful for families experiencing transitions, stress, or conflicts that affect their dynamics. The goal is to create a supportive and understanding environment where each member feels heard and valued while working toward healthier interactions.

Sand Tray Therapy-

This type of therapy is used particularly for clients who have experienced trauma. This is a highly therapeutic form of therapy that can provide emotional release and realization for adults and can help children achieve feelings of comfort and security.

**No matter which type of therapy you choose, the goal is to provide a safe and supportive space for growth, healing, and stronger relationships. If you’re unsure which approach is right for you, reach out to discuss your needs and find the best fit for your journey.

Insurance Policy

Insurance Information

Accepted Insurance Plans

At ND Health Solutions, we accept a wide range of insurance plans to ensure that our services are accessible to a diverse clientele. We accept most commercial insurances to include:

Aetna

BCBS

BCBS Medicaid Expansion

ND Medicaid

Medicare

Sanford

Optum

TriWest Health Care Alliance (TriWest)

Cigna

Medica

*We are currently working on accepting MT Medicaid*

For out of network insurances, we encourage you to contact your insurance company regarding coverage prior to scheduling an appointment as we cannot guarantee coverage.

***We do offer cash payment options for medication management services- please call to inquire***

Resources

Frequently Ask Questions

Medication refills: Please request medication refills through your pharmacy or patient portal. Allow up to 3 business days for refill requests to be filled, we ask that you plan accordingly.

What to expect: Initial therapy sessions will take 1.5 hours with 30-60 minute follow up appointments, depending on your treatment plan.

Initial medication management sessions may take up to 1.5 hours with 20-30 minute follow ups. ADHD testing may take two separate appointments or one 2-hour appointment.

What if I can't make my appointment? We prefer you contact us as soon as you can if you can't make your scheduled appointment. If you need to cancel or reschedule an appointment a 24 hour notice is required. If you miss an appointment without canceling a no-show fee of $50 will be billed, if the notice is less than 24 hours a late-cancellation feel of $25 will be billed- insurance does not cover either of these.

Cost of Therapy/Fees

The cost of therapy and medication management vary based on the type of services and the length of the appointment.

What if I don't want to use my insurance?

There is an option for cash pay, please inquire if you are interested.

Resources

Consent and Policies - click here

Access your patient portal: optimantra.com

Privacy Practices - click here

Referral Form - click here

Additional Resources

If this is an emergency please dial 911 or visit your nearest emergency department.

You may also dial 211 (local) or 988 (national) for additional help or visit 988lifeline.org

The Trevor Project- 24/7 Suicide Hotline for Lesbian, Gay, and Bisexual Youth: Call (866) 488-7386, text START to 678-678 or visit thetrevorproject.org

Veteran's Crisis Line: Call 988 then select 1, text 838255, or visit veterancrisisline