About the prescriber
The prescriber your patients will see.
Every patient at this practice is seen by the same clinician: Karel Winner, DNP, PMHNP-BC, the founder of Solutions Psychiatry. His career in medicine spans two decades. There is no rotating panel and no handoff to an unfamiliar prescriber. This page sets out his education, his career before this practice, and his certifications, so that any therapist can judge his qualifications directly. His National Provider Identifier is 1477238004.
Dr. Winner's full clinical biography, including his therapy work, lives at psych.us. This page covers the background that bears on his prescribing. The patient-facing account of the medication practice is at PsychMed Care.
Education
Degrees in several medical fields
Dr. Winner came to psychiatry by a long route, and the route is part of his qualification. He trained first in podiatric medicine in England and then in diagnostic medical sonography. He worked for seven years at California's largest county hospital, a Level I trauma center, as a registered sonographer and vascular technologist, and he taught the sonographers who followed him. Acute inpatient psychiatry came next, and then advanced nursing education and this practice. A prescriber who has read the body that closely brings something to medication decisions that a narrower training does not.
Clinical doctorate, Vanderbilt University
The Doctor of Nursing Practice anchors his prescribing. Vanderbilt also awarded his Master of Science in Nursing Education, and he is currently completing Family Nurse Practitioner studies at the same university.
Psychiatric training, University of Tennessee
His Master of Science in Psychiatry and Mental Health Nursing Practice from the University of Tennessee is the specialist training behind his board certification as a Psychiatric Mental Health Nurse Practitioner, the PMHNP-BC credential, awarded through the ANCC.
Nursing foundations, Alverno College
He earned both his Master of Science in Nursing and his Bachelor of Science in Nursing at Alverno College, on the way from bedside nursing to advanced practice.
Earlier medical training
An honours degree in podiatric medicine from the University of London came first, followed by qualification and registration in diagnostic medical sonography and vascular technology. He has also served as a graduate teaching assistant in advanced pathophysiology and advanced pharmacology, subjects at the center of prescribing.
Certifications and approach
Specialist certifications, careful prescribing
His specialty certifications include the ADHD-CCSP, for which he is a certified ADHD specialist; the ASDCS in autism spectrum care; the CYMHS in youth mental health; the CAMS-II in anger management; and certification as a trauma specialist. He also holds the AFMCP through the Institute for Functional Medicine, and he is a GeneSight provider for pharmacogenomic testing. He is currently completing Transcranial Magnetic Stimulation training at Duke University. Read plainly, the certifications cover the presentations for which therapists most often need a prescriber: ADHD, autism spectrum conditions, trauma, and adolescent mental health.
How he prescribes
One change at a time, at a dose chosen for a reason the patient can state. A medication that is not working receives a structured review. Where it is not earning its place, the response is a careful reduction or a stop, not an additional prescription by default.
What he treats
Depression, anxiety, ADHD, bipolar disorder, OCD, PTSD and trauma, insomnia, and substance use, in adults and older teenagers aged 17 and over. Medication is managed as one part of a patient's wider care, alongside the therapy they already receive from their own therapist.
The practice is telehealth first. Visits take place by secure video across 34 states + DC, with in-person visits arranged in the patient's state when federal or DEA requirements call for a face-to-face appointment. The offices in San Francisco, New York, and Austin anchor the practice. They are not walk-in clinics, and no patient needs to live near one to be seen.
Ready when a patient is: here is how patients book, and here is what happens next.