A sunlit plaster room with tall rectangular windows and a sheer linen curtain, opening onto North Dakota prairie at golden hour.

Compassionate and thoughtful psychiatric care

Individualized care for your brain health and overall wellness, in Minot and by telehealth.

Agatha Thomas, MSN, APRN, PMHNP-BC

Board-certified psychiatric mental health nurse practitioner

I opened Dakota Psychiatric Care because everyone deserves compassionate, respectful and accessible mental healthcare. My background is in nursing, across long-term care and psychiatric settings, and I work with adolescents and adults experiencing depression, anxiety, trauma and related mental health challenges.

I want this to be the first place you think to turn when something feels off: worry that will not quiet down, a hard stretch after having a baby, or changes that come later in life.

Accepting new clientsIn person and telehealthEvening appointments on request

More about Agatha

What I Treat

Evidence-based psychiatric care for teens, young adults, adults and seniors. Each person gets their own plan, built around their history and what they want care to look like.

Perinatal Mental Health

Care during pregnancy and after birth, including postpartum depression and anxiety and the months after a high-risk birth.

An adult woman sits thoughtfully at a bright kitchen window in a quiet home.

Anxiety

Worry that keeps running after the day is over, and the toll it takes on the rest of your life.

An adult man reads a plain sheet of paper on a quiet garden porch.

Depression

Low mood, lost interest and the heaviness that makes ordinary days feel long.

A woman walks a quiet prairie path alone in soft evening light, seen from behind.

Trauma and PTSD

Memories and reactions that stay long after the event, looked at with patience and without judgment.

A parent and teenager walk together along a quiet neighborhood sidewalk.

OCD

Intrusive thoughts and rituals that take up more of your day than you want them to.

An older woman and her adult daughter talk on a porch swing, seen from the side.

Older Adults

Depression, anxiety, dementia-related behavioral changes and other psychiatric concerns later in life.

An adult woman having a quiet phone conversation on her front steps.

Does This Sound Familiar?

I can't stop worrying about life.
I have been feeling very anxious lately.
Since the baby came, I don't feel like myself.
I have been feeling low for a while, and I don't know who to ask.

You don't need the right words to reach out. Say it however it comes out, and we start from there.

An illustrative northern plains town and river valley in morning light.

Why Maternal Mental Health Sits at the Center

My baby was born prematurely at just 26 weeks. I know the uncertainty of a high-risk birth and of caring for a medically fragile infant, and I saw how much emotional support matters for mothers and families in those months.

That is why postpartum depression and anxiety are a focus here. If you are pregnant, newly home with a baby, or still carrying a hard birth, you can bring all of it.

Perinatal mental health care

How Care Works

Psychiatric care here is individualized and collaborative. You know your body, I bring the clinical expertise, and medication decisions are made together.

Alongside medication management, I draw on CBT and DBT, and we keep your overall wellness in view, not only a list of symptoms.

An adult reads a plain paper in a quiet moment on a garden porch.

1
A Free 15-Minute Consult
A short conversation to answer your questions and see whether this feels like the right fit.
2
Your Initial Evaluation
60 to 90 minutes, in person or by telehealth. We go through your concerns, your history and what you want care to look like, then develop a personalized treatment plan that may include medication management and other supportive interventions.
3
Follow-Up Sessions
30 to 45 minutes to review progress, assess symptoms and how a medication is working, address concerns or side effects, and adjust the plan.

Warm sunlight over wide open prairie beneath gently clearing clouds.

Based in Minot, Available by Telehealth

I serve Minot and communities including Valley City, Stanley, Tioga, Bismarck, Mandan and Velva, in person at the office or by telehealth.

An illustrative northern plains river-valley town and surrounding hills.

Minot, North Dakota

700 Western Ave SW, Suite 100, Minot, ND 58701. In-person appointments at the office.

Visit the Minot office

Northern plains fields beneath a wide sky, a fence line and distant grain bins.

North Dakota by Telehealth

Telehealth appointments in North Dakota, for when the drive to Minot is too far.

How telehealth works

Rolling Iowa farmland and a gravel road in summer light, corn rows and a distant barn.

Iowa by Telehealth

Telehealth appointments in Iowa.

How telehealth works

Fees and Your First Step

Free Consult

15 minutes

Initial Evaluation

$300

60 to 90 minutes, in person or telehealth

Follow-Up Session

$125

30 to 45 minutes

Most of my clients pay privately, and I can provide a superbill if you want to seek out-of-network reimbursement.

Evening appointments are available on request. Please give 24-hour notice to cancel; a late cancellation or missed session carries a $45 fee.

Fees and payment details

Questions People Ask

A wooden footbridge over a calm prairie creek in clear morning light, path leading on into the distance.

What is a psychiatric mental health nurse practitioner?

A nurse practitioner with advanced training and board certification in psychiatric mental health care. I evaluate mental health conditions, develop treatment plans and provide medication management.

Do I have to take medication?

That is a decision we make together. A plan may include medication management and other supportive interventions, and you know your body.

What happens at the first appointment?

The initial evaluation runs 60 to 90 minutes. I take time to understand your history, your current concerns and what brought you in, so we leave with a clear, shared understanding of your needs and the next steps.

Who do you see?

Teens 13 to 17, young adults, adults and seniors, including new mothers and healthcare workers.

Can I be seen in person or by telehealth?

Both. In-person appointments are at the Minot office, and telehealth is available in North Dakota and Iowa. Evening appointments are available on request.

Is this a crisis service?

No. If you are in crisis or thinking about harming yourself, call or text 988 or call 911.

A gravel road across snow-dusted prairie in warm low sunlight.

Start with a 15-minute conversation

Bring your questions. There is no cost, and you can decide from there whether an evaluation makes sense.

Book a Free 15-Minute Consult