Ostracized: The Silent Killer of Social Connection

Ostracized: The Silent Killer of Social Connection
Last updated: February 23, 2026 | Written & Reviewed by OCP Team

Blog Outline

You sit down at the morning meeting and offer a quiet hello, but your words seem to vanish. Everyone else keeps talking, as if you’re not there at all. Have you ever felt invisible, even when you are with other people? 

Take another example, you say hello to a group of co-workers, but the conversation keeps flowing without noticing you. No one looks up. Seconds pass as you stand there, unsure of whether you were even heard. 

Your heart sinks, and you wonder what you did wrong. If these feel familiar, you are not alone. This is called ostracism. Ostracism means deliberately ignoring someone, and the person who is ignored is ostracized.  It’s not just uncomfortable; it can seriously affect your mental health and daily life. 

You might know the pain of being left out, ignored, or excluded at work, with friends, or in your family. 

The initial reaction, even from the most minimal forms of ostracism, is painful and distressing. Ostracism can happen for many reasons, such as group dynamics, misunderstandings, conflict, or even unintentional oversight. Sometimes people leave others out to protect group unity, because of personal biases, or simply due to miscommunication. While it can feel deeply personal, the causes are often complex and not always about the individual being excluded. 

It is a fundamental need of all human beings to have a sense of belonging, self-esteem, control, and a meaningful existence. And when these feelings are not present, sadness and anger take their place. 

Psychologists such as Dr. Kipling Williams from Purdue University say these moments are more than just “feeling left out.” They can seriously threaten our mental well-being.

Ostracism Is More Than Loneliness

Social ostracization is more than just a passing feeling. When people ignore or leave you out, it can cause strong emotions like sadness, anger, anxiety, and deep loneliness. In one study at Rutgers University, researchers asked participants to recall or even experience moments when they were left out of group activities.

The results showed that people who felt ostracized reported lower feelings of belonging, self-esteem, control, and meaning. This research shows that being excluded can quickly and deeply impact some of our most fundamental psychological needs.

ostracizing behaviors

General loneliness can happen to people for many reasons, sometimes without anyone to blame. Ostracism, on the other hand, comes from being left out intentionally or from feeling excluded. This makes it especially hard to deal with and can make you question your value and where you fit in. If it happens often, ostracism can lead to ongoing anxiety, depression, pulling away from others, and even health problems.

How It Feels To Be Ostracized?

Ostracism can happen to anyone, almost anywhere: at school, at work, in your neighborhood. Even you can be ostracized by your family

You might remember times when you felt left out, whether it was on the playground, at work, or with family. Feeling ostracized can have different meanings that show up in different ways, such as:

  • Thinking about painful memories of being left out, and finding it difficult to move forward.
  • Feeling anxious in social situations or worrying about being rejected.
  • Losing confidence or starting to question your self-worth.
  • Noticing physical symptoms from stress, like headaches or stomach aches.
  • Avoiding new situations or relationships, and pulling back from opportunities.

If any of this feels familiar, you are not alone; you are facing ostracizing behaviors.  You deserve support as you work through the pain of being left out.

Who Is More Likely To Be Affected By Ostracism?

A recent study in Personality and Individual Differences (2023) shows that being ostracized, or deliberately ignored by others, has immediate and strong effects on mental health. The research found that even short times of being left out can cause upset feelings, lower self-esteem, and make people feel less connected and less in control. 

However, there is a question: who is more likely to feel ostracized? The research conducted on five personality traits (openness, agreeableness, negative emotionality, extroversion, and conscientiousness) and class “B”, the Quiet Over-Reacting Procrastinators (QORP), among them were reported to perceive ostracism.

These effects are not just emotional; brain scans show that social pain affects the same way as physical pain. The study also says that being left out can happen anywhere, like at work, school, or online. The effects can last a long time after it happens. When a person knows about this, it helps us to understand how serious it is to be left out and why it is important to make sure everyone feels included. 

The Science Behind Social Exclusion

Over the past few decades, psychologists have devoted considerable attention to ostracism. Research shows that even brief episodes of exclusion activate the same areas of the brain that process physical pain. This means your distress is not “all in your head”; it is a real, measurable response that deserves to be taken seriously. It means that feeling left out can hurt as much as having physical pain. 

People who have been ostracized react in different ways. Some show anger and resentment, withdraw further, and cut all connections as a way to protect themselves from further hurt.

signs you are being ostracized by family

These actions are not signs of weakness or personal failure. They are a natural response to deep psychological wounds that hurt a person from time to time.

The Different Faces of Ostracism

Exclusion can take different forms. It depends on why someone ignores you and where it happens. 

Deliberate and Defensive Acts

Sometimes people use silence to hurt someone or to try to get them to change. This can happen in difficult relationships, especially when one person is trying to have more control.

Research has found that when someone leaves another person out on purpose, the person doing the excluding might feel more powerful for a little while. At the same time, the person left out can feel they have less control. For example, people who ignored a coworker often said they felt more important, which shows how leaving someone out can change the balance in a relationship.

Read More: A Guide To Understanding Smiling Depression

Other times, people stay quiet to avoid tough conversations or criticism. Silence can feel safer when things are tense or emotions are strong because our brains want to avoid anything that feels like a threat.

Unintentional and Structural Silence

People can sometimes leave others unintentionally. For instance, you might not notice someone because you are focused on something else. This is called oblivious exclusion, and it happens when you are simply unaware. There is also role-prescribed exclusion, which happens when social rules guide your behavior. For example, not talking to strangers in an elevator is a way of respecting personal space, even though it means you are not including them in conversation.

The Digital Shift

A lot of our social life now takes place online. Being left out on digital platforms, sometimes called cyberostracism, can feel just as painful as being excluded in person. This can include things like being ghosted, removed from a group chat, or seeing that someone read your message but didn’t reply. Not getting a response online can feel like being completely rejected.

How We Process the Silence

Our brains notice social exclusion almost instantly. Brain scans show that when you’re ignored, a part of your brain called the anterior cingulate cortex lights up. This area is involved in both physical pain and the emotional pain of being left out, which is why social pain can feel just as real as a physical injury.

The Three Stages of Impact

  1. The Reflexive Stage is your immediate reaction. It’s the sharp pain you feel right when you notice you’re being ignored. At that point, it’s normal to worry that your need to belong or feel good about yourself is threatened.
  2. Reflective Stage: After the first shock, you might find yourself thinking about what happened and how you want to respond. Some people try to make up for things by being extra helpful, while others might feel angry and pull away. This is a good time to try out simple coping strategies. One idea is to use micro-affirmations, like making eye contact, saying hello, or inviting someone to join a conversation. These small actions can help you feel more connected and take your mind off feeling left out. Even trying just one of these for a day can help you move from thinking to doing.
  3. The Resignation Stage is the hardest part. If you feel left out for a long time, you might stop reaching out to others. Over time, this can make you feel numb, hopeless, or like you don’t matter.

Unique Approach to Healing Ostracism

Your first visit starts with a conversation about what brings you in and what you would like to change. We will talk about your experiences, symptoms, and strengths to get a clear picture of what’s going on in your mind.

how to recover from being ostracized

From there, we will work together to create a treatment plan that fits your needs. 

Evidence-Based Psychotherapy

We use therapy approaches that have been shown to work in research, including:

  • Cognitive- behavioral therapy (CBT): CBT is a type of talk therapy that helps you notice and change thought patterns that might not be helpful, especially if you often feel left out. In CBT, you’ll work on turning self-criticism and hopelessness into more supportive ways of thinking about yourself and the people around you.
  • Interpersonal Therapy (IPT): Interpersonal therapy, or IPT, helps you build stronger relationships and improve your communication. Through IPT, you can learn to share your feelings, set healthy boundaries, and connect more easily with others.
  •   Acceptance and Commitment Therapy (ACT): Acceptance and Commitment Therapy (ACT) teaches you mindfulness and acceptance skills, helping you handle tough emotions without letting them take over. It aims to help you keep moving forward and focus on what matters to you, even during hard times.
  • Group Therapy: Group therapy lets you meet others who know what you’re experiencing. It’s a safe space to share your story, build social skills, and find support. Everyone promises to keep things private, and we set clear rules so you can feel at ease.

Medication management:

Sometimes feeling excluded can lead to depression and anxiety, and ultimately makes daily life hard. If that happens to you, we can discuss whether medication is a healthy option. We will find the options together. Answer your questions and make sure you feel comfortable with any decision. Sometimes medication becomes necessary when symptoms worsen. 

What Makes Our Approach Different?

Orange Coast Psychiatry focuses especially on helping people who have experienced social ostracism. Our team keeps up with the latest research and experience, so your care is based on what works best for you. We know that social pain can affect every part of your life, so we address both the emotional and practical aspects of recovery. We offer support so you can move from feeling isolated to feeling connected. 

We offer support and research-backed care for people who have experienced social ostracism. Our services are both for adults and teens, so whether you are looking for help for yourself or someone you care about, we are here to help.

Frequently Asked Questions

Being ostracized means that you are deliberately left out or ignored by a group or by certain people. This can happen in social environments, at work, or even within families.

If you are feeling ostracized, it can help to reach out to people you trust, remind yourself of your strengths, and look for new ways to connect with others. Sometimes, joining a new group or activity can open up fresh opportunities for support.

Recovering from being ostracized often means taking time to rebuild your confidence. Try to spend time with people who make you feel valued, and don’t forget to take care of your own needs along the way.

Being left out can bring up feelings like loneliness, anxiety, or even make you question your self-worth. These reactions are common, and you are not alone in experiencing them.

Reference and Footnotes
    1. Williams, K. D., & Nida, S. A. (2022). Ostracism and social exclusion: Implications for separation, social isolation, and loss. Current Opinion in Psychology, 47, 101353. https://doi.org/10.1016/j.copsyc.2022.101353
    2. Ostracism hurts—but how? Shedding light on a silent, invisible abuse. (n.d.). Association for Psychological Science – APS. https://www.psychologicalscience.org/news/releases/ostracism-hurtsbut-how-shedding-light-on-a-silent-invisible-abuse.html
    3.  Marcos-Vidal, L., Gil-Buitrago, H., Cisma, I., Hendricks, R. C., Atran, S., & Pretus, C. (2025). When group grievances become personal: The neural correlates of group and personal rejection. Cognitive Affective & Behavioral Neuroscience, 25(3), 799–813. https://doi.org/10.3758/s13415-024-01257-x
    4. Liu, S. (2024). Social spaces: from Georg Simmel to Erving Goffman. The Journal of Chinese Sociology, 11(1). https://doi.org/10.1186/s40711-024-00217-9
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Dennis Ly

Psychiatric Mental Health Nurse Practitioner-BC

Dennis Ly is a Board-Certified Psychiatric-Mental Health Nurse Practitioner dedicated to delivering compassionate, evidence-based, and holistic care. With eight years of nursing experience in emergency medicine, Dennis gained extensive experience working with patients in acute crisis, including those with psychiatric and behavioral health needs. These experiences fostered his passion for mental health and shaped his ability to remain calm, empathetic, and collaborative when supporting patients during their most vulnerable moments.

He earned his Master of Science in Nursing from Capella University and completed his Post-Master’s PMHNP certificate at National University, where he received advanced training in psychiatric assessment, psychopharmacology, and therapeutic interventions for children, adults, and geriatric patients. His clinical focus includes the treatment of anxiety, depression, bipolar disorder, schizophrenia, and ADHD.

In addition to medication management, Dennis integrates therapeutic modalities such as cognitive behavioral therapy (CBT), motivational interviewing, and patient-centered therapy into his practice, tailoring care to each individual’s goals and values. He approaches treatment with a holistic and collaborative philosophy, meeting patients where they are and empowering them to build resilience through personalized care.

Outside of work, Dennis enjoys exercising, eating sushi and Korean BBQ, and traveling.

Leemarie Lewis

Psychiatric-Mental Health Nurse Practitioner-BC

Leemarie Lewis is a Board-Certified Psychiatric Mental Health Nurse Practitioner with over six years of experience in emergency medicine, community health, and psychiatric care. She earned her Master of Science in Nursing from West Coast University, where she completed focused training in psychiatric assessment, psychopharmacology, and evidence-based therapeutic modalities across the lifespan. Her clinical interests include the treatment of anxiety, mood disorders, ADHD, OCD, trauma-related conditions, and substance use disorders.
She began her healthcare career at UCLA Health as a nursing assistant, where she frequently served as a one-to-one observer for patients in acute psychiatric crisis. This experience sparked her deep interest in mental health. She went on to provide care for unhoused individuals in Los Angeles, supporting both physical and psychiatric needs while advocating for underserved populations. Much of her clinical background was spent as an emergency department nurse at a Level 1 trauma and county facility, where she gained valuable experience managing complex psychiatric and medical emergencies with empathy and precision.
Leemarie is committed to delivering equitable, inclusive, and culturally responsive care. She emphasizes the importance of creating a collaborative, patient-centered environment where individuals feel heard, supported, and empowered in their mental health journey. She integrates preventive care, patient education, and individualized treatment planning into her practice.
Outside of work, Leemarie enjoys staying active, practicing self-care, and spending time with family and friends. She also loves traveling and trying new experiences that bring joy and balance to her life.

Vivienne Peng

Psychiatric-Mental Health Nurse Practitioner-BC

Vivienne Peng is a board certified Psychiatric-Mental Health Nurse Practitioner with over 10 years of nursing experience working in the mental health field. Fluent in both English and Mandarin, she brings a culturally responsive, person-centered care that honors each individual’s unique background and walks of life.
Vivienne’s clinical expertise spans crisis de-escalation, therapeutic communication, and evidence-based treatment modalities. She draws on a mix of techniques such as psychotherapy-based interventions, integrative care models, medication management, psychoeducation, and complimentary approaches in her care. She has worked with individuals ages 6 and above across a variety of settings. She supports individuals with mental health challenges including depression, anxiety, mood disorders, PTSD, Schizophrenia, and more. She is committed to provide compassionate, empathetic, individual-focused care, always meeting individuals where they are with respect, authenticity, and clinical skills.
Vivienne’s Practice emphasizes on creating a safe and judgement free environment where individuals feel supported and empowered on their mental health journey towards healing and growth. Drawing from the foundation of nursing, trauma-informed, and holistic care, Vivienne collaborates with individuals to develop personalized treatment plans grounded in current research, best practices, and the individual’s own goals and values.

Outside of work, Vivienne enjoys traveling, discovering new restaurants, watching movies and visiting museums. She genuinely enjoys meeting new people and feels inspired everyday by the strength and resilience of those she serves.

Dr. Grawert

Psychiatrist

Dr. Lauren Grawert is a double board-certified psychiatrist with the American Board of Psychiatry and Neurology and Addition Psychiatry. She is an integral part of the team of Supervising Psychiatrists for our Psychiatric-Mental Health Nurse Practitioners here at Orange Coast Psychiatry.
In previous roles, Dr. Lauren Grawert was the founder of LHG Telemedicine LLC, as well as Chief of Psychiatry (Northern Virginia) for the Mid-Atlantic Permanente Medical Group; she has also worked in private practice specializing in general psychiatry, substance use disorders, and medically assisted treatment (MAT). Dr. Grawert has served as an expert for the San Diego Community Response to Drug Overdose Task Force; the Addiction subcommittee leader for Kaiser Permanente National Mental Health & Addiction Leadership Organization; and a Professor of Psychiatry at Penn State College of Medicine. She received her medical and psychiatric training at Medical University of South Carolina.
Dr. Grawert is also experienced with a variety of behavioral healthcare models through both private practice and leadership roles at Kaiser Permanente and other organizations.

Jackson Tea

MSN, PMHNP-BC

Administrative Director and Psychiatric Mental Health Nurse Practitioner

Jackson Tea, MSN, PMHNP-BC, serves as the Administrative Director and a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) at Orange Coast Psychiatry. Dedicated to breaking the stigma surrounding mental health, Jackson is passionate about providing compassionate, evidence-based care that empowers individuals to take charge of their mental well-being. His expertise includes comprehensive psychiatric assessments, personalized medication management, and behavioral health interventions designed to help patients achieve the best possible outcomes in their mental health journey.
Jackson’s approach to care is rooted in the belief that mental health is just as vital as physical health. He focuses on creating a supportive, judgment-free environment where patients feel heard, valued, and understood. By offering individualized treatment plans tailored to each person’s unique needs and goals, Jackson helps clients overcome obstacles such as anxiety, depression, mood disorders, and other mental health challenges.
He holds a Post-Master’s Certificate as a Psychiatric Mental Health Nurse Practitioner from National University, a Master of Science in Nursing in Nursing Administration from the University of Phoenix, and a Bachelor of Science in Nursing from California State University, Los Angeles, where he earned Dean’s List honors. As a member of the Sigma Theta Tau Honor Society of Nursing, Jackson remains committed to advancing mental health awareness and promoting high standards of care in the field.
In his role at Orange Coast Psychiatry, Jackson leads clinical operations while ensuring regulatory compliance and delivering high-quality care. His core competencies include psychiatric assessment, evidence-based interventions, crisis management, clinical leadership, and risk mitigation. Above all, Jackson strives to make mental health care accessible and effective for everyone, supporting individuals in making meaningful progress, improving their quality of life, and achieving lasting well-being.

May Faustino

Psychiatric-Mental Health Nurse Practitioner-BC

May Faustino, PMHNP-BC, is a compassionate and highly skilled psychiatric provider with over four years of nursing experience, including three years specializing in psychiatric care. She holds a Master of Science in Nursing from West Coast University, where she received extensive training in managing the psychiatric needs of pediatric, adult, and geriatric populations, as well as providing therapy and counseling services.
May has worked in diverse mental health settings, including forensic psychiatry at the Department of State Hospitals and behavioral health services at Aliso Ridge Behavioral Health. Her clinical expertise spans psychiatric assessments, medication management, and trauma-informed care, with a strong focus on treating anxiety, depression, and trauma-related disorders.
Bilingual in English and Tagalog, May is dedicated to serving diverse patient populations with a culturally sensitive approach. She is trained in evidence-based therapeutic modalities such as cognitive behavioral therapy (CBT) and motivational interviewing and is well-versed in trauma-informed care and suicide prevention strategies.
May is passionate about promoting resilience and recovery through preventive mental health care and individualized, holistic treatment plans. Her commitment to excellence is reflected in her memberships in the American Psychiatric Nurses Association and Sigma Theta Tau International Honor Society of Nursing.
In her personal time, May enjoys fostering mindfulness and well-being through activities she loves, such as spending time with her husband and their two beloved cats, Pippy and Eva.

Dr. Montgomery

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Dr. Torri Montgomery, M.D., is a board-certified psychiatrist with the American Board of Psychiatry and Neurology, with a subspecialty board certification in forensic psychiatry. Dr. Montgomery is an integral part of our Management Team as a Psychiatrist and Supervising Psychiatrist for our Psychiatric-Mental Health Nurse Practitioners here at Orange Coast psychiatry.
Dr. Montgomery earned her Bachelor of Science (Magna Cum Laude) from Arizona State University and her Doctor of Medicine (M.D.) from The University of Arizona, College of Medicine. She completed her psychiatry residency at Los Angeles County Harbor-UCLA Medical Center. During her psychiatry residency, Dr. Montgomery completed a year-long certification in Electro-Convulsive Therapy (ECT), earned a certificate from the Drug Enforcement Agency (DEA) to prescribe medication for the treatment of substance use disorders, and worked in a Medication Assisted Treatment (MAT) clinic for substance use disorders. Additionally, she was appointed Chief Resident and received an Excellence in Teaching award.
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Dr. Ravi

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Dr. Dave Ravi, M.D., is a Board Certified Psychiatrist with additional qualifications in geriatric psychiatry. Dr. Ravi is an integral part of our Management Team as a Psychiatrist and Supervising Psychiatrist for our Psychiatric-Mental Health Nurse Practitioners here at Orange Coast psychiatry.
Dr. Ravi graduated from Virginia Commonwealth University (B.S., Magna Cum Laude), VCU School of Medicine (M.D.), Dartmouth Hitchcock Medical Center (Residency in Psychiatry), and John. A. Burns School of Medicine (Fellowship in Geriatric Psychiatry). He currently is a clinical assistant professor of psychiatry at John A. Burns School of Medicine in Honolulu, HI and serves as a psychiatrist with Orange Coast psychiatry.
Dr. Ravi is a dedicated community psychiatrist with extensive experience in public, correctional, inpatient and outpatient settings, and an experienced tele-psychiatrist. He consults on topics in general psychiatry, including quality improvement, treatment planning, and crisis management, and in correctional psychiatry, including recovery-oriented treatment for individuals with serious mental illness and dual diagnosis. His current and future interests focus on understanding the various approaches in managing the suffering and disturbance of complex psychiatric disorders, particularly in the use, misuse, overuse, and misrepresentation of psychotropic medications.

Dr. Irwin

M.D. , Ph.D – Psychiatrist

Dr. Scott Irwin, M.D., Ph.D., is Board Certified Psychiatrist. Dr. Irwin is an integral part of our Management Team as a Psychiatrist and Supervising Psychiatrist for our Psychiatric-Mental Health Nurse Practitioners here at Orange Coast psychiatry.
His career mostly focuses on improving outcomes for those with cancer or other progressive, potentially life-limiting illnesses, and their families, through leading-edge clinical services, ongoing research, as well as program development, improvement, and implementation.
He is widely published, has been recognized at many levels for his research, teaching, consulting, and clinical endeavors, and has received research funding from the NCI, NIMH, the National Palliative Care Research Center, the Archstone Foundation, and industry.
Dr. Irwin earned his Bachelor of Science from the University of California, Los Angeles, and both his MD and PhD (neuroscience) at the University of Illinois, Urbana-Champaign. He successfully completed his psychiatry residency at UC San Diego as chief resident of Outpatient Psychiatric Services, as well as a two-year elective in hospice and palliative care at San Diego Hospice and The Institute for Palliative Medicine. He is a diplomate of the American Board of Psychiatry and Neurology, with subspecialty certification in psychosomatic medicine.

Richard Samedra.

Psychiatric-Mental Health Nurse Practitioner-BC

Richard Samedra, PMHNP-BC, is a Board Certified Psychiatric-Mental Health Nurse Practitioner. He brings over 12 years of experience in the mental health field, working with clients facing a wide range of acute and chronic mental health conditions. His journey began as a Licensed Vocational Nurse and Charge Nurse at Westminster Therapeutic Residential Treatment, where he supported clients dealing with anxiety, depression, schizophrenia, bipolar disorder, and substance use disorders. Richard’s dedication was centered on helping these individuals improve their mental health and transition to a lower level of care, whether that meant returning to their families, a board and care facility, or a sober-living environment.
Motivated by a growing passion for mental health care, Richard pursued his Registered Nurse (RN) education at Saddleback Community College and later transitioned to La Palma Intercommunity Hospital Behavioral Health. In this role, he specialized in geriatric psychiatry, working with older adults experiencing conditions such as Parkinson’s disease, dementia, depression, and anxiety. This experience solidified his commitment to mental health, leading him to work at Bellflower Community Hospital, where he provided care for patients experiencing severe psychiatric crises, including suicidal ideation, manic and depressive episodes, substance use disorders, and exacerbated schizophrenia symptoms.
Inspired by the impactful work of PMHNPs at Bellflower, Richard enrolled in the Psychiatric-Mental Health Nurse Practitioner program at Azusa Pacific University. To broaden his expertise, he worked full-time at College Hospital Costa Mesa while completing his studies. There, he gained comprehensive experience across various units, including adolescent, acute men’s and women’s, stabilization, and detox/med-surg. Now, as a PMHNP, Richard is committed to leveraging his diverse background and knowledge to provide compassionate, comprehensive care to those in need.
Richard currently practices as a Nurse Psychiatric-Mental Health Nurse Practitioner at Orange Coast Psychiatry, where he is supervised by Dr. Montgomery.

Shaheena Gazipura

Psychiatric-Mental Health Nurse Practitioner-BC

Shaheena Gazipura is a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) with over 9 years of dedicated experience in both inpatient and outpatient mental health care. She earned her Master of Science in Nursing from Western University of Health Sciences in Pomona, California.
Shaheena began her career working on an adult psychiatric inpatient unit before transitioning to the geriatric psychiatric inpatient unit at USC Verdugo Hills Hospital. In addition to her clinical work, Shaheena also serves as a Nursing Clinical Instructor, guiding the next generation of nurses through their mental health rotations at a large community college.
Shaheena is a passionate advocate for mental health, believing that it is a fundamental pillar of overall well-being. She is committed to reducing the stigma surrounding mental illness and strives to provide comprehensive, compassionate care that honors each individual’s unique experiences and challenges. Her goal is to create a supportive, nonjudgmental environment where patients feel empowered to work alongside her in achieving their mental health goals.
Outside of her professional life, Shaheena enjoys exploring new culinary experiences, staying active through exercise, and planning her next travel adventures.
Shaheena currently practices as a Nurse Psychiatric-Mental Health Nurse Practitioner at Orange Coast Psychiatry, where she is supervised by Dr. Barrios.

Clint Nacar

Psychiatric-Mental Health Nurse Practitioner -BC

Clint Nacar, PMHNP-BC is a Board Certified Psychiatric-Mental Health Nurse Practitioner. Mr. Nacar graduated from Charles R. Drew University of Medicine and Science. Currently Mr. Nacar works in an inpatient psychiatry unit at a leading academic medical center in Los Angeles, Renewed Mental Health Group, and Orange Coast Psychiatry
Mr. Nacar brings over 7+ years of experience with the mental health population. He works to help patients take control of their mental health through patient education, psychotherapy and medication management. Mr. Nacar’s areas of focus include: Depression, Anxiety, Adjustment Disorder, Bipolar disorder, Attention Deficit Hyperactivity Disorder (ADHD), and Post-Traumatic Stress Disorder (PTSD). Mr. Nacar treats children ages 6+, adolescents, and adults, offering both in-person services and telehealth at Renewed Mental Health Group.
With the collaboration of each patient, Mr. Nacar strives to develop individualized plans of care addressing each patient’s unique situation and concerns. He also encourages each patient to take charge of their mental health through a holistic approach while also employing the latest evidence based practices in treatment.

Clint is one of our most experienced Psychiatric-Mental Health Nurse Practitioners at Orange Coast Psychiatry and is 103NP Licensed in the State of California.

Cristian Cuevas

Psychiatric-Mental Health Nurse Practitioner-BC (Fluent in Spanish)

Cristian Cuevas, PMHNP-BC, is a highly skilled board-certified psychiatric mental health nurse practitioner with over seven years of experience in inpatient psychiatry and mental health.
A California State University Long Beach graduate, Cristian also earned recognition as a board-certified psychiatric mental health registered nurse. With a wealth of expertise in adult psychiatric care across the lifespan, Cristian has successfully diagnosed and treated a diverse range of mental health disorders.
Additionally, his specialized experience in child and adolescent inpatient populations further enhances his ability to provide comprehensive and compassionate mental health care.
Cristian Cuevas is the Lead Nurse Psychiatric-Mental Health Nurse Practitioner at Orange Coast Psychiatry and is supervised by Dr Barrios.

Nicole Leonce

Doctor of Nursing Practice & Psychiatric Mental Health Nurse Practitioner-BC

Nicole Leonce is a Board-Certified Psychiatric-Mental Health Nurse Practitioner with over five years of experience in psychiatry and a strong medical background. She earned her Doctor of Nursing Practice degree from the University of San Francisco and is a proud member of the Sigma Theta Tau International Honor Society of Nursing. Nicole has a special emphasis in Trauma-Informed Care and is deeply committed to providing compassionate, patient-centered, and culturally responsive treatment.

Her clinical expertise includes the diagnosis and management of depression, anxiety, bipolar disorder, trauma-related conditions, ADHD, OCD, substance use disorders, and mood disturbances. She also provides care for individuals navigating grief, life transitions, and relationship stressors. Nicole integrates evidence-based approaches such as psychodynamic therapy, motivational interviewing, and solution-focused techniques, along with medication management, to help her clients achieve balance and emotional well-being.

Nicole believes that every patient’s story deserves to be heard and validated. She strives to create a safe and supportive environment where individuals feel empowered to explore their challenges and reach their full potential.

Outside of her practice, Nicole enjoys reading, traveling, exploring museums, cooking, and dining with friends and family. She also loves spending time with her miniature poodle, Nico.

Dr Barrios

Board-Certified Child and Adolescent Psychiatrist

Dr. Carlos Barrios is a Board-Certified Child and Adolescent Psychiatrist with over two decades of experience in mental health care. His expertise in telepsychiatry has allowed him to serve patients across California and beyond. In his practice, Dr Barrios integrates metabolic and functional methodologies, focusing on guiding patients toward medication independence and emphasizing the connection between physical and mental health.
Outside of his professional life, Dr Barrios is passionate about kettlebell training, which helps him maintain my physical and mental wellness. He cherishes visiting his family in Guatemala, to reconnecting with his cultural roots and rejuvenating his spirit. Dr Barrios is also deeply involved in transcendental meditation and rucking, practices that not only provide him with tranquility but also keep him grounded and connected to nature. These hobbies reflect his commitment to a holistic approach to health, both personally and professionally.