Accepting New Patients

Care that feels
human.

A clinician-led, multidisciplinary behavioral health practice in Victor, NY — built on manageable patient panels, meaningful appointments, and the belief that administrative systems should support good clinical care, not dictate it.

Insurance and direct-pay options available.

Mindful Beginnings

"Attentive. Deeply personalized."

Board Certified
Psychiatric Care
Mindful Beginnings care environment

"Reimagine what behavioral health looks like."

— Welcome to Mindful Beginnings

A more human way to experience behavioral health.

In much of today's system, providers manage very large patient panels. Long waitlists and brief visits have become the norm. This high-volume model can make care feel transactional rather than personal — for patients and for clinicians alike.

Mindful Beginnings began as a solo psychiatric nurse practitioner practice and is growing into a clinician-led, multidisciplinary team. What hasn't changed: we keep patient panels manageable, appointments meaningful, and care individualized — with administrative systems built to support good clinical work rather than dictate it. Whether you use insurance or direct-pay, the care is the same.

Attentive

Present, focused listening at every visit.

Personalized

Treatment tailored to you, not a protocol.

Collaborative

A partnership built on trust and access.

— Our Services

Integrative psychiatry, thoughtfully delivered.

A full spectrum of evidence-based and innovative therapies — designed to treat the whole person.

A comprehensive psychiatric evaluation is an opportunity to understand your concerns, experiences, and goals. We look beyond symptoms to develop an individualized understanding of your mental health and discuss appropriate treatment options.

  • ✓Clinical history — reviewing symptoms, medical and psychiatric history, medications, and relevant life experiences.
  • ✓Diagnostic assessment — exploring possible psychiatric conditions and other factors that may contribute to symptoms.
  • ✓Collaborative discussion — making space for your questions, concerns, and treatment preferences.
  • ✓Personalized recommendations — discussing medication, psychotherapy, lifestyle interventions, or additional evaluation when appropriate.

Psychiatric medication management is a collaborative process focused on finding the right treatment for you — not just a prescription.

  • ✓Psychiatric assessment — a thorough look at your history, symptoms, and goals.
  • ✓Individualized treatment planning — a plan built around you, not a one-size-fits-all protocol.
  • ✓Medication prescribing when appropriate — thoughtful choices made together, with attention to side effects.
  • ✓Ongoing follow-up — regular check-ins to monitor progress and adjust as needed.

Integrative psychiatry considers the connection between mental and physical health. Alongside traditional psychiatric treatment, we explore lifestyle factors and evidence-informed approaches that may support emotional well-being.

  • ✓Whole-person assessment — considering sleep, nutrition, physical health, stress, and daily routines.
  • ✓Lifestyle interventions — exploring realistic changes that may support mood, energy, and overall functioning.
  • ✓Evidence-informed supplements — discussing potential benefits, limitations, and medication interactions when appropriate.
  • ✓Personalized treatment planning — combining conventional psychiatric care with complementary strategies when clinically appropriate.

Neurofeedback is a noninvasive technique that uses real-time information about brain activity to help individuals practice regulating certain patterns of brain activity. It may be considered as a complementary approach within an individualized treatment plan.

  • ✓Brain activity monitoring — sensors measure electrical activity without delivering electricity to the brain.
  • ✓Real-time feedback — visual or auditory feedback helps guide training sessions.
  • ✓Individualized sessions — training approaches may be adjusted based on goals, response, and clinical assessment.
  • ✓Complementary care — neurofeedback may be used alongside established treatments rather than replacing them.

Neurofeedback research is still evolving, and benefits vary by condition and individual.

What Is Audio-Visual Entrainment (AVE)?

Audio-Visual Entrainment uses rhythmic light and sound stimulation to encourage relaxation and support stress management. At Mindful Beginnings, AVE may be incorporated into an individualized mental health care plan.

  • ✓Light and sound technology — uses specially designed visual and auditory patterns.
  • ✓Relaxation and stress management — sessions may help promote a calmer state.
  • ✓Personalized sessions — programs are selected based on individual goals and comfort.
  • ✓Safety considerations — AVE is not appropriate for everyone, including some individuals with photosensitive epilepsy.

Research into AVE's psychiatric benefits is still developing, and it does not replace established mental health treatments.

Technology We Use

Mindful Beginnings uses the MindPlace Kasina with the DeepVision light and sound system for audio-visual entrainment. This technology combines rhythmic visual stimulation with synchronized audio to create immersive sensory experiences designed to support relaxation and stress management.

Medical Marijuana Certification in Rochester & Victor, NY

Although recreational cannabis is legal in New York, medical cannabis certification may offer additional benefits for eligible patients.

At Mindful Beginnings, medical cannabis certification involves an individualized clinical evaluation to determine whether cannabis may be appropriate for a qualifying medical condition.

  • ✓Clinical evaluation — review of symptoms, medical history, current treatments, and potential risks.
  • ✓Medical dispensary access — certification allows eligible patients to purchase products through New York’s medical cannabis program.
  • ✓Additional patient benefits — certified patients may qualify for medical cannabis tax advantages, home cultivation rights, and certain legal protections.
  • ✓Safety and education — discussion of possible side effects, medication interactions, and psychiatric considerations.

Certification is based on clinical appropriateness and is not guaranteed.

Contact Us for Appointment Inquiries

What Is Pharmacogenetic (PGx) Testing?

Pharmacogenetic testing examines how certain genetic variations may influence the way your body processes or responds to medications. In psychiatry, this information can help guide medication selection and dosing when clinically appropriate.

  • ✓Simple DNA collection — typically involves a cheek swab or saliva sample.
  • ✓Personalized medication insights — identifies genetic variations that may affect how certain psychiatric medications are metabolized.
  • ✓Comprehensive testing with Genomind — we prefer Genomind for its detailed genetic reporting and breadth of information that can support individualized treatment planning.
  • ✓Already had genetic testing? — we’re happy to review existing results from GeneSight or other testing providers. Repeat testing may not be necessary.

Our Approach

At Mindful Beginnings, genetic testing is one piece of the puzzle. We consider your results alongside symptoms, medication history, overall health, and personal preferences to make thoughtful treatment decisions.

PGx testing cannot guarantee which medication will work best, but it may provide valuable information to help guide care.

What Is Transcranial Direct Current Stimulation (tDCS)?

Transcranial direct current stimulation (tDCS) is a noninvasive brain stimulation technique that uses a gentle electrical current to influence brain activity. Research suggests potential benefits for depression, although results vary and tDCS remains an emerging psychiatric treatment.

  • ✓Noninvasive approach — low-intensity electrical stimulation delivered through electrodes placed on the scalp, without anesthesia or surgery.
  • ✓Repeated sessions — treatment typically involves a series of sessions rather than a single appointment.
  • ✓Personalized treatment — suitability, safety, and treatment goals are evaluated before considering tDCS.
  • ✓Home-based potential — selected patients may be candidates for appropriately supervised home sessions.

Technology We Use

Mindful Beginnings uses the NeuroMyst Pro+, a portable tDCS device that allows repeated stimulation sessions using selected settings and electrode placements.

tDCS is not FDA-cleared for treating psychiatric disorders. It is not a replacement for established mental health treatments, and results are not guaranteed.

Adjunctive Therapies

Complementary modalities woven into your individualized treatment plan.

— FAQ

Frequently Asked Questions About Psychiatric Care

A psychiatric mental health nurse practitioner evaluates, diagnoses, and treats mental health conditions, including prescribing and managing psychiatric medications.

Yes. Psychiatric NPs in New York can prescribe medications for ADHD, anxiety, depression, and other conditions when clinically appropriate.

Mindful Beginnings is located in Victor, NY, serving Rochester and surrounding communities. Telehealth is available throughout New York State for eligible patients.

We discuss your symptoms, history, medications, and goals to develop a personalized treatment plan.

Yes. We offer psychiatric evaluations and medication management through telehealth for eligible patients in New York State.

We provide individualized care for anxiety, depression, ADHD, mood disorders, and other psychiatric concerns.

Please contact us for current insurance participation, self-pay options, and fees.

Use our contact or scheduling section to ask about availability.

— Insurance & Direct-Pay Options

Transparent care, no surprises.

Mindful Beginnings offers insurance and direct-pay options. Payment should never change how thoughtfully you're cared for — it simply gives you flexibility in how you access it. Contact us with questions about using your insurance.

For patients who prefer a simple monthly direct-pay membership, pricing is below. Your initial evaluation is included with every membership.

Insurance credentialing in progress
Basic
$99 / month

For established patients

  • ✓ Medication management
  • ✓ Minimal support needed
  • ✓ Stable, ongoing care
  • ✓ Initial evaluation included
Get Started
MOST POPULAR
Standard
$179 / month

For patients getting started

  • ✓ New medication initiation
  • ✓ More frequent support
  • ✓ Active medication adjustments
  • ✓ Initial evaluation included
Get Started
Enhanced
$249 / month

For comprehensive support

  • ✓ Medication management + therapy
  • ✓ More frequent visits
  • ✓ Life transitions support
  • ✓ Initial evaluation included
Get Started

** Initial evaluation included with all subscriptions. Contact us today to learn more about our subscription packages in detail.

— Fee-for-Service

Prefer to pay per visit?

For direct-pay patients who don't need an ongoing membership, we offer transparent per-visit pricing.

Initial Visit
$300

Comprehensive psychiatric evaluation, history, and personalized treatment plan.

Follow-Up Visit
$150

Ongoing medication management, check-ins, and collaborative care visits.

Laura J. Capuano, PMHNP
PMHNP-BC
— Founder & Clinical Director

Laura J. Capuano, PMHNP-BC

Founder & Clinical Director · Psychiatric Mental Health Nurse Practitioner

Laura founded Mindful Beginnings on a simple belief — that great psychiatric care should feel collaborative, unhurried, and deeply personal. With expertise spanning medication management, integrative psychiatry, and innovative therapies like neurofeedback and tDCS, she designs treatment plans around the whole person.

Over time, Laura grew concerned about the limitations of high-volume healthcare models. Oversized panels and brief appointments make it difficult to provide the thoughtful, individualized care people deserve — and difficult for clinicians to practice the way they intended to.

As Clinical Director, she is now building a multidisciplinary team around those same values: manageable panels, meaningful appointments, and administrative systems that support good clinical care rather than dictate it. Mindful Beginnings is larger than any one provider — it's a way of practicing that every clinician here shares.

— Join Our Team

We're building something different.

Not every practice is right for every patient — and the same is true for providers. Mindful Beginnings is for clinicians who want time to know their patients, autonomy in how they practice, collaboration without micromanagement, and growth without sacrificing why they entered healthcare.

01

Time to know your patients

Manageable panels and meaningful appointments — the way care was supposed to work.

02

Autonomy in how you practice

Your clinical judgment leads. Develop your own clinical interests and practice style.

03

Collaboration, not micromanagement

A collaborative environment being built for clinicians to think alongside one another- without micromanagement

04

Growth without the burnout

Grow your career without sacrificing why you entered healthcare in the first place.

We're Hiring

The autonomy of private practice — without having to build it alone.

Mindful Beginnings provides professional back-office support so you can focus on patient care and develop your own clinical interests. We handle the infrastructure — you practice the way you intended to.

✓Billing
✓Credentialing
✓Insurance
✓Administration
✓Operations
✓Growth

Interested in building something different with us? We're currently welcoming conversations with Psychiatric Nurse Practitioners who share our approach to care.

Start a Conversation
Join the Mindful Beginnings team
— The Story Behind the Name

Mindful Beginnings has a soundtrack.

Music has always been another way for our founder, Laura Capuano, to explore the human side of mental health — the parts that don't always fit neatly into a chart.

"Mindful Beginnings" was inspired by the same philosophy behind the practice: take your time, make space, and create care that feels human.

Listen to "Mindful Beginnings"
Written by Laura Capuano
Open in Spotify
— Visit Us

Our office in Victor, NY

Address
10 E Main St. STE 302
Victor, NY 14564
Office Hours
By appointment only

We honor your time with scheduled, unhurried visits.

Mindful Beginnings
Victor, NY
— Ready to Begin?

Care that feels
human starts here.

Reach out to learn more about our approach, insurance and direct-pay options, and what your first visit will look like.

— Visit Us

Begin your journey.

Reach out to learn more about our direct-care psychiatry model and what your first visit will look like.

Address

10 E Main St. STE 302
Victor, NY 14564

Email

info@mindfulbeginningspsych.com

Hours

By appointment only

Unhurried, scheduled visits that honor your time.

"Care that feels human."

© 2026 Laura Capuano Nurse Practitioner in Psychiatry PLLC

— Meet Your Provider

Laura J. Capuano

PSYCHIATRIC MENTAL HEALTH NP

Laura J. Capuano

Laura founded Mindful Beginnings on a simple belief — that great psychiatric care should feel collaborative, unhurried, and deeply personal.

Her direct-care model removes the barriers of insurance billing and short visits, allowing for the kind of attentive, values-led care that traditional systems make difficult to deliver.

mindful beginnings

Care that
feels
human.

Direct-care integrative psychiatry
in Victor, NY.

Accepting New Patients
— Welcome

A more human way to experience psychiatry.

In today's system, many psychiatric providers manage hundreds of active patients. Long waitlists and brief visits have become the norm — making care feel transactional.

We intentionally maintain smaller patient panels. By removing insurance billing and administrative burden, we offer longer visits, thoughtful follow-up, and timely access when you need it most.

— The Difference

Our Direct-Care Model

  • Intentionally smaller patient panels
  • Longer, unhurried visits
  • Timely access when you need it
  • Values & clinical excellence first
  • Collaborative, personalized partnership
  • No insurance codes driving decisions
Attentive
Present listening
Personal
Tailored to you
Collaborative
Built on trust
— Our Services

Integrative psychiatry, thoughtfully delivered.

Evidence-based and innovative therapies designed to treat the whole person.

Medication Management
Thoughtful prescribing & follow-up.
Integrative Psychiatry
Mind, body & lifestyle care.
Neurofeedback
Brain training for regulation & focus.
Audio Visual Entrainment
Sensory support for mood & sleep.
Medical Marijuana Cert.
Evaluation for qualifying conditions.
PGx Testing
DNA-guided medication matching.
tDCS
Gentle, non-invasive stimulation.
Adjunctive Therapies
Complementary modalities woven in.
Patient Testimonial

"For the first time, I felt like my provider actually knew me. This is what mental health care should be."

— Membership Pricing

Transparent care, no surprises.

Initial evaluation included with every membership.

Basic
$99/ mo
Established patients · stable, ongoing care.
Standard · Most Popular
$179/ mo
Getting started · active adjustments.
Enhanced
$249/ mo
Med management + therapy · frequent visits.
— Fee-for-Service
Initial Visit
Comprehensive evaluation
$300
Follow-Up
Ongoing visits
$150