Services
Medication management
for mental health.
My focus extends beyond symptom management to fostering a collaborative, supportive therapeutic relationship — a safe and non-judgmental space where individuals can openly express their concerns, and together, we work toward mental health resilience.
Nikki Ruoss, APRN, PMHNP-BCOwner and Founder of Thinking Therapeutics
About your provider
Nikki Ruoss,
APRN, PMHNP-BC.
Psychiatric Mental Health Nurse Practitioner in Mason, Ohio.
A psychiatric nurse practitioner with nearly two decades of nursing experience — and a deep commitment to the people I care for.
“I wanted to be back at the bedside.”
My journey in nursing began in the fast-paced environment of a Los Angeles emergency room, where I served as a clinical supervisor. After years of working to climb the career ladder in hospital administration, I realized I missed working directly with patients — and wanted to fill the gap I saw in psychiatric care.
That realization prompted me to pursue a career as a Psychiatric Mental Health Nurse Practitioner. Nursing has provided me with a unique life-learning environment, and I am deeply committed to the nursing process and caring theory.
My goal is to provide personalized, evidence-based treatments that prioritize each patient's unique needs — and to actively contribute to reducing the stigma of mental illness. Creating meaningful, therapeutic relationships with patients is at the core of my practice.
Conditions I treat
Care for the full picture.
- Anxiety Disorders
- OCD
- PTSD
- Depression
- Bipolar 1 and 2
- ADHD
- Schizophrenia
- Mood & sleep
What I offer
Medication Management
Thoughtful, evidence-based medication management for psychiatric illness and mental wellness — including long-acting injectables when appropriate. Care is personalized to your history, goals, and response.
Accepts Cigna/Evernorth, Optum/UnitedHealthcare, Aetna, Humana, and more for psychiatric evaluations and medication management.
Spravato® (Esketamine Nasal Spray)
Thinking Therapeutics is a REMS-certified Spravato® treatment center.
Spravato® is an FDA-approved nasal spray for adults with treatment-resistant depression, administered in our calm, comfortable in-office suite under monitored care.
For Healthcare Providers
Refer a patient for medication management, Spravato®, or addiction psychiatry. Collaborative communication and timely appointments are a priority.
Refer a PatientAddiction Psychiatry & MAT Treatment
Medication-Assisted Treatment for opioid use disorder, including Sublocade® and Brixadi® extended-release injections, paired with ongoing support for sustained recovery.
Outside the office
Roots in California,
home in Ohio.
I was born in Cincinnati but lived most of my life in California. I'm excited to be back in Ohio and reconnect with my family. I live with my husband and two dogs, and enjoy a more rural lifestyle — vegetable gardening and watching the bald eagles near my home.
I have five children who live all over the world — North Carolina, Colorado, California, and Australia.
Our Spravato Suite
A calm, private space designed for healing.
Spravato sessions take place in our dedicated treatment room — comfortable recliners, soft blankets, and a quiet environment where you can relax through the monitored two-hour observation period.
Our Lounge
Warmth and comfort from the moment you arrive.
Our patient lounge is intentionally designed to feel less like a clinic and more like a place to exhale — a quiet, welcoming setting where you can settle in before or after care.
What working together looks like.
Care begins with an in-depth conversation. I take time to understand your history, your goals, and the context of your life — then we build a treatment plan together.
I believe that mental well-being is a fundamental aspect of overall health. Through empathy and commitment, my goal is to contribute positively to the mental health landscape — to inspire hope, facilitate healing, and enhance quality of life.