Christine J. Karell

Psychiatric-Mental Health Advanced Practice Registered Nurse (NE)

815 Flack Ave City of Alliance, NE 69301 US

About Me

Please contact the office 308-762-2723 if you would like to schedule an appointment.

My therapeutic approach can best be described as eclectic, as I tailor treatment according to the needs and issues presented by each individual. My philosophy encourages the patient to have an active role in their treatment. My primary focus is medication management. During our initial hour-long visit, I assess for mental illness, determine if medications are appropriate, and prescribe them after discussing all risks and benefits for your situation. I see medication management as a partnership and need accurate feedback about how the medications are working to maximize your improvement. It is my belief we all have the right and the ability to heal, grow, and have a healthy, happy life. It will be extremely important to a successful experience to have your participation and best efforts along with mine. I also use pharmacogenomic testing to take advantage of some of the newest advances in genetic science to provide customized medication treatment options.

 With the exception of the first session, a typical session is 15 minutes. The number and frequency of sessions depends on each individual and their response to medications. We will discuss progress toward your goals on a regular basis. You have right to terminate treatment at any time and also the right to ask for a second opinion from another medical provider.

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I have been a nurse since 1999. I worked in a critical access hospital in the Emergency Room and ICU. I helped develop their behavioral health emergency response program. I continue to work on the team to assess people in mental health crisis in the ER. I also worked as a community support worker. I started as a psychiatric nurse practitioner in 2003. I provide outpatient psychiatric services for all ages and diagnoses.


I earned a Masters (2003) and a Bachelors Degree (1999) of Science in Nursing from the University of Nebraska Medical Center. I am an Advanced Practice Registered Nurse specializing in psychiatry. I am Board Certified as a Family Psychiatric and Mental Health Nurse Practitioner. I belong to professional organizations and attend continuing education workshops yearly.

Services Offered

Session Type / Rate / Duration

  • Diagnostic-new patient / $250 / 60 Minutes
  • Medication management / $95 / 15 Minutes