🧑‍⚕️ Amanda Mackanos, PMHNP-BC

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Licensed in: Hawaii & Oregon
Accepting New Patients In Hawaii & Oregon

Specialties: Psychiatry, Medication Management & Online Therapy in Hawaii & Oregon 

Amanda Mackanos is a board-certified psychiatric nurse practitioner offering telehealth psychiatric care to individuals and families in Hawaii and Oregon. She is currently accepting new patients for medication management and supportive psychiatric services.

Amanda began her career as a behavioral crisis nurse in a Level 2 trauma hospital before transitioning into inpatient psychiatry. She has worked with children, adolescents, and adults across clinical and correctional settings—building a broad, trauma-informed foundation for personalized care.

Amanda’s care philosophy emphasizes trauma-informed, strengths-based support. Her focus areas include:

• Medication management when needed
   
• ADHD support for teens and adults
   
• Anxiety, depression, and PTSD
   
• Lifestyle-based psychiatric interventions
   
• Supportive therapy and boundary work
   

She prioritizes helping patients feel heard and empowered, especially those who have felt dismissed in traditional psychiatric systems.

Amanda provides telehealth psychiatric services for:

• Psychiatric evaluations and medication management
   
• Supportive, trauma-informed care across the lifespan
   
• ADHD-informed psychiatric support
   
• Compassionate telehealth for rural communities in Hawaii and Oregon
   

She is passionate about making mental health care more accessible—offering care within days, not months for patients who need it most.

Amanda lives with her large family and a variety of rescued animals, including horses and dogs. She is especially dedicated to rehabilitating horses rescued from auction, providing them with foundational training and safety. She often fosters pregnant or behaviorally challenged dogs, giving them a stable environment for recovery and adoption.

• Telehealth Psychiatry Across Hawaii
   
• ADHD Testing & Medication Support
   
• Psychiatrist in Portland — Online Appointments
   
• Medication Management for Teens & Adults