Jan Hamilton , MS, PMHNP, 
Psychiatric Nurse Practitioner

Doorways LLC.

 1825 E. Northern Ave. 

Suite 200

Phoenix, AZ 85020


(602) 997-2880  


A Note from Jan
Founder of Doorways 

I read a startling article recently that stated "It is now just as likely for middle school students to die from suicide as from traffic accidents."  

Suicide is just the tip of a broader iceberg of emotional trouble, experts warn. One recent study of 
millions of injuries in American emergency departments found that rates of self-harm, including cutting,  had more than tripled among 10- to 14-year- olds. 

"This is particularly concerning as this type of injury  often heralds suicidal behavior," the researchers wrote.

For many parents, it is difficult to understand why an adolescent who has their whole life in front of them, would consider ending it prematurely through suicide. 

Compared to the stress and pressures of adulthood, teenage problems may seem small and unimportant to us.  Things like not fitting in at school, being bullied, and losing friends and first loves are just a normal part of growing up to most adults but to many adolescents, these events can cause deep despair.

Suicide is a serious issue for teenagers.  A survey of high school students showed that more than half of them had thought about suicide and almost 10% admitted to trying it at least once.  

No matter how well-adjusted you think your teen is, it is important to know the warning signs and when to intervene to keep your child safe.  Here are some things to look for:
  • Drastic changes in personality, appearance, sleep habits, or appetite.
  • Relationship drama with a girlfriend/boyfriend.
  • Withdrawing from friends, social groups, and activities.
  • Unexplained drop in grades.
  • Participating in rebellious and/or dangerous behavior
  • Running away from home or giving away personal items that are important to them.
  • Substance abuse.
  • Writing, drawing or talking about death and suicide.
  • Previous suicide attempts
The most important thing parents can do is talk to their children and listen when their children talk to them.  Many teenagers who contemplate suicide feel like no one understands them or cares about them.  

If you have concerns about suicide and think there is a possibility of your child being a danger to themselves, don't wait.  Find a mental health professional to assess your child today.  At Doorways, we always provide a free consultation to parents who are seeking help for the first time.

If you would like to know more about this topic, or would like to speak to one of our providers, don't hesitate to give us a call at 602-997-2880. 


Jan Hamilton, MS, PMHNP-BC
Psychiatric Nurse Practitioner
Doorways, LLC
1825 E. Northern Ave., Ste. 200
Phoenix, AZ  85020



We want to wish you a Happy Thanksgiving full of joy and happiness with your family and friends. 


Thank you for trusting us to open the doors of hope and healing for the you and the ones you love. 


Jan Hamilton and the team at Doorways



Doorways Welcomes New Staff!!
  Rachael Grantham, Psy.D.

Rachael earned her doctorate degree in clinical psychology from Midwestern University. She has worked for the past 5 years in a variety of settings, both at inpatient and outpatient levels of care, treating children, adolescents and their families. 
Rachael has a passion for supporting adolescents through difficult transitions in order to live a more fulfilling life aligned with their passions and values. 
She utilizes a combination of solution-focused, acceptance commitment, and cognitive behavioral therapy to help individuals with depressed or anxious mood, traumatic experiences, eating disorders, and parent-child relational issues. 
Fred Miller, Masters Student

Fred is currently in a graduate program for Human and Family Development at Arizona State University and will be starting his Clinical Behavioral Health Counseling program with Northern Arizona University in the Spring. He moved to Phoenix from Tucson in 2015 to escape the heat.

Passionate about helping people, Fred has taken his abundance of personality and spirit from IT management, emergency medicine and finally to higher education with all three Arizona universities.

When he isn't working with students, doing schoolwork, playing with the newest gadgets or attempting to curb the endless energy of his three dogs, 

Fred works with the OCD/Social Anxiety Intensive Outpatient Program at Doorways. 
Now Hiring!
We are recruiting for the following positions. Please help spread the word! 

Calendar of Events
Open Groups at Doorways

Adolescent Eating Disorders IOP for ages 13-18

This ED IOP is 3 days per week, a total of 10 hours per week.  Open enrollment, join any time.

OCD/Anxiety Disorders IOP for ages 13-17

For those adolescents who suffer with the effects of OCD and severe anxiety in their lives, this IOP will be of great benefit towards overcoming their symptoms. Find out more.

DBT Skills IOP for ages 13-17

The DBT Skills IOP program gives adolescents the tools they need to have successful relationships and boundaries. DBT is a highly interactive skills-based group program. It's not a program where you just sit. Find out more.

If you know anyone who may benefit from any of our IOP programs, please don't hesitate to give us a call at 602.997.2880.

We are also contracted with Aetna, Blue Cross Blue Shield, Cigna, and United Behavioral Healthcare for our IOP's. 

Seasonal Changes and the Impact on Teen Mental Health

Have you noticed that your teen seems to have ups and downs? Or maybe loses concentration in school? Has become less social? More tired? Then about the time you are concerned, all these symptoms seem to go away? However, about the same time next year, you notice these same things occurring?

This form of depression is known as Seasonal Affective Disorder (SAD). Why does this happen and what can we do about it?    Read more  
Raising Thankful Teenagers
The month of November is all about gratitude and being thankful for all the wonderful blessings in our lives. But when it comes to our teenagers, we may feel as if they missed the memo about this attitude of gratitude. I

f you find yourself wondering why your teen seems to be unable to see the blessings in their lives, these tips can help you open them up to a more grateful point of view.

Strategies for Dealing with an Eating Disorder During the Holidays

 The holiday season can be difficult for everyone.  There is so much going on, so many things to do, and so much stress it is a wonder any of us look forward to this time of year at all.  But if you are dealing with an eating disorder, this time of year can be even tougher.  

Here are some strategies you can use to maintain control and make it though the holiday season without having a meltdown.