Psychiatric Services, LLC

Psychiatric Services, LLC Medication management and psychotherapy for mental health disorders

As a certified nurse practitioner (CNP), Brenda Johnson is board certified by the American Nurses Credentialing Center as an Adult Psychiatric and Mental Health Nurse Practitioner. This certification allows Brenda to diagnose and treat mental illnesses with medication and/or psychotherapy. Her practice provides a nursing philosophy emphasis, shared decision making, and collaboration with other health practitioners. Brenda is licensed by the South Dakota Board of Nursing and the South Dakota Board of Medical & Osteopathic Examiners.

10/24/2025

What a gift. ✨

10/24/2025
10/24/2025

Who you surround yourself with can be just as healing as what you eat or how you move.

The people in your life have the power to regulate - or dysregulate - your nervous system. When you’re around those who bring calm, encouragement, and authenticity, your body feels safe enough to rest, repair, and rebalance.

But constant exposure to stress or negativity keeps your system stuck in survival mode, no matter how clean your diet or how dialed in your supplements are.

Healing isn’t just about protocols, it’s about connection. The right people don’t just lift your mood; they help your biology remember what safety feels like 💙

10/11/2025

Today is World Mental Health Day.

It’s more than a date on the calendar,
it’s a reminder of the battles people fight silently every day.

• Anxiety that feels like a heavy chest.
• Depression that makes it hard to get up.
• PTSD that replays memories you never asked for.
• OCD that won’t stop whispering.
• ADHD that makes your brain feel like it never slows.
• Eating disorders that distort the mirror.
• Postpartum struggles no one warned you about.
• Bipolar disorder, borderline personality disorder, schizophrenia, and so many others that are real, valid, and often misunderstood.

Mental health is not “just in your head.”
It’s real.
It’s heavy.
And it deserves compassion, not stigma.

If you’re struggling, you are not broken.
If you’re healing, you are not weak.
If you’re surviving, you are stronger than you know.

Today and every day,
Let’s talk about it.
Let’s listen without judgment.
Let’s remember: mental health is health.

You matter.
Your story matters.
Your healing matters.

©️Caty Sanders

10/04/2025
10/04/2025
10/04/2025

✌️❤️🫂🌎

10/04/2025

When faced with hatred, choose compassion. When confronted with anger, respond with kindness. When misunderstood, seek understanding.

Love those who:

- Despise you
- Misunderstand you
- Harm you

Do good to those who:

- Hate you
- Slander you
- Betray you

This radical love has the power to:

- Disarm hostility
- Heal wounds
- Transform relationships

As it is said, "Love your enemies, do good to those who hate you" (Luke 6:27). By choosing love and kindness, we can rise above negativity and create a profound impact on those around us."

~ 𝓙𝓸𝓾𝓻𝓷𝓮𝔂 𝓸𝓯 𝓛𝓲𝓯𝓮

10/04/2025

You Deserve Peace Without Earning It

10/04/2025

It’s a paradox, but promoting physical activity, especially high to low intensity activity, helps to calm restless boys by altering their biochemistry. It isn’t about tiring them out, but rather about providing opportunities for them to balance out the chemical milieu of their minds.

Science tells us that for boys, because of their biological makeup, sitting still is just not an easy proposition. All children need to move, and movement is integral to all aspects of development, but this is especially true when testosterone is meandering through little minds and bodies.

Most boys regularly appear to be in a state of perpetual motion and some much more so than others. Even when they are looking at books or reading you can see boys tapping their feet or fidgeting in some fashion. Although each child differs from one another, it’s been shown that when looking at both boys and girls, boys are generally more adept at learning spatially, and they also have shorter attention spans.

There are multiple factors that contribute to the differences and to the endless energy and movement. There are two important chemicals that help us to understand why movement is not only more pronounced in boys than in girls, but is also so very important for their overall development. The first is testosterone and the second is serotonin.

In terms of boyhood, there have been many studies linking testosterone to inattentiveness, impulsivity, physicality and movement. Testosterone is the reason why boys find ‘things’ more interesting than people and why they engage in exploratory and rough and tumble play. In males the amygdala is not only larger than in females but is also rich in testosterone. In simpler terms this means that the interplay of increased levels of testosterone in a larger amygdala is one of the reasons why young boys are far more inclined to engage in playfully aggressive or rough behaviours.

Meanwhile, serotonin is a neurotransmitter that is not processed as well in the brains of boys. Neurotransmitters are chemicals secreted at the synapses of a neuron that allow neurons to ‘talk’ to one another, and serotonin is linked primarily with processing emotions and acting as a calming mechanism.

For those who raise and work with children, it is important to remember that both boys and girls have serotonin, however, for boys their level of this important chemical is often impacted by testosterone and other chemicals. In practical terms this often results in boys having lower levels of serotonin from time to time resulting in a greater predisposition to fidget and act impulsively. Therefore, asking a fidgeting boy to stop squirming or to sit still might be as successful as asking that same boy to hiccup on demand; when the uptake of serotonin in the brain is low, then fidgeting is often a common occurrence.

So it is physiologically important to allow boys opportunities to move around and engage in physical activity when they appear restless— and this is great advice for boys and girls alike. Remember that the state of play is a child’s natural habitat, and so it makes sense to bring learning to them whenever possible, rather than vice versa.

Reference:
https://www.firstfiveyears.org.au/.../why-boys-wrestle...

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EDITS NOTE:
Thank you to everyone who shared your insights on this post. It’s clear this is a rich topic. ❤

We'd like to clarify that movement definitely benefits both girls and boys alike. If you also want to read further about how movement produced improvements in language learning, attention, working memory, and some measures of academic achievement improves motor skills, cognition, and academic outcomes for both girls and boys. Here are a few more studies to read about:

https://www.mdpi.com/2071-1050/15/8/6616
https://www.mdpi.com/2076-3425/14/2/121
https://onlinelibrary.wiley.com/doi/10.1155/2017/2760716
https://www.frontiersin.org/journals/pediatrics/articles/10.3389/fped.2022.841582/full

You can also read our blog post about movement and its cognitive benefits here: https://neuro.now/lived_experience/cognitive-benefits-of-physical-activity/

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