9 Questions with Carol Milliken, Co-Founder of Mae Mental Wellness
Carol Milliken, 2nd from left, with her fellow Florida Emergency Nurses Association members in Washington DC.
We asked Carol Milliken, co-founder of Mae Mental Wellness, nine questions to give new and prospective patients a closer look at her approach to mental health care. A Doctor of Nursing Practice and board-certified psychiatric mental health nurse practitioner, Carol brings deep expertise in trauma therapy, emergency care, and quality improvement. At Mae Mental Wellness—a telepsychiatry practice serving FL, CO, MT, and NH—she works collaboratively with patients to create personalized, evidence-based treatment plans.
1. Your background combines emergency, critical care, and psychiatric mental health. How have these experiences shaped your approach to mental wellness?
My background in emergency, critical care, and psychiatric mental health has given me a unique, holistic perspective on mental wellness. In emergency and critical care settings, I saw firsthand how acute physical crises are often intertwined with underlying psychological stressors, whether it's anxiety, trauma, or substance use. This taught me the importance of rapid assessment, staying calm under pressure, and addressing both physical and emotional needs simultaneously.
Transitioning into psychiatric mental health, I was able to deepen my understanding of the long-term impact of these stressors and how early intervention, empathy, and evidence-based treatment can dramatically improve outcomes. These combined experiences have shaped my approach to mental wellness as one that is both compassionate and comprehensive, recognizing the mind-body connection, advocating for proactive mental health care, and tailoring support to meet people where they are, whether they’re in crisis or in recovery.
2. Mae Mental Wellness emphasizes collaborative care. What does that collaboration look like between you and your patients?
At Mae Mental Wellness, collaboration means building a true partnership with my patients, one grounded in trust, respect, and shared decision-making. Rather than taking a top-down approach, I work closely with each individual to understand their unique story, goals, and challenges. We co-create a care plan that aligns with their values, whether that involves medication management, therapy referrals, lifestyle changes, or a combination.
Collaboration also means ongoing dialogue. I encourage open communication, welcome feedback, and make adjustments as needed, because mental wellness is a journey, not a one-size-fits-all solution. Ultimately, I see myself not just as a provider, but as an ally—supporting my patients in taking ownership of their mental health and empowering them to thrive.
3. You're a certified Lean Six Sigma Black Belt, which is not commonly associated with mental health. How do you integrate quality improvement methodologies into patient care?
Being a certified Lean Six Sigma Black Belt gives me a unique lens for approaching mental health care. While it’s traditionally associated with manufacturing or business, the core principles (reducing waste, improving efficiency, and enhancing quality) are highly relevant in clinical settings. I apply these methodologies to streamline workflows, reduce barriers to care, and ensure that every aspect of the patient experience adds value.
For example, I rely on data-driven decision-making to monitor treatment outcomes and make evidence-based adjustments. I also use Lean principles to create systems that support more consistent, patient-centered care, so my patients not only feel heard, but also experience smoother, more responsive support throughout their wellness journey.
4. With licenses in four states, how do you adapt your approach to meet the diverse needs of different populations and communities?
Holding a psychiatric nurse practitioner license in four states has allowed me to work with a wide range of populations, each with its own cultural, socioeconomic, and geographic considerations. This experience has taught me to approach care with cultural humility and flexibility, recognizing that mental health needs and perceptions can vary greatly between communities.
I adapt my approach by first listening deeply and seeking to understand the unique context of each patient—whether that means being mindful of rural access issues, navigating cultural beliefs around mental health, or adjusting communication styles to meet individual preferences. I also stay informed about local resources and regulations in each state to ensure my care is both relevant and effective.
Ultimately, this multi-state practice has strengthened my ability to deliver personalized, inclusive care that respects each patient’s background while maintaining consistent clinical excellence.
5. What are some of the most common misconceptions you encounter around psychiatric care or mental wellness in general?
One of the most common misconceptions I encounter is the belief that seeking psychiatric care means something is “wrong” with you or that you’re weak. In reality, mental wellness is a critical part of overall health, and seeking help is a sign of strength and self-awareness. Just like we manage physical health proactively, the same should apply to our mental well-being.
Another misconception is that psychiatric care is only about medication. While medication can be an important tool, effective care is holistic, it includes therapy, lifestyle changes, education, and strong support systems. My approach always involves collaborating with patients to find the most balanced and personalized path to their mental wellness.
There’s also a misunderstanding that psychiatric diagnoses define a person. I always remind patients that a diagnosis is just a tool; it doesn’t capture their full identity or potential. My goal is to help people feel empowered, not labeled.
6. What inspired you to co-found Mae Mental Wellness, and how does your personal mission align with the company’s vision?
Co-founding Mae Mental Wellness was driven by a deep desire to close the gap between what mental health care is and what it should be. After years of working in high-acuity settings (emergency departments and critical care) I saw too many individuals falling through the cracks due to fragmented systems, stigma, and a lack of truly personalized support.
My personal mission has always been to deliver care that’s not only clinically sound but also deeply human; where people feel seen, heard, and supported throughout their journey. Mae Mental Wellness was born out of that same belief; that mental health care should be collaborative, inclusive, and empowering.
Our vision is to redefine the patient experience; making mental wellness accessible, compassionate, and rooted in evidence-based care. For me, Mae Mental Wellness is more than a mental health practice, it’s a commitment to changing how we show up for people when they need it most.
7. The mental health space is evolving quickly. What innovations or shifts in care delivery excite you the most right now?
Efforts are underway in our country and many others to make mental health services more accessible and affordable, including expanding insurance coverage, increasing the availability of low-cost or free services, and leveraging technology to reach underserved populations. These innovations signify a shift towards more personalized, accessible, and holistic mental health care. Embracing these changes can lead to improved outcomes and a more responsive mental health system that meets the diverse needs of individuals and communities.
8. How do you maintain your own mental wellness while leading a practice and supporting others through complex challenges?
Maintaining my own mental wellness is essential, not just for my well-being, but so I can show up fully for my patients and my team. Being a leader in a practice and supporting others through complex emotional challenges can be deeply fulfilling, but also demanding. I’ve learned that sustainability requires intention.
I prioritize boundaries, making space for rest and reflection outside of clinical hours. I also engage in my own self-care routines such as eating a healthy diet, walking, mindfulness, and dedicated time with family and friends. These aren’t luxuries; they’re non-negotiables that help me stay centered.
Equally important is cultivating a supportive professional environment. At Mae Mental Wellness, we emphasize peer connection, open dialogue, and shared leadership. I remind myself often of how our collaborative efforts are part of how each of our team is able to care for their mental wellness. Just as I encourage my patients to invest in their wellness, I hold myself to that same standard.
9. For someone hesitant about seeking mental health care, what would you want them to know about the experience at Mae?
I would let them know that feeling hesitant about seeking mental health care is completely understandable and that they are not alone. At Mae Mental Wellness, our goal is to make that first step feel less overwhelming and more like an act of self-respect than anything else.
At Mae Mental Wellness, we’ve created a space that’s welcoming, nonjudgmental, and deeply collaborative. They won’t be rushed or labeled. Instead, we’ll take time to get to know them and their unique story, needs, and goals. The care and treatment at Mae Mental Wellness isn’t about fitting into a system; it’s about creating a plan that fits their life; one that may include talk therapy, medication, mindfulness strategies, or simply helping them sort through what you're feeling.
I would also let them know that we are here to walk alongside them; that they don’t have to have everything figured out to get started. Just taking that first step is powerful, and that we will meet them with compassion, clarity, and support.
Ready to take the next step in your mental health journey?
To book an appointment at Mae Mental Wellness, you can fill outthis form or call (561) 231-0233. Learn more aboutservices we offer and which insurance we accept.
