Nefretiri Abat
She / Her · J.D., PMHNP-BC, R.N., BSNI help highly-ambitious people stop being held back by the beliefs ADHD, anxiety, and depression have built around them.
We don’t start with what’s wrong with you. We start with what happened to you. Twenty years on the inpatient floor taught me that’s the only place real change begins.
inpatient hospital floor
Why my care looks different.
My care is harm-reduction, trauma-informed, and unapologetically non-judgmental. Practically, that means we don’t start with what’s wrong with you. We start with what happened to you — and we keep going until we find the beliefs that have been doing the holding.
Twenty years inside inpatient hospitals taught me what most providers never get the time to see: people get medicated faster than they get heard. Treatment plans built on diagnosis codes instead of life stories. I built Exxceed Wellness around the conversation that should have happened years ago.
Care matched to your problem — not a one-size protocol.
Every patient walks in with a different shape of struggle. Treatment plans should reflect that.
ADHD — Therapy for the Highly-Ambitious Individual
You don’t need to be told you’re “smart, you just need to focus.” I work with adults, adolescents, and children whose ADHD has been called everything except what it actually is — a neurodivergent operating system that needs to be honored, not punished.
- Same-day appointments often available
- Telepsychiatry · all ages, statewide California
- Medication management with active stimulant-shortage pharmacy support
- Comprehensive ADHD assessment
Depression & Anxiety
Including treatment-resistant cases. When the standard medications haven’t worked, we have advanced options — Spravato (esketamine) and TMS therapy — alongside the conversation that should have happened years ago.
Spravato & TMSOCD & Substance Use
Harm-reduction model with dual-diagnosis expertise. We treat the whole picture — because the OCD and the substance use are usually telling the same story from two different angles.
Get in touchTelehealth Statewide California
Secure, HIPAA-compliant platform. Same-day availability for established patients. From Eureka to El Centro — wherever you live in California, the appointment is on your schedule.
Book telehealthAdvanced In-Office Treatments
Sunnyvale · Hayward · Stockton. Spravato in-office under REMS protocol. TMS therapy by appointment. The newest tools, delivered with the oldest commitment — sit with the person in front of you.
TMS therapyCare that starts with who you are, not what’s wrong with you.
Harm reduction first. I meet patients where they are, not where the system expects them to be. That isn’t softness — it’s the only honest starting point for change. Real progress begins when we stop pretending the patient should already be somewhere else.
Trauma-informed by design. Every diagnosis exists inside a life history. I read both. The DSM tells me what symptoms look like; you tell me what they cost you. The treatment plan is built on the second conversation.
Non-judgmental, always. The care I render is always client-centered and non-judgmental. That isn’t a marketing line — it’s the operating principle of every session, especially the hard ones.
I believe in the power of influence. Showing up on YouTube, Instagram, Pinterest, Facebook, and LinkedIn isn’t a side project — it’s the same work as the clinic, in a different room. I never underestimate the influence I have on others. — Nefretiri Abat
Twenty years of training, two degrees that don’t usually meet.
For the patient who needs to verify before they can trust. Read in any order — but start with the J.D.
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Bachelor of Science in Nursing
University of Santo Tomas, Manila — one of the oldest existing universities in Asia, founded 1611.
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Juris Doctor — and Almost Three Years Practicing Law
J.D. from University of Santo Tomas Faculty of Civil Law, followed by nearly three years of active legal practice in the Philippines (2002–2004).
The law degree isn’t decorative. I practiced — argued, interrogated, drafted, advocated — for almost three years before I returned to the bedside. That training taught me to read systems, scrutinize what’s written, and notice what isn’t. I bring the same rigor to every treatment plan. -
Medical Inpatient Hospital Nursing
The return to nursing — full-time, as a career. Thirteen years on inpatient medical floors learning how the body breaks down, how families show up under pressure, and how the diagnosis is almost never the whole story.
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Specialized Into Psychiatric Nursing
Inpatient psychiatric care across adolescent, acute adult, geriatric med-psych, and psychiatric intensive care units. The work that became Exxceed Wellness started here.
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MSN, Psychiatric Mental Health Nurse Practitioner
Master of Science in Nursing — PMHNP track. Licensed to diagnose, prescribe, and provide psychotherapy in California.
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PMHNP-BC
American Nurses Credentialing Center board certification — Psychiatric Mental Health Nurse Practitioner across the lifespan.
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California Nurse Practitioner License #95024411
Active. Authorized to evaluate, diagnose, treat, and prescribe across all 58 California counties via telehealth.
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Spravato® REMS Certified
Trained and certified under the Risk Evaluation and Mitigation Strategy program for esketamine treatment of treatment-resistant depression.
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TMS Clinical Training
Trained in Transcranial Magnetic Stimulation — non-invasive depression treatment for patients who haven’t responded to antidepressants.
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Founded Exxceed Wellness
Bay Area, California. Three locations: Sunnyvale, Hayward, Stockton. Telehealth statewide. Same mission: care that meets the whole person.
You don’t have to figure this out alone.
Whether you’re newly seeking support or you’ve been searching for the right provider for years — a same-day appointment may be available. Let’s start with a conversation.
PMB 4044
Sunnyvale, CA 94086 (408) 290-9440 Hayward 21297 Foothill Blvd
Ste. 203
Hayward, CA 94541 (510) 255-1544 Stockton 4750 Quail Lakes Dr
Stockton, CA 95207 (415) 636-9700