OUR APPROACH

Too often, mood disorders are treated with a “one-size-fits-all” model. We take a different path: we listen for the subtleties. Whether you're navigating cycles of agitation and fatigue, mood crashes that don't quite meet criteria, or meds that seem to make things worse before better—we work with you to create a treatment plan that fits your lived experience.

We specialize in recognizing patterns others might miss—like mixed depression, atypical presentations, and executive dysfunction that doesn't fit neatly into diagnostic boxes. Our goal isn't just symptom relief—it's helping you feel like yourself again, with clarity, energy, and stability that lasts.

  • When standard antidepressants aren’t enough, we dig deeper. We specialize in uncovering overlooked mood patterns—such as subtle bipolarity or mixed features—that may be driving persistent symptoms. Our treatment plans are thoughtful, evidence-informed, and adaptive, with a focus on restoring function and hope.

  • Mood disorders rarely follow textbook patterns. At Colorado Mood Center, we specialize in recognizing the full range of mood presentations—including mixed states, mood instability, and atypical features that often go undiagnosed. We take time to understand each individual’s unique history and response patterns to guide more effective, personalized treatment—especially in cases that haven’t responded to standard care.

  • We look beyond surface-level symptoms to understand the full picture. Our approach carefully distinguishes ADHD from other causes of inattention—like mood instability, trauma, or anxiety—ensuring accurate diagnosis and treatment. We tailor interventions to fit each person’s needs, whether that includes medication, behavioral strategies, or addressing coexisting conditions.

  • We don’t treat anxiety as a one-size-fits-all condition. Whether it stems from a biologic sensitivity, trauma history, or mood dysregulation, we work to understand what’s behind the anxiety. Our treatment plans may include targeted medication, lifestyle support, and collaboration with therapists to help patients regain calm and control.

  • We accept most major insurance plans, including Blue Cross Blue Shield, Aetna, Cigna, and more. Contact us or view our Headway scheduling site to find out if we accept your insurance plan.

  • Ready to get started? Schedule an appointment online or contact us to learn more about our services.

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Our Team

Josh Raufman, PMHNP-BC

Josh Raufman is a board-certified psychiatric mental health nurse practitioner with over a decade of clinical experience across outpatient psychiatry, correctional mental health, and academic medicine. He specializes in the treatment of complex mood disorders, with a particular clinical and research interest in mixed depression, emotional dysregulation, and treatment-resistant presentations.

Josh draws from psychopharmacology, patient-centered psychoeducation, and collaborative care models to create individualized treatment plans that reflect both the science and the nuance of psychiatric care. He works with adults across the diagnostic spectrum but has developed a strong reputation for helping patients who haven’t felt well on standard antidepressants.

In addition to his clinical practice, Josh serves as a senior clinical instructor at the University of Colorado School of Medicine, where he mentors medical students in psychiatric settings, including correctional facilities. His teaching emphasizes curiosity, diagnostic precision, and compassionate care.

Areas of Expertise

  • Complex and treatment-resistant depression

  • Bipolar spectrum and mixed mood states

  • ADHD and emotional dysregulation

  • Collaborative medication management

  • Psychiatric care in correctional and underserved settings

Credentials / Education

  • MSN, Psychiatric Mental Health Nurse Practitioner – Columbia University

  • Board Certification – ANCC, PMHNP-BC

  • BA, Hispanic Linguistics– Middlebury College

Approach to Care

Josh believes psychiatric treatment is most effective when it’s collaborative, transparent, and attuned to the patient’s lived experience. His approach emphasizes clarity in diagnosis, practical treatment strategies, and honest conversation about what is — and isn’t — working.

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