Michael Tremko Verified Provider

Michael Tremko, PMHNP-BC is a psychiatric mental health nurse practitioner providing psychiatric care in Salem, Oregon through Mid Valley Counseling.

He treats anxiety, depression, mood swings, insomnia, PTSD, ADHD and related conditions in clients ages 6 and older, using a blend of medication management, neurofeedback, nutritional support and talk therapy.

Michael’s mission is to look beneath the surface of psychiatric symptoms, identifying medical, nutritional or lifestyle contributors before settling on a treatment plan.

Whole-Person Psychiatric Care

Michael provides holistic psychiatric evaluation and medication management informed by his years as a psychiatric RN before becoming a nurse practitioner.

He carefully reviews risks, benefits and alternatives with each client, supporting those who want medication, want to continue an existing regimen or prefer to explore medication-free options first.

Intake often includes lab-based screening to rule out medical or nutritional contributors such as vitamin and mineral deficiencies.

From there, Michael may incorporate CBT, interpersonal or solution-focused approaches, nutritional counseling and stress reduction tools tailored to each client’s goals.

Neurofeedback and Biofeedback Support

For clients seeking lower-impact options, Michael offers neurofeedback and biofeedback to support relaxation, focus and nervous system regulation.

These tools can complement medication or stand alone and are often used to address ADHD-related concerns, anxiety and stress reactivity through breathing-based and brain-based techniques.