When medications don’t work, you need more than a prescription—you need a provider who truly sees you.
At Axis Integrated Mental Health, that provider is Heather Markham, PMHNP—a board-certified psychiatric nurse practitioner specializing in complex cases like treatment-resistant depression.
Heather’s journey into psychiatry began far from the therapy office.
She started her career in:
Emergency rooms
Cardiac units
Infectious disease and case management
But no matter the setting, one truth kept showing up:
“Every patient had unmet mental health needs. We just weren’t treating them.”
That realization led Heather to pivot. While earning her Master’s from the University of Colorado, she completed clinical training in:
Emergency Psychiatry at UCH
The Functional Neurologic Disorder Clinic
Telehealth for Alaska Native populations
Inpatient and outpatient treatment for bipolar, psychosis, and trauma
Heather connects the dots between body, mind, and environment. She doesn’t treat diagnoses in isolation.
“Mental health isn’t a silo—it’s part of everything.”
Heather is evidence-based—but not blindly. She questions studies that exclude those most in need:
“If your research leaves out people with bipolar, psychosis, or addiction—that’s not science. That’s system failure.”
Sleep, nutrition, and movement aren’t afterthoughts—they’re part of the plan. Heather helps patients build practical routines to support long-term recovery.
Heather doesn’t just treat symptoms—she builds resilience. Her personal toolkit includes:
Daily endurance training (yes, she races in triathlons!)
“Permission to Feel” tools for emotional awareness
Audible & Boundless for continuous growth
Harp music and humor as healing tools
Her go-to mantra: “I can do hard things.”
Heather specializes in integrated care for:
Depression and anxiety
Treatment-resistant depression
Bipolar disorder and psychosis
Trauma and emotional dysregulation
Co-occurring substance use
You can find Heather primarily in Westminster, or you can see her for a telehealth visist at any Axis Integrated Mental Health clinic in:
Aurora, CO
Westminster, CO
Louisville, CO
“Heather is real. She listens and actually teaches you about your own brain. She made me feel like I wasn’t broken—I just hadn’t had the right help.”
“Endurance sports taught me how to be uncomfortable for long stretches. That’s what therapy asks of people, too. Heather gets that—and she’s not afraid to sit with you through it.”
If you’ve tried two or more antidepressants and still feel stuck, you’re not alone. Treatment-resistant depression is real—but so is recovery.
Heather Markham, PMHNP is here to help.
Colorado currently ranks #50 of all states for the prevalence of mental illness and #47 for adults with suicidal ideation. Book an appointment before she fills up.
Is Heather Markham board-certified?
What advanced treatments are available for treatment-resistant depression?
Can I get Spravato or ketamine therapy at Axis?
Does Axis accept insurance for these treatments?
Is telehealth available for psychiatric care in Colorado?
Is Axis Integrated Mental Health accepting new patients?