About Us
About Pearl Cast Solutions
At Pearl Cast Solutions, we provide thoughtful, evidence-based psychiatric care designed to bring clarity, stability, and continuity to your mental health journey. We understand that mental health care is not one-size-fits-all. Our approach is personalized and collaborative. We meet you where you are, listen with intention, and work alongside you to develop a treatment plan that supports long-term stability and meaningful progress.
We specialize in comprehensive psychiatric evaluation, medication management, and ongoing care for adults navigating mood disorders, anxiety disorders, psychotic disorders, and other complex mental health conditions. Our services are especially supportive for individuals transitioning from higher levels of care into outpatient treatment who benefit from structure, consistency, and compassionate clinical oversight.
Pearl Cast Solutions offers a hybrid model of care, providing both telehealth and in-person services in accordance with New York State regulations. This allows us to remain accessible while maintaining a high standard of clinical care and safety. We believe that effective psychiatric care goes beyond symptom management. Our goal is to empower you with insight, education, and support—helping you build resilience, autonomy, and confidence in your treatment process.
Casting clarity. Cultivating stability.
The Pearl Cast Philosophy
At Pearl Cast Solutions, care is not simply delivered—it is shared, cultivated, and refined over time. We “cast pearls” of clinical insight through thoughtful evaluation, diagnostic clarity, medication education, and therapeutic guidance grounded in evidence and individualized care. These pearls are intended to support stability, autonomy, and optimal functioning.
At the same time, healing is not one-directional. Clients also cast pearls back into the practice through their lived experiences, engagement, and trust. Their perspectives shape how care is delivered and how the practice continues to evolve. This is the foundation of Pearl Cast Solutions, a collaborative exchange where clinical expertise and lived experience meet, creating care that is responsive, dynamic, and rooted in mutual respect.
Our Approach
- Recovery-oriented and patient-centered
- Collaborative and strengths-based
- Continuity-focused, with emphasis on long-term stability
- Grounded in evidence-based psychiatric care
Meet the Provider
Samantha Pearl Johnson, MSN, RN, PMHNP-BC
Board-Certified Psychiatric Mental Health Nurse Practitioner
Licensed in New York State
I am an ANCC board-certified Psychiatric Mental Health Nurse Practitioner with over 6 years of experience in psychiatry and behavioral health. My clinical background spans multiple levels of care, including psychiatric emergency services, inpatient psychiatry, crisis and acute care programs, and community-based treatment.
I have extensive experience working with high-acuity populations, including individuals receiving services through Assertive Community Treatment (ACT) programs. This has strengthened my ability to provide comprehensive psychiatric evaluations, medication management, risk assessment, and ongoing care for individuals with complex and chronic mental health conditions.
I specialize in the treatment of schizophrenia spectrum disorders, schizoaffective disorder, bipolar disorder, depressive and anxiety disorders, PTSD, and other trauma-related conditions. My approach integrates evidence-based pharmacological treatment with supportive and therapeutic strategies. I prioritize shared decision-making, patient education, and ongoing evaluation of treatment effectiveness, tolerability, and overall functioning.
Through Pearl Cast Solutions, my goal is to provide thoughtful, compassionate, and clinically sound care that supports long-term stability, autonomy, and improved quality of life.
Populations Served
- Young Adults (18–25)
- Adults (26–64)
- Older Adults (65+)
Care is tailored to each stage of adulthood, with attention to developmental needs, medical considerations, and life transitions.
Treatment Approach
While medication management plays an important role, care at Pearl Cast Solutions is rooted in collaboration and shared decision-making. Individuals are encouraged to take an active role in their treatment, with a focus on insight, functional improvement, and sustained stability; not symptom control alone.