Women's Mental Health Care,
By a Woman Who Gets It
Board-certified telehealth psychiatry for adult women throughout Arkansas — specializing in the unique mental health challenges women face at every stage of life.
Empowering Women's Well-being
There is a strong connection between mental health and women's health. Many women face unique biological, hormonal, and life-stage factors that can significantly impact emotional well-being — from reproductive health transitions to the everyday pressures of balancing work, relationships, and self-care.
Women are also more likely to experience delayed or missed diagnoses of ADHD because symptoms often present differently than the traditional patterns historically recognized in boys. As a result, many women spend years struggling with anxiety, overwhelm, burnout, low self-esteem, or feeling misunderstood before receiving the support they need.
At Ruma Behavioral Health, we recognize that mental health does not exist in isolation. We take a whole-person approach that considers the unique biological, psychological, and social factors that affect women's lives.
Holistic Psychiatric Care
Whole-Person Healing
We believe in treating the whole person. Our integrative approach combines psychiatric wellness, nutritional counseling, lifestyle counseling, and medication management.
Medication Management
Psychiatric medication evaluation and ongoing management tailored to your unique needs and health history.
Therapy Services
CBT-informed interventions, motivational interviewing, psychoeducation, and brief solution-focused therapy.
ADHD & Women's Health
Specialized understanding of how ADHD presents in women — often missed or misdiagnosed for years.
Telehealth Statewide
Available throughout Arkansas from the comfort of home. All you need is a device and a quiet space.
Meet Our Board Certified Psychiatric Nurse Practitioner
Jessica Fleeger APRN, PMHNP-BC
Jessica Fleeger is a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) with a deep passion for supporting women's mental health. She earned her Master of Science in Nursing with a specialization in psychiatric mental health from a nationally accredited program and brings years of clinical experience to her practice.
Jessica specializes in treating anxiety, ADHD, and depression. She understands that many women have spent years feeling dismissed or misunderstood by the healthcare system, and she is committed to providing a space where patients feel truly heard.
Her philosophy centers on a whole-person approach — integrating psychiatric wellness, lifestyle factors, and evidence-based therapies to help each patient achieve lasting well-being. She believes that healing is possible and that every woman deserves timely, compassionate, expert care.
PMHNP-BC
Board Certified
Private Pay Rates
We accept Carelon BH, Cigna, BCBS of Massachusetts, Aetna, and Ambetter of Arkansas. For patients paying out of pocket, our rates are straightforward.
Initial Visit
Intake Appointment
Comprehensive psychiatric evaluation — 50 minutes
$250
Ongoing Care
Follow-Up Appointment
Medication management & check-in — 50 minutes
$135
Follow-Up Schedule & Continuity of Care
First 3 Months
Monthly
Follow-ups every month to establish your care plan
Months 4–6
Every 2 Months
Twice during this period as you stabilize
Ongoing
Every 3 Months
Minimum frequency — you will never be seen less than every 3 months
Refill policy: Refills will not be provided for any patient who has not been seen within the past 3 months. Regular appointments ensure safe, continuous care.
Frequently Asked Questions
All new patients begin with a complimentary 15-minute consultation call. This gives us both the opportunity to make sure we are a good fit for each other before scheduling a full appointment. You can book this call through the link on our website.
At this time, Ruma Behavioral Health serves patients located within the state of Arkansas only. Telehealth licensure requirements mean you must be physically located in Arkansas at the time of each appointment.
All appointments are conducted via real-time audio and video technology, so a stable internet connection is required. You will also need a device with a working camera and microphone, and a private, quiet space. In addition, patients are required to take and report their blood pressure, pulse, height, and weight at each appointment as part of your ongoing care.
It is my personal philosophy not to prescribe controlled substances, including benzodiazepines (such as Xanax, Klonopin, or Valium) or stimulant medications (such as Adderall or Ritalin). If you require these medications as part of your treatment, I would not be the right fit for your care, and I encourage you to seek a provider who can meet that need.
For patients paying out of pocket, our rates are: Intake appointment (50 minutes) — $250, and Follow-up appointments (50 minutes) — $135. We accept Carelon BH, Cigna, BCBS of Massachusetts, Aetna, and Ambetter of Arkansas. Cash-pay patients receive a superbill for potential out-of-network reimbursement.
A superbill is a detailed receipt that includes all the information your insurance company needs to process a reimbursement claim. It includes diagnosis codes, procedure codes, provider information, and the amount you paid.
If your insurance plan is not one we currently accept, many plans include out-of-network benefits that may reimburse a portion of your costs. We recommend calling the member services number on the back of your insurance card to ask about your out-of-network mental health benefits before your first appointment.
The No Surprises Act protects patients from unexpected medical bills. As a self-pay patient, you have the right to receive a Good Faith Estimate of expected costs before your appointment. We are happy to provide this upon request.
We strive to offer appointments within 2 weeks of your initial inquiry, so you can access timely, compassionate care without a long wait.
Ruma Behavioral Health specializes in care for adult women (18+). We do not currently provide services for children or adolescents.
Ready to take the next step?
Start your journey today. Reach out and we'll get back to you promptly.
Emergencies & Crisis
If you are experiencing suicidal, homicidal, or violent tendencies, please call 911 or go to the nearest emergency room immediately. Ruma Behavioral Health is not a crisis service.