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About us


Hi! I'm Paul. I'm a Psychiatric/Mental Health Nurse Practitioner (PMHNP) in Medford, Oregon. Since I was young, I've cherished transparency and deep relationships. This and my curiosity into how the mind works led me into the field of mental health. I spent most of my time as a psychiatric nurse and PMHNP seeing patients with mental health struggles on the acute psychiatric unit and emergency department at Asante Rogue Regional Medical Center. During my time there, I worked with patients who had a variety of mental health issues including but not limited to disorders of depression, anxiety, bipolar, schizophrenia, PTSD, borderline personality, and substance use. Time and again, the lack of accessibility and follow up for patients outside of the hospital became apparent to me. This led me to create Paradigm Mental Health and Wellness, a clinic where patients can have an appointment the same day they walk in, and they can also follow up with me as their primary psychiatric provider if they desire. This patient-centric approach will give patients flexibility and control in their care, unusual in the classic healthcare world. My vision for Paradigm is one of transparency, innovation, and growth, where we learn from each other and from our patients on how to best serve the community. I look forward to seeing you at our clinic!

paul fickes,

"All we have to decide is what to do with the time that is given us." -Gandalf 

Hey! I'm Shelly, a Licensed Clinical Social Worker here at Paradigm Mental Health and Wellness. Throughout my time as a social worker and therapist, I have worked with a variety of individuals with a range of diagnoses in both inpatient and outpatient settings, during some of the hardest times of their lives. My heart has always been drawn to serve others and meet people where they are at. No matter where a person is in life, I feel that they have opportunities to create change and become the best version of themselves. I believe that change is not only possible, but attainable -- and it is never too late to strive for the life you want. With results being the goal, my therapy style is to use evidence-based practices such as Cognitive Behavioral Therapy (CBT) in working through issues to see progress. It is truly an honor to come alongside those striving for more in their lives and be a part of the process. 

"You are never too old to set another goal or dream a new dream." -C.S. Lewis


shelly fickes, lcsw

Hello! I'm Mike. A Family and Psychiatric Nurse Practitioner here at Paradigm Mental Health and Wellness in Medford, Oregon. Throughout my many years in the medical field, I have focused my efforts on providing top notch care to all those in need. I believe in compassionate care with a focus on partnering with patients to better their lives. I completed my Family Nurse Practitioner training through Western University of Health Sciences in Pomona, California graduating with highest honors in 2013. I furthered my training through Gonzaga University obtaining my Psychiatric Nurse Practitioner certification in 2017 graduating with highest honors. I offer an integrated healthcare approach aimed at optimizing a person's physical and emotional wellbeing. I have experience in the private sector, community health care, as well as the Department of Veterans Affairs system. I routinely treat all manner of mental illness including but not limited to depression, bipolar disorder, PTSD, schizophrenia, personality disorders and substance abuse. Much like the rest of the team, my vision for Paradigm is one of transparency, innovation, and growth, where we learn from each other and from our patients on how to best serve the community. I look forward to meeting you. 

Michael burks, pmhnp and fnp

"If you don't like your destiny, don't accept it. Instead, have the courage to change it the way you want it to be."  -Naruto Uzumaki

Bio coming soon! :)




helena turner, pmhnp

Hi! I’m Helena, a Psychiatric/Mental Health Nurse Practitioner (PMHNP) at Paradigm Mental Health and Wellness. I have worked in a variety of settings including acute inpatient care, outpatient clinics, as well as academia. Immediately prior to joining Paradigm, I was an Assistant Professor of Nursing at Oregon Health and Sciences University (OHSU), focusing my teaching efforts on destigmatizing mental illnesses among health professionals. I maintain my ties to OHSU as a member of the OHSU Street Nursing Team, providing care to the unhoused population of the Rogue Valley while continuing to train student nurses. While working as the psychiatric provider at Southern Oregon University’s Student Health and Wellness Center, I developed a specialization in the mental health of college-aged and young adults. I work with patients who are living with a range of mental illnesses, including but not limited to depression, anxiety, bipolar disorder, schizophrenia, PTSD, and ADHD. My patients thrive because I treat them as individuals. I listen closely to their life stories and collaboratively develop a plan of care that best meets their needs and helps them achieve their goals. I look forward to meeting you.

“We can’t heal the world today, but we can begin with a voice of compassion, a heart of love, an act of kindness.” –Mary Davis

Hello, I’m Erik! I am a Board Certified Psychiatric Mental Health Nurse Practitioner. I have worked in mental health for 20+ years in a myriad of settings including crisis, inpatient, outpatient, state hospital, forensics and the private sector. I have a passion for working with individuals from children to the older adult population who experience mental health challenges. I pride myself in working with individuals to help overcome these challenges by listening, building rapport, gaining trust and understanding their mental illness. When building an individual's self-awareness through psychotherapy and medication management patients are able gain self-knowledge and develop confidence to help alleviate their mental health challenges. My scope of practice includes but not limited to treating individuals with Depression, Anxiety, ADHD, PTSD, Autism, Bipolar, Schizophrenia, Personality and Substance use disorders. As one of the team players of Paradigm, I am excited to meet you and to begin your journey in mental health healing.  

“Happiness can be found even in the darkest of times, if one only remembers to turn on the light.”

-Albus Dumbledore


Erik Dominger, pmhnp


Hello! I'm Jamie the Assistant Clinic Manager, here at Paradigm. Originally, I am from Southern California, but after moving to Oregon, I feel that it is my favorite place to be! Previously, I have worked in other health care settings, but I wanted to be in a place where my focus is helping people through current struggles in their lives. I have always been drawn toward the mental health field as I have a passion for understanding human behavior and how we can improve our lives through basic practices. I hope to continue furthering my career in mental health here at Paradigm, and eventually fulfill my dream of becoming a therapist. 

“Do not let the memories of your past limit the potential of your future. There are no limits to what you can achieve on your journey through life, except in your mind.” ― Roy T. Bennett


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