About Ms. Margaret Butler, PMHNP, BC

Ms. Margaret Butler. (We think she is pretty wonderful). :-)

Ms. Butler provides care to:

  • Current patients of Hope Springs who feel that medication services may be helpful in their treatment.
  • Current patients of other mental health practices or therapists who may not have a psychiatrist or psychiatric mental health nurse practitioner on staff.  In these cases, she will consult with the referring therapist, and collaborate in terms of treatment goals with the patient and therapist.
  • New patients who do not yet have a therapist or psychiatric medication specialist.
  • Patients of other physicians or health providers who feel a consultation with a psychiatric medication specialist could be helpful in their patient’s care.

Ms. Margaret Butler is a Board Certified Psychiatric Mental Health Nurse Practitioner.

Ms. Butler sees children, adolescents, and adults for medication management.  As a part of her practice, she treats a wide range of mental health disorders.  Specifically, areas of interest include depression, generalized anxiety, OCD, panic disorder, and ADHD.

Furthermore, Margaret emphasizes the importance of treating the whole person.  She values sleep, exercise, diet, and psychotherapy as important to our emotional functioning and health.

In addition, she values the importance of spending time with her clients, and not rushing them through their appointments.

Finally, she is committed to having her patients invested in their own treatment.

What Do Psychiatric-Mental Health Nurse Practitioners (PMHNP’s), Like Ms. Margaret Butler, Do?

Psychiatric mental health nurse practitioners assess, diagnose, and treat individuals and families with psychiatric disorders.  Specifically, they use therapeutic skills, including the prescription of medication and administration of psychotherapy.

Also, Psychiatric-Mental Health Nurse Practitioners have full scope prescriptive authority.   Furthermore, in some cases, they also provide counseling.

If it interests you, more information can be found by visiting the American Academy of Nurse Practitioners at www.aanp.org.

How does Ms. Margaret Butler’s role differ from a psychologist, psychiatrist, or social worker?

All of the professionals in these positions can be involved in psychotherapy. However, only advanced practice registered nurses (PMHNP-BC), some psychologists, and psychiatrists can prescribe medication.

Also, all of these providers can practice independently.  As a result, they provide care where it may otherwise be inaccessible.

Finally, they are always under the authority of Iowa state law when it comes to scope of practice.

Ms. Butler’s Story and Why She Does This Work

I have always been interested in people, their emotions, behaviors and mental health.

When I went to college, this interest lead me to major in psychology. I graduated from the University of Minnesota with a Bachelor’s degree in Psychology. After graduating, I worked in human services. I really enjoyed working with people with mental illness, and helping them with the challenges they face in their daily lives.

I have also always been interested in health and medicine.

I believe the relationship between physical and mental health is an intimate one. After a few years of work in human services, I decided to attend the University of Saint Catherine in St Paul/Minneapolis to become a registered nurse (RN). I have been a registered nurse of over 20 years.  Most of my career has been spent in Minnesota within the Healtheast Care System. I enjoyed working in the hospital setting all this time. Within this wonderful system, I cared for people in emergency, critical care, brain injury, psychiatry, cancer care, labor and delivery, and with new moms and babies. It has been such an honor to care for people and all stages of their lives, facing a variety of challenges.

After coming to Iowa a few years ago, I decided to go to graduate school to become a Nurse Practitioner in Psychiatry. In this role, I am able to provide psychiatric care, therapy and medications to children and adults. I am licensed and board certified to practice independently, but I value the importance of collaborating with my patient’s primary care providers and therapists.

Providing integrated care is my goal.

My specialty is psychiatry. I can provide this specialized aspect of care while you continue to see your primary care provider or other specialists you may need. With your permission, I will communicate and collaborate with the members of your healthcare team to provide you with the most specialized yet holistic care possible.

My hope is to bring my education psychology and nursing, years spent in various healthcare settings and life experience together to offer a unique, high quality level of care to my patients.

At Hope Springs Behavioral Consultants, I work in a setting that allows me to spend time with people who come to see me, more time than is the industry standard.  I also hope that other providers in the community (therapists, doctors, nurses ) will recognize me a resource and their team member. I am happy to work together and support each other as we all strive to provide the best care possible to the people who come to us for help.


  • BA Psychology, University of Minnesota, Minneapolis, MN
  • Registered Nurse, University of St Catherine, St Paul, MN
  • MSN – Psychiatric Nurse Practitioner Program, Allen College, Waterloo, IA
  • Board Certification in Psychiatric Mental Health Nurse Practitioner, State of Iowa
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