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No one will be denied access to services due to inability to pay; and there is a discounted/sliding fee schedule available based on family size and income.

Esperanza Behavioral Health and Services in Orlando, Florida, provides high-quality, customized psychiatric care to patients of all ages in a nurturing, family-oriented environment. Founded and led by Fredesvinda Jacobs-Alvarez, MD, a board-certified child, adolescent, and adult psychiatrist, the practice was established in 2006, to help patients create pathways to wellness, enabling them to obtain their full potential and lead healthy, fulfilling lives. 

At Esperanza Behavioral Health and Services, patients have access to innovative psychiatric treatment for mental health disorders, including anxiety, depression, bipolar disorder, obsessive-compulsive disorder (OCD), post-traumatic stress disorder (PTSD), and schizophrenia. The practice also helps children and adults with autism and attention-deficit hyperactivity disorder (ADHD).

In addition to psychiatric evaluations, medication management, and individual, group, and family psychotherapy, Esperanza Behavioral Health and Services offers innovative transcranial magnetic stimulation (TMS) treatments for depression. TMS is an FDA-approved alternative for patients who have not found relief through antidepressant medications. 

Esperanza Behavioral Health and Services also provides therapeutic counseling, including anger management, parenting education, divorce counseling, support for grief, and LGBTQ issues. They can help patients cope with physical or sexual abuse, as well as trauma. 

Esperanza Behavioral Health and Services operates on the core values of compassion, integrity, excellence, teamwork, and wellness. Every patient is treated with respect and empathy and provided with personalized treatment plans designed to enhance their mental, physical, and spiritual wellness. 

They also offer a telemedicine option through the IMS Patient App so patients can receive care from their own homes.

New patients are welcome at Esperanza Behavioral Health and Services. Services are available in English and Spanish. The practice accepts most insurance plans, and appointments are available by calling the office or using the online scheduling tool.


We now offer Telehealth, giving you access to high quality medical care – virtually
through our Patient Portal. The process is easy, efficient, and can be done from the
comfort of your home. Our Patient Portal gives you access to:

- Videoconference with your doctor
- Secure messaging
- Request Appointment
- Review Clinical Summaries


- Update Personal Information
- Manage Prescription Refills electronically
- Review Careplans
- Obtain Information in your preferred language.


LEARN MORE   Patient Portal Login


Insurance Providers

We accept many insurances, if you don't see yours listed please call our front desk to confirm.

Anthem Blue Cross Blue Shield
Children's Medical Services (CMS)
Freedom Health
Optum Health
Oscar Health Insurance Co.
Simply Healthcare
Sunshine Health

Choose Your Provider


Words from our patients

  • Healthgrades

    "I've been a patient of Doctor Jacobs for 11 years now and I love her. She is honest and real with me."

    Megan W.
  • Healthgrades

    "I’ve been seeing her for years, she takes the time to listen to you and truly cares for your well being."

    Trish G.
  • Vitals

    "Dr. Jacobs-Alvarez is an amazing Doctor. She genuinely cares about her patients. The waits can be long, which can be a downside, but for me it is worth it."

    Audrey H.