Amanda Kerr, DO

Douglas Brennan, MD, earned his medical degree from the University of Colorado School of Medicine and completed an adult psychiatry residency at Massachusetts General Hospital (MGH) and McLean Hospital. He also completed a forensic psychiatry fellowship at MGH. Dr. Brennan has experience in both outpatient and inpatient settings, supervising residents and mid-level practitioners, and working in emergency and inpatient facilities. He remains on staff at MGH as an instructor for Harvard Medical School and is double-board certified in adult and forensic psychiatry. His outpatient work includes several years treating patients at the Department of Veterans Affairs with post-traumatic stress disorder, depression, and anxiety.

Dr. Brennan enjoys collaborating with patients to understand their goals, set expectations, and provide education on treatment options. He offers medication management evaluations and follow-up visits while working alongside licensed therapists to provide behavioral support as needed.

Dr. Brennan begins by thoroughly reviewing each patient’s history, concerns, and goals in the initial session. He then develops individualized treatment plans tailored to the patient’s objectives, ensuring care aligns with their personal goals and needs.

Dr. Clayton Stone (he/him) is a native of the Tennessee mountains who specializes in treating both children and adults. He completed a fellowship in Child and Adolescent Psychiatry at Washington University in St. Louis and a general psychiatry residency in San Antonio, Texas. Dr. Stone has worked in academic medical centers, public schools, state hospitals, a transgender health clinic, and a residential eating disorder center. He is experienced in caring for LGBTQIA+ individuals and underserved rural communities.

Dr. Stone offers a friendly, nonjudgmental space where patients feel supported and empowered. His collaborative style emphasizes respect, transparency, and shared decision-making. He is especially passionate about helping people navigate stress, build self-esteem, and develop healthy relationships. Depending on patient needs, he uses tools like talk therapy, lifestyle changes, parent coaching, and medication management to support healing.

Sessions begin with a detailed review of each patient's history, current concerns, and goals. Dr. Stone then works together with the patient to create a personalized care plan that may include therapy techniques, medications, psychoeducation, or coping strategies. When treating children or teens, he often includes family involvement or parent coaching to promote meaningful progress.

Ernest Smith, LPC, specializes in supporting adolescents, young adults, adults, and older adults as they navigate grief, anxiety, depression, trauma, and life transitions. With a compassionate and client-centered approach, he creates a safe, nonjudgmental space for individuals to explore their experiences and build the skills necessary for healing, growth, and resilience.

Ernest draws from a range of evidence-based modalities—including solution-focused therapy, person-centered therapy, cognitive-behavioral therapy (CBT), and dialectical behavior therapy (DBT). He tailors each session to meet the unique needs of his clients, whether helping adolescents manage emotional regulation and identity development or supporting older adults in coping with grief and life changes.

Ernest provides trauma-informed care and recovery-focused strategies that foster emotional safety, self-awareness, and long-term well-being. His goal is to walk alongside each person with empathy, understanding, and practical tools that promote lasting change and inner strength.

Dr. Krista Alexander is a board-certified psychiatrist who loves equipping her fellow human beings to feel and function better. She studied medicine at the University of Texas Southwestern Medical School and completed her residency at Duke University. She has worked in both private practice and integrated primary care/behavioral health care settings. She is a member of the American Psychiatric Association and the North Carolina Psychiatric Association. Krista offers medication management and supportive psychotherapy for mood disorders, anxiety disorders, trauma, ADHD, substance use disorders, and other mental health issues. She strives to embody "relational prescribing” and believes that med management is most effective in the context of a relationship of mutual trust, emotional safety, and shared decision-making between provider and patient. She has trained in psychodynamic psychotherapy and various forms of cognitive behavioral therapy, and tailors her approach to each patient's individual strengths and needs. Krista understands that the needs of the whole person must be addressed in order to facilitate growth and healing. She enjoys collaborating with fellow medical/mental health providers to address a patient's complex needs as an integrated team.

Michelle is a Licensed Clinical Social Worker/Licensed Independent Social Worker with over 10 years of experience in the mental health field. Michelle has worked in a variety of settings including community mental health, crisis management, outpatient treatment, inpatient treatment, and the private practice setting. Michelle has experience working with patients who are experiencing anxiety, depression, grief, and trauma symptoms. Michelle’s passion is working with women who are struggling with managing healthy coping mechanisms in the perinatal/postpartum period.

Michelle has received extensive training from the Postpartum Support International focusing on treating patients struggling with infertility, postpartum anxiety and depression, and pregnancy loss/grief. She utilizes a variety of treatment modalities ranging from Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, Cognitive Processing Therapy, and Mindfulness Based Therapy.

Michelle’s approach to therapy is compassionate, collaborative, and warm. She considers it an honor to walk alongside you during this difficult journey. Let’s talk to see how Michelle can best support you.

Darcie Farrell is an ANCC Board Certified Family Psychiatric Nurse Practitioner.  She has worked exclusively in the field of psychiatry during her forty-year nursing career.  She has worked in many care settings, including as a psychiatric Home Health Nurse and as a Certified Case Manager (CCM) in Psychiatry at Blue Cross Blue Shield. During her time at Excellus Blue Cross Blue Shield, she realized the urgent need for psychiatric nurse practitioners, so enrolled in the BSN/MSN program at the University of Rochester, graduating in 2016 with her BSN and in 2018 with her MSN.  She has strong skills and experience in Motivational Interviewing, having worked as a Motivational Counselor for a University of Rochester's Pediatric Research Program.   She has worked for the past seven years as a Nurse Practitioner in Geriatric Outpatient Psychiatry.

Darcie Farrell is a compassionate provider who is client centered. I rely on evidence-based scientific research when determining the best treatment options for clients.  

Darcie Farrell has a very relaxed process for working with patients which allows the client to provide information that is pertinent to their goals for care.  Then, together, we determine which treatment options are likely to be best for the client.

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