Caitlin Gardiner, MD

Dr. Pipalia is board-certified in both adult psychiatry and internal medicine. Since graduation from residency, he gained specialized experience in treating veterans with terminal illness, specifically Amyotrophic Lateral Sclerosis (aka Lou Gehrig's Disease), at the VA Medical Center in Portland, OR. He combines both psychotherapy and medication treatment to provide holistic care that addresses not only your mental health but also the parts of your life that surround and are deeply intertwined with your mental health. When more intensive psychotherapy is warranted, he collaborates with an experienced psychotherapist to serve you better. With his experience of internal medicine, he is also comfortable with navigating complex medical issues that may interact with your mental health. Dr. Pipalia is a graduate of St. George's University School of Medicine. He completed a combined Psychiatry & Internal Medicine residency training program at East Carolina University. He went on to complete a fellowship in Clinical Informatics at Oregon Health & Science University, learning how to use modern digital technologies and patient data to improve patient care. His academic activities include a presentation he has given multiple times on Illness Identity, teaching other clinicians how having an illness can change how we perceive our place in the world and how to help patients manage their relationship with illness.

Dr. Mirica Sanders is a board-certified adult psychiatrist. She graduated from Tennessee State University and earned her medical degree from Ohio University College of Medicine. She completed her Psychiatry Residency as Chief Resident at The Cleveland Clinic and pursued advanced training in community and public psychiatry at Case Western Reserve University. Dr. Sanders has experience practicing in both outpatient and inpatient settings and holds a special interest in women’s mental health.

Dr. Sanders values creating a warm and inviting atmosphere where patients feel comfortable and heard. She encourages openness and authenticity, aiming for each patient to leave with a clear understanding of their treatment plan. She also welcomes questions to ensure patients feel fully informed and supported throughout their care.

Patients can expect a conversational interview in which Dr. Sanders gathers medical, social, family, and psychiatric history to inform a personalized treatment plan. Each session involves collaboration, with patients actively participating in shaping their care. Following appointments, patients receive an after-visit summary and instructions to guide them between sessions.

Starting therapy can feel like a big step, and Adrian Simmons, LMFT, congratulates you on taking it. Adrian specializes in supporting individuals navigating life transitions, anxiety, depression, trauma, and self-esteem challenges. She takes a client-centered, collaborative approach, tailoring sessions to your unique needs in a safe and supportive environment.

Adrian prioritizes clear communication, active listening, and a non-judgmental, culturally sensitive approach. She is calm and patient, helping you feel understood while providing guidance. She believes therapy is a partnership, working together to set meaningful goals and adapt them as insights develop.

Adrian uses cognitive-behavioral therapy (CBT) and may integrate mindfulness and other strategies based on your needs. Together, you’ll identify challenges, develop practical coping skills, and work toward your goals. The first session focuses on understanding your background, what brings you to therapy, and creating a plan to support ongoing growth.

Do you feel lost, stuck or overwhelmed? Maybe you feel like you are just going through the motions. Ann-Marie helps people over the age of 13 who are experiencing depression, anxiety, stress, and unexpected life changes. She enjoy working with adolescents and adults including members of the LGBTQIA+ community who are motivated to enhance their mental health and be the best versions of themselves.

Together, we will build a therapeutic relationship in a trusting, non judgmental environment. She encourages clients to be involved in their treatment plans and goals to help give them the tools they need to improve their mental health.

Ann-Marie uses different evidence-based treatment modalities to help you be successful in your mental health journey. She uses a personalized treatment approach tailored to your unique needs.

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Dr. Zac Keller, DO, DABPN (he/his), is a board-certified psychiatrist with experience across inpatient and outpatient settings. He has held leadership roles including Interim Medical Director and Director at Richard Young Hospital, where he also created and led the hospital’s ECT program. Dr. Keller’s clinical focus includes ADHD, PTSD, and personality disorders, and he brings an integrative lens to psychiatric care.

Dr. Keller takes a collaborative, supportive, and evidence-based approach to treatment. He values confidentiality, culturally sensitive care, and trauma-informed practice. Known for his warm yet direct communication style, he works to create a respectful, nonjudgmental environment where patients feel heard, understood, and actively involved in their care.

Care begins with a comprehensive intake that explores medical, psychiatric, social, and functional aspects of a patient’s life. Session length and frequency are tailored to individual needs. Treatment plans are developed collaboratively and may include medication management combined with talk therapy and other evidence-based interventions. Progress is reviewed regularly and adjusted based on ongoing dialogue.

Bryce Thacker grew up in a rural community, where he learned the value of helping others achieve their best selves to support overall community health and well-being. With a passion for helping people live their best lives, he earned his undergraduate degree in biology from the University of Nebraska and completed his nursing education at Creighton University. He went on to earn a Master of Science in Nursing, specializing as a Family Nurse Practitioner and in Community Health, from Creighton University, and later completed a nursing practice degree at the University of Colorado with a focus on population and community health. He also holds a post-graduate certification in psychiatric mental health from Washburn University.

Bryce practiced family medicine for 18 years before transitioning to psychiatric mental health in 2022. His background in both physical and mental health gives him a holistic perspective on care. Since shifting his focus, he has helped individuals improve their quality of life through medication management for mood disorders, PTSD, anxiety, ADHD, and other mental health conditions. He continues to live in a rural community with his family and remains committed to helping people become their best selves.

Bryce believes that each person’s “best self” is unique and that mental health care should meet individuals where they are. He emphasizes a collaborative, client-centered approach, always keeping the individual’s goals at the heart of care. He is dedicated to helping clients identify and overcome the symptoms and stressors that interfere with their well-being, and he works to dismantle limiting beliefs or labels that may have been placed on them.

By taking the time to understand each person’s challenges and aspirations, Bryce helps clients find sustainable, holistic paths to wellness. His care is grounded in empathy, respect, and a deep commitment to supporting each person’s journey toward a fulfilling and balanced life.

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