Sonya Isler, PMHNP

I am a Psychiatric Mental Health Nurse Practitioner with a background in nursing and psychology. I earned my bachelor’s degrees in Nursing and Psychology in 2014 and worked as a psychiatric nurse for four years. I graduated from Binghamton University with my MSN in 2018 and obtained my PMHNP certification. I earned my CARN-AP addiction certification in 2021. My experience includes inpatient and outpatient care, ACT, detox, university health, and leadership as a Director of Health Services.

My philosophy is to meet you where you are in life and walk beside you toward where you hope to be. I create a welcoming, relaxed, and nonjudgmental environment grounded in unconditional positive regard and solution-focused care.

I use evidence-based screening tools and a thorough history to inform diagnosis, while considering possible medical causes of symptoms and collaborating with other clinicians when needed. I explain my clinical impressions and diagnoses in detail and develop a treatment plan centered on your goals. Options may include medication, education, and alternative therapies based on your preferences and comfort level.

Hello! I’m Brennan, a psychiatric nurse practitioner. My practice is grounded in compassion, curiosity, transparency, and creating an inclusive space where you feel heard and respected. I specialize in PTSD and C-PTSD and work with LGBTQIA+ concerns, polyamory/ENM, weight-loss psychiatry, and other areas that may not receive attention in traditional mental health settings.

Your first appointment begins with a conversation about what is troubling you, not simply assigning a diagnosis. I want to understand your symptoms, concerns, history, goals, and what you hope to get from treatment. We’ll discuss explanations and treatment options, including approaches with and without medication. You should expect compassion, careful questioning, and an honest conversation. We’ll work toward a plan that addresses your needs and clarifies next steps.

My approach follows a “no surprise” method of communication. If your diagnosis, medication, treatment approach, or therapy style needs to change, I’ll explain what changed, why, and what information led us there. You should never feel like decisions are being made without you. I value open communication and want you to feel secure, respected, and heard. My goal is to work with you rather than tell you what to do. We’ll assess what is working, what isn’t, and adjust so your care aligns with your goals.

I am a doctorate-prepared, board-certified psychiatric-mental health nurse practitioner with outpatient experience in private practice and health-system settings. I earned my DNP and MSN from Columbia University, MPH from the University of New England, and have an undergraduate background in psychology from the University of Florida. I care for adults with mood and anxiety disorders, ADHD, trauma-related conditions, substance use/dual diagnosis, sleep disorders, and complex psychiatric conditions.

I believe psychiatric care should be collaborative, compassionate, practical, and goal-oriented. I value open communication, shared decision-making, honesty, and informed consent. I want to understand what may be affecting your quality of life and help you make informed choices about treatment, including benefits, possible side effects, and alternatives.

I begin with a thorough evaluation of your concerns, history, prior treatment, daily functioning, and goals. Together, we develop an individualized plan. When medication is appropriate, I discuss options with you rather than use a one-size-fits-all approach. At follow-ups, we review progress, tolerability, and goals and adjust treatment as your needs change.

I am a Doctor of Nursing Practice and board-certified Psychiatric Mental Health Nurse Practitioner. I am also a Certified Equine Massage Therapist and former Director of the PMHNP program at DeSales University. My clinical experience includes outpatient, telehealth, and inpatient residency settings.

I specialize in working with adults living with ADHD, anxiety, and depression. My practice is rooted in connection, curiosity, and respect for your lived experience. I am warm, easy to talk to, and deeply present. I believe healing comes from understanding what you need and who you are beneath the overwhelm.

Together, we make sense of your thoughts, patterns, and emotions and create practical steps toward healing and empowerment. I use evidence-based medicine and holistic approaches, which may include talk therapy, medication management, mindfulness practices, and lifestyle support—tailored to your goals and preferences.

I am a Psychiatric Mental Health Nurse Practitioner with outpatient experience working with patients across the lifespan and treating a broad range of common psychiatric symptoms. I earned both my MSN and DNP in Psychiatry from Columbia University School of Nursing and worked as an inpatient RN along the way.

I value being my authentic self and creating a sense of safety and trust with the people I work with. As someone with ADHD, I bring personal understanding to the importance of individualized care. My background in engineering and passion for fitness also give me a multidimensional perspective on wellness.

I use a multimodal approach inspired primarily by Carl Rogers, focusing on getting to know you as a person rather than defining you by a diagnosis. I believe education empowers you to participate equally in shaping your evidence-based treatment plan, which may include medication, therapy, exercise, mindfulness, and other approaches.

I am a dual board-certified Psychiatric-Mental Health Nurse Practitioner and Family Nurse Practitioner with more than 13 years of nursing and advanced practice experience. I have provided outpatient telepsychiatric care for adults and bring a broad medical background in emergency/urgent care, cardiology, rehabilitation, and clinical leadership. I also completed Level 1 Internal Family Systems (IFS) training through the IFS Institute.

I believe patients should be active participants in their care. I strive to create a warm, nonjudgmental space for open, collaborative conversations. When considering medication, I thoughtfully weigh benefits, risks, side effects, and your preferences. I also seek to understand the whole person, including life experiences, relationships, physical health, stressors, and goals.

I begin with a comprehensive evaluation of your concerns, psychiatric and medical history, prior treatment, and goals. Together, we develop an individualized plan that may include medication, behavioral strategies, therapy recommendations, or other support. Follow-ups focus on progress, functioning, effectiveness, and side effects, with adjustments made collaboratively. I may also incorporate evidence-based screening tools and brief CBT, mindfulness, and IFS strategies.

Hello, I am Belinda Walsh, a psychiatric mental health and women’s health nurse practitioner. I have been a nurse for over 25 years, working in public health, obstetrics, and psychiatry.

I love working with people and talking with them. My purpose in the therapeutic relationship is to learn about my patient and their goals. I then share my knowledge so we can develop a treatment plan my patient is comfortable with while staying open to their expectations and desires. My primary goal is to help improve a patient’s life so they can be their best selves.

During an initial appointment, I like my client to tell me why they are seeing me, their concerns, and how these have affected their life. I then learn their history, what they have been through, what has or has not helped in the past, and their goals for treatment. Quality care takes time, and sometimes it takes more than one appointment. I will be as informative as possible, working together on realistic expectations and a treatment approach that fits each client’s life.

I have experience providing psychiatric care in a variety of outpatient and inpatient settings. I earned my Master’s Degree as an Adult Psychiatric Mental Health Nurse Practitioner in 2002 and later obtained certification as an Advanced Practice Certified Addictions Recovery Nurse.

I believe treatment works best when we make decisions together. I will never force my own treatment plan. Instead, I strive to create a supportive environment where I can understand your experiences and work with you to develop a path toward healing that reflects your goals and values.

During our first appointment, I take time to thoroughly explore your history, current concerns, and where you would like to go in treatment. I carry that understanding into each follow-up visit, with you directing the goals of your care while we adjust your treatment together as your needs evolve.

Ingrid Luna is a board-certified Psychiatric Mental Health Nurse Practitioner who is bilingual in English and Spanish. She earned her Advanced Master's degree from Stony Brook University School of Nursing. Her experience includes psychiatric emergency, inpatient, and outpatient settings serving underserved communities with mental health and substance use disparities. Before healthcare, she worked in media promotions for a prominent Spanish newspaper, where her passion for advocacy began, later transitioning to roles as a medical assistant and phlebotomist. She treats anxiety, depression, ADHD, PTSD, OCD, and mood disorders.

Ingrid is committed to providing a warm, nonjudgmental environment where patients feel heard, respected, and empowered. She values open communication and works collaboratively with each individual to create a personalized treatment plan focused on achieving meaningful goals and improving overall well-being.

Ingrid begins with a comprehensive psychiatric evaluation to understand each patient's history, concerns, and goals. She builds a collaborative therapeutic relationship and develops individualized treatment plans that integrate thoughtful medication management, supportive psychotherapy, patient education, and advocacy.

Sherry Campbell is a Psychiatric Mental Health Nurse Practitioner (PMHNP) who earned a Master’s degree in Community Health Addictions Nursing from the University of Maryland and a Post-Master’s Certificate from Shenandoah University. She is dual board certified as a Clinical Specialist/Psychotherapist and Lifespan Psychiatric Nurse Practitioner. Sherry has experience across outpatient, inpatient, and educational settings, and holds certifications as an eating disorders specialist and master psychopharmacologist. She is highly experienced in treating ADHD, anxiety, depression, bipolar spectrum disorders, OCD, and eating disorders.

Sherry takes a holistic approach to mental health, recognizing the connection between mind, body, and spirit. She creates a warm, supportive space where patients feel heard and respected. She emphasizes education and understanding, helping patients feel empowered in their care. Sherry values open communication and works collaboratively with patients to set clear goals and develop individualized treatment plans they feel comfortable with.

Sherry begins with a thorough initial session to understand each patient’s history, concerns, and goals. She uses both direct and open-ended questions to fully assess symptoms. Together with the patient, she develops a personalized treatment plan tailored to their unique needs and concerns.

Trevor Gee, APRN, PMHNP-BC, brings over a decade of healthcare experience and earned his degree from the University of Nevada, Las Vegas. He has worked with individuals experiencing depression, anxiety, bipolar disorder, psychotic disorders, personality disorders, and ADHD. Trevor is passionate about individualized, evidence-based care and has extensive training in FDA-approved and off-label TMS protocols.

Trevor believes mental health care should never take a “cookie-cutter” approach. He values open communication, collaboration, and patient-centered care while creating a supportive environment where patients feel heard and respected. His holistic approach may include medication management, psychotherapeutic techniques, lifestyle changes, nutritional support, and other evidence-based treatments focused on long-term healing and well-being.

Trevor begins by understanding each patient’s history, symptoms, concerns, and goals. He collaborates with patients to create personalized treatment plans tailored to their needs and preferences. Depending on the individual, care may include medication management, supportive therapy, TMS therapy, genetic testing, and lifestyle-focused interventions to support lasting progress and improved quality of life.

I am a Psychiatric Mental Health Nurse Practitioner and Adult Nurse Practitioner with more than four decades of experience providing compassionate, evidence-based care. My background includes inpatient behavioral health, psychiatric consultation-liaison services, emergency care, outpatient psychiatry, and telehealth. I earned my Nurse Practitioner degree from the University of Rochester School of Nursing and have worked with Strong Memorial Hospital, Rochester Regional Health, and outpatient practices in Buffalo, NY.

I view treatment as a partnership built on respect, trust, and collaboration. I strive to create a supportive environment where you feel heard and respected. Together, we establish clear treatment goals and work toward care that reflects your individual needs and preferences.

I begin with a thorough assessment to understand your history, concerns, and goals. From there, I work with you as a partner to develop an individualized treatment plan aligned with your goals. I value open communication and collaboration throughout treatment.

Louisa Chan, PMHNP, earned her nurse practitioner degree from Columbia University. She has 10 years of experience in community psychiatry across home-based, outpatient, and inpatient settings. She has extensive experience treating severe mood and anxiety disorders, ADHD, sleep concerns, and psychiatric conditions in medically complex populations.

Louisa takes a patient-centered, culturally competent approach built on active listening, supportive therapy, and thorough patient education. She works collaboratively with patients to develop meaningful treatment goals and values open communication throughout care. She is fluent in Cantonese and Mandarin.

Initial visits include a detailed review of symptoms, history, and the reason for seeking care to create personalized goals and a treatment plan tailored to each patient's needs and preferences. Follow-up appointments focus on monitoring progress, adjusting medications as needed, and continuing psychotherapy to support lasting improvement.

‍

I am a compassionate Psychiatric Mental Health Nurse Practitioner who believes effective mental health care begins with listening, understanding, compassion, and respect. I strive to create a warm, supportive, and nonjudgmental environment where patients feel heard, respected, and comfortable discussing their concerns. I value each person’s strengths, experiences, concerns, and treatment goals.

I encourage open and honest communication and want patients to feel comfortable sharing their thoughts, feelings, concerns, and questions. I provide individualized, patient-centered care because there is no single approach to mental health treatment. I believe treatment works best when we work together, and I involve patients in treatment decisions while establishing realistic and measurable goals.

Our first session begins with getting to know you, including your current concerns, symptoms, personal and medical history, medications, lifestyle, and treatment goals. We discuss how symptoms affect daily life and develop a personalized plan that may include medication management, psychotherapy or supportive therapy, behavioral strategies, lifestyle recommendations, or a combination. At follow-ups, we evaluate progress, monitor medications when applicable, discuss concerns, and adjust treatment as needed.

I am a board-certified Psychiatric Mental Health Nurse Practitioner (DNP, PMHNP-BC). I hold a Doctor of Nursing Practice from Chatham University, as well as a Master’s, Certified Nurse Midwife, from University of Cincinnati, and a Post Master’s, PMHNP, from Liberty University. I have over 20 years of nursing experience, including labor and delivery and practicing as a Certified Nurse Midwife, before transitioning into psychiatry. My clinical focus includes depression, anxiety, ADHD, bipolar disorder, OCD, PMDD, and postpartum depression, with a holistic, integrative approach that treats the whole person—not just symptoms.

I offer evidence-based psychiatric care that treats each patient as a whole person, not a diagnosis. I enjoy working with patients managing mood, focus, or anxiety concerns, new mothers navigating postpartum shifts in mood, and those with long-standing mental health conditions. I understand that taking the first step toward care is hard, and I'm here to support patients through that process. Mental health struggles are nothing to be ashamed of.

My goal is to understand each patient's history, struggles, concerns, and goals to formulate a treatment plan unique to them. I prioritize supportive, open, and collaborative communication. I work with patients to explore treatment options, including medication and other approaches, to find what works best, since no single approach fits every patient. My focus is on sustainable strategies that help patients feel more like themselves and thrive, not just symptom management.

I’m a Board Certified Psychiatric Mental Health Nurse Practitioner. I earned a Bachelor of Arts in Psychology from Centenary College of Louisiana in 2008 and a Master of Science in Nursing from Vanderbilt University School of Nursing in 2012. I have more than 13 years of behavioral health experience treating patients across the lifespan in the outpatient setting and a passion for improving access to quality psychiatric care.

I prioritize open and collaborative communication while creating an inviting, supportive, and nonjudgmental environment where patients can feel heard, respected, and empowered in their care.

I believe meaningful care begins with truly listening and understanding each patient’s unique experiences, concerns, and goals. By partnering with patients in their treatment, I develop individualized treatment plans that support healing, personal growth, and long-term wellness while thoughtfully integrating evidence-based psychiatric care with complementary wellness approaches.

Gail R. Boyer, MS, RN, NP-C, PMHNP-BC, is a board-certified Psychiatric Mental Health Nurse Practitioner and Adult-Gerontology Nurse Practitioner with more than 18 years of nursing experience. She earned her nursing degrees from Elms College, the University of Massachusetts Medical School, and Hunter College. She provides psychiatric evaluations, medication management, and supportive psychotherapy for adolescents and adults, treating depression, anxiety, ADHD, bipolar disorder, PTSD, OCD, and substance use disorders.

Gail creates a welcoming, nonjudgmental environment where patients feel heard, respected, and involved in every treatment decision. She takes time to understand each person's unique needs and explains diagnoses, medications, and treatment options in clear language. She believes care should be individualized, collaborative, and grounded in trust, with every patient leaving appointments feeling informed and hopeful.

Gail begins with a comprehensive psychiatric evaluation to understand each patient's history, symptoms, strengths, and goals. Together, they develop an individualized treatment plan that may include medication management, supportive psychotherapy, education, and care coordination. She monitors progress using evidence-based and measurement-based approaches, adjusting treatment as needed to improve symptoms, daily functioning, and overall quality of life.

Laurie Jean Baptiste, PMHNP, is a dual board-certified Family Nurse Practitioner and Psychiatric Mental Health Nurse Practitioner with experience providing care for a wide range of mental health conditions. Laurie provides evidence-based care for concerns including anxiety, depression, bipolar disorder, ADHD, PTSD, OCD, trauma-related disorders, and other behavioral health conditions. Laurie’s approach recognizes the connection between mental and physical health and focuses on supporting meaningful outcomes through patient-centered care.

Laurie creates a safe, supportive, and nonjudgmental environment where patients feel heard, respected, and valued. Laurie’s therapeutic style is warm, collaborative, and transparent, encouraging open communication and shared decision-making. Laurie believes each person deserves individualized care and does not follow a one-size-fits-all approach, instead tailoring treatment plans to each patient’s needs, goals, strengths, and experiences.

Laurie begins with an initial evaluation focused on understanding each patient’s history, concerns, and treatment goals. Laurie then develops an individualized treatment plan that may include medication management, brief evidence-based psychotherapy such as CBT, IPT, or ACT, or a combination of approaches. Follow-up visits focus on monitoring progress, adjusting care as needed, and maintaining open communication so patients remain active partners throughout treatment.

Margaret Johnson, PMHNP, earned her Master’s Degree from Vanderbilt University School of Nursing in 2006 and completed advanced doctoral studies in clinical psychology. She has extensive experience in outpatient, inpatient, geriatric, military, and veteran-focused psychiatry, along with certifications in CBT, DBT, integrative psychiatry, nutritional psychiatry, medical ketamine-assisted therapy, psychedelic psychiatry, and bioidentical hormone therapy. Margaret takes an integrative approach that combines mental health care with wellness, nutrition, and medication management.

Margaret values open communication, collaboration, and patient input throughout treatment. She believes patients are the experts on their own lives and prioritizes being fully present and listening carefully to each person’s experiences and goals. Her approach focuses on creating clear, individualized treatment plans that support healing, growth, and long-term wellness through a combination of evidence-based care and integrative treatment options.

Margaret views each patient’s life as uniquely personal, much like a piece of music or art. Drawing from her background as a professional musician, she listens carefully to each patient’s history, concerns, and short- and long-term goals. Together, they develop a collaborative plan of care designed to help patients achieve their healthiest and most fulfilling lives while feeling supported and engaged throughout the process.

Jose Cruz is a board-certified psychiatric-mental health nurse practitioner with over eight years of experience providing outpatient and community-based mental health care to individuals across the lifespan. He earned his nursing degree from Oregon Health & Science University, completed his PMHNP training, and later received a Doctor of Nursing Practice degree from Eastern Kentucky University. He has experience treating mood, anxiety, and attention-related disorders and has additional training in integrative and functional medicine.

Jose takes a collaborative, evidence-based approach, partnering with patients through open communication and shared decision-making. He integrates medication management, supportive therapy, and healthy lifestyle strategies to support whole-person wellness. He strives to create a calm, inclusive environment where patients feel heard, respected, and empowered to build insight, strengthen coping skills, and achieve meaningful goals.

Jose begins with a comprehensive evaluation to understand each patient's symptoms, history, and goals. Together, they develop an individualized treatment plan that may include medication, psychotherapy, psychoeducation, and lifestyle strategies. Follow-up visits focus on monitoring progress, addressing challenges, and adjusting treatment to support lasting improvement.

Brian Howard, PMHNP, has experience in both outpatient and inpatient settings. He earned a post-graduate certification in psychiatry from Washburn University and a Master of Science in Nursing with an emphasis in family medicine from Eastern Kentucky University.

Brian encourages open communication and works with patients in a supportive, respectful environment where they feel heard and involved in their care.

Brian focuses on understanding each patient’s concerns and creating outcomes that promote growth while supporting their individual treatment goals.

Glaubia Weaver is a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP) with over 14 years of experience providing mental health care in diverse healthcare settings. She specializes in medication management and evidence-based talk therapy, supporting individuals navigating anxiety, depression, mood disorders, and life transitions.

Glaubia believes each person’s mental health journey is unique and approaches care with empathy, respect, and compassion. She creates a safe, supportive, and nonjudgmental environment where patients feel heard and empowered. Her integrative approach combines psychopharmacology with therapeutic modalities such as cognitive behavioral therapy (CBT), mindfulness-based interventions, and dialectical behavior therapy (DBT) to support individualized goals.

Glaubia begins by developing a strong therapeutic connection and gaining an understanding of each patient’s concerns, experiences, and goals. She collaborates with patients to create personalized treatment plans that may include medication management, therapy strategies, and holistic lifestyle practices. Through ongoing communication and support, she helps patients build insight, resilience, and overall well-being.

Kendall Coniglio, PMHNP, is a board-certified psychiatric mental health nurse practitioner who earned a BSN from Lakeview College of Nursing and a PMHNP degree from Indiana Wesleyan University. She has experience supporting individuals in both inpatient and outpatient settings, including telehealth care, and regularly pursues continuing education to expand her clinical expertise. Outside of work, she enjoys kayaking, hiking, gardening, rockhounding, wire wrapping, and spending time with her husband, pets, children, grandchildren, and extended family.

Kendall strives to create a safe, welcoming environment where clients can be themselves. She is LGBTQI-affirming and neurodivergent-friendly, and has a special interest in working with individuals experiencing bipolar disorder, major depressive disorder, PTSD, and ADHD. She values building collaborative relationships and helping clients feel heard, respected, and supported throughout their care.

Kendall believes that life can be complicated and takes a whole-person approach to treatment. She works with clients to understand how mental health symptoms affect daily functioning and collaborates with them to develop personalized treatment plans. Her approach may include thoughtful medication management with attention to minimizing side effects and polypharmacy, along with lifestyle strategies such as physical activity, nutrition, and meaningful community engagement to support overall well-being.

Jason Martin is a Board-Certified Psychiatric and Mental Health Nurse Practitioner with over 15 years of experience providing psychiatric care in outpatient and inpatient settings. He earned his MSN from the University of Cincinnati and is also a Certified Ketogenic Nutrition Specialist through The American Nutrition Association. Jason brings extensive experience from 32 years of military service, including work in combat zones and hospitals throughout the United States and abroad, as well as four years serving as an Assertive Community Treatment Team provider.

Jason creates a warm, supportive environment where patients feel heard, respected, and valued. He believes in open communication and works collaboratively with patients to establish clear treatment goals. His approach emphasizes partnership, trust, and individualized care that honors each patient’s unique needs and experiences.

Jason begins by developing a thorough understanding of each patient’s history, concerns, and goals during the initial session. He collaborates with patients to create personalized treatment plans that align with their goals and preferences. Through medication management, psychotherapy, and nutritional and dietary support, Jason focuses on building lasting relationships while providing comprehensive, evidence-based care.

Amanda McDonald, PMHNP, is an ANCC board-certified Psychiatric Mental Health Nurse Practitioner with a Doctor of Nursing Practice from Rush University. She brings over a decade of experience across outpatient, inpatient, and military settings, caring for diverse populations. Her clinical focus includes mood and anxiety disorders, trauma-related conditions, and substance use disorders. She has worked with veterans, active-duty service members, and civilians, and provides comprehensive psychiatric evaluations and medication management using an evidence-based, whole-person approach.

Amanda believes mental health care is most effective when it is collaborative, respectful, and individualized. She fosters a supportive environment where patients feel safe discussing concerns openly. Her approach is practical and goal-oriented, focusing on symptom improvement, functioning, and overall quality of life. She values transparency and patient education, ensuring individuals understand their diagnosis and treatment options while tailoring care to each person’s unique story and goals.

Amanda begins with a comprehensive evaluation of mental health history, medical background, lifestyle, and goals. She conducts thorough assessments to guide accurate diagnosis and understand contributing factors. Treatment plans are personalized and may include medication, lifestyle changes, and coordination with therapy. She emphasizes ongoing collaboration and monitoring, with follow-ups focused on progress, symptom improvement, and adjusting care as needed.

Agerie Ejigu is a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) and graduate of Shenandoah University with over 20 years of experience in mental health. She provides telehealth psychiatric evaluations and medication management for adults, with experience treating anxiety, depression, autism, trauma-related conditions, ADHD, and OCD. Agerie combines evidence-based medication management with supportive therapy to help patients work toward improved mental wellness.

Agerie believes the foundation of effective care begins with listening. She strives to create a safe, supportive, and welcoming environment where patients feel comfortable being themselves. She views treatment as a partnership and collaborates with each patient to develop a plan that aligns with their goals, values, and lifestyle. Her goal is for patients to feel heard, informed, and hopeful throughout their journey.

Agerie begins each visit by learning about each patient’s story, concerns, and goals for treatment. Together, she develops a personalized care plan that may include medication management, practical coping strategies, and ongoing support. She regularly evaluates progress, answers questions, and adjusts treatment as patients’ needs evolve.

Armando Gutierrez is a Psychiatric-Mental Health Nurse Practitioner (PMHNP) who earned two Master's degrees in Nursing from Case Western Reserve University and a Juris Doctor degree from Glendale University College of Law. He is nationally board certified and a U.S. Army combat medic veteran with over 13 years of combined healthcare and military experience.

Armando values open communication and partners with patients to set clear treatment goals through a collaborative, patient-centered approach. He creates a warm, supportive environment where patients feel heard and respected while building strong therapeutic alliances and exploring all treatment options. No treatment question goes unanswered.

Armando begins by gaining a thorough understanding of each patient's medical, personal, social, and family history. Together, they develop an individualized treatment plan that aligns with the patient's goals and expectations.

Carolyn McClinton, DNP, PMHNP-BC, FNP-C, is a dual board-certified Psychiatric Mental Health and Family Nurse Practitioner with more than 25 years of nursing experience and over a decade of advanced practice experience. She is passionate about improving access to quality mental health care and believes every individual deserves compassionate, respectful, and personalized care that supports emotional wellness and a better quality of life.

Carolyn provides warm, collaborative, and evidence-based care for children, adolescents, adults, and older adults. She treats a wide range of conditions, including anxiety, depression, ADHD, bipolar disorder, trauma-related disorders, and schizophrenia. She values building trusting therapeutic relationships and developing individualized treatment plans that meet each patient's unique needs.

Carolyn partners with patients to create personalized treatment plans that integrate medication management, supportive psychotherapy, patient education, and evidence-based practices. She believes effective mental health care goes beyond symptom management by empowering patients with the tools, support, and confidence to lead healthier, more fulfilling lives.

Adam Keller is a doctorally prepared, board-certified Psychiatric-Mental Health Nurse Practitioner with over a decade of experience dedicated to improving patient quality of life. He earned a Doctor of Nursing Practice from the Uniformed Services University of the Health Sciences, with clinical training at Walter Reed National Military Medical Center and Womack Army Medical Center. He retired from the U.S. Army after 25+ years of service, including leadership roles as Chief of a multidisciplinary Department of Mental Health and Installation Director of Psychological Health. He has worked in inpatient, outpatient, academic, and administrative settings.

Adam fosters a supportive environment where patients feel heard, respected, and engaged in care, emphasizing open communication and collaborative goals. He uses a patient-centered approach integrating medication management, education, motivational interviewing, and supportive therapy. He treats depression, anxiety, ADHD, substance use disorders, and PTSD using a trauma-informed approach.

Initial evaluations include comprehensive assessment of history, concerns, and goals using shared decision-making to create individualized treatment plans. He prioritizes a collaborative environment that builds trust and encourages active participation. Follow-ups are scheduled regularly to monitor progress, adjust treatment, and support long-term wellness.

Jean Ryals, PMHNP, is a dual board-certified Adult-Gerontology Primary Care Nurse Practitioner and Psychiatric Mental Health Nurse Practitioner. She earned her BSN from the College of New Rochelle, her MSN from Felician University, and completed her PMHNP post-master's program at the University of Cincinnati. With more than 22 years of nursing experience and over 12 years as a Psychiatric Nurse Practitioner, Jean provides psychiatric care for adults ages 18 and older, with expertise in depression, anxiety, trauma-related conditions, stress, adult ADHD, and mood disorders.

Jean takes a collaborative, evidence-based approach to care. Drawing from Cognitive Behavioral Therapy and Motivational Interviewing principles, she helps patients better understand their symptoms, identify barriers to wellness, and develop personalized treatment plans. She views medication as one potential tool within a broader treatment strategy and tailors recommendations to each individual's history, needs, and goals.

Jean begins care with a comprehensive psychiatric evaluation that explores current concerns, mental health history, prior treatments, and overall health. She works closely with patients to understand what brought them to treatment and what they hope to achieve. Together, they develop a clear, individualized plan designed to support meaningful and lasting progress.

Tonya Farris, PMHNP, is a board-certified Psychiatric Mental Health Nurse Practitioner with 6.5 years of advanced practice experience and more than 20 years in psychiatric nursing. She has provided inpatient and outpatient care for adults with PTSD, bipolar disorder, anxiety, depression, schizophrenia, schizoaffective disorder, OCD, personality disorders, and ADHD. Tonya earned her Master of Science in Nursing from Indiana Wesleyan University and is committed to compassionate, evidence-based, patient-centered care.

Tonya takes a whole-person, patient-centered approach, recognizing the connection between emotional, physical, and social well-being. She listens with empathy, values open communication, and partners with patients to create personalized treatment plans that reflect their goals and preferences. She believes shared decision-making and a respectful, supportive environment help patients achieve lasting recovery.

Tonya begins with a comprehensive psychiatric evaluation, reviewing medical history, symptoms, past treatments, medications, and treatment goals. She encourages questions and collaboration when developing care plans. Follow-up visits focus on monitoring progress, adjusting treatment as needed, providing psychoeducation, reinforcing healthy coping skills, and empowering patients to take an active role in their long-term mental wellness.

Ann Farrow, ANCC PMHNP-BC, is a board-certified Psychiatric Mental Health Nurse Practitioner. She earned her BSN with honors from Rutgers School of Nursing and her MSN in Psychiatric Mental Health Nursing from the University of Pennsylvania. Throughout her career, she has provided care across emergency, inpatient, outpatient, and partial hospitalization settings, treating children, adolescents, and adults with a wide range of psychiatric conditions. Her special interests include treatment-resistant depression, adult-onset ADHD, and bipolar disorder.

Ann believes treatment is a collaborative effort between provider and patient. She strives to understand the gap between where patients are today and where they want to be, approaching each interaction with empathy, flexibility, and respect. She values coordination with therapists, neurologists, primary care providers, and other members of a patient’s care team. When appropriate and desired, she also involves family members and other supports to help strengthen treatment outcomes.

Ann begins with a comprehensive psychiatric assessment to gain a thorough understanding of each patient’s history, symptoms, strengths, and goals. She develops individualized treatment plans tailored to the patient’s unique needs and changing presentation. At the end of each session, she reviews progress, reassesses goals, and ensures patients leave with a clear understanding of next steps, keeping the focus on their growth and well-being throughout treatment.

Emily Gitau is a Psychiatric Mental Health Nurse Practitioner who has worked in outpatient behavioral health clinics serving adult populations. She earned her Master of Science in Nursing from the University of North Carolina at Chapel Hill and her Bachelor of Science in Nursing from Winston-Salem State University.

Emily Gitau provides collaborative, respectful, and goal-oriented care focused on understanding each patient’s experiences and creating practical, individualized treatment plans. She emphasizes clear guidance, evidence-based medication management, and patient education, while fostering a supportive, nonjudgmental environment that encourages honesty, consistency, and patient autonomy.

Emily Gitau uses a structured, patient-centered approach that begins with a comprehensive psychiatric assessment and individualized treatment planning, which may include medication management, psychoeducation, and coordination with therapy. Follow-ups focus on progress, effectiveness, and side effects, with adjustments guided by clinical findings and patient feedback.

Crystal Branham is a dual board-certified Psychiatric Mental Health and Primary Care Nurse Practitioner with extensive experience in healthcare. She has practiced as a Nurse Practitioner since 2011, following her work as a registered nurse from 2004–2011. Crystal earned her graduate and postgraduate degrees from Northern Kentucky University, a bachelor’s degree in nursing from Indiana Wesleyan University, and an associate degree from Pikeville College. Her background includes roles as a clinical educator, clinical practice manager, emergency room nurse, and telehealth psychiatric provider.

Crystal values open communication and collaborates closely with patients to establish clear, meaningful treatment goals. She is passionate about delivering compassionate, comprehensive mental health care in a warm and supportive environment where patients feel heard and respected. She emphasizes building strong rapport with patients and families while offering supportive therapy and psychoeducation.

Crystal begins with a thorough assessment of medical, social, and psychiatric history to understand each patient’s concerns and past treatment. She works collaboratively to establish short- and long-term goals and develops individualized treatment plans aligned with those goals. Her approach blends evidence-based guidelines with clinical experience, while prioritizing interdisciplinary collaboration to support overall well-being.

Rashel Low is a Psychiatric Mental Health Nurse Practitioner with over 10 years of experience supporting patients ages 3 to 99 across acute care, addictions, crisis, and outpatient settings. She earned her BSN from Indiana State University and her MSN in Psychiatric Mental Health Nursing from Eastern Kentucky University. She is certified as a Psychiatric Mental Health NP (ANCC) and holds Pediatric Primary Care Certification (PNCB).

Rashel Low takes a patient-centered, holistic approach to care, recognizing that mental health is complex and treatment should be tailored to each individual. She fosters an open, welcoming environment where patients feel heard and understood, with space to discuss both strengths and challenges. Appointments focus on addressing real-life concerns and supporting overall well-being.

Rashel Low prioritizes building meaningful connections with her patients, understanding who they are and who they aspire to become. She partners with patients to develop personalized treatment goals and encourages active participation in care. While medication can be an important tool, she takes a thoughtful, cautious approach to ensure it is appropriate for each individual.

Alicia Olson, PMHNP, earned her BSN from Winona State University in Minnesota and her MSN from the University of North Dakota. She has experience in inpatient care as both a registered nurse and nurse practitioner, and more recently in outpatient primary care and private practice. Alicia has additional training in nutritional and metabolic psychiatry, which informs her holistic approach to mental health care.

Alicia takes a conversational approach, focusing on understanding patients as whole people rather than just symptoms. She integrates supportive therapy into every session and refers for deeper therapeutic work when needed. She values authenticity and recognizes that seeking help can be challenging. Alicia emphasizes the role of nutrition, lifestyle, and exercise in overall mental and physical well-being.

Alicia begins by getting to know each patient and the factors affecting their life. She practices a “less is more” approach to prescribing, sometimes helping patients reduce or discontinue unnecessary medications. Alicia collaborates with patients to set goals and works toward them using a combination of medication management and behavioral strategies.

Tiffany Shaughnessy is a board-certified Psychiatric Mental Health Nurse Practitioner who provides outpatient care to young and middle-aged adults. She earned her MS in Nursing (PMHNP) from Upstate Medical University, graduating as valedictorian. She treats bipolar disorder, depression, anxiety, PTSD, and ADHD, with a focus on improving quality of life, balance, and day-to-day functioning through a practical, no-nonsense approach centered on what works.

Tiffany is direct, honest, and collaborative, creating a nonjudgmental space where patients feel heard and respected. She takes a goal-oriented approach, focusing on clear plans and meaningful results without overcomplicating care. She values efficiency, respects patients’ time, and prioritizes treatment that is both effective and straightforward.

She begins with a focused, thorough evaluation to understand each patient’s needs. Together, they establish clear, realistic goals and develop an individualized, practical treatment plan. Tiffany provides clear guidance to support informed decision-making and adjusts care as needed to ensure steady progress.

Donna is a Board-Certified Psychiatric Nurse Practitioner dedicated to breaking down mental health stigma and expanding access to compassionate, quality care. With over 20 years of nurse practitioner experience, she has supported patients and families through life’s emotional and physical challenges across outpatient, inpatient, and telepsychiatry settings. Donna is passionate about creating a safe, empowering space where individuals feel seen, heard, and valued on their mental health journey.

Donna helps patients become the best, healthiest version of themselves, both mentally and emotionally. She values open communication, mutual respect, and collaborative decision-making. Her treatment plans include medication management, healthy coping strategies, and tools to build self-awareness and resilience. Known for her warmth and empathy, Donna creates a judgment-free environment where every voice matters.

Donna begins by building trust through a compassionate, in-depth initial interview. Together with each patient, she develops a personalized treatment plan that blends medication management with lifestyle recommendations tailored to individual goals and values. Her holistic approach focuses not just on symptom relief, but on fostering lasting growth, confidence, and overall well-being.

‍

Karen Tonner, MSN, PMHNP-BC is an ANCC board-certified Psychiatric Mental Health Nurse Practitioner with over eight years of experience providing psychiatric care in outpatient and community mental health settings. She works with patients across the lifespan and treats a broad range of mental health conditions, including depression, anxiety disorders, attention-deficit/hyperactivity disorder (ADHD), obsessive-compulsive disorder (OCD), and post-traumatic stress disorder (PTSD).

Karen primarily provides medication management in conjunction with supportive therapy, using evidence-based practices to help patients achieve symptom relief and improved functioning. Her approach to care is holistic, person-centered, and collaborative, emphasizing shared decision-making and individualized treatment planning. She strives to create a welcoming, approachable, and supportive environment where patients feel comfortable being themselves and actively participating in their care. She believes that understanding each patient’s unique experiences, goals, lifestyle, and strengths is essential to effective mental health treatment.

Karen earned her Bachelor of Science in Nursing from Kennesaw State University and her Master of Science in Nursing from the University of Alabama at Birmingham. She is dedicated to continuing education to remain current with psychiatric research and is committed to delivering compassionate, high-quality care that helps patients feel heard, respected, and empowered.

Erin Thompson, PMHNP, has been working in outpatient mental health care since December 2020. She earned her Psychiatric Mental Health Nurse Practitioner certification from the University of Cincinnati after five years of experience as a Family Nurse Practitioner. Her background allows her to approach care with both medical and mental health insight, supporting patients in a well-rounded, compassionate way.

Erin Thompson prioritizes collaboration and transparency in care. She conducts a thorough intake to understand symptoms, history, and goals, and emphasizes using the least amount of medication necessary for the greatest benefit. She avoids unnecessary polypharmacy and ensures patients are fully involved in treatment decisions. Open, honest communication is encouraged to build trust and achieve the best outcomes.

Erin Thompson regularly assesses key symptoms at each visit to track subtle changes over time. She discusses medication options in detail, including potential side effects, so patients feel informed and confident. Her approach focuses on understanding each patient’s starting point, current progress, and long-term goals to guide personalized, effective treatment.

Jami Cline, PMHNP, is a board-certified Psychiatric Nurse Practitioner with over ten years of experience caring for individuals with a wide range of mental health conditions. She began her nursing career in 1996 and gained diverse experience across the U.S. before earning her Doctor of Nursing Practice from Arizona State University in 2016. She has since worked in outpatient community mental health, caring for patients of all ages.

Jami takes a collaborative, patient-centered approach, focusing on understanding each individual’s history, symptoms, and goals. She incorporates medication management with trauma-informed care, integrative medicine, lifestyle changes, nutrition, mindfulness, and supportive therapy techniques to improve overall well-being and quality of life.

Jami begins with a comprehensive psychiatric evaluation to build a strong foundation of understanding and partnership. She then develops a personalized, evidence-based treatment plan that may include medication and therapeutic interventions, supporting patients over time as they grow, overcome challenges, and achieve their goals.

Katlyn Bowman is a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP) with a diverse background in nursing and mental health care. She began her career as a Registered Nurse, working in inpatient psychiatry, the emergency department, renal/surgical units, and the operating room. She earned her BSN from Augustana College (2011) and her Doctor of Nursing Practice from Rush University (2018). She also holds a Master of Psychopharmacology certification and has experience in rural outpatient mental health care.

Katlyn Bowman takes a warm, collaborative, and patient-centered approach. She strives to create a safe, supportive, and judgment-free space where patients feel heard and respected. She values open communication and emphasizes education so patients can better understand their symptoms and treatment options. She works alongside each patient to develop a plan that aligns with their goals and comfort level.

Katlyn Bowman begins with a comprehensive evaluation, exploring history, symptoms, and personal goals to guide diagnosis and care. She prioritizes education and shared decision-making when discussing treatment options. Follow-up visits focus on monitoring progress, adjusting care as needed, and providing ongoing support tailored to each patient’s evolving needs.

Michelle Hamilton is a Board-Certified Psychiatric Mental Health Nurse Practitioner with a special interest in the care of adults with mood disorders, anxiety disorders, and PTSD. She earned her Master of Science Degree from The Ohio State University and her Bachelor’s Degree in Nursing from The Oregon Health & Science University in Portland, Oregon. Her background includes both inpatient and outpatient psychiatry, crisis stabilization, and Consult-Liaison Psychiatry. Michelle has a passion for incorporating a holistic, evidenced-based approach to improve the mental health needs of each individual client through medication and therapy while emphasizing practical lifestyle changes such as the incorporation of exercise, healthy nutrition, and stress management techniques.

Jackie LaVe' is a board certified Psychiatric Mental Health Nurse Practitioner. She is also dually certified as a Family Nurse Practitioner. She received her master’s degree and post-master’s certificate from Vanderbilt University. Jackie has 12 years of experience as a nurse and over 7.5 years of experience as a Nurse Practitioner. Jackie is licensed to practice in Montana, Arizona and New York.

Jackie LaVe’ offers a patient centered approach, working with individuals aged 18-65. She believes in engaging patients in the decision-making process. Jackie has professional interests in treating a wide range of adult psychiatric conditions including depression, anxiety, trauma, ADHD, OCD, panic, autism and bipolar disorder.

She provides psychiatric assessments and medication management along with brief supportive psychotherapy. She believes in educating patients, so they are empowered to work together to create treatment plans that improve their health and quality of life. Jackie has additional education and experience in cognitive behavioral therapy, mindfulness and motivational enhancement. Jackie can also review if adding a therapist to your care team could improve outcomes.

Rebecca Kostopoulos, PMHNP, is a board-certified psychiatric nurse practitioner committed to helping individuals facing mental health challenges lead full and balanced lives.

Her practice primarily focuses on medication management, often combined with supportive or emotionally focused therapy during 30-minute follow-up visits. When appropriate, Rebecca may recommend involving an additional therapist to ensure the most effective and comprehensive care.

She earned her Master of Science in Nursing with a specialization in psychiatry from Columbia University and her Bachelor of Science in Nursing from Boston College. Her training includes psychiatric diagnosis, medication management, and both psychodynamic and cognitive-behavioral therapies.

With over a decade of experience, Rebecca has evaluated and treated adults in a variety of clinical settings. Her previous roles include working at Elmhurst Hospital’s Comprehensive Psychiatric Emergency Program, Gracie Square Hospital’s inpatient unit, as well as in community health centers and skilled nursing facilities.

As a nurse practitioner, Rebecca believes that mental health is just as vital as physical health. She values the therapeutic relationship and approaches treatment with empathy and collaboration, ensuring that each patient receives personalized and compassionate care.

‍

Michelle White is a board-certified Psychiatric Mental Health Nurse Practitioner with experience across addiction treatment centers, inpatient psychiatric hospitals, and outpatient clinics. She has developed a strong understanding of mental health complexities and the challenges individuals face throughout recovery and ongoing wellness.

Michelle prioritizes patient-centered care, ensuring each individual feels heard, respected, and understood. She specializes in assessing, diagnosing, and treating ADHD, major depressive disorder, anxiety, mood disorders, and related conditions, tailoring care to each patient’s unique needs.

Michelle begins with a comprehensive evaluation to understand each patient’s symptoms and goals. She collaborates with patients to create individualized treatment plans that may include medication management and supportive guidance, with a focus on ongoing progress and adjustment as needed.

*TELEHEALTH PROVIDERS CANNOT PRESCRIBE CONTROLLED SUBSTANCES FOR RI PATIENTS*

Connie Fisk, PMHNP, has worked in the mental health field for over 40 years and graduated from the University of Cincinnati in 2013. She has experience working with active-duty military members, individuals facing addiction, corrections populations, and the chronically ill in both outpatient and inpatient settings. Connie is board certified through the American Nurses Association.

Connie values a team-based approach built on open communication and active listening. She believes every patient deserves to be treated with respect, compassion, and dignity, just as she would want her own loved ones to be treated.

Connie begins by obtaining a thorough history and listening carefully to each client’s concerns in order to develop clear treatment goals. Together, she and her patients create individualized plans that best support their needs and overall well-being.

Asmita Neupane is a board-certified Post Mental Health Nurse Practitioner (PMHNP). She received her bachelor’s in nursing degree from Metropolitan state university, master’s in nursing degree from Texas Women’s University which specializes in Adult Geriatric Nurse Practitioner and completed her post-master’s degree as PMHNP from Wilkes University. Asmita Neupane has 20 plus years of experience as a Registered Nurse and almost 10 years of experience as Nurse Practitioner. Asmita Neupane is licensed to practice in Maryland and District of Columbia.

Asmita Neupane has professional interests in treating a wide range of psychiatry conditions including depression, anxiety, OCD, ADHD, PTSD, bipolar disorder, schizophrenia and eating disorders. She provides psychiatric assessments and medication management along with brief supportive psychotherapy. She focuses on holistic approaches to treatment and believes in keeping her patients healthy rather than only addressing illness. Asmita Neupane is fluent in Nepali, Hindi and English.

Claudine Allen, PMHNP, is a board-certified psychiatric mental health nurse practitioner (ANCC) with over 20 years of experience across inpatient, outpatient, emergency, and state hospital settings. She earned both her BSN (2003) and MSN (2019, magna cum laude) from Husson University in Bangor, Maine. Her clinical work includes psychiatric evaluation, diagnosis, medication management, and CBT. She treats depression, anxiety, ADHD, insomnia, bipolar disorder, PTSD, and OCD, and has experience with schizophrenia, schizoaffective, and neurocognitive disorders. She has over 7 years of telehealth experience.

Claudine Allen, PMHNP, takes a relaxed yet professional approach, creating a comfortable, supportive environment while maintaining high clinical standards. Patients can expect evidence-based care, clear communication, and to be treated with respect, honesty, and dignity. She values transparency, accountability, and reliability in every interaction.

Claudine Allen, PMHNP, fosters a nonjudgmental, welcoming space where patients feel safe sharing. She conducts thorough, purposeful assessments and develops individualized, evidence-based treatment plans that integrate medication management, supportive therapy, and lifestyle considerations. She emphasizes shared decision-making, realistic goals, and ongoing follow-up to monitor progress and adjust care.

Jaime Loebner, PMHNP, is a board-certified Psychiatric-Mental Health Nurse Practitioner with extensive experience in outpatient and telepsychiatry care. She holds a Master of Nursing from Vanderbilt University, a Master of Education in Counseling Psychology from Rutgers University, and a B.A. in Academic Psychology from the University of Tennessee. Jaime has provided psychiatric care across the lifespan in child and adolescent clinics, residential programs for women with co-occurring disorders, and community behavioral health teams. Since 2020, she has focused on telemedicine-based outpatient psychiatry, offering evaluations, medication management, and supportive therapy. She is licensed in multiple states and is committed to compassionate, evidence-based, whole-person care.

Jaime understands that seeking care can feel vulnerable and works to make each visit comfortable and supportive. She listens actively, provides clear, evidence-based guidance, and creates a safe space where patients feel heard and respected. She promotes a balanced lifestyle, including healthy sleep, nutrition, exercise, and meaningful social connections.

Jaime begins with a thorough biopsychosocial assessment to understand each patient’s history, concerns, and goals. She collaborates closely with patients to develop personalized treatment plans aligned with their needs and preferences.

Sarah Fedak is a Doctor of Nursing Practice (DNP)–prepared Nurse Practitioner and board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC). She earned advanced psychiatric mental health certification through the University of Texas Health Science Center at Houston and has provided psychiatric care across inpatient, outpatient, telehealth, and intensive outpatient settings. Sarah previously practiced at Menninger Clinic and specializes in treating adolescents, adults, and older adults with conditions such as ADHD, anxiety, depression, bipolar disorder, insomnia, and mood disorders.

Sarah values open communication and believes patients should feel heard, respected, and supported throughout their care. She takes a collaborative, personalized approach to treatment and works to build trusting relationships in a compassionate, judgment-free environment. She encourages patients to play an active role in treatment decisions while providing thoughtful, evidence-based care centered on overall well-being.

Sarah begins by gaining a thorough understanding of each patient’s history, symptoms, concerns, and goals. She conducts comprehensive psychiatric evaluations and develops individualized treatment plans that may include medication management and supportive therapeutic approaches. She collaborates closely with patients over time, adjusting care plans as needed to promote lasting stability and wellness.

Roman Mondal is a board-certified Psychiatric-Mental Health Nurse Practitioner specializing in medication management for depression, anxiety disorders, OCD, PTSD, and bipolar disorder. He earned both his Bachelor of Science in Nursing and Master’s degree from the Hunter-Bellevue School of Nursing and brings over eight years of experience in psychiatric care.

Roman believes the foundation of effective treatment is human connection and the mutual trust it creates. He understands that mental health can be a stigmatized topic and works to create a supportive, judgment-free environment where patients feel comfortable sharing their experiences. His goal is to help patients feel empowered to openly explore their mental health and feel confident in their treatment plan.

Roman takes a collaborative approach to care, working closely with patients to develop treatment plans that align with their needs and goals. He prioritizes open communication, comfort, and trust throughout the process. Outside of work, he enjoys hiking and nature walks with his Golden Retriever and Siberian Husky, playing tabletop games, watching movies with his partner, and experimenting with new recipes for loved ones.

Catherine Nwora is a Psychiatric Mental Health Nurse Practitioner (PMHNP) who believes mental health care is most effective when patients feel heard, respected, and actively involved in treatment. She creates a supportive, nonjudgmental environment where patients can openly discuss concerns, identify goals, and develop individualized treatment plans that fit their needs and lifestyle.

Catherine takes a collaborative, compassionate, and evidence-based approach to care. She understands that beginning mental health treatment can feel overwhelming, so she prioritizes trust, open communication, and patient education throughout the process. She focuses on treating the whole person by considering emotional, social, medical, and lifestyle factors that impact mental wellness.

Catherine begins with a comprehensive psychiatric evaluation to explore mental health history, current concerns, stressors, sleep, relationships, medications, and treatment goals. Together, she and her patients create personalized care plans that may include medication management, supportive therapy, coping strategies, lifestyle recommendations, and coordination with other providers. Follow-up visits focus on progress, treatment adjustments, and building long-term stability and confidence.

James Niforatos, PMHNP, has over a decade of experience managing complex medication regimens across inpatient units, outpatient care, medical floor consultations, community mental health clinics, and residential treatment settings. He completed graduate studies at the University of Illinois at Chicago with clinical rotations at Northwestern University Hospital and the University of Illinois Hospital System. He holds certifications as a Cognitive Behavioral Therapy Clinician (CBT-C), ADHD-CCSP, and Functional Medicine for ADHD Provider.

James uses a shared decision-making approach to establish goals and treatment plans. He emphasizes individualized, patient-centered care and values collaboration with therapists and other healthcare providers to support comprehensive treatment.

James begins by thoroughly understanding each patient’s history, concerns, and goals during the initial session. He then develops individualized treatment plans aligned with those goals, focusing on improving understanding and management of mental health conditions to support personal, academic, and professional well-being. His approach is holistic, incorporating medication management alongside attention to nutrition, activity, relationships, and reduction of risky substance use.

Michael Hartenstein is a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) with experience across inpatient psychiatry, community mental health, and telepsychiatry. He earned his MSN from the University of South Alabama and dual bachelor’s degrees in Nursing and Criminology and Criminal Justice from Metropolitan State University of Denver. His healthcare path began as a medic in the U.S. Air Force, followed by work as a residential brain trauma coach. Michael is also certified as a Clinical Trauma Professional (CCTP) and Narcissistic Abuse Treatment Clinician (NATC).

Michael takes a direct, sincere, and patient-centered approach grounded in open communication and cultural sensitivity. He uses trauma-informed care as a core framework, focusing on the whole person rather than a transactional experience. He prescribes thoughtfully, taking time to understand each patient’s history, symptoms, and goals before determining the most appropriate treatment plan.

Michael begins with a thorough evaluation of clinical history, past treatment, current concerns, and personal goals. He combines evidence-informed medication management with trauma-informed therapeutic support during visits and develops collaborative treatment plans that evolve over time based on each patient’s progress and individual needs.

Joe Weaver is a doctoral-prepared, board-certified psychiatric nurse practitioner (PMHNP-BC) with over a decade of experience in inpatient and outpatient psychiatry. He began his career on a consultant-liaison psychiatric team at an acute care medical center, where he spent five years treating complex cases involving medical, neurologic, and pharmacologic factors. He later transitioned to outpatient psychiatry, developing expertise in PTSD, OCD, ADHD, mood disorders, and neurodivergent conditions. Joe also served as a combat stress officer in the U.S. Army Reserves and has educated others on the intersection of medicine and psychiatry throughout his clinical and military career.

Joe takes an integrative, whole-person approach to care that considers both mental and physical health. He incorporates mindfulness, meditation techniques, and an understanding of the mind-body connection into treatment while helping patients recognize how stress physiology and negative thought patterns impact well-being. He also uses pharmacogenomic testing when appropriate to guide medication decisions. Patients can expect a warm, respectful, and nonjudgmental environment where they feel heard and empowered.

Joe begins with a comprehensive evaluation to understand each patient’s history, current concerns, goals, and values. He uses evidence-based tools and, when appropriate, metabolic and pharmacogenomic analysis to support safe medication management. Together, he collaborates with patients to create individualized treatment plans that evolve as their needs and goals change.

Diane Inda is a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP) with extensive experience across inpatient, outpatient, emergency, and telehealth settings. She is passionate about supporting patients in achieving their mental health goals while fostering trust, respect, and collaboration with a wide variety of care providers. Diane lives in Oregon with her husband, three cats, and four dogs, and enjoys writing fiction, photography, jewelry making, and martial arts.

Diane prioritizes what matters most to each patient, creating a safe space to discuss—or choose not to discuss—any concern. She values honesty and respect, and draws on her diverse clinical experience to see the whole patient. Diane collaborates with both traditional and non-traditional providers, ensuring patients receive comprehensive care tailored to their needs.

Appointments begin by focusing on the patient’s goals and concerns. Diane uses evidence-based assessments to track progress and patterns and explores all aspects of a patient’s life, including sleep, nutrition, career, family, pets, and spirituality. Together, she and her patients create individualized treatment plans with actionable steps, monitoring what works best and adjusting as needed to support the patient’s chosen path to wellness.

Please note: Due to limitations placed by Minnesota law, controlled medications cannot be prescribed by telehealth only providers. This includes stimulant medications for ADHD. One option is to complete the assessment and then forward the medical records to one’s local primary care provider who can then do the actual prescribing. It is recommended to contact the primary care provider before an appointment with Talkiatry to ascertain if this plan is acceptable.

Marina Lewis, NP is a Board Certified Adult Psychiatric-Mental Health Nurse Practitioner with over a decade of outpatient experience supporting people through anxiety, depression, trauma, ADHD, and the complexities of modern life. She earned her Master of Science in Nursing from California State University, Long Beach, and completed an Interprofessional Integrative Health Fellowship with the U.S. Department of Veterans Affairs, strengthening her commitment to whole-person, team-based care.

Your first session with Marina is a real conversation—no judgment, no cold clinical distance. She prioritizes understanding your experiences, what brought you here, and what you hope to feel differently. Patients can expect empathy, collaboration, and a safe space to discuss their mental health openly.

Marina believes mental health is inseparable from the rest of life. She considers sleep, nutrition, relationships, identity, and environment alongside symptoms and diagnoses. Whether through therapy support, lifestyle changes, medication, or all combined, she builds individualized treatment plans tailored specifically to each patient’s needs.

Jennifer Darby is a board-certified Psychiatric Mental Health Nurse Practitioner with over 20 years of combined experience in nursing and mental health care. She holds degrees in psychology and nursing, as well as a master’s specialization in psychiatric mental health. Jennifer provides outpatient telehealth care for adults, treating conditions such as depression, anxiety, trauma-related disorders, mood disorders, ADHD, and substance use concerns, including high-risk populations.

Jennifer Darby fosters a respectful, supportive, and nonjudgmental space where patients feel heard. She values open communication and builds strong, collaborative relationships grounded in trust. She takes time to understand each patient’s experiences and goals, creating individualized, realistic treatment plans that are both compassionate and evidence-based.

Jennifer begins with a comprehensive evaluation to understand history, symptoms, and goals. She partners with patients to develop personalized plans that may include medication management, education, and therapy coordination. She monitors progress, adjusts care as needed, and encourages active participation to support long-term stability and well-being.

Marinda Schneider is a Psychiatric-Mental Health Nurse Practitioner based in Colorado Springs, Colorado, providing telehealth care to adults statewide. She has over six years of outpatient experience and a background in inpatient psychiatric care. Marinda specializes in treating anxiety, depression, mood disorders, PTSD, and ADHD. Her passion for mental health care is deeply personal, shaped by early caregiving experiences and witnessing the impact of mental health challenges on individuals and families.

Marinda approaches care with empathy and respect, meeting patients where they are in their mental health journey. She prioritizes active listening and creating a safe, supportive environment where patients feel heard and understood. She works best with individuals who are motivated to make meaningful life changes and are ready to take steps toward improving their well-being.

Marinda begins by getting to know each patient as a whole person, asking thoughtful questions and identifying treatment goals together. She develops individualized care plans that may include medication and lifestyle changes. Through collaboration and ongoing goal setting, she supports patients in building sustainable progress and achieving meaningful outcomes.

Thomas Howington, PMHNP, is a board-certified Psychiatric Mental Health Nurse Practitioner with over 18 years in healthcare. His early work in emergency medicine and hospice shaped his compassionate approach. He has experience across the lifespan, from pediatric behavioral health to telepsychiatry in rural communities, and currently practices at TrustCare while mentoring future providers at the University of Mississippi Medical Center.

Thomas creates a supportive space where patients can openly share their experiences. He emphasizes partnership in care, taking time to understand each patient’s needs and goals. His approach is honest, practical, and focused on improving mental health and overall quality of life.

Visits begin with a thorough review of history, concerns, and goals. Thomas considers the full picture—including medical background and life stressors—to develop a personalized plan that may include medication, therapy, or other strategies. He ensures patients understand their options and adjusts care as progress is made.

Caterina Goldberg-Dunnett, PMHNP-BC, FNP-C, is a board-certified Psychiatric Mental Health Nurse Practitioner and Family Nurse Practitioner. She earned her Doctor of Nursing Practice with psychiatric certification from the University of North Florida, graduating with honors as a commencement speaker, and her MSN (FNP) from South University with highest honors. With over a decade of experience, she cares for adult and geriatric patients with complex medical and psychiatric needs, specializing in ADHD, bipolar disorder, panic symptoms, insomnia, and cognitive disorders including dementia.

Caterina fosters a warm, supportive, and nonjudgmental environment where patients feel safe to be open. She values genuine human connection, listens deeply, and communicates with honesty and compassion. Her approach is collaborative and focused on building trust, helping patients find practical, meaningful solutions that improve daily functioning and overall well-being.

She begins with a comprehensive evaluation to understand each patient’s history, symptoms, and goals. She develops accurate diagnoses and personalized treatment plans integrating medication management with evidence-based therapies such as CBT, ACT, mindfulness, and psychoeducation. Caterina emphasizes actionable strategies, monitors progress closely, and adjusts care to support long-term stability, using telehealth to provide accessible, consistent support.

Courtney Moore is a board-certified Psychiatric Mental Health Nurse Practitioner who earned both her bachelor’s and master’s degrees from Indiana University. She has experience across outpatient community mental health, private practice, and inpatient settings. She is dedicated to creating a calm, supportive environment where patients feel comfortable and respected.

Courtney Moore values education as a key component of care. She strives to help patients understand their symptoms and actively participate in shared decision-making. Her approach emphasizes collaboration, ensuring patients feel heard, informed, and empowered throughout their treatment journey.

Courtney Moore begins by gathering holistic information about each patient, including clinical concerns, medical and social history, and treatment goals. She then partners with patients to develop individualized treatment plans tailored to their unique needs and priorities.

Amanda Jurls, PMHNP, is an ANCC board-certified Psychiatric-Mental Health Nurse Practitioner with more than 12 years of experience providing outpatient psychiatric care in both community-based and private practice settings. She earned her Master of Science in Nursing from Vanderbilt University School of Nursing. Her clinical interests include anxiety disorders, mood disorders, and ADHD, and she has extensive experience working with individuals with Autism Spectrum Disorder while providing neurodiversity-affirming care.

Amanda Jurls strives to create a warm and welcoming environment where patients feel heard, respected, and supported. She values shared decision-making and views patients as collaborative partners in their care. Her approach emphasizes evidence-based treatment and patient education so individuals feel confident and informed about their options. She is committed to respectful, inclusive care that honors each patient’s unique identity, background, and lived experience.

Amanda Jurls begins by gathering a thorough understanding of a patient’s history, concerns, and goals related to their mental health. She then collaborates with patients to develop safe, evidence-based treatment plans tailored to their individual needs. Follow-up care and communication are personalized to support ongoing progress. She approaches mental health as part of overall healthcare, promoting holistic well-being.

Doreen Phillips, PMHNP-BC, is a board-certified Psychiatric Mental Health Nurse Practitioner with over a decade of nursing experience beginning in 2014. She earned her Doctor of Nursing Practice from the University of the Incarnate Word in Texas and also holds degrees in Economics and Finance, Nursing, and Management Information Systems, giving her a uniquely analytical and systems-thinking perspective in mental health care. Her clinical background spans maternal and newborn care, inpatient psychiatry for adolescents and adults, community health, and telehealth. Doreen specializes in treating adults ages 18–65 with ADHD, anxiety, depression, insomnia, and chronic trauma, and is particularly passionate about supporting mothers, college students, and individuals navigating major life transitions.

Doreen brings a down-to-earth, authentic, and transparent presence to every session. She believes meaningful progress starts with comfort and trust, so she intentionally creates a space where patients feel safe being open. Her approach centers on seeing each person as a whole individual rather than a diagnosis, recognizing how culture, environment, family dynamics, and life experiences shape mental health. She practices with a holistic, solution-focused lens and integrates supportive therapy and Cognitive Behavioral Therapy (CBT) to help patients understand patterns and develop lasting tools for wellness. Doreen is committed to inclusive, culturally humble care and continually studies evidence-based and emerging approaches to provide thoughtful, personalized treatment.

Doreen approaches care through conversation rather than a rigid intake checklist. She believes a person’s story provides the most meaningful insight, so early sessions focus on understanding background, experiences, and goals. She views each patient like a puzzle, gathering pieces such as childhood history, family influences, and social context before forming a clinical picture. Together, she and her patients develop collaborative, individualized treatment plans. Medication is used thoughtfully—as a tool that can stabilize and support deeper therapeutic work rather than serve as the sole solution. Progress is monitored through screening tools, patient feedback, and ongoing dialogue, with strong emphasis on education so patients fully understand their care.

Melanie Nolan, DNP, PMHNP-BC, is a psychiatric nurse practitioner who provides compassionate, patient-centered care for adults. She offers psychiatric evaluation, medication management, and supportive therapy. She is dedicated to helping patients feel heard and supported throughout their care.

Dr. Nolan’s main clinical focus areas include anxiety, depression, and bipolar disorder. She takes a collaborative approach and works closely with each patient to develop an individualized treatment plan that reflects their needs, goals, and overall well-being.

She combines evidence-informed psychiatric care with a holistic perspective, recognizing the important connection between mental and physical health. Her approach emphasizes education, practical tools, and realistic strategies that can be integrated into daily life to foster lasting progress.

Dr. Nolan completed her undergraduate nursing education at Tennessee Wesleyan College and earned her Doctor of Nursing Practice degree from The University of Tennessee Health Science Center. She is committed to providing thoughtful care and staying current with psychiatric knowledge so she can best assist the patients she serves.

Debra Ort, PMHNP-BC, is a board-certified Psychiatric Mental Health Nurse Practitioner with over 20 years of experience across diverse mental health settings, including inpatient psychiatric facilities and outpatient clinics in private and group practices. She earned her Nursing degree from the University of Maine and her Master’s in Nursing with a focus on Psychiatry from Husson University. She is dedicated to compassionate, evidence-based mental health care.

Debra is passionate about treating all aspects of mental health and believes in a collaborative, holistic approach to care. She places each client at the center of treatment, ensuring they feel supported, respected, and actively involved in their care. Her style is warm, attentive, and grounded in helping clients achieve optimal mental wellness.

In initial sessions, Debra focuses on understanding each client’s history, current concerns, and goals for treatment. Together, they identify priorities and desired changes, then develop a personalized treatment plan with realistic short- and long-term goals. Her approach builds a strong foundation, so clients feel heard, understood, and supported throughout their progress.

Emily Grohman is a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP) licensed since 2018. She earned her Master of Science in Nursing from Wilkes University and has clinical experience in inpatient psychiatry, outpatient care, and consult-liaison psychiatry. She treats mood and anxiety disorders and complex conditions, and is especially comfortable working with adults and geriatric patients. She is committed to evidence-based care and continued professional growth.

Emily believes mental health care works best as a collaborative partnership. She strives to ensure patients feel heard, respected, and actively involved in their treatment. She fosters a calm, supportive, and nonjudgmental space for open conversation. She prioritizes clear communication and transparency, taking time to explain diagnoses and options while tailoring care to each person’s goals and circumstances.

Emily begins with a thorough evaluation to understand each patient’s history, symptoms, and goals. Together, they create an individualized, evidence-based treatment plan. When appropriate, she emphasizes thoughtful medication management with patient comfort in mind. Follow-up visits focus on progress, adjustments, and supporting long-term stability and well-being.

Laura Hickman, PMHNP, earned her BSN from the University of Iowa and her MSN from Saint Louis University. During her graduate training, she completed multiple outpatient internships, including one focused on Dialectical Behavioral Therapy, a modality she frequently incorporates into care. Board Certified as a Psychiatric Nurse Practitioner since 2014, she has practiced across Community Mental Health, inpatient psychiatry, crisis stabilization, TMS, and Suboxone treatment. She works with patients ages 5+ and specializes in ADHD, anxiety, and depression.

Laura’s priority is ensuring patients feel heard, valued, and respected. She fosters a collaborative, team-based environment where patients feel in control of their health. Rather than focusing solely on diagnosis, she emphasizes how someone is functioning in daily life. With warmth and “cheerleading” support, she helps patients feel less alone and more empowered to open up and pursue meaningful change.

Laura begins by exploring each patient’s history, past treatments, and current challenges at home, work, or in parenting. She develops individualized treatment plans in partnership with the patient, serving as a guide toward their goals. Together, they determine whether therapy, medication, or both best support improved functioning and well-being.

Matthew Twomey, PMHNP, earned his BSN and MSN from the Massachusetts General Hospital Institute of Health Professions School of Nursing. He began his career as an adult psychiatric nurse practitioner in community health centers before commissioning as an officer in the U.S. Army Nurse Corps. After five years of active duty, he continued caring for service members and families at Fort Bliss as a civilian provider for nearly six years. He now practices in the private sector, bringing broad clinical experience to diverse patient populations.

Matthew is skilled in psychopharmacology, evidence-based practice, and telehealth delivery. He combines strong clinical expertise with a patient-centered approach to improve outcomes and streamline care. Patients can expect thoughtful collaboration, clear communication, and treatment planning grounded in the latest research and tailored to their individual goals.

He specializes in psychopharmacology and precise medication management tailored to each patient’s unique needs. He also integrates supportive psychotherapy, motivational interviewing, psychoeducation, and cognitive behavioral therapy. Through active listening and mutual respect, he fosters a safe, supportive environment where patients feel heard, engaged, and empowered in their care.

Carla Delcambre is a bilingual (English/Spanish) Psychiatric Mental Health Nurse Practitioner who provides mental health care in both outpatient and inpatient settings. She works with diverse populations across the lifespan and brings a strong foundation in psychiatric assessment, diagnosis, and psychopharmacologic management. Her clinical practice is grounded in evidence-based medicine, ethical standards, and culturally responsive care to meet each patient’s unique needs.

Carla values open and honest communication and believes effective treatment is built on trust and collaboration. Her patient-centered approach places each individual’s experiences, goals, and perspectives at the heart of care. She is committed to creating a warm, supportive, and nonjudgmental environment where patients feel heard, respected, and empowered to actively participate in their mental health treatment.

Carla begins treatment by gaining a thorough understanding of each patient’s history, current concerns, strengths, and goals. Initial visits focus on comprehensive assessment and developing a shared understanding of treatment objectives. She then creates individualized treatment plans that may include medication management, psychoeducation, and ongoing evaluation, adjusting care as needs and goals evolve over time.

Patricia Grendell is a board-certified Psychiatric-Mental Health Nurse Practitioner who provides mental health care using a personalized, holistic approach. Patricia specializes in psychiatric evaluation and medication management along with psychotherapy and integrative interventions. Prior to receiving education and training in Nursing at New York University and Case Western Reserve University, Patricia earned a Master of Social Work from Boston College with a focus on health and mental health.  

Patricia specializes in working with adults experiencing a wide range of acute and chronic stressors and mental health symptoms. Patricia tailors' treatment to the goals, needs, and comfort level of each individual at her or his own pace. Patricia builds connections with patients so that they feel heard and understood, and partners with each individual to determine the most appropriate treatment strategies that maximize comfort, safety, and positive results.  

Over the past ten years as a Nurse Practitioner in outpatient and inpatient environments, Patricia has helped patients improve and overcome conditions including depression, anxiety, OCD, PTSD, ADHD, and insomnia. Using a combination of medication management, individual therapy, and psychoeducation, Patricia develops individualized treatment plans centered around patients’ priorities and safety to achieve improvements in health and quality of life.

Jessica Fairchilds is a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP) with over 8 years of experience in many psychiatric settings and populations. She earned her Master of Science in Nursing from the University of Mississippi Medical Center and is passionate about providing high quality, comprehensive mental health services. Jessica prides herself in her patient-centered approach by fostering strong provider-patient relationships to achieve optimal treatment outcomes. In her free time, Jessica enjoys spending time with her husband and young daughters, traveling the globe, or getting lost in a historical fiction novel.

Jessica is highly focused on building a strong therapeutic relationship with her clients while making them feel heard and validated. She strives to provide the highest level of care while exploring different treatment options to find what works best for each individual.

Jessica will focus on learning about the client as an individual and learning the concerns of the client while working to develop an individualized treatment plan. She uses her extensive knowledge of medications and therapy techniques to guide treatment options for the best outcomes.

Trudy Warner-Phillips, PMHNP, is a board-certified psychiatric nurse practitioner with over 25 years in nursing and 7+ years in psychiatric care. Her experience spans outpatient, inpatient, and telehealth settings, where she treats conditions such as anxiety, depression, PTSD, mood disorders, and ADHD. She is passionate about delivering thoughtful, evidence-based care in a supportive and accessible virtual environment.

Trudy’s approach is grounded in trust, respect, and collaboration. She values open, honest communication and aims to create a space where clients feel heard, safe, and empowered. By understanding each person beyond their symptoms, she tailors care to support individual challenges, strengths, and goals.

Initial sessions involve a thorough assessment of medical and psychiatric history, current concerns, and past treatments. Trudy then works with clients to develop a personalized care plan focused on their most pressing symptoms. Her treatment may include medication management, supportive therapy, and lifestyle recommendations to promote lasting emotional well-being.

Janee Stokes is a highly experienced and dual-certified nurse practitioner, specializing in adult gerontology and psychiatry. With over 20 years of experience as a registered nurse, she brings a comprehensive background in healthcare, having worked with diverse patient populations ranging from young children to older adults.

In 2015, she earned her Master of Science in Nursing (MSN) and became certified as an adult gerontology nurse practitioner. She later expanded her expertise by obtaining certification in psychiatry, enabling her to provide holistic care for individuals with mental health needs. Her leadership roles have included serving as lead nurse practitioner and associate director of psychiatry at a federally qualified health center, where she played a key role in guiding healthcare teams and delivering quality care to underserved communities.

Janee emphasizes education as a core component of her care approach. She builds strong rapport through clear communication and trust, incorporating techniques such as Cognitive Behavioral Therapy (CBT) and motivational interviewing to support her patients’ needs. This approach empowers individuals to take an active role in their treatment journey.

Her care process is guided by each patient’s goals, integrating evidence-based practices to ensure personalized and effective support that aligns with their unique needs and aspirations.

‍

Jaime Sather, PMHNP is a board certified psychiatric nurse practitioner with over 20 years' experience in the mental health field. Specialty areas include ADHD, anxiety, depression, mood disorders, substance abuse, PTSD, and women’s health. Clinical experience with inpatient, outpatient, detoxifications rehab, psychiatric emergency department, IOP, and PHP.

Comprehensive psychiatric evaluations, medication management, and brief psychotherapy are provided. Besides medication management with psychotherapy, individual therapy may be recommended for the best possible patient outcome.

Patients feel comfortable discussing their concerns in a non-judgmental therapeutic environment. Education is provided about diagnosis and treatment options with the patient being empowered to be an active part of their treatment plan.

Deora Johnson, PMHNP, is a board-certified adult psychiatric nurse practitioner with 24 years of experience. He is passionate about providing clients with a holistic approach to mental health care, incorporating both pharmacologic and non-pharmacologic interventions. Deora works with adult and senior populations, focusing on the assessment, diagnosis, and treatment of mental health conditions. He collaborates closely with clients to guide them through understanding and selecting the most effective interventions and medication management options for their needs. Supportive therapy, solution-focused therapy, and motivational interviewing are integral components of his medication management sessions.

Deora earned his Master of Science in Nursing from Vanderbilt University in Nashville, Tennessee, and completed a nursing practice degree at the University of Alabama in Birmingham. He has experience treating patients in a variety of outpatient and inpatient settings.

His areas of specialty include the treatment of major depressive disorder, anxiety disorders, bipolar disorder, ADHD, PTSD, and insomnia. His research focused on non-pharmacologic interventions for insomnia in individuals with depression.

Deora also has experience working with military veterans. At the VA Outpatient Clinic in Baltimore, Maryland, he treated veterans returning from Operation Iraqi Freedom and Operation Enduring Freedom, as well as those from the Vietnam and Korean War eras. His clinical work focused on PTSD, major depressive disorder, anxiety disorders, and bipolar disorder.

Deora believes the therapeutic relationship offers a unique opportunity to work collaboratively through life’s challenges. He views medication management as an important part of a comprehensive treatment plan that also includes therapy.

‍

Wayne R. McIntosh, PMHNP-BC, is a dedicated mental health professional with over a decade of experience in psychiatric care. He earned his advanced nursing degree with distinction from Arizona State University and also holds a Bachelor of Science in Nursing from Grand Canyon University and an Associate of Science in Nursing from Harry S. Truman College. He has been a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) since 2015.

Wayne specializes in family-centered care, working with individuals aged 18 to 65. Whether supporting patients through anxiety, depression, ADHD, or life transitions, he develops personalized diagnostic and treatment plans that may include therapy, coping strategies, and, when appropriate, medication. His approach emphasizes clear communication and collaboration, empowering patients to understand their challenges, apply practical tools, and achieve lasting change.

Throughout his career, Wayne has served as a Psychiatric Nurse Practitioner and Associate Director of Medical Services, leading multidisciplinary teams and promoting accessible, high-quality care. As a Faculty Associate at Arizona State University, he has mentored future nurse leaders, focusing on clinical excellence and patient advocacy. His military background and volunteer work further reflect his commitment to serving diverse populations with compassion and respect.

‍

Tracy King, PMHNP-BC, is a compassionate and board-certified psychiatric nurse practitioner dedicated to supporting individuals on their mental health journeys. She holds a Master of Science in Nursing from The Ohio State University and has experience working with individuals across the lifespan.

Tracy has worked in a variety of clinical settings, addressing a broad range of mental health concerns. She is driven by a strong commitment to serving those in need and takes pride in delivering trauma-informed, evidence-based care tailored to each individual’s unique circumstances.

Her approach centers on creating a supportive environment where patients feel heard, valued, and empowered. Tracy’s goal is to help individuals build resilience, enhance well-being, and achieve meaningful, lasting change.

Believing that each person is the expert in their own life, Tracy takes time to listen, understand, and build genuine connections. She collaborates closely with her patients to develop care plans that reflect a whole-person perspective.

Tracy emphasizes shared decision-making and a holistic approach to mental health care. Her calm, positive demeanor and approachable communication style foster trust and openness, allowing her to build strong therapeutic relationships that support healing and growth.

‍

Ashlyn Tellers is a board-certified Psychiatric Mental Health Nurse Practitioner. She earned her nursing degree with an emphasis in psychiatry in 2020 from the University of Arizona. With over twelve years of experience, she has cared for mental health patients across long-term care, inpatient, residential, and outpatient settings.

Ashlyn specializes in treating adults with depression, anxiety disorders, bipolar disorder, ADHD, and OCD through medication management and supportive therapy. She emphasizes patient education and works collaboratively to build therapeutic and safe treatment plans. She encourages open discussions about past mental health history and current stressors to help identify root causes and develop healthy coping strategies. When appropriate, she refers patients to therapists for more specialized care.

‍

Glenn is a Board-Certified Psychiatric Mental Health Nurse Practitioner with nearly 30 years of experience in health care, dedicated to addressing the mental health needs of his community. With a background in both inpatient and outpatient settings, he is committed to helping individuals become the best versions of themselves—no matter where they are in their journey at the time of their first appointment.

Outside of work, Glenn enjoys spending time with his family, biking, and being outdoors.

He takes a patient-centered approach and emphasizes that he, too, is human. Everyone faces challenges at different times and in different ways. Glenn adopts a holistic perspective, recognizing that effective treatment involves understanding how life challenges impact a person as a whole. He is dedicated to providing compassionate, empathetic, and practical care to all his patients.

Glenn engages with patients in a way that makes it easy and natural for them to share their stories. From there, he promotes a shared decision-making approach to develop the most effective treatment plan. His areas of expertise include psychopharmacology, as well as Cognitive Behavioral, Supportive, and Psychodynamic therapies.

‍

Ashley is an ANCC board-certified Psychiatric Mental Health Nurse Practitioner with over a decade of experience in Psychiatry. She has worked in inpatient and outpatient settings, crisis centers, and psychiatric emergency rooms. Ashley is deeply committed to working collaboratively with individuals to enhance their well-being, creating a personalized care plan tailored to each person’s unique needs.

‍
Her approach integrates medication management, supportive psychotherapy, and lifestyle interventions. As a prescriber specializing in psychopharmacology, Ashley provides comprehensive medication management while utilizing a shared decision-making model. She actively involves clients in their treatment planning, discussing various options to determine the most effective path forward.

During the initial session, Ashley prioritizes establishing a comfortable, open environment where clients feel at ease. She will review medical and psychiatric history, discuss treatment goals, and explore different therapeutic options based on individual preferences. Ashley encourages questions throughout the process to ensure a collaborative and supportive treatment experience.

Shaneika Lindsay, PMHNP, is a board-certified psychiatric nurse practitioner dedicated to providing personalized and empathetic care to those in need of mental health care. Her academic journey began with a B.S. in Biology from the University at Albany. She later received her B.S. in Nursing from Pace University and attained her Psychiatric Mental Health Nurse Practitioner M.S. from Hunter-Bellevue School of Nursing, graduating magna cum laude. Shaneika's practice focuses on medication management. Occasionally, Shaneika may believe that additional therapy is also needed and ask that you bring a therapist into your care team to provide the best outcome. For the last seven years, Shaneika has diligently provided care to our nation's veterans, working on a dual diagnosis inpatient psychiatric unit in the VA New York Harbor Healthcare System. In her time at the VA, she has gained extensive experience in managing substance abuse and co-morbid psychiatric disorders. In addition, while attending Hunter College, she completed a yearlong clinical rotation at Casa Promesa, a mental health outpatient and inpatient facility that services some of the most vulnerable and underserved populations in the South Bronx. As a Nurse Practitioner, her primary focus is holistic care, taking into consideration all physical, psychological, interpersonal, and environmental factors when creating unique treatment plans. She strongly believes that all of these factors are interconnected and play a significant role in any individual's mental health and vitality. Shaneika's goal is to work with clients to create a safe, non-judgmental, and collaborative treatment environment that promotes sustained healing and positive self-development.

Severine Dondina, PMHNP-BC, is a board-certified psychiatric nurse practitioner with licensure in Washington and Florida. She holds a Master of Science in Nursing from the University of Alabama at Birmingham and graduated summa cum laude with dual bachelor’s degrees in nursing and biomedical science. Her background spans outpatient, community, forensic, and crisis psychiatry, including leadership roles with Florida’s Assertive Community Treatment (FACT) and Multi-Disciplinary Forensic Teams.

Currently serving patients in Washington, Severine treats adults with ADHD, anxiety, depression, PTSD, and bipolar disorder. She brings a trauma-informed, strengths-based approach to care and is deeply committed to creating affirming spaces for LGBTQ+ and gender-diverse individuals. Her clinical style combines evidence-based medication management with warm, collaborative support.

Trilingual in English, French, and Spanish, Severine is known for her cultural sensitivity, clinical rigor, and authentic presence. She approaches each patient with curiosity, humility, and respect—believing healing begins with connection.

‍

Jennifer Garner is a board-certified Family Psychiatric Nurse Practitioner with Talkiatry. She obtained a Bachelor of Science in Nursing from the University of Tennessee, Knoxville, in 2009 and a master's degree from Vanderbilt University in 2011. Jennifer enjoys treating all adults and has outpatient experience with community mental health, corrections, and private practice. Besides outpatient care, she has worked in crisis stabilization and ambulatory detox for adults with primary psychiatric and dual diagnosis illnesses. Jennifer is skilled in treating a wide range of conditions including ADHD, bipolar disorder, substance misuse, anxiety, OCD, and PTSD. She is committed to fostering a welcoming and inclusive environment, ensuring all gender identities feel safe and respected. With a focus on patient-centered care, her approach is carefully tailored to each person's individual needs and goals, promoting a collaborative therapeutic relationship. During appointments, she combines medication management with therapy techniques to empower patients with the skills for their well-being. Appointments are as unique as each individual that she meets with. If you're ready (and even if you're not so sure) take the first step and let's talk.

Mary Birse is a board-certified Psychiatric Mental Health Nurse Practitioner (ANCC) with over 20 years of nursing experience. She graduated magna cum laude with a BSN from Florida Atlantic University and earned her MSN from the University of Florida. She completed a Psychiatric NP Residency at the VA in Charleston, SC. Mary has worked in a variety of settings including the West Palm Beach VA Medical Center, the Palm Beach County Firefighter’s Clinic, various outpatient telehealth platforms, and a child and adolescent inpatient facility. She was also an adjunct professor at Palm Beach State College.

Mary believes in empowering patients through education and collaboration so they can play an active role in their mental health journey. She works to create a warm and welcoming space where patients feel safe, heard, and understood. Whether the treatment path includes therapy, medication, integrative approaches, or a combination, she ensures that the plan reflects the patient's needs and goals.

Mary takes a thorough and holistic approach to care. She spends time understanding each patient’s history and past treatments—what has or hasn’t worked—and listens carefully to their current concerns and future goals. By factoring in lifestyle and preferences, she works with patients to build thoughtful, individualized treatment plans.

Deborah Bearman, PMHNP, is a board-certified psychiatric nurse practitioner dedicated to helping individuals facing mental health challenges live more fulfilling lives.

She earned her Master of Science in Nursing with a specialty in psychiatry from SUNY Upstate Medical University. Deborah is trained in psychiatric diagnosis, medication management, and both psychodynamic and cognitive behavioral therapies. Over the past 10 years, she has gained valuable experience in a variety of settings, including inpatient and outpatient facilities, community mental health clinics, and private practice.

Deborah approaches adult mental health from a holistic perspective, combining medication management with supportive counseling, which she offers during 30-minute follow-up sessions. While her primary focus is medication management, she believes most individuals benefit from therapy as well. She has extensive experience in both psychodynamic and cognitive behavioral therapies and is committed to providing psychoeducation to patients, families, and caregivers.

As a psychiatric nurse practitioner, Deborah values the therapeutic relationship and its positive impact on daily functioning. By working collaboratively with patients to create comprehensive and effective treatment plans, she supports them in achieving healthier, more satisfying lives.

‍

Michael Robbins is a psychiatric nurse practitioner with over 17 years of experience specializing in psychiatric medication management. He earned his MSN from the University of Tennessee in 2006. His career spans various settings, including acute inpatient care, private practice, community mental health, and substance abuse treatment. Michael treats conditions such as depression, anxiety, PTSD, OCD, bipolar disorder, and ADHD. He has worked both remotely and in-person, adapting to the evolving healthcare landscape. Michael is known for his expertise in psychopharmacology, tailoring treatment plans to each patient’s needs while minimizing side effects. His compassionate and patient-centered approach has made him a trusted provider in the mental health community.

Mary Poupon is an experienced board certified psychiatric APRN/psychiatric nurse practitioner with over 30 years' experience in her field. She completed her graduate work at Columbia University and is published in her field. Her practice sites have included inpatient hospital treatment, partial hospital programs, in-home programs, outpatient clinics and alternative therapy including equine assisted therapy.  She was the program director and clinician with the Ryan White Mental Health Program in New York providing innovative mental health treatment for adolescents and adults living with HIV/AIDS in the boroughs of Manhattan, Queens, Brooklyn and the Bronx.  In 2013 she became certified as an equine assisted psychotherapist and served as the Director of Mental Health at Embrace Hope in Sandy Hook, CT. She was appointed as the Executive Director of Embrace Hope in 2017. Embrace Hope provided treatment to children, adolescents and adults who were victims of trauma related to the shooting at the Sandy Hook Elementary School. She presented a TED x talk in 2018 regarding her work with victims of trauma. She has provided treatment in the outpatient setting for children, teens, and adults. She has provided treatment to young adults at the Covenant House New York shelter program for homeless young adults.

Mary believes the human spirit is resilient. There are many challenges in the lifespan and self-care is paramount to success.

Mary provides psychiatric consultation and assessment and provides a pathway to change. Treatment may include medication management, therapy, and coping skills to assist with life challenges. Mary believes treatment is a partnership and believes in establishing mutually agreed upon goals.

Mary's process for working with patients begins with active listening. The assessment begins with the patient describing why they are seeking engagement in behavioral health treatment at this time. She will complete a psychiatric assessment and evaluation and establish mutually agreed upon goals for treatment. She offers medication management in conjunction with supportive therapy in 30-minute follow-up visits. Mary believes therapy and medication management if indicated together provides the best treatment outcomes.

Lauren is a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) who earned her Master of Science in Nursing from Kent State University in 2020. She has experience treating a wide range of mental health conditions, including depression, anxiety, psychotic disorders, bipolar disorder, ADHD, OCD, PTSD, and substance use disorders.

Lauren’s approach combines medication management with psychotherapy to create a well-rounded, individualized treatment plan. She takes time to listen to her patients’ concerns, fostering a safe and open environment for dialogue. Her therapeutic methods include supportive therapy, motivational interviewing, and cognitive behavioral therapy. Recognizing that medication alone may not fully address the root causes of distress, she incorporates talk therapy, lifestyle changes, stress management, self-care strategies, supplements, and social health into her care plans.

With a laid-back, non-judgmental, and empathetic style, Lauren collaborates closely with patients to ensure their treatment aligns with their unique needs and goals. Every decision is grounded in evidence-based practices and patient-centered care.

Lauren begins with a comprehensive initial assessment, gathering detailed information about each patient’s mental and physical health history, lifestyle, symptoms, concerns, and goals. This assessment informs a potential diagnosis and serves as the foundation for a personalized treatment plan. Regular follow-up appointments are scheduled to monitor progress, make adjustments as needed, and provide ongoing support.

‍

Ekta Rathee, DNP, PMHNP-C, is an experienced psychiatric and mental health nurse practitioner with an extensive clinical background in a variety of patient care settings. Rathee's diverse clinical background has strengthened her belief in a holistic approach for optimal patient outcomes. Though her primary focus remains medication management of anxiety, depression, bipolar disorder, OCD, PTSD, ADHD, she equally supports and incorporates the principles of cognitive behavioral therapy, acceptance and commitment therapy, motivational interviewing and enhancement therapy, and supportive therapy in her daily patient care practice. Rathee truly believes in an individualized and holistic patient care approach, which requires a wealth of knowledge, experience, and a commitment to stay abreast of the latest in the field. Her favorite learning modality is to learn from unique patient care scenarios, which often requires a deep dive into the existing body of evidence-based knowledge. Her most important advice for her patients is to never lose hope.

Jill Condon is a board-certified Psychiatric Nurse Practitioner with Talkiatry. She obtained a Bachelors of Arts in Psychology from Anderson University in 2011, and went on to obtain her Masters of Science in Nursing from Vanderbilt University in 2016. She has over 8 years of experience working with clients of all ages. She has experience working in community mental health, private practice, and inpatient populations. She has experience working with a variety of mental health concerns including ADHD, anxiety, depression, OCD, and PTSD.

Jill has a passion for fostering whole person health in her clients. She has a direct and collaborative approach to care. She will work with you to discover where you are in your mental health journey and create an individual plan for moving towards healing. She helps you explore how all facets of your health are affecting your mental health.

The process starts with an in-depth initial assessment that includes looking at physical, mental, emotional, social, spiritual, and environmental wellbeing. She utilizes a variety of techniques including psychiatric medications, supportive therapy interventions, and lifestyle modifications to help you reach your goals.

Eudora Jones, PMHNP, is a board-certified psychiatric nurse practitioner. She earned her master’s degree in biotechnology from Johns Hopkins University and her master’s degree in nursing from the University of Maryland. She also completed a nursing practice degree from Chatham University. Eudora has worked in inpatient psychiatry at Walter Reed Army Medical Center and in both inpatient and outpatient psychiatry at Fort Leonard Wood Army Community Hospital. She brings a strong background in research and has served as a biologist, nurse, and nurse practitioner at the National Institutes of Health.

Eudora uses a patient-centered, collaborative approach with a primary focus on medication management combined with supportive therapy. She applies evidence-based treatment strategies and emphasizes psychoeducation and achieving treatment goals through mutually agreed-upon methods. She specializes in treating adults with depression, anxiety, PTSD, and ADHD.

New patients can expect a comprehensive initial interview that includes an assessment of psychiatric history, current symptoms, medication history, and social background. Eudora prioritizes personalized treatment that aligns with each patient’s individual goals in a supportive environment. Follow-up appointments last approximately 30 minutes and include time to adjust or reinforce therapeutic strategies and provide supportive psychotherapy.

‍

Farrah Lamoreux has worked almost exclusively in community mental health centers in Iowa and Arizona for the last 15 years. She has been providing telepsychiatry services since 2013 across several states, serving hospitals, community mental health centers, local jails, and residential treatment facilities. Farrah was the lead prescriber for Living Out Loud, a mental health program exclusively for LGBTQ+ persons. She has experience working with patients with comorbid mental health and HIV+ status, as well as a long history of supporting individuals with severe mental illness.

Farrah earned her Master’s in Nursing from Allen College and has mentored countless new Psychiatric Nurse Graduates in their first year of outpatient practice. She also precepts students working to achieve their Psychiatric Nurse Practitioner Certification. Additionally, she was part of the pilot program for Integrated Behavioral Health Home, integrating primary care into treatment for patients with severe mental illness.

Farrah offers a warm, patient-centered approach to psychiatry. She is well known for being easy to talk to and down to earth. Farrah believes the patient is the most important part of the treatment team and actively engages patients in the decision-making process regarding their care. Patients say she listens, makes them feel heard, and tailors care to best fit their needs. She enjoys collaborating with therapists whenever possible to ensure the best outcomes. While Farrah specializes in the treatment of ADHD; she also treats Depression, PTSD, Anxiety, Panic, Agoraphobia, OCD, and Bipolar Disorder.

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.

‍

Ms. Celeste Boyd is a dual board certified Psychiatric Mental Health and Family Nurse Practitioner.  She is the CEO and Founder of Metamorphosis Psyche, a psychiatric mental health resource platform.  She has practiced in family medicine since 2011 and psychiatric mental health medicine since 2013.  She has clinical experience and expertise in substance use disorders, addiction rehabilitation, sleep medicine, general psychiatry, and serious mental illness (SMI) in both private and public sectors.  In Academia, she has extended her knowledge and experience as Adjunct Clinical Faculty at School of Nursing Graduate Programs.

Since 2017, Ms. Boyd has been practicing general psychiatry in the outpatient private sector.  Ms. Boyd provides medication management and psychotherapy for acute, chronic, and comorbid psychiatric conditions that include Anxiety Disorders, Depression, Mood Disorders, ADHD, OCD, and PTSD.  Her clinical treatment modalities include supportive therapy, solution-focused therapy, motivational enhancement, mindfulness, and cognitive behavioral therapy.

As a clinician, she promotes mental health awareness to reduce stigmatization and empower those suffering and struggling with mental illness. Ms. Boyd clinical practices are oriented towards the Mental Health Recovery Model, which permits individuals to go through an active process of change, being in control, strengthening, and empowering themselves to improve their mental health and well-being.

Roel Sepulveda is a board-certified psychiatric mental health nurse practitioner (PMHNP-BC) with a Master of Science in Nursing from the University of Alabama at Birmingham. Certified by the American Nurses Credentialing Center (ANCC), he has over 10 years of experience providing mental health care in psychiatric emergency rooms, outpatient psychiatry, and telehealth settings. Roel is committed to delivering comprehensive and accessible care that supports patients across diverse needs and backgrounds.

As a provider, Roel values creating a compassionate and collaborative environment where patients feel comfortable sharing their experiences. He takes a patient-centered approach, meeting individuals where they are and working together to identify treatment goals. Patients can expect a nonjudgmental space where their concerns are heard, respected, and addressed with empathy and understanding.

When working with patients, Roel begins by taking time to understand their history, symptoms, and current challenges. He develops individualized treatment plans that may include a combination of medication management, lifestyle strategies, and coordination with therapy or other supports. His goal is to provide evidence-based care while empowering patients to actively participate in their mental health journey and achieve lasting well-being.

Suzann Gordon, DNP is a board certified psychiatric mental health nurse practitioner who graduated with her Doctor in Nursing Practice from the University of Nevada Reno. Her years of experience in the mental health field began when she became a behavioral health counselor working with adolescents, then as a psychiatric nurse working with patients across the life span. She's worked in various healthcare settings including pediatric and adolescent residential treatment, acute inpatient care and outpatient as a nurse case manager on the Assertive Community Treatment (ACT) Team for the state hospital.

Since Suzann has become a psychiatric mental health nurse practitioner, she has worked in community health clinics providing both psychiatric medication management and medication-assisted treatment to patients. She has treated patients with various diagnoses including anxiety, depression, post-traumatic stress disorders, obsessive compulsive disorders, bipolar disorders, schizoaffective disorders, schizophrenias, alcohol abuse disorder and substance use disorders.

As a nurse practitioner, she believes in focusing on patient-centered care, providing a holistic approach to patient management and having a collaborative approach to mental health treatment. She uses supportive psychotherapy and at times cognitive behavioral therapy to help her patients change their thoughts and behaviors in managing their stressors.

‍

Margaret Mary Reyes, MSN, APRN, PMHNP-BC, is a board-certified Psychiatric Mental Health Nurse Practitioner committed to delivering patient-centered and compassionate mental health care. A proud Florida native, she earned her Bachelor of Science in Nursing (BSN), Master of Science in Nursing (MSN), and post-master’s certification in Psychiatric Mental Health Nursing from Florida Atlantic University (FAU). Her academic research focused on improving outcomes for women living with Premenstrual Dysphoric Disorder (PMDD).

Margaret has advanced practice experience in both inpatient and outpatient psychiatric settings. She has treated individuals with a wide range of mental health conditions, including psychotic disorders, bipolar spectrum disorders, depressive and anxiety disorders, trauma-related disorders, attention deficit disorders, personality disorders, substance use and co-occurring disorders, eating disorders, suicidality, homelessness, and severe mental illness (SMI) within the criminal justice system. Her clinical background also includes acute care experience in oncology, medical-surgical, telemetry/cardiac step-down, intensive care, nursing research, and consultation-liaison psychiatry.

She takes an integrative and comprehensive approach to mental health care, combining medication management with evidence-based complementary and alternative interventions. Her practice is grounded in the understanding of the mind-body-spirit connection and the gut-brain axis. Margaret incorporates supportive therapy, motivational interviewing, and mindfulness-based cognitive techniques to support her patients’ overall well-being.

‍

Amy Gonzalez is a board certified Psychiatric Mental Health Nurse Practitioner as well as a Family Nurse Practitioner. She has been practicing in the field of nursing since 1996. Amy has been a practicing Family Nurse Practitioner since 2007, and she started to focus on substance abuse treatment in 2010. She found that many people with substance use disorder also struggle with their mental health and went on to get her Psychiatric Mental Health Nurse Practitioner degree completing it in 2017. Her past experience includes working in both outpatient and inpatient psychiatry, 24-hour crisis care, substance use treatment, mental health court, and both adult and geriatric psychiatry. Amy has expertise in treating depression, bipolar spectrum disorder, anxiety, insomnia, PTSD, substance use disorders and thought disorders.

Amy believes in providing a safe and supportive environment where she really gets to know her patients as individuals and works collaboratively with them to develop a treatment plan. She is concerned with a patient's overall wellness, emphasizing nutrition, movement, hobbies, social connection, and mindfulness. She takes a holistic approach to treatment which focuses on evidence-based treatments including conventional medications, supplements, and alternative and complementary treatments.

Amy focuses on medication management as well as providing supportive therapy, psychoeducation, and motivational interviewing to her patients in 30-minute follow up appointments. Sometimes Amy may recommend more intense therapy and ask that you bring a therapist into your care team to provide the best outcome.