Amrish Pipalia, MD

Dr. Merna Guirguis is a general psychiatrist known for her patient-centered and accessible approach. She blends compassion with evidence-based care, creating a supportive environment where patients feel heard. Her practice integrates psychiatric medication management with psychoeducation, empowering patients to make informed decisions about their treatment.

Dr. Guirguis emphasizes collaboration and transparency. She listens carefully to each patient’s concerns, encourages questions, and works to build a trusting therapeutic relationship. Her style is approachable and adaptable, ensuring patients feel comfortable sharing their experiences and actively participating in their care.

She begins by reviewing each patient’s history, concerns, and goals to craft personalized treatment plans. Dr. Guirguis combines current clinical needs with long-term wellness objectives, adjusting care collaboratively over time. When appropriate, she may recommend additional therapy to complement medication management and optimize outcomes.

Dr. Alexander Van-Den-Ende is a board-certified adult psychiatrist who recently completed his psychiatry residency training at Authority Health in Detroit, Michigan. Beyond his proficiency in medication management, Dr. Van-Den-Ende has training in talk therapy and novel treatments like Transcranial Magnetic Stimulation. He is pleased with the increase in access to mental healthcare that comes through telemedicine, and is committed to providing high quality care to his patients. Dr. Van-Den-Ende's approach emphasizes patient insight and mindfulness, guiding individuals on a journey towards self-awareness and mental well-being.

Dr. Karina Fatova is a board certified psychiatrist who hails from New York City but has made New Orleans her home for the past ten years. She is a graduate of Albert Einstein College of Medicine in Bronx, NY, and she did her adult psychiatry residency at Tulane University in New Orleans, LA. She was proud to have her first position post-residency at the River Oaks Hospital Trauma Unit in New Orleans, LA where she treated patients with Complex PTSD and eating disorders. The Trauma Unit was one of a few of its kind nationally because it provided very specialized treatment that was affordable to many. Dr. Fatova then went on to work at the New Orleans Veterans Affairs Hospital for the last five years in its ambulatory outpatient mental health clinic. Though her passion is Complex Trauma/PTSD, she also regularly saw veteran patients who have been diagnosed with anxiety, depression, bipolar disorder, ADHD, and adjustment disorder. During her five years at the New Orleans VA, she received three special commendations from the director of the VA for feedback from her patients about her effective integrative approach to supportive psychotherapy and medication management. She believes that her rapport with her patients, and their therapeutic work together, is just as important as the medication she prescribes to heal or alleviate their symptoms. Dr Fatova employs psychodynamic therapy techniques, at times, to help those patients who would like to explore childhood experiences that may continue to impact them in their adult lives. With respect to medication management she regularly helps patients target symptoms such as sleep issues, nightmares, persistent worry, emotional dysregulation, frequent mood changes, impulsivity, and "toning down the nervous system," among others. She strongly believes that treatment decisions are best approached as a collaboration between patient and doctor. She sees young adults who are just starting their journey into adulthood, as well as adults who have been navigating life with challenges, which may include untreated, or poorly treated, mental health symptoms. Often, by the time Dr. Fatova sees a patient, they may have lost a significant amount of faith in their mental health doctors, and she is particularly attuned to helping individuals with this type of experience.

Dr. Michael Fiori is Board Certified in Adult Psychiatry and Addiction Medicine. He has practiced general psychiatry for 37 years, and has also sub-specialized in Addiction Psychiatry for the past 20 years. Dr. Fiori's practice emphasizes Diagnostic Clarification, which is an ongoing process. He is highly trained and experienced in the biological and psychosocial underpinnings of psychiatric problems. He typically follows diagnostic evaluations with 30-minute follow up visits for medication adjustments and brief therapy. Dr. Fiori often enjoys collaborating with outside therapists when needed. Dr. Fiori graduated from Amherst College and received his medical degree from NY Medical College. He subsequently completed his residency in psychiatry at the Mount Sinai Medical Center in NYC. He excelled in Academic Psychiatry as both a teacher and a mentor. His practice has always combined medications with evidence-based therapies to alleviate suffering and maximize functioning. In addition to his work as a Board Certified Adult Psychiatrist, he has specialized in helping patients suffering from Substance Use Disorders. Dr. Fiori is Board Certified in Addiction Medicine, and helps patients understand the interrelationships between their Substance Use Disorders and their Psychiatric illnesses.

Dr. Jonathan Hertz is board-certified in adult psychiatry. He completed fellowships in child and adolescent and public psychiatry and has been practicing psychiatry for over 18 years. Dr. Hertz's practice focuses on medication management which is offered with supportive and/or dynamic psychotherapy within 30-minute follow-up sessions. If patients have individual psychotherapists, Dr. Hertz will work collaboratively with these providers within a treatment-team approach to patient care delivery. Dr. Hertz received his medical degree from Tufts University School of Medicine in Boston. He remained in Boston to complete a residency in adult psychiatry at Cambridge Health Alliance and a fellowship in child and adolescent psychiatry at Children's Hospital Boston. Dr. Hertz subsequently returned to his hometown of NYC and completed a fellowship in public psychiatry. Dr. Hertz has clinical and administrative experience in the field of psychiatry. These positions include ACT Team community psychiatrist, director of adult outpatient clinic, and medical directorship in behavioral health within community hospitals. With training in child/adolescent, adult, and public psychiatry, Dr. Hertz has a developmental approach to mental health care. That is, he collaboratively explores the bio-psychosocial factors that may have influenced the development of mental disorders. Dr. Hertz believes an ecological approach enables a broader view of the multip

Dr. Sabish Balan is a Board-Certified Psychiatrist with subspecialty certifications in Geriatric Psychiatry, Psychosomatic Medicine, and Addiction Medicine. He completed his medical education in India at Government Medical College, Kozhikode, followed by psychiatry training at the All India Institute of Medical Sciences (AIIMS), New Delhi. After relocating to the United States, he pursued residency at St. Luke’s Roosevelt Hospital Center and advanced fellowships at The Zucker Hillside Hospital and St. Luke’s Roosevelt Hospital Center. With over 17 years of psychiatry experience in the U.S., he has held leadership roles at NYC Health + Hospitals – Harlem and currently provides care at Northwell Health Phelps Hospital Addiction Treatment Services and the BeHealth Program. Fluent in English, Hindi, Urdu, and Malayalam, Dr. Balan brings a global perspective to patient care.

Dr. Balan strives to meet patients where they are, offering a warm and supportive environment that values the whole person. He integrates a bio-psycho-social approach to care, ensuring that patients feel heard, respected, and understood throughout their treatment journey.

In initial sessions, Dr. Balan takes a detailed history to understand each patient’s concerns, background, and goals. From there, he collaborates with patients to develop individualized treatment plans that align with their personal values and objectives, fostering partnership and long-term wellness.