Amrish Pipalia, MD

Dr. Earl De Guzman is a psychiatrist who values therapeutic partnership, working with patients to balance symptom relief with meaningful self-exploration. He earned his BS in Psychology from the University of California, Davis, and his MD from Ross University School of Medicine. He completed his psychiatry residency at Los Angeles County + University of Southern California Medical Center and a consultation-liaison psychiatry fellowship at Stanford University Medical Center. He is triple-board-certified in psychiatry, consultation-liaison psychiatry, and addiction medicine, and holds psychoanalytic psychotherapy training certification from the Psychoanalytic Center of California. Currently, he is a psychoanalyst-in-training at the New Center for Psychoanalysis. His expertise spans medication management, supportive therapy, and psychodynamic therapy.

Dr. De Guzman takes a collaborative, patient-centered approach, creating a warm and nonjudgmental environment. He listens deeply, asks thoughtful questions, and encourages honest exploration of symptoms and underlying patterns. He values authenticity, curiosity, and respect for each patient’s unique experiences. While symptom relief is important, his goal is to foster self-understanding and long-term growth. He works best with patients open to collaboration and motivated for change, whether through medication management, therapy, or both.

Dr. De Guzman begins with a consultation phase to ensure a good fit, listening carefully to understand each patient’s challenges and goals. Together, he and his patients build a working alliance by clarifying difficulties, identifying realistic changes, and exploring deeper patterns. When appropriate, he prescribes medication thoughtfully, aiming to support therapy rather than replace it. Each session integrates supportive and psychodynamic elements, combining medication review with therapeutic dialogue. Treatment plans are regularly revisited, allowing flexibility and growth, with the ultimate aim of empowering patients toward lasting change.

Dr. Caitlin Gardiner is a board-certified psychiatrist specializing in child and adolescent psychiatry and psychotherapy. Dr. Caitlin Gardiner's practice is based on the biopsychosocial model and believes that the foundation of healing is in psychotherapy and human connection. She is known for incorporating therapy into her medication management practice. Typically she offers 30-minute follow-up visits for medication management with focused therapy based on individual needs. As a known helper, Dr. Gardiner started her career with a bachelor's degree in social work from Cazenovia College in Cazenovia, NY. After changing career paths, she received her medical degree from SUNY Upstate Medical University in Syracuse, NY. She stayed upstate to complete her general psychiatry residency, where she was chief resident at the beginning of the COVID-19 pandemic. Following this, she completed her child and adolescent psychiatry fellowship at Upstate due to the high quality of training. Dr. Gardiner has completed 3 years of advanced training in Dynamic Deconstructive Psychotherapy as well as specialized training in DBT. Dr. Gardiner is a well-rounded psychiatrist who enjoys treating youth and young adults during transitional phases of life while providing a safe and supportive environment. She believes strongly in reducing polypharmacy and providing high-quality medication management through a therapeutic and developmental lens.

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.

Dr. Kethini is a board-certified psychiatrist in General psychiatry. She completed her medical degree at St. George's University School of Medicine in Grenada. After completing her residency at Bergen New Bridge Medical Center, she transitioned to an attending psychiatrist at the same place where she completed her residency. During her initial years as an attending, she took care of her own patients and supervised third year residents in the outpatient setting. After a few years, she transitioned to an inpatient setting, where she treated both voluntary and involuntary patients. She also continued to evaluate patients in the emergency room as part of the call group for the last 8 years. ‍Dr. Kethini is passionate about and very experienced in providing a holistic approach along with evidence-based care for patients battling depression, anxiety, bipolar disorder, OCD, ADHD, and PTSD. She integrates supportive psychotherapy along with medication management and lifestyle changes such as nutrition, exercise, sleep hygiene, and stress management. She is focused on having a collaborative approach to treatment and forming a therapeutic alliance with every single patient under her care.

Dr. Sadiq Mirza earned his medical degree from Western University of Health Sciences in Pomona, California, and completed his psychiatry residency in San Bernardino, California. He has experience in both inpatient and outpatient psychiatry, and for the past five years, he has worked extensively in telepsychiatry, helping patients across a variety of care settings.

New patients can expect a collaborative, patient-centered approach grounded in open communication and mutual respect. Dr. Mirza prioritizes creating a warm and supportive environment where care is personalized to meet individual needs. His style empowers patients to take an active role in their mental health journey through informed decisions and compassionate treatment.

Dr. Mirza begins by thoroughly understanding each patient's unique history and goals during the initial session. This sets the foundation for trust and transparency. Together, they create tailored treatment plans with clear, achievable objectives. Ongoing follow-ups ensure progress is tracked, adjustments are made when necessary, and care remains responsive and effective.

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Dr. Maralys Colón is a board-certified psychiatrist. She graduated from the University of Puerto Rico School of Medicine, and she completed a subspecialty in Forensic Psychiatry at the University of Tulane. Dr. Colón is keen in involving and guiding her patients in their treatment; she believes that patients benefit from taking an active role in their care. Dr. Colón specializes in psychopharmacology, tailoring the medication to your needs and preferences. She has experience in treating patients with depression, anxiety, PTSD, OCD, bipolar and psychotic disorders. Her practice focuses on medication management in conjunction with techniques from cognitive behavioral therapy and supportive therapy. Her years of experience include working as an inpatient psychiatrist, an intensive outpatient program, and consultation and liaison. She has helped train physician assistants at Valparaiso University, helping expand the knowledge of future providers. Dr. Colón is looking forward to working with you to improve your mental health and quality of life.