Amy Gonzalez, PMHNP

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

Dr. Leslie Chavez is a board-certified adult psychiatrist with a diverse background in clinical and academic medicine. She completed her medical school and residency at the University of New Mexico, where she later served as a psychiatrist and assistant professor, treating high-need patients and teaching residents and medical students. During the pandemic, she transitioned to telehealth and has been dedicated to this field for the past four years. Dr. Chavez is known for making her patients feel seen and heard, using both medication management and supportive psychotherapy. Dr. Chavez began her academic journey as a physics major at UNM and then studied biophysics at the University of San Diego, California. During her postdoctoral fellowship at Los Alamos National Laboratories, she was inspired by presentations about professionals working with patients in African countries, which sparked her interest in medicine. During this time, her father died of cancer, and she saw the impact of mental health therapy on his quality of life, further solidifying her motivation to attend medical school. Witnessing the profound impact of mental health on her patients and family, she specialized in psychiatry. Dr. Chavez is a seasoned psychopharmacologist and emphasizes the importance of nutrition, exercise, and community in mental health. She enjoys all aspects of medicine and combines her extensive knowledge with a patient-centered approach.

Dr. Jennifer Ruch is a board-certified psychiatrist who strives to understand her patients' lived experiences and aspirations to develop supportive therapeutic relationships through empathetic listening, mutual trust, and respect. She collaboratively creates individualized care plans that align with personal treatment goals in a safe and judgment-free environment. After completing her Bachelor of Science degree in Human Biology with a focus in psychology from the University of California, Merced, she earned her medical degree from Lake Erie College of Osteopathic Medicine. Dr. Ruch completed her General Psychiatry Residency at Arnot Ogden Medical Center in New York. Her clinical experience involves treating individuals of all age groups from diverse populations and socioeconomic backgrounds suffering from anxiety, depression, bipolar disorder, psychotic disorders, neurodevelopmental disorders, and neurocognitive disorders. She has provided care in inpatient and outpatient psychiatric facilities, the Veterans Affairs Medical Center, emergency rooms, state facilities, and an inpatient chemical dependency center. She also performed pre-procedure psychological evaluations for bariatric and spinal cord surgeries, and psychiatric consult liaison services on medical units and has clinical training in inpatient and outpatient neurology. Her clinical experience incorporated treatment modalities such as pharmacotherapy and interventional psychiatry, including Transcranial Magnetic Stimulation and Spravato. Dr. Ruch integrates a wide array of psychotherapy as needed; however, her practice primarily focuses on medication management while utilizing referrals to therapists and providing collaborative care for optimal outcomes.

Dr. Holly Shiao is a psychiatrist who has worked extensively with medically complex patients, including a special focus in psycho-oncology with cancer patients. She is double board-certified in Consultation-Liaison Psychiatry and Adult Psychiatry. She has been practicing for over 7 years. Before Talkiatry, Dr. Shiao worked as an Assistant Professor at the University of Washington and Fred Hutchinson Cancer Center. She also worked as an Assistant Professor and was Director of Emergency Psychiatry at the University of Chicago. She has presented nationally at the Academy of Consultation-Liaison Psychiatry and written a book chapter about psycho-oncology. Dr. Shiao attended medical school at John P. and Kathrine G. McGovern Medical School at the University of Texas Health Science Center at Houston. She then completed an Adult Psychiatry residency at the University of Texas Medical Branch at Galveston, followed by a Consultation-Liaison fellowship at Dell Medical School at the University of Texas at Austin. Dr. Shiao is interested in the mind-body connection in overall emotional and mental well-being. She likes to integrate therapy modalities, such as cognitive behavioral therapy, supportive therapy, mindfulness and meditation with medication management to optimize a patient's mental health.

Dr. Marcia Morris is a psychiatrist with over thirty years of experience providing medication management as well as supportive psychotherapy to adult patients. She takes a positive psychiatry approach to treatment, prescribing medication while supporting patient strengths, social connections, and healthy habits. She has worked with university students as well as employees in an employee assistance program. She provides care for patients with depression, anxiety, OCD, PTSD, and ADHD. In her previous role as an Associate Professor at the University of Florida, she has done research on the increase in depression and anxiety as well as the increased use of psychiatric medications among university students. She has published academic papers and given national talks in these topics with the goal of decreasing stigma and improving mental health care for young adults. She is a founding member of the Association for College Psychiatry and a member of the American Psychiatric Association college mental health caucus. Dr. Morris provides education to the public about mental health as a writer and public speaker. Her articles have appeared in the New York Times, the Tampa Bay Times, and the Huffington Post. She also has been interviewed on NPR and several podcasts. She currently writes a Psychology Today parenting blog "College Wellness: Promoting Happiness & Health in the College Years.” Her book, "The Campus Cure: A Parent's Guide to Mental Health & Wellness for College Students,” was published January 2018. Dr. Morris has an undergraduate degree from Harvard, a medical degree from Yale, and psychiatry residency training at New York Hospital Cornell Medical Center. She is a Distinguished Life Fellow of the American Psychiatric Association.

Anthony Capozzi, MD, is a board-certified psychiatrist with 35 years’ experience in clinical psychiatric practice who has seen patients both in the hospital setting and out-patient care. He is a Diplomate of the American Board of Psychiatry and Neurology as well as the National Board of Physicians and Surgeons and the American Association of Psychiatric Medicine. Originally from Brooklyn, New York and received his MD from New York University after completing a 5th pathway at Booth Memorial Hospital in Queens, New York. He began his experience seeing patients with treatment refractory major psychiatric illnesses at Rockland Psychiatric Center in Rockland County, New York. He served on the psychopharmacology committee at the time. He then went on to practice outpatient psychiatry both at Rockland County Community Mental Health and Westchester County Mental Health for over 20 years in addition to having a private practice while living in New York.  He held the position as Associate Director of the division in Westchester County for over 18 years. He has been exposed to all levels of psychiatric care since it was a mixture of patients in the community as well as patients with limited income and dual diagnoses including substance abuse. His approach is to get to know his patients well in order to provide more comprehensive care. He prefers Cognitive Behavioral therapy or Rational Emotive therapy, which he feels is the most time effective and enduring therapy to help patients needs. He also has extensive experience having worked with patients with developmental disabilities, since this is an underserved need. He then went on to work in Florida both for Florida Health Care Plans, which is an HMO, and in private practice for the past 13 years.  He worked at the Counseling Center of New Smyrna Beach, providing comprehensive care. He then helped establish the Center for Behavioral Medicine in Port Orange, Florida, which provided care as part of a multidisciplinary practice. He then went on to establish Advanced TMS in Port Orange, Florida. He is interested in treatment-resistant Depression and Anxiety Disorders. He went on to work for Greenbrook TMS in the greater Orlando area practicing Interventional Psychiatry. He is certified in TMS for brain mapping with Neurostar and Cloud TMS and has experience in the use of intranasal ketamine for treatment resistant depression. He has been a member of the Neuroscience Education Institute since 2012, where he holds a certificate as a Master Psychopharmacologist and a member of the Clinical TMS Society. He has active medical licenses in Florida, Arizona and New York. He is also certified in Medical Marijuana and has completed the IV Ketamine Infusion therapy course as well as Botox training certification.

Patients working with Dr. Capozzi know that he is easy to engage with and is most interested in his patients overcoming their obstacles to reach their optimal level of functioning. He enjoys working with patients who have anxiety, mood disorders and ADHD. It is very gratifying watching patient’s blossom and overcome their psychiatric disorder and then function at their best in work, leisure pursuits and relationships. Patients working with Dr. Capozzi should know that he realizes they have been suffering with their symptoms for some time or they would not be seeking help, and he will work with the patient in collaboration to help receive the proper care.

The typical process in working with patients is to first spend time gathering a history of the symptoms. It is then important to also include significant medical history which may be primary or secondary contributing factors. Also, it is important to look at psychosocial profile and how that may contribute to the initiation of the symptoms and prevention of improvement. It is essential to form a differential diagnosis and continue to look at any ongoing issues as well as co-morbidities. He believes it is most important to discuss possible treatment modalities and take into consideration the patient’s participation in ongoing care. It is most essential to be up to date on the latest modalities in treatment and use a combination of medication, nutritional supplements and behavioral therapies that can foster lasting improvement.

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