Arif Patel, DO

Gregory Miller, DO, is an adult psychiatrist who prioritizes understanding his patients by first listening to their stories. He collaborates with them to develop both pharmacological and non-pharmacological solutions aimed at improving their functionality. Dr. Miller emphasizes that functioning better often leads to feeling better. Whenever possible, he approaches treatment within the context of the family system surrounding the individual. Raised in South Carolina, and now residents of Florida, Dr. Miller and his wife of 31 years have six children. He enjoys outdoor activities and team sports and is an avid fan of Tolkien and C.S. Lewis. He at times incorporates analogies from their works into therapy if appropriate.

Dr. Bloom is a psychiatrist with over 30 years of clinical experience. She earned her medical degree from the University of Rochester School of Medicine & Dentistry in Rochester, NY, and completed her psychiatry residency at the University of Cincinnati.

"What should a new patient know about working with you?"

Throughout her career, Dr. Bloom has worked in a variety of settings including inpatient, outpatient, emergency, and consultation services, with a focus on the public sector. She has been privileged to treat underserved populations and military veterans and has enjoyed mentoring medical students and psychiatry residents. Dr. Bloom has expertise in treating a wide range of psychiatric conditions, including clinical depression, post-traumatic stress disorder, and other anxiety disorders.

Dr. Bloom takes a collaborative approach to care, believing that the best outcomes are achieved through a close partnership with her patients. She views them as experts in their own experiences and works with them to combine their insights with her expertise in medication management to minimize suffering. Patient education is a cornerstone of her practice. She typically combines supportive psychotherapy with medication management and is also trained in mindfulness techniques and Internal Family Systems psychotherapy.

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Dr. Dennis Valerstain is a board-certified Adult and Child and Adolescent Psychiatrist. After completing his undergraduate education at Emory University, he attended medical school at the Northwestern University Feinberg School of Medicine. He subsequently completed psychiatry residency at University of Miami/Jackson Health System and further sub-specialized at University of Miami/Jackson Health System with a fellowship in Child and Adolescent Psychiatry. Dr. Valerstain has had the opportunity of working with a diverse array of patients including children, adolescents, the severely mentally ill, veterans, and cancer patients across three distinct hospital systems. Dr. Valerstain has had varied clinical experiences in specialty inpatient psychiatry units, emergency psychiatry, consultation liaison psychiatry, psycho-oncology, and outpatient clinics via telemedicine and face to face interactions. Dr. Valerstain has experience working with patients of all ages, particularly those with depression, anxiety, bipolar disorder, ADHD, Tic disorders, substance use disorders, and more. Dr. Valerstain's practice focuses on medication management and also employs empathic listening, supportive psychotherapy techniques, and a comprehensive and methodological approach to his visits. Given his broad and diverse training experiences, he enjoys problem solving and working collaboratively with patients (and their families) to navigate their complex issues and jointly focusing on simple solutions to work towards improving their mental health.

Dr. Patel is a distinguished psychiatrist with over 24 years of experience. He completed his psychiatric residency at the University of South Dakota School of Medicine, where he served as chief resident and earned the Outstanding Resident of the Year award. He then pursued a fellowship in Consultation-Liaison Psychiatry at Harvard Medical School/Beth Israel Deaconess Medical Center.

He is triple Board certified in Adult Psychiatry, Consultation-Liaison Psychiatry, and Sleep Medicine and also holds certification in Behavioral Neurology and Neuropsychiatry from the United Council for Neurological Subspecialties. These credentials reflect his expertise in psychiatry, neurology, and the management of complex psychiatric conditions in medically ill patients.

Dr. Patel has worked in diverse settings including inpatient units, psychiatric consult services, outpatient clinics, and nursing homes. He is skilled in neuromodulation treatments such as Electroconvulsive Therapy (ECT) and Transcranial Magnetic Stimulation (TMS).

In addition to clinical practice, he has served leadership roles of chairman of a psychiatric department, medical director of a behavioral health service line in a regional health system, and founder/CEO of a private psychiatric and TMS clinic. Dedicated to ongoing professional growth, Dr. Patel remains at the forefront of psychiatric advancements in psychiatric care, earning a reputation as a respected leader in the field.

Dr. Patel combines deep knowledge of neurobiology, behavioral health, and the mind-body connection to offer a collaborative, evidence-based, and holistic approach to care. He integrates diet, exercise, yoga, meditation, and lifestyle modifications with psychotherapy and medication management.

His approach emphasizes active listening, curiosity, compassion, and even humor—creating a warm and supportive environment. By encouraging patients to integrate their unique life experiences into their treatment, he fosters ownership, empowerment, and active participation in the healing process.

During your first visit, Dr. Patel will review your symptoms, medical and psychiatric history, past treatments, substance use, psychosocial factors, and family history. He will discuss treatment options—including risks and benefits—and determine if his expertise and the telehealth platform are the right fit for your needs. Your safety is his top priority.

Follow-up visits focus on monitoring progress, adjusting treatments, maintaining stability, and supporting your motivation to achieve your fullest potential.

Dr. Thomas O’Brien holds a Bachelor of Science degree from the University of Wisconsin–Madison and earned his medical degree from Midwestern University Chicago College of Osteopathic Medicine. He completed his psychiatry residency at Loyola University Medical Center. Dr. O’Brien has experience practicing across outpatient, PHP, IOP, and inpatient settings.

He strives to create a supportive environment where patients feel heard, respected, and understood. His approach emphasizes a holistic, whole-person method to healing, guided by the patient’s own goals and values. Dr. O’Brien integrates psychotherapy with medication management, drawing on his background in psychodynamic psychopharmacology and acceptance and commitment therapy.

Dr. O’Brien focuses on understanding each patient as a whole to create individualized treatment plans. This begins with a comprehensive history during the initial session to identify biopsychosocial factors. Treatment is then tailored to align with the patient’s unique goals and values, promoting meaningful progress.

Dr. David Wait, MD is American Board of Psychiatry and Neurology certified and a fellow of the American Psychiatric Association. A skilled psychopharmacologist and psychotherapist, he has over 30 years’ experience successfully helping people overcome a diverse range of emotional, psychiatric, and addiction challenges.

David was born in Sioux Falls, South Dakota, and is a graduate of Augustana College. He obtained his MD at the USD School of Medicine. His residency was at the University of Arkansas for Medical Sciences (UAMS) in Little Rock where he was trained in both psychotherapy and biological management of psychiatric challenges.

Following residency training, Dr. Wait continued to work with UAMS and the State of Arkansas in research and program development focusing on implementing and then teaching novel strengths focused care for people with severe mental illness for the first 12 years of his career.

Later, Dr. Wait moved with his wife and three children to Coeur d'Alene, Idaho. He has since been in clinical practice and leadership roles in inpatient, outpatient, and telehealth psychiatric care settings.

Rather than focus primarily on illness or problems, Dr. Wait’s approach is to first evaluate his patients comprehensively, then utilize what’s learned from this to treat and empower them to make and then practice choices that lead to improved health and well-being, using an integrative model that recognizes that mental, physical, social, and spiritual health are one.

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