Austin Davidson, DO

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.

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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.

Robynn Cavaliere, PMHNP-BC, is a nationally board-certified Psychiatric Mental Health Nurse Practitioner. She earned her nursing practice degree from the University of San Diego (USD). Her passion for helping others began at the age of 16 when she became an EMT and volunteered with a local emergency unit. Inspired by a strong belief in service to country and a desire to follow in her brothers’ footsteps, she proudly served in the United States Marine Corps.

Robynn’s nursing journey began over two decades ago, driven by a deep calling to care for others. She started her career as an LVN on medical/surgical/telemetry floors, advanced to an RN in the emergency room, and eventually became a psychiatric nurse practitioner.

Her extensive nursing experience spans a wide range of clinical settings and patient populations, shaping her approach to interviewing, assessment, and intervention. Robynn applies the Biopsychosocial Model in every patient encounter, believing that a comprehensive understanding of the whole person leads to more effective treatment recommendations, improved outcomes, and better prognoses.

She is deeply committed to making a positive impact in her patients’ lives and giving back to the nursing profession. Robynn precepts student nurse practitioners in her practice and serves as a Clinical Assistant Professor at USD, where she helps educate the next generation of healthcare providers.

Robynn emphasizes the importance of comprehensive assessments, active listening, and building therapeutic alliances that foster trust and create a safe space for patients to share their thoughts and concerns. She collaborates closely with patients to ensure they feel heard, encourages active participation in their treatment, and provides education to enhance insight and promote behavioral change. Her approach includes supportive psychotherapy and incorporates techniques from Cognitive Behavioral Therapy (CBT), Interpersonal Therapy, Reality Therapy, and Solution-Focused Therapy during medication management visits.

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Dr. Kristofer Joondeph-Breidbart is a board certified adult psychiatrist. He earned his undergraduate degree and Master's in Teaching from Boston University, followed by his medical degree from the University of Massachusetts Medical School. Dr. Joondeph-Breidbart completed his residency in general adult psychiatry at Cambridge Health Alliance, a Harvard teaching hospital. Currently, Dr. Joondeph-Breidbart serves as a staff psychiatrist at Harvard University Health Services, where he works with both undergraduate and graduate students. He has developed significant expertise in working with LGBTQ individuals through his involvement with the Gender and Sexuality Clinic at Cambridge Health Alliance and the LGBTQ Interdisciplinary Team at Harvard University Health Services. While he has extensive expertise in treating college-aged young adults, his practice also includes a broad range of patients, with a particular specialization in Obsessive-Compulsive Disorder (OCD). He is trained in Exposure and Response Prevention Therapy, a highly effective treatment for OCD. Dr. Joondeph-Breidbart takes a holistic approach to mental health care, integrating therapy into his sessions and collaborating with patients to develop individualized medication regimens that best meet their needs. His gentle and understanding approach helps create a supportive environment for his patients, fostering their mental and emotional well-being.

Dr. Jen Wygant is a board-certified psychiatrist who specializes in adult psychiatry. She completed her residency training in general adult psychiatry at the University of Michigan and received her medical degree from Rocky Vista University College of Osteopathic Medicine. However, she took a non-traditional path to medical school. She earned her undergraduate degree in nursing at Northern Michigan University where she also did Army ROTC and competed on their cross-country ski team. After graduation, she went on to work as a nurse in the Army and compete on the US National Biathlon Team.

During her training, Dr. Wygant gained extensive experience treating a wide range of diagnoses with particular emphasis on PTSD, anxiety and depression in diverse populations, including college students, LGBTQIA+ individuals, perinatal individuals, Veterans and those with socioeconomic disadvantages.

Through her work as an Army nurse, lifestyle as an elite level athlete, and training as an Osteopathic physician she has developed a holistic and compassionate approach to providing care as well as an understanding of challenges unique to athletes and Service members. She integrates multiple types of therapy into her medication management appointments and collaborates with patients to form an individualized and empowering care plan that aligns with their goals and priorities.  

Dr. Wygant looks forward to working with you!

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.

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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.