Carmen Orellana Martinez, MD

Dr. Heather Paxton is a physician with over 20 years of experience in psychiatry. She earned her medical degree from Yale University School of Medicine and completed her internship and residency at Yale New Haven Hospital and affiliated programs. She also earned a fellowship certificate in College Mental Health at Yale University Health Services. Dr. Paxton has extensive experience in outpatient, intensive outpatient, and inpatient settings, treating individuals of all ages and a wide range of psychiatric conditions.

Dr. Paxton values treating each person as an individual and considers it an honor to be trusted with someone’s vulnerability. She strives to understand each patient’s perspective on therapy and medication, honoring their preferences while providing clear education to reduce fear and build trust.

Dr. Paxton reviews written information before visits to focus on meaningful dialogue. She seeks to understand daily life, goals, and desired outcomes, including preferences about therapy, medication, and side effects. She ensures each patient understands and agrees with the plan, emphasizing collaboration.

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.

Sherra St. Clair is a board-certified Psychiatric Mental Health Nurse Practitioner with over a decade of experience supporting individuals with a wide range of mental health concerns. Her areas of expertise include attention deficit hyperactivity disorder (ADHD), depressive and anxiety disorders, obsessive-compulsive disorder (OCD), bipolar disorder, and trauma-related conditions.

She completed her advanced nursing degree at the University of Wyoming, where she was recognized for her compassionate and welcoming approach to patient care. Before becoming a nurse practitioner, Sherra was inspired to pursue further education while working as part of an inpatient treatment team that included psychiatrists, psychologists, patients, and their families. Witnessing the profound improvements patients experienced after a crisis motivated her to transition toward outpatient and preventative care.

Prior to her nursing career, Sherra worked as a medical illustrator and animator, having studied at the University of Michigan’s medical school. She enjoyed creating educational materials for patients, physicians, and attorneys.

Sherra is passionate about working with individuals of all genders and socioeconomic backgrounds. She uses a collaborative, strengths-based approach that incorporates evidence-based medication management, psychotherapy, and patient education. She believes each person is the expert in their own life and strives to empower individuals to build on their self-worth, progress, and potential.

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Lopa Rana, MD, is a board-certified psychiatrist who has been practicing for over 29 years. Dr. Rana completed her medical school at B.J Medical College, Ahmedabad, India. Her Psychiatry training was at the State University of New York at Buffalo. She has practiced in varied settings, like being a faculty at SUNY Buffalo, a Private practice in a suburban town of Detroit, Michigan, for 4 years. She, then held a Senior Psychiatrist position at Henry Ford Behavioral Health for 14 years, in Michigan. She has been an Associate Professor at Oakland University William Beaumont School of Medicine. In the recent years, Dr. Ranahasd has been overseeing Outpatient Behavioral health at the Corewell Health William Beaumont hospital for the past 10 years. Throughout her career, she has been training and supervising Psychiatry Residents and Medical Students. Apart from being competent in the management of common Psychiatric conditions like Major Depression, Anxiety Disorders, Bipolar Disorder, Psychotic disorders and ADHD, she has an expertise in Advanced Psychopharmacology with a specialty interest in Psychiatric disorders during the pregnancy and the postpartum period. She has almost 2 decades of experience in helping women manage the course of their Mood and Anxiety disorders during and after pregnancy. She has been the consultant for Maternal Fetal Medicine and Obstetricians at Corewell Health for women who have questions and concerns regarding planning, managing, and guiding them during pregnancy and the postpartum period. Rana has performed several Zulresso (Brexanolone) infusions for women with severe postpartum depression, with remarkable outcomes. Dr. Rana values greatly the safety of the customized treatment options for her patients and informed decision making with her patients. Apart from English, she is fluent in Gujarati and Hindi languages.

Gabrielle Delarose is a dually boarded Psychiatric Mental Health and Family nurse practitioner with over ten years of clinical experience. Gabrielle is dedicated to providing culturally competent and evidence-based medication management and psychotherapy to assist individuals in achieving their goals to live their best life. I believe in holistic treatment of individuals, and focus on the individual’s overall well-being, including how they are functioning socially and professionally. In addition to medication and psychotherapy, she is a proponent of incorporating research-supported alternative modalities, including dietary changes, exercise, social interaction, and yoga. She also advocates of forest bathing (“shinrin-yoku”), a practice of spending time in nature that yields both medical and mental health benefits as discovered in research trials from around the world. As a professionally trained cellist, she also frequently incorporates art and music into appointments and treatment plans with patients. Her goal for all her patients is to improve all facets of a person’s life with treatment. Gabrielle is an LGBTQ+ affirming provider and has extensive experience working with diverse populations.

New patients should know that the initial appointment will consist of obtaining their social history in addition to their medical history. This is an important part of establishing a therapeutic relationship in addition to obtaining health information to use in formulating treatment plans. A person’s identity and life experiences are a significant influence on a person’s health and well-being, and Gabrielle believes in discussing these experiences in order to best understand a patient’s background and incorporate that into their care. Patients are encouraged to write down any questions they may have prior to the appointment, as well as any significant points they want to discuss. This is encouraged because, as patients, we may forget to address these points without a prompt from the provider. Gabrielle also encourages patients to actively participate in their care and firmly believes in a patient’s right to autonomy and agency. This patient-centered approach empowers patients to help guide treatment plans that best fit the patient’s needs and abilities at any given time. Patients are also encouraged to discuss any concerns about medications or treatment, particularly if there are concerns about side effects.

Gabrielle works collaboratively with patients to determine appropriate and preferred treatment plans, including medication and therapy. She uses cognitive behavioral therapy (CBT) as the primary therapy modality, in conjunction with existential therapy, depending on the patient’s needs and preferences. She prefers to allow patients flexibility in their treatment, so the process may look less structured depending on the immediate needs of the patient. Other times, particularly while working through a specific problem in therapy, appointment agendas may be planned out for several weeks. If at any time, however, a need arises to deviate from preplanned appointment agenda, patients are encouraged to discuss this at the beginning of the appointment. Above all, patients’ needs will guide the agenda.

Lance Briggs is a dedicated Psychiatric Nurse Practitioner with over a decade of clinical and leadership experience. A graduate of the University of North Dakota, Lance began as a psychiatric RN in acute inpatient settings before becoming a psychiatric RN supervisor in a major Houston hospital while pursuing advanced practice.

After becoming a PMHNP, Lance initially worked with outpatient addiction treatment and severe mental illness populations, later expanding into bariatric psychiatry to support patients preparing for weight-loss surgery. When the COVID-19 pandemic paused bariatric procedures, Lance founded a private practice—Grey Matters Mental Health—in Seattle, which was later sold to a larger healthcare organization in Minnesota. Lance then transitioned into correctional mental health, serving underserved populations within the criminal justice system. Currently, Lance is working at Talkiatry, providing compassionate, high-quality care informed by experience across diverse and challenging environments.

Lance understands that every patient is unique. His approach is grounded in Carl Rogers’ principle of unconditional positive regard, creating a safe, calming space where patients feel heard and valued. Lance takes time to explore developmental history, family background, and major life events, recognizing how past experiences shape present challenges. He aims to understand each symptom fully and offers thoughtful, collaborative treatment options.