Cedric Skillon, MD

Dr. Siera Kirkland is an adult general psychiatrist. She is a diplomate of the American Board of Psychiatry and Neurology. She has been practicing for 8 years. Dr. Kirkland focuses on collaborative and evidence-based care. She believes it is imperative to form a therapeutic relationship with each individual and work together as a team to formulate the best treatment plan. Her passion is to educate, empower, and support. She specializes in medication management and brief psychotherapy .Dr. Kirkland received her medical degree from Ross University School of Medicine. She completed her residency at The Cleveland Clinic Akron General and Summa HealthSystem in her hometown of Akron, OH. Upon completion of residency, she relocated to Charlotte, NC to start her career as the Lead Psychiatrist at Novant Health Psychiatric Associates- Matthews. Dr. Kirkland has experience in treating various patient populations. Her areas of focus have been perinatal and postpartum depression and anxiety. She has also worked with adults with co-occurring substance use disorders. Special interests include women's health and minority mental health disparities.‍For established patients of Dr. Kirkland, call 917-634-5311 to schedule an appointment and let the care coordinator know you are an established patient.

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. Varsha Narasimhan is a physician with experience working in outpatient integrated medical settings, where she has collaborated closely with primary care and obstetric providers to support patients’ mental health within the context of their overall health. She earned her medical degree from SUNY Downstate Medical Center and completed her psychiatry residency and integrated care fellowship at Montefiore Medical Center. Dr. Narasimhan also holds additional training in bioethics and medical humanities, which informs her thoughtful and reflective approach to care.

Dr. Narasimhan’s style is practical, respectful, and grounded in shared decision-making. She works collaboratively with patients to ensure they feel informed and empowered in their care. She treats depression, anxiety, PTSD, ADHD, bipolar disorder, and cognitive concerns, with a focus on patient-centered care and careful, individualized medication management.

Dr. Narasimhan tailors treatment to each patient’s unique concerns, values, and goals. She prioritizes compassion and a whole-person perspective during the initial assessment and throughout treatment, working with patients to develop plans that support both mental health and overall well-being.

Dr. Amanda Kerr is a board-certified Psychiatrist. Her practice focuses on medication management, though she passionately believes in a holistic approach. She attended Boston University for her undergraduate studies and Loyola Marymount University for graduate school. She then completed her training at Midwestern University Arizona College of Osteopathic Medicine for medical school and Rowan University School of Osteopathic Medicine for residency, where she was selected to serve as Chief Resident during her final year. After completion of her residency in 2016, she dedicated seven years to serving a wide range of patients in a community mental health setting, both in-person and via telepsychiatry. She also serves as a provider at an Intensive Outpatient Program. She has experience treating patients with depressive and bipolar disorders, anxiety disorders, PTSD, and OCD. She also has extensive teaching experience in various settings. Dr. Kerr has a gentle and approachable style when providing medication management in conjunction with supportive psychotherapy, and at times Cognitive Behavioral Therapy techniques to more fully address each individual's needs. She utilizes mindfulness approaches as well, which she finds personally meaningful in her practices of meditation and yoga. If Dr. Kerr feels you would benefit from working with a therapist as well, she may recommend and values a collaborative approach.

Dr. Sabrina Lefcochilos-Fogelquist earned her bachelor’s degree from Georgetown University and her medical degree from Sidney Kimmel Medical College at Thomas Jefferson University. She completed her psychiatry residency at the Icahn School of Medicine at Mount Sinai Morningside/West in New York City. She has experience in outpatient, inpatient, and emergency psychiatry, treating a broad spectrum of mental health conditions across diverse populations.

Dr. Lefcochilos-Fogelquist values compassionate, holistic care and strives to build long-term, collaborative relationships with her patients. She is particularly drawn to the outpatient setting, where she can engage with the evolving narratives of her patients’ lives. She creates a warm, supportive environment where individuals feel safe, respected, and heard.

Her process begins with a comprehensive evaluation to understand each patient’s history, concerns, and goals. Treatment plans are individualized and may include medication management and psychotherapy. She integrates supportive, cognitive behavioral, psychodynamic, and mindfulness-based techniques to meet patients' evolving needs.

Dr. Tyler Alderette is a board-certified psychiatrist with experience treating patients in outpatient and telehealth settings. He earned his medical degree from the American University of the Caribbean School of Medicine and completed his psychiatry residency at Larkin Community Hospital in Miami, Florida. His clinical interests include depression, bipolar disorder, anxiety disorders, ADHD, trauma-related conditions, psychotic disorders, and substance use concerns. Dr. Alderette provides evidence-based medication management integrated with psychotherapy-informed care and is committed to staying current with advances in psychiatric treatment to ensure safe and effective care.

Dr. Alderette strives to create a warm, nonjudgmental, and respectful environment where patients feel comfortable sharing their experiences. His approach is collaborative and patient-centered, working closely with patients to set clear goals and select treatments aligned with their values. He takes a whole-person approach, considering mental health alongside sleep, relationships, medical conditions, culture, and life stressors, and provides affirming, inclusive care for patients of all ages and backgrounds.

Dr. Alderette begins with a comprehensive evaluation to understand each patient’s history, current concerns, and personal goals. Treatment plans are individualized and may include medication management along with supportive therapy, cognitive behavioral therapy (CBT), and motivational interviewing. Follow-up visits focus on progress, side effect management, and ongoing adjustments, with an emphasis on education, open dialogue, and long-term stability.