Charles Engel, MD

Dr. Caitlin Gardiner is a board-certified psychiatrist specializing in child and adolescent psychiatry and psychotherapy. Dr. Caitlin Gardiner's practice is based on the biopsychosocial model and believes that the foundation of healing is in psychotherapy and human connection. She is known for incorporating therapy into her medication management practice. Typically she offers 30-minute follow-up visits for medication management with focused therapy based on individual needs. As a known helper, Dr. Gardiner started her career with a bachelor's degree in social work from Cazenovia College in Cazenovia, NY. After changing career paths, she received her medical degree from SUNY Upstate Medical University in Syracuse, NY. She stayed upstate to complete her general psychiatry residency, where she was chief resident at the beginning of the COVID-19 pandemic. Following this, she completed her child and adolescent psychiatry fellowship at Upstate due to the high quality of training. Dr. Gardiner has completed 3 years of advanced training in Dynamic Deconstructive Psychotherapy as well as specialized training in DBT. Dr. Gardiner is a well-rounded psychiatrist who enjoys treating youth and young adults during transitional phases of life while providing a safe and supportive environment. She believes strongly in reducing polypharmacy and providing high-quality medication management through a therapeutic and developmental lens.

Amanda Rivera, PMHNP, is a board-certified Psychiatric Mental Health Nurse Practitioner through the lifespan, certified by the ANCC in 2020. She earned a Bachelor of Science in Psychology with a biology minor from Clarkson University, followed by a Bachelor of Science in Nursing and a Master of Science in Nursing from St. John Fisher College. Amanda has over 15 years of experience in mental health, beginning in 2010 as a Therapy Aide at Rochester Psychiatric Center. She has practiced across inpatient hospitals, state psychiatric facilities, outpatient community clinics, correctional settings, group homes, and telehealth/private practice. She works with patients ages 16 and older and is highly experienced in trauma, mood and anxiety disorders, ADHD, autism, psychotic and personality disorders, substance use, and parenting challenges. She values working with families to strengthen the family unit.

Amanda values open communication and collaborates with patients to establish clear, meaningful treatment goals. She provides a warm, supportive environment where patients feel heard, respected, and empowered to take ownership of their mental wellness. Treatment is individualized, with medication decisions guided by a careful balance of safety and symptom relief. Appointments are conversational in nature, allowing care to be more personalized as patients share openly.

Amanda begins each visit by ensuring privacy and safety, then explores the concerns prompting care before gathering a biopsychosocial history through collaborative discussion. She provides education throughout sessions to help patients understand diagnoses and lived experiences. Medication options are discussed based on comfort level and clinical need. Follow-ups are scheduled at the end of each visit, with frequency adjusted as stability is achieved.

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Bel Gueron is a Licensed Mental Health Counselor with over 10 years of experience supporting adolescents and adults in both residential and community settings. She specializes in culturally sensitive and trauma-informed care, helping individuals navigate anxiety, depression, grief, and life transitions. With a strong foundation in evidence-based practices, Bel is dedicated to fostering resilience and meaningful growth in her patients.

Bel believes that thriving begins with feeling heard, validated, and understood. She prioritizes building a safe, supportive space and a collaborative therapeutic relationship where clients feel empowered. Raised in New York City, she brings a warm, down-to-earth approach that is tailored to each individual’s needs. Bel welcomes clients from all walks of life, offering culturally sensitive care while encouraging insight, self-compassion, and personal empowerment.

Bel works collaboratively with patients to understand their concerns, explore their background, and set meaningful, individualized goals. Together, progress and growth are identified and tracked over time. She integrates evidence-based therapies such as CBT, DBT, and mindfulness while centering each client’s unique story. Through a person-centered approach, Bel is committed to compassionate support, empowerment, and advocacy as clients move toward greater well-being.

Dr. Agnes Tolentino is a board-certified adult psychiatrist with over 20 years of practice experience.  She obtained her undergraduate degree at the University of the Philippines and completed medical school at the University of the East.  She finished her psychiatry residency at the Harvard South Shore program as chief resident in her final year.  She has a strong background in psychotherapy as an adjunct to medication management.  She has extensive experience in treating PTSD, medically ill patients, elderly patients and those with terminal illnesses. She spent the last 15 years treating the geriatric population and those adjusting to co-morbid medical problems.  

She is an empathic listener and collaborative clinician, focused on treating the whole person.  She emphasizes the need to use healthy coping mechanisms as well as lifestyle changes to complement medication management.  In keeping with the “whole person” focus, the role of physical well-being is important. A thorough medical history will be obtained on your initial appointment.  

Gathering a thorough psychiatric and medical history is paramount in a successful therapeutic relationship.  And with time, a trusting therapeutic environment should be fostered.

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Dr. Reinhart’s practice is influenced by his training and research in political and medical anthropology, psychoanalysis, and social psychiatry. He views mental health as inseparable from history, culture, and social context––not just neurobiology. His approach ensures patients time to elaborate how their life history shapes their experiences and goals. In a healthcare system that often relies on generic diagnoses and standardized plans, Dr. Reinhart works with each patient on their own terms, integrating psychotherapy and potential medications to support the pursuit of their unique life possibilities.

Dr. Reinhart often works with writers, actors, musicians, and visual artists and with journalists, academics, athletes, healthcare workers, and activists, many of whom seek treatment in response to creative blocks, burnout, and relationship struggles. He also has long-term experience working with people who have lived through incarceration, war, torture, migration, childhood abuse, and psychosis, and with those building queer and trans identities and communities.

To facilitate durable changes, Dr. Reinhart regards psychiatric symptoms as matters to be taken seriously, understood, and worked through, not simply suppressed by medications. He asks patients to actively engage in treatment and often recommends frequent appointments to support this.

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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.