Christine Reyes, MD

Dr. Arif Patel is a board-certified adult psychiatrist. He obtained his medical degree from Rowan University School of Osteopathic Medicine and completed his residency training at Authority Health, an affiliate of Michigan State University. In addition, he has completed a Psychoanalytic Psychotherapy Fellowship from the Michigan Psychoanalytic Institute. He has 4 years of clinical experience. Dr. Patel's practice focuses primarily on medication management. Follow-up appointments typically last 30 minutes and incorporate elements of supportive psychotherapy, CBT, and motivational interviewing. Dr. Patel utilizes a collaborative approach to treatment, ensuring that treatment plans align with patients' goals and values. Dr. Patel has extensive clinical experience in various psychiatric settings including inpatient, outpatient, and emergency settings. He has treated patients of various ages and of diverse cultural and spiritual backgrounds. He has extensive training in the community mental health system, where he has treated patients with severe mental illness and substance use disorders. Dr. Patel practices general adult psychiatry. His practice focuses on medication management in conjunction with supportive psychotherapy. Dr. Patel has experience in treating a wide array of psychiatric disorders including mood disorders, anxiety disorders, trauma, and ADHD.

Dr. Kristina Foreman is a board-certified psychiatrist and child and adolescent psychiatrist who earned her medical degree from St. George’s University and completed both psychiatry residency and fellowship at the University of Vermont Medical Center. She served for four years as an attending on a high-acuity inpatient adolescent unit in Denver, leading a multidisciplinary team in the care of complex cases. She also presents nationally on Positive and Lifestyle Psychiatry and has taught these approaches to fellows and residents.

Her style is open, thoughtful, and relationship-focused, creating a space where patients feel safe sharing what matters most. She brings a therapeutic mindset to every encounter and practices strengths-based care to help people connect with resilience and agency. Trained in the Vermont Family-Based Approach, she values family involvement and blends medication management with therapeutic principles and lifestyle psychiatry to support emotional flexibility and values-driven change.

Dr. Foreman begins by gaining a full understanding of each patient’s history, strengths, challenges, and hopes for treatment. She builds individualized plans that may include medication, lifestyle strategies, psychotherapy-informed tools, and family participation when helpful. She incorporates ACT, DBT, CBT, and positive psychology concepts to foster insight and skill development. Follow-up visits focus on refining the plan so progress feels steady, collaborative, and aligned with patient goals.

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Tulsie Patel is a board certified psychiatrist who treats adults. She graduated Cum Laude from Drexel University and attended medical school at the University of Miami Miller School of Medicine. She completed her psychiatry residency at the University of Texas Southwestern (UTSW) and was elected to serve as Chief Resident during her final year of training. She has worked as an outpatient psychiatrist in California and Florida and has experience in medication management, individual and group therapy, and transcranial magnetic stimulation (TMS). She is dedicated to constantly learning and has previously published numerous articles and book chapters on various topics in the fields of psychiatry, dermatology, and psychodermatology. She is also very passionate about education and medical journalism. During her residency training, she worked at ABC News in New York City as a member of their medical unit. She provided consultation on medical stories for programs including Good Morning America and World News with David Muir. She has published a number of articles on the websites for ABC News and Good Morning America. She also has experience presenting as an on-air expert for ABC News and for mental health podcasts. She is committed to continuously evolving as a provider in order to provide the best care for her patients. Her focus is always to provide patient-centered care by prioritizing open communication and collaboration with her patients. She has experience providing care for a variety of psychiatric illnesses. The conditions she treats include but are not limited to depression, anxiety, panic disorder, OCD, PTSD, and ADHD.

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.

Elizabeth Shaffer, MD, is an accomplished psychiatrist specializing in child and adolescent psychiatry. She earned her M.D. degree from St. George's University School of Medicine and holds a Bachelor of Science in Child Development from Appalachian State University where she graduated summa cum laude. Dr. Shaffer's passion for working with children and families developed during her involvement in a pre-K Head Start Program in Rural North Carolina. She completed her General Psychiatry Residency and Child & Adolescent Psychiatry Fellowship at Jerry M. Wallace School of Osteopathic Medicine at Campbell University. Dr. Shaffer obtained ABPN Board Certification in General Psychiatry in 2023 and is working towards Board Certification in Child & Adolescent Psychiatry. Dr. Shaffer has received honors and awards for her contributions to psychiatry, including the Laughlin fellowship through The American College of Psychiatrists and Resident of the Year at Cape Fear Valley Health System in 2022.Her areas of interest focus on neurodevelopmental disorders such as ADHD, Autism, and Intellectual Delay. Dr. Shaffer is affiliated with professional organizations like AACAP and APA, demonstrating her commitment to professional development. Dr. Shaffer is dedicated to promoting mental health awareness and family and patient psychoeducation. Dr. Shaffer emphasizes a joint decision-making approach to treatment options and utilizes local resources to provide wrap-around support. Dr. Shaffer is a respected psychiatrist known for her excellence, compassion, and innovative approach to mental health care. Her extensive education, accolades, research contributions, professional affiliations, and community involvement reflect her commitment to making a positive impact in her patients' lives and the broader community.

Dr. Shalin Shah earned his undergraduate degree from Northwestern University, his medical degree from Texas A&M University College of Medicine, and completed psychiatry residency at the University of Colorado Anschutz School of Medicine. He is ABPN certified in Psychiatry and completed a rigorous 3-year psychotherapy scholars track, gaining experience across multiple therapeutic modalities. During residency, he served as outpatient chief resident and was recognized with a selective service excellence and leadership award. Before medical school, he worked as a project manager for a large electronic health corporation.

Dr. Shah believes trust is the foundation of meaningful treatment. He aims to create a space where patients feel seen and supported yet thoughtfully challenged, using genuine curiosity, warm humor, humility, and a direct style. He collaborates with each patient to develop holistic, realistic treatment plans that may or may not include medication. His therapeutic work blends psychodynamic and humanistic approaches, with availability for a limited number of weekly psychotherapy patients.

In the first appointment, Dr. Shah explores each patient’s life story, asking detailed questions to understand them as a whole person. He then focuses on their immediate concerns and works collaboratively over time to refine a treatment plan that balances symptom relief with deeper, long-term healing. He thinks integrative and holistically, considering medical and mental health history, lifestyle, self-narrative, psychological structure, cultural and spiritual background, and broader societal influences.