Darcie Farrell, PMHNP

Dr. Kotadia is a board-certified psychiatrist who completed his psychiatry residency training program at Nassau University Medical Center in Long Island, NY. After completing training, he has been practicing outpatient psychiatry and specializes in the evaluation and management of major psychiatric disorders, including depression, and anxiety. He uniquely combines his education, training, and practical experiences into specialized treatment plans. Typically, he offers this in conjunction with supportive or emotionally focused therapy in 30-minute follow-up visits. However, occasionally Dr. Kotadia may believe that additional therapy is also needed and ask that you bring a therapist into your care team to provide the best outcome. A story that Dr. Kotadia came across years back still inspires him each day. A man was taking a morning walk at the beach. He saw that along with the morning tide, came hundreds of starfish. When the tide receded, the starfish were left behind and would die in the morning sun. While the tide was fresh, and the starfish were alive, the man took a few steps, picked one up and threw it into the water and continued throwing starfish back into the ocean. Behind him was a stranger who couldn't understand what this man was doing. He caught up with him and asked, "What are you doing? There are hundreds of starfish. How many can you help? What difference does it make?” The man did not reply, rather he took two more steps, picked up another one, threw it into the water, and said, "It makes a difference to this one.”With this story as his motivation and ultimate objective, it has always been Dr. Kotadia's goal, with each patient, to provide superior services.

Dr. Iris Guerrero Urena is double board-certified in psychiatry and consultation-liaison psychiatry. She received her medical degree from Universidad Iberoamericana in the Dominican Republic and went on to complete psychiatric residency at Lincoln Hospital in New York City. Dr. Guerrero then completed a consultation liaison fellowship at Morningside and West Mount Sinai Hospital in New York, further acquiring proficiency in caring for patients with complex medical and psychiatric comorbidities. After completing training, Dr. Guerrero worked in an acute inpatient unit and as a psychiatric consultant for patients admitted to medical units in Oregon. Dr. Guerrero Urena focuses on medication management while also implementing elements of supportive, dialectical behavioral, and cognitive behavioral therapy within each session to fully address individual needs. At times, Dr. Guerrero Urena may recommend a therapist for additional therapy. Dr. Guerrero Urena is experienced in treating a wide range of psychiatric conditions including depression, bipolar disorder, anxiety, PTSD, OCD.

Dr. Abby Reineck currently serves as an outpatient child and adolescent psychiatrist. She has been practicing for 13 years. Dr. Reineck's practice primarily offers medication-management services in conjunction with either supportive or eclectic therapy. Follow-up appointments average 30 minutes, but may be more or less. Occasionally, Dr. Reineck believes the addition of a therapist is needed and will request you bring a therapist into your care team. This will be asked of individuals if she believes it will lead to an improved clinical outcome. Reineck received her medical degree from Boonshoft School of Medicine at Wright State University, located in Dayton, OH. She completed her psychiatry residency and child and adolescent fellowship at Dartmouth-Hitchcock Medical Center, in Hanover, NH. After completing her training, Dr. Reineck moved to Brattleboro, VT, where she became an attending psychiatrist at The Brattleboro Retreat, working on both the child and adolescent inpatient units. The Brattleboro Retreat's location was such that it served a large number of patients from nearby states, which included New Hampshire, Massachusetts, Connecticut, and New York. However, it also served as the only psychiatric inpatient facility for children and adolescents in the entire state of Vermont. Dr. Reineck also worked as the lead psychiatrist on the inpatient, adult, dual-diagnosis unit. This unit provided care for individuals struggling with addiction and mental-health related issues, some of whom required medically supervised detoxification. After roughly five years, Dr. Reineck moved from Vermont to Erie, PA. She began working at a residential treatment facility for child and adolescent patients who required care in a highly supervised and highly structured setting. Dr. Reineck also began serving as a child and adolescent psychiatrist for patients enrolled in a school-based partial-hospitalization program. Dr. Reineck gradually transitioned from these roles into strictly outpatient work. She worked as an outpatient psychiatrist in Butler, PA, where she treated child, adolescent, and adult patients. Dr. Reineck eventually narrowed her scope of practice to providing psychiatric treatment for only outpatient children and adolescents. She did so out of facilities located in Erie and Meadville, PA. Drr. Reineck completed her undergraduate studies at Ohio University. While Dr. Reineck has experience treating a wide variety of patients, her primary focus has been treating children and adolescents with a vast array of presenting concerns.

Jennifer Murdock is a board-certified psychiatric nurse practitioner from Wisconsin. She specializes in mental health and has over a decade of experience. Seeking treatment for mental health issues can be intimidating and difficult. It can also come at a time of challenges and hardships. If you are dealing with mental health issues that don’t seem to be resolving with traditional talk therapy, it may be necessary to consider more intensive outpatient treatment options such as medication and/or alternative strategies to relieve symptoms. As a board-certified psychiatric nurse practitioner, Jennifer strives to create an open, inviting, and non-judgmental environment with compassion and acceptance. Jennifer, a PMHNP, is here to support, guide, and empower you in your journey to recovery and ultimately in becoming the best version of yourself. With an emphasis on a client-centered approach, she works with each unique client to find an evidence-based psychiatric or substance use treatment model that works best with them and their lifestyle. She will utilize an eclectic, holistic approach to your treatment plan including conventional medicine, supplements, alternative and complementary methods, and lifestyle modifications to help you achieve your goals. Jennifer reflects on her own experiences and feelings to connect with whoever comes into the office on a deep empathic level. She enjoys partnering with patients from teens to geriatrics and is passionate about working with those who struggle with trauma, grief, depression, anxiety and related disorders, mood disorders, and addiction. Jennifer also has experience in treating patients with medical comorbidities. She loves animals and finds them a source of comfort, healing, and humor.

Richard "Rick" States is a Licensed Professional Counselor, with broad and varied professional work experience in behavioral health (inpatient and outpatient, individuals and families, children and adults, direct service and program administration). Rick earned his B.A. in Psychology at Gannon University and his M.A. in Clinical Psychology at Edinboro University of Pennsylvania. He's earned a Post-Master's Certificate in General Psychology from Northcentral University and has completed many doctorate credits in Psychology. Since 199, Rick has taught university courses in Psychology, Sociology, and Human Services, most recently at Gannon University and Penn State University. Rick's greatest area of clinical interest and skill centers around self-regulation or "how we manage" our thoughts, feelings, emotions, behaviors, etc. Rick is writing a book on self-regulation and uses the concepts in day-to-life and behavioral health practice. Rick enjoys addressing challenges related to anxiety, stress, depression, substance use, and trauma. Rick employs eclectic but methodical tools, including cognitive behavioral therapy, psychodynamic therapy, humanism, and somatic psychology, to assist with these challenges. Rick is EMDR trained and DBT Certified. On a more personal level, Rick is a long-term martial arts instructor, T'ai Chi instructor, and meditator. Relatedly, he also offers a variety of Mindfulness-based tools to clients.

Dr. Akhtar is a board-certified psychiatrist specializing in compassionate and comprehensive mental health care. She focuses on medication management for a wide range of psychiatric conditions, providing supportive therapy to help individuals navigate life's challenges and enhance their overall well-being, while emphasizing lifestyle changes and the development of coping skills. Dr. Akhtar completed her medical degree at the American University of Antigua, gaining a profound understanding of the biological, psychological, and social aspects of mental health. Following her residency at Bergen, Newbridge Medical Center, where she was appointed Chief Resident in her fourth year, she worked for several years in both inpatient and outpatient hospital settings. Committed to holistic wellness, Dr. Akhtar believes in empowering individuals to make positive changes in their lives and offers guidance on nutrition, exercise, sleep hygiene, and stress management techniques. She is dedicated to fostering a therapeutic alliance built on trust, empathy, and collaboration. Her approach is rooted in evidence-based practices and tailored to meet the unique needs of each individual under her care.