Dominique Holley, DO

Dr. Emily Sykes is a board-certified adult psychiatrist. She received her Bachelor of Arts degree with Magna Cum Laude distinction from Carleton College, where she majored in biology. Dr. Sykes completed her Doctor of Medicine degree from the University of Toledo. She completed her psychiatry residency at the University of Cincinnati and was the outpatient chief resident physician. Dr. Sykes' specialty interests include mood disorders, anxiety disorders, post-traumatic stress disorder (PTSD), obsessive-compulsive and related disorders, Cognitive-Behavioral Therapy (CBT) and holistic wellness. She is a certified Cognitive Processing Therapy (CPT) provider for PTSD. Dr. Sykes provides compassionate, evidence-based, individualized, holistic care for patients suffering from a variety of mental health diagnoses and concerns. She incorporates supportive therapy, cognitive-behavioral therapy and solutions-focused therapy into her sessions.

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. Lauren Miller earned her medical degree from Loma Linda University and completed her psychiatry residency at the University of Miami. She has experience working in both inpatient and outpatient psychiatry, caring for individuals from diverse backgrounds and with a wide range of clinical needs. Dr. Miller has a special clinical interest in lifestyle and integrative psychiatry, particularly the role of nutrition, exercise, sleep, and mind-body practices in supporting mental health.

Dr. Miller strives to create a warm, collaborative, and non-judgmental environment where patients feel truly heard and supported. She values whole-person care, addressing not only mental and emotional health, but also physical and spiritual well-being. She believes in partnering with patients to create treatment plans that reflect their values, goals, and strengths. Her approach emphasizes accessibility, practicality, and empowerment, providing patients with tools they can integrate into daily life.

Dr. Miller begins with a thorough, compassionate evaluation, taking into account both medical and psychiatric history as well as personal goals. She develops personalized treatment plans that may include a blend of medication, psychotherapy, and lifestyle approaches. Dr. Miller encourages small, sustainable steps in areas such as nutrition, sleep, movement, and stress management, with the goal of not only reducing symptoms but also building resilience and long-term wellness.

Dr. Bryant graduated from Mount Sinai School of Medicine to complete her adult training and the Yale Child Study Center/Riverview Hospital for Children Program to complete her fellowship in Child and Adolescent Psychiatry. A native Texan, she returned to Tyler, TX in 2020 to accept the position of Chair of the Department of Psychiatry and Behavioral Medicine at the University of Texas Health Science Center at Tyler. She also established an accredited child and adolescent psychiatry fellowship in Tyler. Prior to that, she served as the Director of the Child and Adolescent Psychiatry Division at the University of Mississippi Medical Center where she was also the Program Director of the Child and Adolescent Psychiatry Fellowship. She received her medical degree from the University of Texas Southwestern Medical School. Working with survivors of trauma has always been an important part of Dr. Bryant's practice. She currently serves as the co-chair of the American Academy of Child and Adolescent Psychiatry's Committee on Child Maltreatment and Violence and she is a representative for the National Health Collaborative on Violence and Abuse. Dr. Bryant also served as the program director of the Eating Disorders and Trauma Recovery program at Menninger Clinic in Topeka. She is board certified in adult, child and adolescent psychiatry and she has over 32 years of experience as a practicing psychiatrist. Dr. Bryant specializes in the treatment of anxiety disorders, obsessive-compulsive disorder, mood disorders, developmental disorders, Post-Traumatic Stress Disorder, Attention Deficit Hyperactivity Disorder, and family relational problems for both children and adults. She believes that "knowledge is power" and that the more a person can understand about how the brain is affected by various mental health conditions, the more treatment makes sense.

Alanna Montalvan is a Board-Certified Psychiatric Mental Health Nurse Practitioner (PMHNP) with over 15 years of nursing experience, including 10+ years as a PMHNP. She has supported individuals with anxiety, depression, ADHD, trauma-related disorders, bipolar disorder, and chronic mental health needs across outpatient, inpatient, and psychiatric emergency settings. Alanna holds a Master of Science in Nursing from Hunter College with a PMHNP concentration and is expanding her clinical expertise through Family Nurse Practitioner training. She values patient-centered care and multidisciplinary collaboration.

Alanna prioritizes creating a warm, non-judgmental space where patients feel heard, respected, and supported. She takes a collaborative approach, partnering with patients to identify goals, explore treatment options, and build long-term wellness strategies. Open communication, transparency, and a holistic perspective that integrates emotional and physical health guide her practice. Patients can expect thoughtful, evidence-based care that considers life stressors, identity, family dynamics, and wellness behaviors.

Alanna begins with a comprehensive assessment to understand each patient’s history, concerns, strengths, and goals. She develops individualized treatment plans, including medication management, psychotherapy-informed strategies, lifestyle recommendations, and coordination with other providers as needed. Treatment goals are regularly revisited to ensure care evolves with the patient. She emphasizes empowerment and education, helping patients feel confident and informed throughout their mental health journey.

Dr. Mouneimne is a Board-Certified bilingual psychiatrist specializing in general adult psychiatry, bringing extensive experience from her residency training in the underserved area of East Texas. She earned her medical degree from the Texas College of Osteopathic Medicine in Fort Worth and has received broad exposure to child/adolescent, geriatric, and adult inpatient and outpatient psychiatry. With a background in Engineering from Texas A&M University, Dr. Mouneimne employs an analytical approach to diagnose and treat mental health issues through personalized and collaborative care. Her training has included both in-person and virtual encounters to extend care across larger geographic areas. She has experience managing psychiatric care in acute behavioral health units as well as long-term facilities and has focused training in applied Cognitive Behavioral Therapy (CBT). Dr. Mouneimne prioritizes maintaining strong patient-provider relationships, ensuring that patients feel heard and seen to optimize treatment outcomes. She is committed to de-stigmatizing mental health services and providing culturally competent care. Her practice incorporates medication management as part of a comprehensive treatment strategy, emphasizing a deep understanding of the underlying etiology rather than merely addressing symptoms. Known for her compassionate and open bedside manner, she values each patient's unique story as essential to their care. ‍In addition to medication management, her practice includes Cognitive Behavioral Therapy (CBT) and supportive psychotherapy to effectively address complex mental health needs. Dr. Mouneimne strives to promote overall well-being and encourage active patient engagement in their care, ensuring that treatment plans support patient goals, comfort, and meaningful outcomes.