Dominique Holley, DO

Dr. Kira Posteraro is double board-certified in Adult and Addiction Psychiatry and has over 10 years of clinical experience. She completed her General Adult Psychiatry Residency at Allegheny General Hospital in Pittsburgh, PA, followed by a fellowship in Addiction Psychiatry at Beth Israel Medical Center in New York, NY.

Dr. Posteraro’s career has included serving as Director of Psychiatric Services at an addiction treatment center in Pittsburgh, PA, where she provided care across the full continuum of substance use disorder treatment—including residential, acute PHP, IOP, outpatient, and aftercare services. She later held the role of Section Chief Psychiatrist for the Center for Treatment of Addictive Disorders at VA Pittsburgh Healthcare System, offering both residential and outpatient services and acting as Medical Director for the SAMHSA-certified Opioid Treatment Program. Most recently, she served as Chief of Psychiatry for the Behavioral Health Service Line at VA Pittsburgh, where she had the honor of caring for our nation’s Veterans.

While her clinical expertise centers on the diagnosis and treatment of substance use disorders, Dr. Posteraro also has extensive experience treating a wide range of psychiatric conditions, including depressive and bipolar spectrum disorders, anxiety disorders, and trauma-related disorders.

Dr. Posteraro uses a collaborative, supportive approach to care, incorporating motivational interviewing to help guide patients on their journey to wellness. She integrates holistic strategies alongside medication management and is dedicated to meeting patients where they are in treatment to build individualized, effective recovery plans.

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Dr. Alexa Hall is a board-certified adult psychiatrist with extensive training and experience across inpatient, partial hospitalization, intensive outpatient, and outpatient psychiatry settings. She earned her medical degree from Saint Louis University School of Medicine and completed her psychiatry residency at Harvard South Shore. Through her clinical work with the Harvard Medical School system and the Boston VA Healthcare System, Dr. Hall developed expertise in caring for diverse patient populations. She has also served as Medical Director for multiple psychiatry practices, overseeing services such as outpatient medication management, Spravato, IV Ketamine, and Transcranial Magnetic Stimulation (TMS). Outside of work, she enjoys cooking and spending time with her family.

Dr. Hall provides a supportive, non-judgmental environment where patients feel heard, respected, and understood. She takes a collaborative approach, working in partnership with patients to set and achieve individualized wellness goals. Her practice emphasizes whole-person care, integrating both mental and physical well-being into each treatment plan.

Dr. Hall begins by listening closely to understand each patient’s history, experiences, and concerns. From there, she collaborates with patients to identify their personal treatment and wellness goals. She develops individualized treatment plans tailored to these goals, focusing on supporting meaningful progress and long-term well-being.

Dr. Albert Fernandez is a board-certified physician who specializes in adult psychiatry. He has expertise in medication management and psychotherapy. His practice emphasizes a holistic approach to treatment and his style is empathic, insight-oriented, and flexible. He has particular interests in helping individuals struggling with depression, difficulty functioning at work or school, life transitions, bipolar spectrum disorders, ADHD, obsessive-compulsive disorders, relationship struggles, anxiety disorders, sleep disturbances, low self-esteem, and more. He received his bachelor's degree in psychology from Princeton University with a certificate in neuroscience. He earned his M.D. from Renaissance School of Medicine at Stony Brook University and completed his residency training in psychiatry at the Mount Sinai Morningside and West Hospitals. He has supervised junior residents and medical students. He also worked as a staff psychiatrist at Fordham University and published a review article on the effects of residential relocation on mental health. He is currently a Post-Doctoral Candidate in the Adult Analytic Training Program at the New York Psychoanalytic Society and Institute.

Dr. Ruiz is a compassionate psychiatrist specializing in adult and maternal mental health. She develops personalized treatment plans to address anxiety, depression, bipolar disorder, ADHD, OCD, PTSD, PMDD, and perinatal conditions. Her goal is to help patients reconnect with their values and live balanced, fulfilled, and meaningful lives.

Her passion for medicine began in childhood, inspired by curiosity about the mind and body. She earned an Honors Chemistry degree with  magna cum laude and completed her medical training and psychiatry residency at Texas Tech University Health Sciences Center. With a strong scientific foundation, Dr. Ruiz understands the role of medications, and embraces holistic healing through connection, gratitude, and spirituality.

Dr. Ruiz has experience in diverse clinical settings and has received national awards including the AWP International Fellowship and ADMSEP Innovations Award. She is dedicated to advancing maternal mental health screening and treatment through clinical care and education.

Dr. Ruiz combines pharmacotherapy (medication) with psychotherapy to create individualized treatment plans. Therapy provides powerful tools to manage thoughts, emotions, and behaviors that support balanced brain chemistry. Research shows that medication helps restore this balance more quickly and effectively, especially in moderate to severe cases.  

Dr. Ruiz likens medication for the brain to fertilizer for a garden. Imagine your mental health as a vibrant garden—when well-nourished, it can thrive with resilience, beauty, and balance. But when symptoms like depression, anxiety, ADHD, or mood instability take hold, they act like invasive weeds, crowding out healthy growth and making it hard to enjoy the space. Medication acts like fertilizer, strengthening the garden’s natural systems so the healthy parts can reclaim their place and flourish. Just as some gardens need only seasonal care while others require more consistent tending, medication plans are personalized to support each person’s long-term mental wellness. When the garden is healthy, there's more room to grow, connect, and fully enjoy life.

With a strong background in chemistry and pharmacology, Dr. Ruiz prioritizes educating her patients about how medications work and why they can be helpful. She believes patients should take an active role in understanding their diagnosis and treatment. Her approach emphasizes diagnostic clarity, medication management, patient education, and brief psychotherapy based on cognitive behavioral therapy (CBT) and acceptance and commitment therapy (ACT).

Your first appointment is a supportive, in-depth conversation to share your story, challenges, and goals. Dr. Ruiz will review your medical and psychiatric history and assess symptoms using a whole-person approach that considers biological, psychological, and social factors.

Together, you’ll develop a personalized plan that may include lab work, medication, and therapy. Initial visits last 60 minutes for thorough evaluation; follow-ups typically last 20–30 minutes, focusing on medication management and brief therapy. If needed, Dr. Ruiz can refer you to in-house or community therapists for add-on therapy support.  

Throughout your care, Dr. Ruiz prioritizes shared decision making to ensure you feel informed, empowered, and supported.

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Dr. Mendez-Maldonado is double board-certified in general psychiatry and geriatric psychiatry. She received her medical degree from the University of Puerto Rico School of Medicine. She then moved to New York to complete her residency training at Mount Sinai Beth Israel where she stayed to complete her fellowship in geriatric psychiatry. After her fellowship, she proceeded to work at Woodhull Hospital where she worked as an attending before becoming unit chief and running their Special Pathogens Unit during the COVID-19 pandemic. She focuses on medication management and offers this in conjunction with supportive therapy, cognitive-behavioral techniques, a focus on nutritional psychiatry, and 30-minute follow-up visits. Dr. Mendez-Maldonado focuses on integrating nutrition, physical activity, and mindfulness techniques alongside pharmacotherapy to achieve a well-rounded approach to mental health.‍

Dr. Williams-Jules is an adult psychiatrist who focuses primarily on medication management in conjunction with supportive therapy. She completed her undergraduate training at Spelman College in Atlanta, GA, followed by her master's in public health degree at New York Medical College. She has completed medical school at American University of Antigua and finished her residency in psychiatry at the University of Texas Southwestern. Dr. Williams-Jules has a passion for treating adults with mental health disorders, especially within the perinatal population. She has a genuine interest in management of trauma, while also treating a vast array of disorders including depression, anxiety, bipolar disorder and posttraumatic stress disorder. She has worked with clients of varying cultures and demographics, and has experience with treating patients with medical comorbidities. Dr. Williams-Jules takes a delicate approach to diagnosis and management and believes in holistic care, which incorporates mindfulness and deep breathing techniques to address the mind and body connection. She tailors individualized treatment to address the specific needs of patients. Dr. Williams-Jules is a member of the American Psychiatric Association and the Dallas County Medical Society. She has presented her research at the Annual APA conference and is co-author of many published psychiatric papers.