Dominique Holley, DO

Dr. Michele Wiener is a psychiatrist with over 35 years of experience treating patients with mental health issues. Dr. Wiener's practice has historically focused on treating patients with varying mood disorders, anxiety disorders, psychotic disorders, and post-traumatic stress disorder, often complicated by substance use disorders. Dr. Wiener enjoys working with patients of all ages. She is skilled in both psychotherapy and medication management. While the emphasis will generally be on medication management, Dr Wiener will utilize insight-oriented, cognitive behavioral, and supportive psychotherapy skills to help her patients reach their treatment goals. She completed her internship at Bronx Lebanon Hospital, her residency at Montefiore Medical Center and a two-year fellowship in biological psychiatry, psychopharmacology and geriatric psychiatry at Albert Einstein College of Medicine. She served for over 20 years as Chief of Psychiatric Services for Behavioral Health Services at St John's Riverside Hospital Park Care Pavilion formerly Yonkers General Hospital. Here she was also able to enjoy teaching medical students from The Lake Erie College of Osteopathic Medicine in their psychiatric rotation. She has been Assistant Medical Director for Arms Acres, in Carmel, NY for over five years.

Dr. Bardugon is a board-eligible psychiatrist who specializes in the treatment of adults. He has experience in treating patients with various forms of depression and anxiety, bipolar disorder, OCD, ADHD, PTSD, and substance use disorders. He seeks to provide a safe, non-judgmental, gender affirming space for patients as they strive to lead a happier, more contented life. After a pediatrics residency, Dr Bardugon worked for 13 years as a pediatric ER physician. His interest in psychiatry was piqued during this time as he witnessed the emergence of a child and adolescent mental health crisis. While ultimately deciding to focus his efforts on the treatment of adults, Dr Bardugon is keenly aware of the influence of child development and family systems on the behavioral health of adults. Dr Bardugon employs a holistic, multimodal treatment approach. Aiming to treat the whole person, he stresses the importance of nutrition, exercise, and sleep. Dr Bardugon believes an informed patient actively engaged in decision making surrounding treatment has the best chance of effecting lasting change. Believing in the synergistic effect of talk therapy and medication, he incorporates one or more talk therapy techniques including motivational interviewing, cognitive behavioral therapy, and supportive and psychodynamic psychotherapies into most sessions. He often recommends formal participation in some form of talk therapy and is happy to collaborate with other providers.

Dr. Dominic Adams earned his medical degree from Eastern Virginia Medical School and completed his residency at the University of Mississippi Medical Center. He has experience treating a broad range of mental health conditions using both medicinal and psychotherapeutic interventions. Dr. Adams works with children, adolescents, and adults, and has training in cognitive behavioral and psychodynamic psychotherapy.

Dr. Adams strives to create a cooperative therapeutic experience that fosters open and empathetic communication. He values patient choice in treatment and prioritizes empowering patients through psychoeducation. Drawing on a variety of psychotherapeutic techniques, he tailors care to meet the unique needs of each individual.

Initial appointments with Dr. Adams include a thorough review of the patient’s concerns and the development of both patient and physician treatment goals. He discusses treatment options in detail, providing education on any medications, therapies, or interventions. Together, he and the patient select a dynamic treatment plan and set a follow-up schedule to monitor progress.

Dr. Michael Gravenstein earned his medical degree from the University of Florida College of Medicine, where he also completed his psychiatry residency. During training, he was recognized with multiple awards, including the Malcom Randall VA Resident of the Year Award, the Ross A. McElroy Psychotherapy Award, and the John “J.D.” Dorian Award for best sense of humor. He has worked across outpatient, inpatient, and consult liaison settings, and has experience treating a wide range of conditions including depression, anxiety, ADHD, OCD, personality disorders, and transitional age concerns. He also has expertise working with LGBTQIA+ patients and provides psychodynamic, CBT, and supportive therapies.

Dr. Gravenstein believes in a comprehensive approach to treatment that integrates medications, therapy, and lifestyle interventions. While medications can be very effective, he views them as just one part of a broader treatment plan tailored to each patient’s needs. He emphasizes individualized care and sees treatment as a team effort, meeting patients where they are and progressing at a pace they feel ready for.

Dr. Gravenstein strives to create a warm, collaborative environment that fosters open communication and genuine connection. He may challenge patients therapeutically but always with careful attention to their readiness and comfort. His goal is to build trust so that meaningful conversations and progress can occur. For him, success is always shared—when patients succeed, they succeed together; when challenges arise, they regroup and move forward together.

Dr. Nicole Martinez received her Master's and Doctorate from the Illinois School of Professional Psychology and completed her pre-doctoral and post-doctoral fellowship at Gateway Foundation in Lake Villa, Illinois. She earned a double major in Psychology and Therapeutic Recreation at the University of St. Francis. Dr. Martinez has extensive experience working with children, adolescents, and adults in individual, family, and group treatment. Her therapeutic approach is integrative, combining Cognitive Behavioral Psychotherapy (CBT) with holistic methods, emphasizing Solution Focused Therapy, Reality Therapy, and Positive Psychology. She believes in the mind-body connection and that exploring various areas of an individual's functioning is essential for optimum physical and emotional health. Dr. Martinez emphasizes a collaborative therapist-client relationship, where both act as partners in designing treatment goals. She values identifying ineffective past modalities to avoid frustration and ensure personalized care. Recognizing that each person is unique, she adapts to the patient's evolving needs, ensuring they feel heard and supported for positive outcomes. Her areas of expertise include health psychology, complex trauma, PTSD, depression, anxiety, social anxiety, bipolar disorder, ADHD, autism spectrum disorders, LGBTQIA populations, bereavement, forensics, substance abuse, couples work, MISA, co-occurring disorders, domestic violence, sex offenders, special needs populations, and chronic medical issues and rare diseases. She is skilled in the evaluation and assessment of these populations.

Tiffany Vickers is a board-certified Psychiatric Nurse Practitioner who earned her Master of Science Degree from Southeastern Louisiana University. She takes a holistic approach to mental health by recognizing the essential connection between the mind and body. Tiffany has 26 years of diverse experience in the clinical, home, and telepsychiatry settings.

Tiffany is committed to creating a safe, supportive, and nonjudgmental space where clients feel heard. She is especially passionate about reducing the stigma surrounding mental illness and believes in partnering closely with clients to help them achieve meaningful and lasting progress.

New patients working with Tiffany can expect a collaborative, respectful, and goal-oriented approach to care. She specializes in treating adults with ADHD, anxiety, bipolar disorder, depression, OCD, and PTSD. Tiffany's treatment approach utilizes a combination of medication management, lifestyle modifications, supportive therapy, and solution-focused techniques.

Her approach is grounded in empathy, clinical expertise, and a commitment to helping each individual achieve their mental health goals.

Tiffany follows a multi-stage, personalized approach when working with clients. She begins by gathering a comprehensive history, understanding the client's primary concerns, and identifying both short- and long-term goals. From there, she collaborates with each individual to develop a tailored treatment plan that includes client-specific interventions.

Tiffany's process is dynamic and adaptive! She monitors each client's progress and adjusts care as needed to ensure it remains aligned with their needs and goals. This thoughtful, individualized approach supports lasting outcomes and empowers clients to take an active role in their mental health journey.