Emily Sykes, MD

Darcie Farrell is an ANCC Board Certified Family Psychiatric Nurse Practitioner.  She has worked exclusively in the field of psychiatry during her forty-year nursing career.  She has worked in many care settings, including as a psychiatric Home Health Nurse and as a Certified Case Manager (CCM) in Psychiatry at Blue Cross Blue Shield. During her time at Excellus Blue Cross Blue Shield, she realized the urgent need for psychiatric nurse practitioners, so enrolled in the BSN/MSN program at the University of Rochester, graduating in 2016 with her BSN and in 2018 with her MSN.  She has strong skills and experience in Motivational Interviewing, having worked as a Motivational Counselor for a University of Rochester's Pediatric Research Program.   She has worked for the past seven years as a Nurse Practitioner in Geriatric Outpatient Psychiatry.

Darcie Farrell is a compassionate provider who is client centered. I rely on evidence-based scientific research when determining the best treatment options for clients.  

Darcie Farrell has a very relaxed process for working with patients which allows the client to provide information that is pertinent to their goals for care.  Then, together, we determine which treatment options are likely to be best for the client.

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Dr. Cheng is a board-certified psychiatrist who provides medication management alongside supportive therapy. She takes an individualized, patient-centered approach, creating comprehensive treatment plans tailored to each person's needs. With an approachable and caring demeanor, she helps patients address both immediate concerns and underlying stressors. Dr. Cheng believes in evidence-based practices while maintaining sensitivity to each patient's unique mental health journey.

Dr. Stephen Hawk is a board-certified psychiatrist with 25 years of experience. He earned his Doctor of Osteopathic Medicine from Kansas City University of Medicine and Biosciences and completed his psychiatry residency at the University of South Florida, Tampa. He has served in private practice and held leadership roles at the Veterans Administration, including Chief of Mental Health at Bay Pines VA. He led the launch of the VA Suicide Prevention 2.0 Telehealth Program and has training in AI in medicine.

Dr. Hawk combines talking therapies, neuromodulation, and modern psychopharmacology in a collaborative and empathic style. He focuses on family dynamics and integrates psychodynamic and biopsychosocial approaches, using creativity and open dialogue to tailor care.

He begins with open-ended conversations to help patients tell their story, then develops treatment plans together aligned with diagnostic standards. His approach includes medication review, mindfulness, CBT, supportive and psychodynamic therapy, and lifestyle education to support holistic wellness.

Dr. Fisher is a psychiatrist with over 20 years of experience in adult psychiatry, military health, addiction medicine, business leadership, and executive consultation.  His background has given him the opportunity to work with a diverse range of individuals, and he brings that breadth of experience to every patient relationship. In addition to his medical training, Dr. Fisher completed advanced training in psychodynamic and person-centered psychotherapy, which helps him provide care that’s not only evidence-based, but also deeply respectful of each person’s unique story.

Patients often describe Dr. Fisher as easygoing, kind, and patient. He takes pride in being someone who truly listens. he strives to create a safe, nonjudgmental space where you can be yourself—no matter where you're starting from. His goal is to meet you where you are, both emotionally and practically, and help you move toward where you want to be.

Dr. Fisher's approach is collaborative and flexible. He begins by getting to know you—your history, your concerns, and your goals. From there, we work together to create a treatment plan that may include therapy, medication, or both, depending on what’s appropriate for your needs. He integrate both psychodynamic insight and person-centered techniques, always with an emphasis on mutual respect and open communication. Progress takes time, and he's here to support you every step of the way.

Amy Gonzalez is a board certified Psychiatric Mental Health Nurse Practitioner as well as a Family Nurse Practitioner. She has been practicing in the field of nursing since 1996. Amy has been a practicing Family Nurse Practitioner since 2007, and she started to focus on substance abuse treatment in 2010. She found that many people with substance use disorder also struggle with their mental health and went on to get her Psychiatric Mental Health Nurse Practitioner degree completing it in 2017. Her past experience includes working in both outpatient and inpatient psychiatry, 24-hour crisis care, substance use treatment, mental health court, and both adult and geriatric psychiatry. Amy has expertise in treating depression, bipolar spectrum disorder, anxiety, insomnia, PTSD, substance use disorders and thought disorders.

Amy believes in providing a safe and supportive environment where she really gets to know her patients as individuals and works collaboratively with them to develop a treatment plan. She is concerned with a patient's overall wellness, emphasizing nutrition, movement, hobbies, social connection, and mindfulness. She takes a holistic approach to treatment which focuses on evidence-based treatments including conventional medications, supplements, and alternative and complementary treatments.

Amy focuses on medication management as well as providing supportive therapy, psychoeducation, and motivational interviewing to her patients in 30-minute follow up appointments. Sometimes Amy may recommend more intense therapy and ask that you bring a therapist into your care team to provide the best outcome.

Dr. Jessica Marz is a board-certified psychiatrist who completed her undergraduate studies at the University of Florida and earned her medical degree from the Florida State University College of Medicine. She went on to complete her psychiatry residency at the University of Florida College of Medicine Jacksonville. Dr. Marz treats adults experiencing a variety of mental health concerns, including anxiety, depression, PTSD, OCD, ADHD, bipolar disorder, and adjustment-related challenges.

Dr. Marz is a compassionate and thoughtful psychiatrist committed to holistic, patient-centered, evidence-based care. She approaches each individual with warmth and without judgment, fostering a therapeutic environment built on open communication and trust. She believes that strong rapport is essential to achieving meaningful progress in treatment.

Dr. Marz combines medication management with supportive psychotherapy, incorporating cognitive-behavioral techniques and motivational interviewing. She customizes each treatment plan to align with the patient’s personal goals and evolving needs, recognizing that healing is a highly individualized journey.