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Ernest Smith, LPC

Staff Therapist
Languages
English
Conditions Treated
Talk Therapy

Education and training

  • Mary Hardin-Baylor Master of Clinical Health Services

Get to know

Ernest Smith, LPC

Ernest Smith, LPC, specializes in supporting adolescents, young adults, adults, and older adults as they navigate grief, anxiety, depression, trauma, and life transitions. With a compassionate and client-centered approach, he creates a safe, nonjudgmental space for individuals to explore their experiences and build the skills necessary for healing, growth, and resilience.

Ernest draws from a range of evidence-based modalities—including solution-focused therapy, person-centered therapy, cognitive-behavioral therapy (CBT), and dialectical behavior therapy (DBT). He tailors each session to meet the unique needs of his clients, whether helping adolescents manage emotional regulation and identity development or supporting older adults in coping with grief and life changes.

Ernest provides trauma-informed care and recovery-focused strategies that foster emotional safety, self-awareness, and long-term well-being. His goal is to walk alongside each person with empathy, understanding, and practical tools that promote lasting change and inner strength.

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Holly Clark, MD

Staff Psychiatrist

Dr. Clark is a board-certified adult psychiatrist. She is fellowship-trained in Child and Adolescent Psychiatry and has been in practice for 11 years. She received her medical degree from the Medical University of South Carolina. Dr. Clark then completed her residency training and continued her training in child and adolescent fellowship at the Medical College of Georgia. Dr. Clark works with patients to create an environment where they feel comfortable and supported. She focuses on medication management along with supportive therapy. Normally visits are 30-minute follow-ups that allow time to focus on areas of support needed. If additional therapy is recommended, she will request a therapist be added to your care team to meet all your needs. Dr. Clark has worked in both inpatient and outpatient settings with adult, child, and adolescent populations. She has worked in private practice as well as community mental health, where she worked with reaching under-served communities. Dr Clark has a passion for treating both adult and child and adolescent patients with anxiety and depression.

Alexandra Dunn, MD

Staff Psychiatrist

Dr. Alexandra Dunn is a board-certified adult psychiatrist who completed her medical training at the University of California Irvine School of Medicine. She then moved to New York to complete her psychiatric residency training at Mount Sinai Beth Israel. During training, Dr. Dunn gained extensive clinical experience in psychiatric inpatient, outpatient, and emergency settings, allowing her the opportunity to treat patients of all ages and backgrounds. In addition, she co-led a mindfulness group at the outpatient clinic, worked with students at Baruch College, and rotated with the Assertive Community Treatment team at MSBI. Ultimately, Dr. Dunn chose outpatient care, focusing on treating patients with mood and anxiety disorders. While her practice primarily emphasizes medication management, she also incorporates supportive and cognitive behavioral therapy techniques in her sessions with patients. If appropriate, Dr. Dunn will refer you for psychotherapy and collaborate with your therapist to support your care. She looks forward to meeting and working with you to help you feel better.

Lois Macdonnell, MD

Staff Psychiatrist

Dr. Macdonnell is a double-boarded psychiatrist with over 25 years of experience in adult psychiatry and geriatric psychiatry. Dr. Macdonnell focuses on treating individuals with medication management. Supportive and interpersonal therapy is incorporated as needed. When additional therapy or longer sessions are necessary to enhance the individual's treatment, she invites a therapist to become a member of your care team. Dr. Macdonnell attended undergraduate school at Manhattan School of Music earning a bachelor's and master's degree in violin performance and musicology. She then attended the City University of New York � Hunter College campus majoring in premedical sciences. Dr. Macdonnell attended Albert Einstein College of Medicine in the Bronx, New York, earning a degree in MD. She completed an internship in internal medicine before entering psychiatry residency at New York-Presbyterian Hospital � Westchester Division. After completing her residency, she stayed for an additional year, completing a fellowship in geriatric psychiatry. She was promoted to Attending Psychiatrist and Unit Chief of the Geriatric Partial Hospital Program. After two years in academic psychiatry, she entered private practice in New York and Connecticut for 8 years. She then served 2 years in the National Health Service providing outpatient care to an underserved area in central Florida. Moving to Georgia, she has worked in private practice and academic psychiatry at Mercer University College of Medicine before moving on to Veterans' care at Atlanta VA and Carl Vinson VA Medical Center. While Dr. Macdonnell has a wide range of experience, she focuses on general adult psychiatry.

Meagan Blews, LCMHC

Staff Therapist

Meagan Blews is a Licensed Clinical Mental Health Counselor (LCMHC) in North Carolina.  She graduated with her MA in Professional Counseling in 2011, and after being a stay at home mom for six years, ventured into community mental health.  Meagan has served as both a lead clinician and Interim Center Director over the years and is passionate about providing quality assessment and treatment options. With extensive training in Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), and Trauma-Focused Cognitive Behavioral Therapy (TF-CBT), Meagan provides comprehensive and empathetic care to her clients.

Meagan's approach to therapy is deeply rooted in trauma-informed principles, ensuring that clients feel safe, seen, and supported throughout their healing journey. Her passion lies in empowering individuals with the skills necessary for emotion regulation, helping them navigate life's challenges with resilience and confidence.  Meagan utilizes a mindfulness-based approach, guiding clients toward acceptance and self awareness in order to help clients overcome obstacles that prevent them from reaching their full potential.  Through a collaborative and non-judgmental environment, she fosters a safe space for exploration and self-discovery.

Shi Xun Fang, MD

Staff Psychiatrist

Dr. Fang completed his psychiatry residency at Duke University, where he received extensive training in Psychopharmacology, Psychotherapy (“Talk Therapy”), Transcranial Magnetic Stimulation (TMS), and Electroconvulsive Therapy (ECT). Throughout his life, Dr. Fang has lived in various places such as China, Canada, Upstate New York, Maine, and North Carolina, where he currently resides. This rich cultural experience allows him to connect with individuals from diverse backgrounds, which is crucial in the field of psychiatry where treatment is so highly personal. Dr. Fang has also practiced in multiple settings including a college mental health clinic, an adult ADHD clinic, a perinatal psychiatry clinic, a VA hospital, and a residential recovery program.

While Dr. Fang’s current practice is primarily focused on medication treatment, he utilizes his training as a therapist to ensure that patients feel understood and empowered to discuss any other issues they might be facing. With experience in many modalities of therapy including Psychodynamic, Supportive, Cognitive Behavioral Therapy (CBT), and Acceptance and Commitment Therapy (ACT), Dr. Fang knows that one size does NOT always fit all. If more in-depth therapy is felt to be beneficial, Dr. Fang may refer clients to a separate therapist.

David Guggenheim, PsyD

National Director of Psychotherapy

Dr. David Guggenheim is an experienced clinical psychologist and health care administrator. He has worked with patients at different stages of life, including children, adolescents, and adults, and he has treated patients living with a wide range of mental health conditions, including anxiety, depression, post-traumatic stress disorder (PTSD), substance use, and attention-deficit hyperactivity disorder. Dr. Guggenheim has specific training in Trauma-Focused Cognitive Behavioral Therapy, Motivational Interviewing, and foundational training in dialectical behavioral therapy. Prior to joining Talkiatry, Dr. Guggenheim served as the Chief Behavioral Health Officer at Callen-Lorde Community Health Center in New York City, specializing in LGBTQ+ health care. In that role, he oversaw teams of providers including psychiatrists, psychologists, and social workers, who collectively provided care to thousands of patients in the New York metropolitan area. While at Callen-Lorde, he also served as co-chair for the behavioral health subcommittee of the Community Health Center Association of New York State; worked as an Adjunct Professor at Post University; and performed volunteer clinical work at the Weill Cornell Center for Human Rights. Before joining Callen-Lorde, Dr. Guggenheim worked as Associate Chief Behavioral Health Officer at Community Health Center, Inc., a federally qualified health center in Connecticut. A recognized expert, Dr. Guggenheim has delivered lectures to audiences ranging from medical schools to corporate executives, and he has been quoted in national media including The Advocate, Yahoo Finance, and Teen Vogue. Dr. Guggenheim has also been honored with an Early Career Achievement Award from the American Psychological Association in 2016. Dr. Guggenheim received his Bachelor of Arts from the University of Connecticut in 2002 and his Doctor of Psychology in Clinical Psychology from the American School of Professional Psychology at Argosy University/Washington, DC in 2009.

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Specialties
Talk Therapy
States
Texas
Languages
English
Takes insurance
Virtual visits
years experience