Ioana Horotan-Enescu, DO

Ashley LaBanca provides medication management and supportive psychotherapy services. She has worked in mental health for over 12 years. A graduate of the University of North Dakota, she began her career in an outpatient setting, later transitioning into a lead nurse practitioner role before moving into telehealth services. Her goal is to reach individuals in need when in-person care is not feasible. Ashley lives in North Dakota with her family and enjoys traveling, reading, and spending quality time with them.

Ashley views medication as a tool rather than a cure. She incorporates alternative treatments by assessing physical health, exploring natural alternatives to medication, focusing on nutrition, and helping clients develop coping skills to manage daily stressors. Her guiding principle is the integration of therapy and medication management to support healing and growth. She encourages clients to be active participants in their treatment, fostering a collaborative, respectful, and open therapeutic relationship.

Ashley tailors her collaborative approach to each individual’s needs. She draws from Dialectical Behavioral Therapy (DBT), Cognitive Behavioral Therapy (CBT), and other treatment modalities, combining them with evidence-based prescribing to create personalized care plans. She also considers the social dimensions of mental health, addressing relationships, self-esteem, and internal healing.

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Dr. Vina Mehta is double-boarded in adult psychiatry and child & adolescent psychiatry. With over 30 years of experience, she has provided compassionate care across inpatient, residential, and outpatient settings. She is committed to supporting patients with a wide range of psychiatric conditions, including PTSD, depression, bipolar disorder, anxiety, OCD, and ADHD.

Dr. Mehta works collaboratively with her patients, creating a supportive environment that emphasizes understanding and shared decision-making. She values open communication and tailors treatment approaches to align with each patient’s unique goals and needs.

Her approach combines psychotherapy—including cognitive, behavioral, and supportive techniques—with thoughtful medication management. Dr. Mehta establishes individualized treatment plans, focusing on strategies that promote long-term wellness and resilience.

Before pursuing medicine, Dr. Kenneth Ethan Lai explored a range of passions. After earning dual degrees in Biology and Biochemistry from the University of California, Riverside, he opened a popular Riverside eatery featured on The Food Channel. He later transitioned to the IT industry, earning a master’s degree and certifications, before answering his true calling in medicine, graduating from Saint Matthews University School of Medicine.

Dr. Lai believes psychiatry combines science and the art of medicine. Patients value his professionalism, patience, empathy, and attentive listening. He acknowledges the many choices patients have in providers and strives to create a welcoming, collaborative, and supportive environment for everyone seeking care.

Dr. Lai treats both adults and children/adolescents with expertise in psychopharmacology, psychotherapy, addiction, geriatrics, and dual-diagnosis care. He is trained in TMS and ECT, is a Certified Suboxone Prescriber, and offers consultations and treatment through office-based or telemedicine visits. His approach is tailored to each patient’s needs, integrating compassionate care with evidence-based treatment.

Douglas Brennan, MD, earned his medical degree from the University of Colorado School of Medicine and completed an adult psychiatry residency at Massachusetts General Hospital (MGH) and McLean Hospital. He also completed a forensic psychiatry fellowship at MGH. Dr. Brennan has experience in both outpatient and inpatient settings, supervising residents and mid-level practitioners, and working in emergency and inpatient facilities. He remains on staff at MGH as an instructor for Harvard Medical School and is double-board certified in adult and forensic psychiatry. His outpatient work includes several years treating patients at the Department of Veterans Affairs with post-traumatic stress disorder, depression, and anxiety.

Dr. Brennan enjoys collaborating with patients to understand their goals, set expectations, and provide education on treatment options. He offers medication management evaluations and follow-up visits while working alongside licensed therapists to provide behavioral support as needed.

Dr. Brennan begins by thoroughly reviewing each patient’s history, concerns, and goals in the initial session. He then develops individualized treatment plans tailored to the patient’s objectives, ensuring care aligns with their personal goals and needs.

Dr. Nicholas Sahagian is a Psychiatrist in Colorado who has been practicing since 2023. He completed his MD and Adult Psychiatry Residency at the Chicago Medical School at Rosalind Franklin University and earned his BA in Neuroscience at Skidmore College. Dr. Sahagian has experience managing a broad array of complex psychiatric diagnoses in patients of diverse socioeconomic, cultural, and clinical backgrounds. Outside of work, he enjoys hiking, biking, skiing, playing guitar, reading, and collecting board games.

Dr. Sahagian offers psychiatric medication management while also incorporating elements of cognitive behavioral therapy, motivational interviewing, internal family systems, and lifestyle interventions. He believes that every patient is unique, and he works to create a supportive environment where individuals feel heard and empowered in their care.

Grounded in the biopsychosocial model, Dr. Sahagian takes a collaborative, patient-centered approach. He partners with patients to develop personalized treatment plans that integrate biological, psychological, and social factors, with the goal of guiding them along their path to improved wellness.

Dr. Velda Pugh-Kinsey is a Board-Certified Psychiatrist with over three decades of experience in both outpatient and inpatient settings. She earned her medical degree from the University of Alabama School of Medicine and completed her psychiatry residency at University Hospital. She has previously served as Chief of Mental Health at a VA Hospital and has maintained a successful private practice focused on medication management and supportive therapy.

Dr. Pugh-Kinsey values open communication and believes in building a warm, respectful environment where patients feel heard. She works collaboratively with patients to set clear treatment goals and tailors her approach to meet each person’s unique needs. Her practice emphasizes both medication management and supportive therapy to promote long-term well-being.

During initial sessions, Dr. Pugh-Kinsey takes time to understand each patient’s history, concerns, and goals. She uses a team-based approach, partnering with patients in treatment planning and decision-making to ensure care is both effective and aligned with their values.