Ioana Horotan-Enescu, DO

Megan is a Board-Certified Psychiatric Mental Health Nurse Practitioner specializing in medication management and various therapeutic techniques. She earned a Master of Science in Nursing as a Psychiatric Nurse Practitioner from Regis College and has board certification from the American Nurses Credentialing Center (ANCC).

Megan has extensive experience in psychiatric settings, including private practice, inpatient facilities, and substance use treatment programs. She has worked on community initiatives, such as the Mobile Suboxone Van program, which provides treatment to individuals in high-need areas.

She utilizes evidence-based practices in treating clients with mood and anxiety disorders, ADHD, trauma, and substance use disorders, among other mental health disorders.

The first priority is establishing a therapeutic relationship and providing adequate support, which can substantially impact outcomes. The combination of medication management and therapy can effectively reduce symptoms and contribute to the remission of mental health symptoms.

The first session will involve a 60-minute psychiatric evaluation to gather history and discuss current symptoms and goals. Clients starting medication will need more frequent 30-minute follow-up appointments for medication management and therapy, ensuring a positive response to treatment.

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Dr. Christopher DeBernard is a board-certified psychiatrist with extensive clinical leadership experience. He earned his MD and completed a combined residency in Internal Medicine and Psychiatry at Tulane University School of Medicine. Previously board certified in Internal Medicine, he is especially comfortable caring for patients with medical comorbidities. Dr. DeBernard has worked in both inpatient and outpatient settings and held leadership roles as Chief Medical Officer at Arisa Health and Lotic.ai. He also brings a systems-thinking perspective to clinical care from earlier careers in engineering and consulting. He holds active medical licenses in Louisiana and Arkansas.

Dr. DeBernard strives to create a warm, collaborative environment where patients feel respected, understood, and supported. His approach combines evidence-based medicine with an appreciation for each patient’s unique story, values, and motivations. Patients can expect open, direct communication, shared decision-making, and treatment plans that align with their personal goals. Trust, empathy, and authenticity form the foundation of his therapeutic relationships.

Dr. DeBernard begins by listening closely to each patient’s history, concerns, and hopes for treatment. Together, he works with patients to establish clear goals and develop individualized care plans that may include therapy, medication management, and lifestyle approaches. His focus is on both symptom relief and building long-term resilience, helping patients develop strategies that sustain well-being. Over time, he collaborates with patients to adapt treatment as their needs evolve, ensuring care remains effective and personalized.

Neena Tressa Mathew has built an impressive career in the medical field, with a strong focus on mental health. She is dually board-certified as a Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) and Family Nurse Practitioner (FNP-BC), providing care across all age groups. Fluent in English, Hindi, and Malayalam, she is licensed to practice in Florida, New York, Texas, and Georgia. Neena offers a patient-centered approach that integrates her diverse experience and certifications.

Her dedication to mental health is evident through her extensive hands-on experience in assessing, treating, and evaluating patients with a wide range of psychiatric conditions, including ADHD, depression, anxiety, PTSD, OCD, schizophrenia, and bipolar disorder. She has delivered exceptional care at institutions such as Mindful Behavioral Healthcare, AdventHealth Hospital, and Park Place Behavioral Health Care. Her international experience includes roles in Canada, where she further developed her expertise in geriatric psychiatry. Neena has also worked in various practice areas, including addiction medicine, grief counseling, and primary care.

Her academic background includes a Post-Master’s Certification from Florida State University and a Master of Science from D’Youville College in Buffalo, NY. She also holds a Bachelor of Science in Nursing from Delhi University and a Master’s Degree in Social Work from the Delhi School of Social Work. Her professional affiliations, including membership in the American Nurses Association, reflect her commitment to the field. Recognized for her academic, leadership, and research capabilities, Neena was invited to join Sigma Theta Tau International (STTI) as a graduate nursing student for her excellence in scholarship and outstanding achievements in nursing.

Neena has contributed to several U.S. nursing journals and magazines and has published and presented research articles in international peer-reviewed journals. She maintains an active academic presence through platforms like Google Scholar and ResearchGate.

Her approach to care is both traditional—prescribing evidence-based psychiatric medications—and holistic, incorporating natural treatments such as vitamins, supplements, lifestyle modifications, nutrition, exercise, and stress management. She believes in the mind-body-spirit connection, viewing individuals as whole beings rather than a collection of symptoms, echoing the philosophy of Hippocrates, the "Father of Medicine." Her holistic philosophy is evident in her skillful management of psychotropic medications and her integration of psychotherapy, including supportive therapy, cognitive behavioral therapy (CBT), and psychodynamic therapy.

Neena’s primary interest lies in exploring the relationship between mental, physical, and spiritual health. She finds great fulfillment in helping others and goes beyond diagnosis and treatment by conducting thorough mental health assessments to ensure accurate identification of psychiatric conditions. What sets her apart is her commitment to patient education—empowering individuals and their families with a deep understanding of their conditions and treatment plans, including medication as part of a comprehensive care strategy.

In addition to her clinical work, Neena serves as a clinical instructor, sharing her knowledge and insights with future healthcare professionals. This dual role highlights her multifaceted contribution to healthcare, emphasizing both treatment and education in supporting individuals on their mental health journeys.

Outside of her professional life, Neena enjoys reading, writing, beach activities, hiking, and traveling with her family. She is also actively involved in charitable work through the Lions Club. She lives by the principle:

“Give, and it will be given to you. A good measure, pressed down, shaken together and running over, will be poured into your lap. For with the measure you use, it will be measured to you.” (Luke 6:38)

Indeed, she believes that it is in giving that we truly receive.

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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.

Dr. Alexandra Held is a general psychiatrist who holds a bachelor’s degree in psychology. She completed her psychiatry training at the University of Miami Miller School of Medicine. Her clinical interests include mood and anxiety disorders, PTSD, and OCD. She is passionate about incorporating psychotherapeutic tools into her practice, including supportive psychotherapy.

Dr. Held takes a warm, collaborative, and nonjudgmental approach to care. Her goal is to create a safe and supportive space where patients feel heard and empowered to take an active role in their treatment, using a combination of supportive psychotherapy and medication management.

During the first few sessions, Dr. Held will take time to get to know the patient—their history, current concerns, and what they hope to achieve through treatment. Together, they will develop a comprehensive plan that may include psychiatric medications and supportive therapy. Follow-up visits are typically focused on checking in, adjusting treatments if necessary, and continuing to build on progress.

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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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