Ioana Horotan-Enescu, DO

Wayne R. McIntosh, PMHNP-BC, is a dedicated mental health professional with over a decade of experience in psychiatric care. He earned his advanced nursing degree with distinction from Arizona State University and also holds a Bachelor of Science in Nursing from Grand Canyon University and an Associate of Science in Nursing from Harry S. Truman College. He has been a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) since 2015.

Wayne specializes in family-centered care, working with individuals aged 18 to 65. Whether supporting patients through anxiety, depression, ADHD, or life transitions, he develops personalized diagnostic and treatment plans that may include therapy, coping strategies, and, when appropriate, medication. His approach emphasizes clear communication and collaboration, empowering patients to understand their challenges, apply practical tools, and achieve lasting change.

Throughout his career, Wayne has served as a Psychiatric Nurse Practitioner and Associate Director of Medical Services, leading multidisciplinary teams and promoting accessible, high-quality care. As a Faculty Associate at Arizona State University, he has mentored future nurse leaders, focusing on clinical excellence and patient advocacy. His military background and volunteer work further reflect his commitment to serving diverse populations with compassion and respect.

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Dr. Earl De Guzman is a psychiatrist who values therapeutic partnership, working with patients to balance symptom relief with meaningful self-exploration. He earned his BS in Psychology from the University of California, Davis, and his MD from Ross University School of Medicine. He completed his psychiatry residency at Los Angeles County + University of Southern California Medical Center and a consultation-liaison psychiatry fellowship at Stanford University Medical Center. He is triple-board-certified in psychiatry, consultation-liaison psychiatry, and addiction medicine, and holds psychoanalytic psychotherapy training certification from the Psychoanalytic Center of California. Currently, he is a psychoanalyst-in-training at the New Center for Psychoanalysis. His expertise spans medication management, supportive therapy, and psychodynamic therapy.

Dr. De Guzman takes a collaborative, patient-centered approach, creating a warm and nonjudgmental environment. He listens deeply, asks thoughtful questions, and encourages honest exploration of symptoms and underlying patterns. He values authenticity, curiosity, and respect for each patient’s unique experiences. While symptom relief is important, his goal is to foster self-understanding and long-term growth. He works best with patients open to collaboration and motivated for change, whether through medication management, therapy, or both.

Dr. De Guzman begins with a consultation phase to ensure a good fit, listening carefully to understand each patient’s challenges and goals. Together, he and his patients build a working alliance by clarifying difficulties, identifying realistic changes, and exploring deeper patterns. When appropriate, he prescribes medication thoughtfully, aiming to support therapy rather than replace it. Each session integrates supportive and psychodynamic elements, combining medication review with therapeutic dialogue. Treatment plans are regularly revisited, allowing flexibility and growth, with the ultimate aim of empowering patients toward lasting change.

Dr. Saria El Haddad is double boarded in general psychiatry and addiction psychiatry. She previously held a leadership role of medical director for the dual diagnosis partial hospitalization program at the Brigham and Women's Faulkner hospital where she helped create and establish this program, and also worked as an outpatient addiction psychiatrist. She has been involved in teaching and has maintained an academic affiliation with the Harvard Medical School. In addition, she has appeared in numerous professional publications and authored several research papers.  

Dr. El Haddad received her medical degree from the American University of Beirut, Lebanon and completed her psychiatry residency program at the University of Virginia. She completed a fellowship in addiction psychiatry through Boston University after which she started working at the Brigham and Women's hospital. Dr. El Haddad's approach to treatment focuses on adopting a holistic approach through behavioral change, medication management, and brief psychotherapy.

Dr. Kirk Carruthers is a board-certified psychiatrist with experience in both outpatient and inpatient psychiatry, as well as addiction medicine. He completed his medical degree at Morehouse School of Medicine and trained at University Hospitals – Case Medical Center, where he completed general psychiatry residency and fellowships in addiction and community psychiatry. His experience includes roles in community mental health, academic teaching, and the VA system. Outside of work, he enjoys music production, soccer, spending time with loved ones, and all dogs.

Dr. Carruthers brings a casual, easygoing communication style to create a comfortable space where patients feel at ease. He emphasizes forming strong therapeutic bonds based on trust, and combines supportive therapy with medication management. He encourages collaboration with therapists and uses evidence-based treatment approaches tailored to each individual’s needs.

Dr. Carruthers begins with a thorough understanding of each patient's concerns, history, and goals. He then creates a personalized treatment plan and works collaboratively with the patient to reach their goals, adjusting care as needed for ongoing progress.

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Dr. Triston Wong is a board-certified adult psychiatrist who emphasizes a collaborative approach and strong therapeutic alliance in the treatment of psychiatric conditions. Though his practice focuses on medication management, Dr. Wong advocates for a holistic approach to treatment. He may incorporate elements of various psychotherapies, including supportive, cognitive-behavioral (CBT), and insight-oriented therapy. At times, Dr. Wong may believe that additional therapy is needed for the best outcome and recommend that you bring a dedicated therapist into your care team. Dr. Wong completed his undergraduate studies at Tulane University. He received his medical degree from Louisiana State University New Orleans School of Medicine, then completed his residency training in general psychiatry at Thomas Jefferson University Hospital in Philadelphia, PA. Dr. Wong has experience working with patients of widely varying backgrounds and socioeconomic statuses. He works primarily with adult patients struggling with depression, anxiety, trauma, and grief. ‍

Dr. Sarah Ramos, MD, has experience practicing in a variety of outpatient settings, including community mental health and military care, serving active-duty service members, their families, and veterans. She earned her medical degree from Vanderbilt School of Medicine and completed psychiatry residency training at the University of California San Diego and Thomas Jefferson University in Philadelphia.

Dr. Ramos values open communication, privacy, and a collaborative approach with her patients. She creates a warm, supportive environment where individuals feel heard, respected, and empowered to participate in their care.

In initial sessions, Dr. Ramos thoroughly assesses patients’ history, concerns, and goals to ensure care is personalized and effective. She develops comprehensive treatment plans that align with each patient’s objectives, providing ongoing support to help them achieve meaningful outcomes.