Ioana Horotan-Enescu, DO

Kara Burdelski is a Licensed Professional Counselor who has been working as an experienced psychotherapist for over the last twelve years. She has worked with a variety of demographics in various settings such as health care settings, community mental health, and even mobile therapy. Kara attended undergraduate school in Springfield, MO and obtained her graduate degree, a Master's of Science in Counseling Psychology, from Chatham University in Pittsburgh, PA. Over the last six years, she has worked predominately with adults with serious and persistent mental illness (SPMI) in a health care setting with patients who have been diagnosed with HIV/AIDS as well as other varieties of chronic conditions. Kara has experience in working with individuals who have disorders like depression, anxiety, psychosis, PTSD, bipolar, trauma, chronic medical issues, grief, and substance abuse disorders. She allows her clients to direct the type of treatment they need since every human is an expert of their own experience. The style of treatment Kara uses is tailored to meet the needs of each individual client with compassion and respect. She values the entire person. Kara utilizes unconditional positive regard with each individual she works with. Kara specializes in working with minorities, and the LGBTQAI+ community, and has considerable experience serving individuals who face chronic pain and disabling health conditions. She also practices in a harm reduction approach. Kara engages in a respectful position towards people using substances including alcohol and can assist with strategies for reduction including abstinence-based recovery. She believes in an all-inclusive approach that utilizes mindfulness, cognitive behavioral therapy, solution focused, behavioral activation techniques, and acceptance and commitment therapy. Kara is committed to providing you with a space to grow, learn self-acceptance, and focus on your commitment to yourself.

Bryan Larson is a Psychiatric Mental Health Nurse Practitioner (PMHNP) with a Doctorate of Nursing Practice from Washington State University (2019). He earned his Bachelor of Science in Nursing from Walla Walla University in 2003 and worked for over a decade as an emergency department nurse. Since 2019, he has provided outpatient psychiatric care for diverse patients, offering medication management and support for a variety of mental health diagnoses.

Bryan works with patients from all backgrounds with a focus on treating each individual uniquely. He emphasizes meeting patients “where they’re at” and collaborates in a supportive environment to achieve personalized treatment goals, ensuring every patient feels understood and valued.

During the initial appointment, Bryan reviews a patient’s psychiatric history and current concerns to develop a tailored treatment plan, which may include medication and/or therapy services. He fosters a welcoming environment and continually adjusts care plans to align with each patient’s goals, supporting long-term mental health improvement.

Dr. Zeynep Altun is board-certified in Psychiatry and holds a Ph.D. in Neuroscience. Dr. Altun graduated cum laude from Istanbul University, Istanbul Medical School. She completed her residency training in Neurology and is Turkish board-certified in clinical Neurology. Subsequently, she moved to the U.S. and finished her Ph.D. in cellular Neuroscience at Cornell University Graduate School of Medical Sciences. Dr. Altun completed her psychiatry residency training at Albert Einstein College of Medicine, Department of Psychiatry and after, her clinical fellowship in Comprehensive Psychiatric Emergency Program at Columbia University Medical College, New York Presbyterian Hospital. Dr. Altun has practiced in various settings including Bellevue Hospital, New York Presbyterian Hospital, Columbia Doctors Faculty Practice Office, Mount Sinai West and Mount Sinai Morningside Hospitals. Dr. Altun has held various academic appointments at New York University School of Medicine Department of Psychiatry; New York Presbyterian Hospital-Columbia University Medical College Department of Psychiatry; New York State Psychiatric Institute and Mount Sinai School of Medicine Department of Psychiatry. She spent most of her professional career supervising and teaching medical students, psychiatry residents and nurse practitioners. As an adult psychiatrist, Dr. Altun has extensive theoretical knowledge of the nervous system and its disorders and more than 10 years of experience in treating various mental illnesses including mood disorders, anxiety disorders, psychotic disorders, autism-spectrum and neuropsychiatric disorders, psychiatric emergencies and crisis management as well as cognitive behavioral and supportive psychotherapy. In Columbia Doctors, she collaborated closely with the Lieber Recovery Clinic, treating young adults with various mental illnesses. The philosophy of her practice is to collaborate with patients and work together with them so that they can lead symptom-free, productive, and stable lives.

Melissa Medina, LCSW, began her journey in mental healthcare with a Bachelor’s in Psychology followed by a Master of Social Work degree. From 2015 to 2018, she completed her clinical hours at a community mental health agency in Los Angeles, where she gained experience working with diverse populations facing complex challenges. Melissa’s therapeutic approach integrates psychodynamic, cognitive behavioral, interpersonal, strengths-based, dialectical behavioral, and EMDR modalities. She is dedicated to providing culturally sensitive, neurodivergent-friendly, person-centered care to support individuals and families navigating trauma, anxiety, depression, mood disorders, panic attacks, grief, family conflict, and life transitions.

Melissa believes therapy is both a journey and a destination. She takes an eclectic approach, tailoring interventions and communication to best fit each patient’s needs and preferences. Patients can expect an atmosphere of warmth, empathy, and collaboration. Through motivational interviewing and narrative techniques, Melissa helps individuals articulate their stories, identify strengths, and reframe challenges as opportunities for growth. She is committed to meeting patients where they are while supporting them in reaching their goals.

Melissa’s process begins with building rapport, listening to each patient’s story, and understanding their unique needs and hopes for therapy. Early sessions focus on creating a safe, supportive space while developing a treatment plan tailored to the individual. Patients can expect to gain fresh perspectives, practical coping strategies, and deeper self-awareness. Melissa’s goal is for patients to feel heard, understood, and empowered as they strengthen relationships, build resilience, and move toward a greater sense of fulfillment.

Meredith LaFave, LCSW, has extensive clinical experience working with adults, couples, and families in private practice and clinic settings. She has specialized training in EMDR, contemplative psychotherapy, Integrative Wellness, and LGBTQIA+ affirming care. Meredith values creating a safe, collaborative space where patients feel supported, empowered, and encouraged to explore personal growth.

Meredith blends deep exploration and insight with practical, goal-oriented strategies. She fosters a warm, engaging environment that encourages patients to feel respected, challenged, and equipped to build self-efficacy and overall life satisfaction.

Meredith begins by building rapport and understanding what brings a patient to therapy. She explores historical and contextual information, collaborates on personalized treatment plans, and uses evidence-based approaches to guide patients toward meaningful change, resilience, and personal growth.

Dr. Denise Zusman is a board-certified psychiatrist with over 15 years of experience providing care in acute and outpatient settings. She earned her medical degree from the University of Florida College of Medicine and completed her General Adult Psychiatry residency at the University of California, San Francisco. Dr. Zusman has practiced in psychiatric emergency services and outpatient clinics including The Permanente Medical Group, San Francisco Department of Public Health, and The Tenderloin Outpatient Clinic. She is credentialed in New Zealand and has provided public mental health and early psychosis care internationally. She also offers services in Spanish when requested.

Dr. Zusman works collaboratively with patients to establish clear treatment goals from the beginning. She values open communication and prioritizes a trauma-informed, culturally sensitive approach. Her style is warm and supportive, creating a space where patients feel heard, respected, and actively involved in their care.

Dr. Zusman begins with a comprehensive evaluation to understand each patient’s history, concerns, and goals. She develops individualized, holistic treatment plans that may include medication and non-medication options, guided by evidence-based best practices. Ongoing collaboration and open communication are central to her approach.