Irene Pastis, MD

Dr. Kim Brownell, MD, has extensive experience in both outpatient and inpatient settings. While on active duty, she practiced across the country in diverse rural and urban environments. Most recently, she spent eight years working with veterans in the VA healthcare system. She earned her medical degree from the Uniformed Services University of the Health Sciences, completed a Pediatrics Residency at Johns Hopkins Hospital, and later trained in Adult and Child Psychiatry at The Institute of Living, Hartford, CT.

Dr. Brownell values open communication and works with patients to set clear, achievable treatment goals. She fosters a warm, supportive environment where patients feel heard and respected. Her approach combines psychiatric medication management with supportive psychotherapy, elements of DBT, stress management techniques, and cross-cultural wisdom to meet patients where they are and collaboratively optimize wellness.

Dr. Brownell begins with a thorough one-hour evaluation to discuss current symptoms, treatment history, medical background, and personal goals. She listens carefully to each patient’s story to design an individualized plan that aligns with their objectives. Rooted in compassion and collaboration, she integrates her clinical expertise and life experience—including working with veterans and underserved populations—to identify strengths and guide patients on their mental health journey.

Dr. Danielle Gelfond is an Adult Psychiatrist and a graduate from Loyola University Medical Center's residency program in Chicago, IL. Prior to attending residency, Dr. Gelfond graduated from Rush Medical College at Rush University. Throughout residency, Dr. Gelfond spent time focusing on her clinical interests which include mood disorders, anxiety disorders, substance use disorders, and women's mental health. During her training, Dr. Gelfond spent several years working with the Perinatal population and completed a year-long program focusing on Women's Mental Health through the National Curriculum in Reproductive Psychiatry organization. She held the role of Chief Resident of her program during the last two years of her training and received several awards commending her leadership style and rapport with patients through her program. Dr. Gelfond takes on a holistic and "patient-centered" approach in her treatment style. She incorporates both medication management, supportive psychotherapy, and discussions surrounding lifestyle and wellness into her appointments and emphasizes patient education and autonomy, which she believes helps support the therapeutic relationship, improve clinical outcomes, and helps treatment align with the patient's goals of care.

Dr. Michael Gravenstein earned his medical degree from the University of Florida College of Medicine, where he also completed his psychiatry residency. During training, he was recognized with multiple awards, including the Malcom Randall VA Resident of the Year Award, the Ross A. McElroy Psychotherapy Award, and the John “J.D.” Dorian Award for best sense of humor. He has worked across outpatient, inpatient, and consult liaison settings, and has experience treating a wide range of conditions including depression, anxiety, ADHD, OCD, personality disorders, and transitional age concerns. He also has expertise working with LGBTQIA+ patients and provides psychodynamic, CBT, and supportive therapies.

Dr. Gravenstein believes in a comprehensive approach to treatment that integrates medications, therapy, and lifestyle interventions. While medications can be very effective, he views them as just one part of a broader treatment plan tailored to each patient’s needs. He emphasizes individualized care and sees treatment as a team effort, meeting patients where they are and progressing at a pace they feel ready for.

Dr. Gravenstein strives to create a warm, collaborative environment that fosters open communication and genuine connection. He may challenge patients therapeutically but always with careful attention to their readiness and comfort. His goal is to build trust so that meaningful conversations and progress can occur. For him, success is always shared—when patients succeed, they succeed together; when challenges arise, they regroup and move forward together.

Dr. Kathryn Hu is a board-certified adult psychiatrist. She majored in biology and neuroscience at Brandeis University, attended medical school at Albert Einstein College of Medicine, and completed residency training at Stony Brook University Hospital. ‍Dr. Hu practices a patient-centered approach to mental health care. She works collaboratively on goals of treatment, with a focus on medication management while incorporating supportive therapy, cognitive behavioral therapy, and mindfulness. ‍Dr. Hu treats a variety of mental health concerns including depression, anxiety, bipolar disorder, PTSD, and ADHD.

Michelle Scott is a dual board-certified Psychiatric, Family, and Emergency Nurse Practitioner with 16 years of experience. She has an extensive background in psychiatry across the lifespan, emergency medicine, and internal medicine. Her psychiatric expertise includes a strong focus on adult outpatient and inpatient care. Michelle has also served as an acute care hospitalist and held leadership roles, including Assistant Medical Director, in multiple acute psychiatric facilities.

She brings additional experience in addiction treatment and is skilled in cognitive behavioral therapy (CBT), motivational interviewing, and problem-focused therapy. Michelle provides holistic care that addresses a wide range of needs, including mood and anxiety disorders, autism, genetic disabilities, and adult addiction issues.

With over a decade and a half of experience treating individuals of all ages for both acute and chronic medical and psychiatric conditions, Michelle understands the profound impact the right provider can have on a patient’s life. Her goal is to achieve positive, sustainable outcomes through a comprehensive approach that integrates multiple treatment modalities and addresses the whole person.

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Dr. Bryant graduated from Mount Sinai School of Medicine to complete her adult training and the Yale Child Study Center/Riverview Hospital for Children Program to complete her fellowship in Child and Adolescent Psychiatry. A native Texan, she returned to Tyler, TX in 2020 to accept the position of Chair of the Department of Psychiatry and Behavioral Medicine at the University of Texas Health Science Center at Tyler. She also established an accredited child and adolescent psychiatry fellowship in Tyler. Prior to that, she served as the Director of the Child and Adolescent Psychiatry Division at the University of Mississippi Medical Center where she was also the Program Director of the Child and Adolescent Psychiatry Fellowship. She received her medical degree from the University of Texas Southwestern Medical School. Working with survivors of trauma has always been an important part of Dr. Bryant's practice. She currently serves as the co-chair of the American Academy of Child and Adolescent Psychiatry's Committee on Child Maltreatment and Violence and she is a representative for the National Health Collaborative on Violence and Abuse. Dr. Bryant also served as the program director of the Eating Disorders and Trauma Recovery program at Menninger Clinic in Topeka. She is board certified in adult, child and adolescent psychiatry and she has over 32 years of experience as a practicing psychiatrist. Dr. Bryant specializes in the treatment of anxiety disorders, obsessive-compulsive disorder, mood disorders, developmental disorders, Post-Traumatic Stress Disorder, Attention Deficit Hyperactivity Disorder, and family relational problems for both children and adults. She believes that "knowledge is power" and that the more a person can understand about how the brain is affected by various mental health conditions, the more treatment makes sense.