Jacqueline Lewandowski, MD

Dr. Maria Teresa Carvajal is an adult, child, and adolescent psychiatrist. She is originally from Guayaquil, Ecuador, and is bilingual in Spanish and English. Dr. Carvajal earned her medical degree from Universidad de Guayaquil in Ecuador. She then participated in a medical program at The William J. Harrington Training Program for Latin America and the Caribbean, at Jackson Memorial Hospital, an affiliate of the University of Miami in Florida. Afterwards, she completed her adult psychiatry residency at Icahn School of Medicine at Mount Sinai, Bronx Care Health System, and her fellowship in child and adolescent psychiatry at Northwell Health in New York. She has experience working in various settings, including inpatient, outpatient, and emergency departments. Dr. Carvajal has submitted and presented work to the American Psychiatric Association and has also collaborated on a book publication. Dr. Carvajal has experience treating children and adults with anxiety, depression, OCD, PTSD, ADHD, dementia, etc. She utilizes medication management in conjunction with emotional and supportive therapy in 30-minute follow-up visits. She is passionate about her work and understands the impact of mental illnesses in daily life activities and in the family system. She will work with each patient in an individualized manner and will tailor personalized treatment plans that may include pharmacological treatment. In addition, Dr. Carvajal may recommend including a therapist in your care team to provide the best outcome.‍

Dr. Vargas is an adult psychiatrist who received her medical degree from the University of Texas Health Science Center of San Antonio. She subsequently completed her psychiatry residency training at UT Health San Antonio.

Dr. Vargas has a patient-centered and thorough approach to treatment. She has experience treating a broad spectrum of mental health disorders, with particular interest in depression, anxiety, and post-traumatic stress disorder. She has also worked in clinic with severely mentally ill patients at the South Texas VA in San Antonio.

Dr. Vargas's primary focus is medication management with an emphasis on shared decision-making; however, she frequently also utilizes supportive therapy, cognitive behavioral therapy, and psychodynamic therapy principles in her approach. She may refer patients to a therapist if further support would be beneficial.

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Dr. Michael A. Murphy is board-certified in General Psychiatry as well as Child and Adolescent Psychiatry by the American Board of Psychiatry and Neurology. He has over 20 years of experience practicing medicine in outpatient, acute, and residential settings. He provides psychiatric assessments and medication management along with brief supportive psychotherapy. He is a strong advocate of collaboration between psychiatric care and psychotherapeutic interventions and encourages the utilization of therapists and counselors. Dr. Murphy holds a bachelor's degree in Chemistry Pre-med from Florida A & M University and a Medical Degree from the University of Florida College of Medicine. He completed both his residency in General Psychiatry and Fellowship in Child and Adolescent Psychiatry at the University of Virginia. He formally served as Chief of Behavioral Health Services at Ft. Eustis, Virginia. He has previously provided acute care and residential treatment at Newport News Behavioral Health Center, outpatient services in the community, and the foster care system. He has recently served as medical director of Harbor Point Behavioral Health Center. Dr. Murphy has an extensive history of providing care for both the adult and child population. He specializes in the treatment of children with Mood Disorders, Anxiety Disorders, ADHD, and Pervasive Developmental Disorders.

Gabrielle Delarose is a dually boarded Psychiatric Mental Health and Family nurse practitioner with over ten years of clinical experience. Gabrielle is dedicated to providing culturally competent and evidence-based medication management and psychotherapy to assist individuals in achieving their goals to live their best life. I believe in holistic treatment of individuals, and focus on the individual’s overall well-being, including how they are functioning socially and professionally. In addition to medication and psychotherapy, she is a proponent of incorporating research-supported alternative modalities, including dietary changes, exercise, social interaction, and yoga. She also advocates of forest bathing (“shinrin-yoku”), a practice of spending time in nature that yields both medical and mental health benefits as discovered in research trials from around the world. As a professionally trained cellist, she also frequently incorporates art and music into appointments and treatment plans with patients. Her goal for all her patients is to improve all facets of a person’s life with treatment. Gabrielle is an LGBTQ+ affirming provider and has extensive experience working with diverse populations.

New patients should know that the initial appointment will consist of obtaining their social history in addition to their medical history. This is an important part of establishing a therapeutic relationship in addition to obtaining health information to use in formulating treatment plans. A person’s identity and life experiences are a significant influence on a person’s health and well-being, and Gabrielle believes in discussing these experiences in order to best understand a patient’s background and incorporate that into their care. Patients are encouraged to write down any questions they may have prior to the appointment, as well as any significant points they want to discuss. This is encouraged because, as patients, we may forget to address these points without a prompt from the provider. Gabrielle also encourages patients to actively participate in their care and firmly believes in a patient’s right to autonomy and agency. This patient-centered approach empowers patients to help guide treatment plans that best fit the patient’s needs and abilities at any given time. Patients are also encouraged to discuss any concerns about medications or treatment, particularly if there are concerns about side effects.

Gabrielle works collaboratively with patients to determine appropriate and preferred treatment plans, including medication and therapy. She uses cognitive behavioral therapy (CBT) as the primary therapy modality, in conjunction with existential therapy, depending on the patient’s needs and preferences. She prefers to allow patients flexibility in their treatment, so the process may look less structured depending on the immediate needs of the patient. Other times, particularly while working through a specific problem in therapy, appointment agendas may be planned out for several weeks. If at any time, however, a need arises to deviate from preplanned appointment agenda, patients are encouraged to discuss this at the beginning of the appointment. Above all, patients’ needs will guide the agenda.

Dr. John's practice focuses on medication management, offered in conjunction with emotionally focused therapy in 30-minute follow-up visits. Occasionally, Dr. John may believe that additional therapy is also needed and ask that you bring a therapist into your care team to provide the best outcome. Dr. John strongly believes in a compassionate, collaborative approach and will provide psychoeducation to help patients make informed decisions and achieve their treatment goals.

Dr. Connie Hsiao is a double board-certified Adult and Child & Adolescent Psychiatrist. She earned her medical degree from Texas A&M College of Medicine, completed her Adult Psychiatry Residency at UT Health San Antonio, and pursued Child & Adolescent Psychiatry Fellowship at Baylor College of Medicine. Dr. Hsiao has extensive experience treating diverse patient populations across various clinical settings.

Dr. Hsiao values open communication, collaboration, and building a safe, supportive environment where patients feel heard and respected. She treats a wide range of mental health concerns—including depression, anxiety, ADHD, and life transitions—in children, adolescents, and adults. She emphasizes trust and mutual understanding in the therapeutic relationship.

In the initial visit, Dr. Hsiao conducts a comprehensive evaluation to understand each patient’s unique history, concerns, and goals. She utilizes evidence-based medication management alongside therapeutic strategies to create personalized treatment plans that reflect and support her patients’ needs and aspirations.