Jennifer Ruch, DO

Dr. Merna Guirguis is a general psychiatrist known for her patient-centered and accessible approach. She blends compassion with evidence-based care, creating a supportive environment where patients feel heard. Her practice integrates psychiatric medication management with psychoeducation, empowering patients to make informed decisions about their treatment.

Dr. Guirguis emphasizes collaboration and transparency. She listens carefully to each patient’s concerns, encourages questions, and works to build a trusting therapeutic relationship. Her style is approachable and adaptable, ensuring patients feel comfortable sharing their experiences and actively participating in their care.

She begins by reviewing each patient’s history, concerns, and goals to craft personalized treatment plans. Dr. Guirguis combines current clinical needs with long-term wellness objectives, adjusting care collaboratively over time. When appropriate, she may recommend additional therapy to complement medication management and optimize outcomes.

Diamond Junior received her bachelor’s degree in arts & psychology 2007 & two master’s degrees in science, one in Community Mental Health Counseling and the second one in School Counseling Education, in 2011 and 2018. Diamond Junior now has her License in Mental Health Counseling, her Credentialed Alcoholic & Substance Abuse Counseling Certification-Trainee, and her Permanent Certification in School Counseling. Diamond is also currently in doctoral school for her School Psychology degree. Diamond is a former Alcohol and Substance Abuse Preventive Worker & Treatment and Therapeutic Foster Care Family Specialist. Diamond is now currently, an on-line therapist and has her own Mental Health Counseling Private Practice in Buffalo. Diamond's treatment styles & modalities include Trauma-Informed Therapy, Cognitive-Behavioral Therapy, and Grief Therapy.

When working with Diamond, a new patient should know that she is very down to earth and professionally direct. Diamond practices individualism and treat each patient as their own person. Diamond develops treatment plans with the patient, that tailors to each of their individual needs. Diamond is also the co-founder of an All-girls mentoring & educational program called, "Unique Sisters. Unique Sister was started in 2014 and is owned by my mother, Rhodesia Jackson.

Diamond's typical process when working with patients is to first establish a therapeutic rapport by asking open-ended questions. Diamond asks questions such as, "Have you been in therapy before, including as a  child or teen (if the patient is over 18)"? This helps Diamond starting point to build a trusting & individualized relationship with the patient. Diamond's next question would be, "Why did you first enter therapy & we're you diagnosed with any mental health disorders"? Diamond continues to go on and ask if the client is or has been on psychotropic medications and what brings them back to therapy. Diamond gathers all of this information during the first two session and then ask the patient if any skills were built during their therapy journey & if they still utilize the skills. Finally, Diamond would administer the ACE Questionnaire to assess for childhood trauma, if the patient is over 18 years of age.

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Bernadette Hulsinger, LPC works with individuals from young adulthood through senior adulthood and has experience across inpatient and outpatient settings. She is a clinical trauma counselor with expertise in crisis intervention, risk assessment, TBI, ASD, and couples and family counseling. Bernadette has provided telehealth services since 2017 and holds Board Certification in Telemental Health (BC-TMH). She also serves as a supervisor for counselors working toward licensure.

Bernadette’s style is warm, conversational, and wellness-focused. While she may challenge clients, it is always done in a non-confrontational and supportive manner. She provides a judgment-free space for all clients, including those in poly relationships. Sessions emphasize collaboration, with clients setting their own goals while receiving guidance and exploration along the way.

The first session focuses on understanding a client’s history, life experiences, and previous counseling. Bernadette works collaboratively to develop a treatment plan with attainable goals, emphasizing steady progress and overall wellness—being “just a bit more well today than in past days.” She regularly checks in about the therapeutic relationship and values feedback, always prioritizing client safety, comfort, and fit.

Natisha Joseph is a Licensed Mental Health Counselor (LMHC) with a Master of Science in Mental Health Counseling from Mercy University and certification as a Trauma Specialist. Her career began even before completing graduate school in 2014, with more than 10 years of experience providing services to youth in residential treatment. She has also served adults with developmental and intellectual disabilities as a Residential Coordinator for 8 years, supported patients in palliative care for 5 years, and has spent the last 4+ years as a dedicated Mental Health Counselor in both inpatient and outpatient settings.

Natisha values open communication and collaboration, working with clients to set clear treatment goals. She creates a warm, respectful, and nonjudgmental environment where individuals feel supported and validated in their therapeutic journey. With a structured yet flexible approach, she helps patients navigate challenges such as trauma, emotional dysregulation, and self-care while fostering healing, growth, and problem-solving.

In the first session, Natisha takes time to understand each patient’s history, concerns, and goals. She builds therapeutic relationships rooted in trust, confidentiality, and respect, and co-develops individualized treatment plans tailored to each person’s needs. Drawing from CBT, ACT, and trauma-informed interventions, she provides active treatment through weekly or biweekly sessions, reviewing and adjusting goals to support ongoing progress.

Melinda Morris is a dedicated and compassionate LCSW with over 6 years of experience in the field of mental health. She holds a Master of Science in Social Work from the University of Tennessee and has been a practicing counselor since 2018. Melinda specializes in helping individuals navigate life's challenges, including anxiety, depression, trauma, transitional periods, and relationship issues. Her approach isclient-centered and integrative, combining techniques from cognitive-behavioral therapy (CBT), mindfulness-based stress reduction (MBSR), and solution-focused therapy to tailor treatment plans to each client's unique needs and identifying their personal strengths to enhance theirprogress in becoming and feeling the best version of themselves in any new chapter they maybe experiencing. Throughout her career, Melinda has worked primarily in nonprofit and private practice settings. She is known for her empathetic listening, non-judgmental attitude, and ability to build rapport and trust to create a safe and supportive environment for her clients so they can find their voice and be truly heard and understood. Melinda is committed to ongoing professional development and regularly attends workshops and conferences to stay current with the latest advancements in mental health treatment. She is also an active member of the National Association of Social Workers (NASW). When she's not working, Melinda enjoys traveling, hiking, painting/drawing, and spending time with her awesome kiddo and fur babies.

Dr. Scot McKay is board certified in Psychiatry and Child/Adolescent Psychiatry. He graduated medical school from the Medical University of South Carolina in Charleston, SC. He completed his residency and child/adolescent fellowship trainings at the University of Colorado - Anschutz Medical Center in Denver, CO. Previously, he has worked on the inpatient and partial hospitalization child/adolescent psychiatric units at Children's Hospital Colorado as well as in the school-based health clinics through Denver Health in partnership with Denver Public Schools. He has also worked in community mental health at the Mental Health Cooperative clinics throughout the Middle Tennessee region. He most recently joined a private practice before joining Talkiatry. He has been named to the Nashville Lifestyles Magazine's Top Doctors list in 2022, 2023, and 2024. He is a fellow of the American Psychiatric Association, and a member of the American Academy of Child and Adolescent Psychiatry. Dr. McKay enjoys working with patients going through life transitions such as high school to college and college to adult life. He believes it is important to understand the whole person (mind, body, and spirit) when treating them. He treats people struggling with depression, anxiety, bipolar, and ADHD, as well as trouble with relationships and family conflict. Dr. McKay provides both medication management and therapy. He believes that medication is just one of the items in a psychiatrist's toolbox and that therapy is equally important as medication.