Karel Routhier, MD

Dr. Ann Landowne is Board Certified in Adult, Adolescent, and Child Psychiatry. She has over thirty-five years of experience helping people of all ages cope with a wide range of problems. Dr. Landowne received her medical and psychiatric training at Albert Einstein College of Medicine and advanced training in psychotherapy at the Psychoanalytic Association of New York where she is on the faculty. She focuses on medication management and is holistic in her approach to people and the difficulties they face in life. She has expertise in the treatment of children and adolescents with emotional and behavioral problems, and people struggling with anxiety, depression, bipolar disorder, obsessive-compulsive symptoms, and eating disorders.�

Dr. Bailey is a board certified psychiatrist, specializing in medication management and psychotherapy. He enjoys the opportunity to help patients better understand their diagnosis and how biological, psychological and social interventions can be applied to live a more fulfilling life.  

As a recipient of the Army Health Professions Scholarship Program, Dr. Bailey earned his medical degree from the Edward Via College of Osteopathic Medicine in Blacksburg, Virginia followed by residency at Walter Reed National Military Medical Center in Bethesda, MD.  

After completing residency, Dr. Bailey served at Brooke Army Medical Center in San Antonio, TX where he held several positions including Chief of Inpatient Behavioral Health Services. He also completed operational assignments, most notably a nine-month deployment to Iraq for which he was awarded the Meritorious Service Medal. Dr. Bailey enjoys teaching and has held academic appointments at Long School of Medicine and Uniformed Services University of the Health Sciences.

Dr. Kothari's treatment approach begins with establishing a good therapeutic rapport with her patients and listening to her patients so that they feel heard. Dr. Kothari likes to spend time providing psychoeducation on medications when discussing the treatment plan. Dr. Kothari's practice focuses on medication management primarily, but may incorporate supportive psychotherapy during medication visits. Dr. Kothari may recommend additional psychotherapy if she feels a patient may benefit from this. Dr. Kothari's current practice does not include the use of any controlled substance medications, such as stimulants, benzodiazepines, and certain sleep aids.

Dr. TreSina E. Steger (Dr. Tre) is a licensed professional counselor (LPC) who has practiced as a mental health therapist for several years. She received a Bachelor of Science degree from Mount Olive College, in NC, a Master of Science in Psychology and Clinical Mental Health Counseling from Capella University, in MN, and a Doctorate in Education, in Higher Educational Leadership from Liberty University in VA. She has worked in business, outpatient mental health, non-profits, in private practice, and with the military. She is a National Certified Counselor (NCC), a Board Certified Tele-Mental Health Provider (BC-TMH), Certified Dialectical Behavioral Therapist (CDBT), and Certified Trauma Focused Cognitive Behavioral Therapy (C-TFCBT). Dr. Tre uses person-centered, solution-focused, DBT, CPT, CBT, motivational interviewing, mindfulness, psychodynamic, and other approaches to assist clients. She strides in aiding clients work on attachment issues, relationship problems, ADHD, self-esteem, self-worth, gender identity, boundary issues, trauma, depression, and anxiety. Dr. Tre has worked with clients from a variety of backgrounds, populations, and identities and takes pride in being a LGBTQIA+ affirming, a gender-affirming, BIOPC therapist who has worked with clients who have experienced various types of traumas. Clients will find she has a conversational tone, direct, non-judgmental approach when addressing their therapeutic goals and provides a safe space for them to do their work.

Dr. Jerry Sayers is a double board-certified psychiatrist in General Psychiatry and Consultation-Liaison Psychiatry. Dr. Sayers completed an Internal Medicine internship in Youngstown, Ohio. He then completed his residency in General Psychiatry at The Johns Hopkins Hospital followed by fellowship training in Neuropsychiatry and Behavioral Neurology at Johns Hopkins Bayview. He most recently finished his fellowship in Consultation-Liaison Psychiatry at the University of Maryland. Dr. Sayers has had the opportunity to care for a diverse group of patients with neuropsychiatric, neurological, and other general medical conditions. His work allowed him to work on a proactive, collaborative psychiatric consultation team designed to be involved early in the care of vulnerable patients with complex neuropsychiatric conditions. Dr. Sayers has experience in outpatient, inpatient, residential, and partial hospitalization programs. He works hard to tailor therapy to the needs of the individual patient by adapting techniques that have been successful across different treatment settings. His desire to ensure exceptional care is evident in his ability to relate to and understand an individual patient's needs and concerns.

Dr. De Paz received his medical degree from the University of Texas Medical Branch in Galveston, TX, and has been practicing for 9 years. He completed his psychiatric residency and child and adolescent psychiatry fellowship training at the University of Texas Medical Branch. After completing training, he worked at the Center for Health Care Services in San Antonio, TX. He worked with special needs children and adults who required the highest level of care both behaviorally and medically. He then continued his treatment of children and young adults at CommuniCare Health Center also in San Antonio. He served as Director of Behavioral Health for CommuniCare for 4 years. Dr. De Paz completed his undergraduate studies in Psychology and Biology at the University of Houston in Houston, TX. While having treated a wide variety of patients, his primary clinical focus has been the treatment of ADHD in children and adults, and working with special needs children and adults who may have Autism Spectrum Disorder or other Intellectual or Developmental Disabilities. Dr. De Paz's practice focuses on medication management. He offers medication management evaluations and follow-up visits. If the need arises, he works with licensed therapists to provide behavioral support.