Karelis Sierra-Cintron, MD

Dr. Marla Richard is a Stanford-trained board-certified psychiatrist and is board-eligible for geriatric psychiatry from UCSD. She has been practicing in a variety of settings for the last 30 years. Dr. Richard uses an integrated health paradigm with general and geriatric patients using traditional psychopharmacology, interpersonal neurobiology practices, and personality assessments to look at root motivations for behaviors to address core issues and with medication management as needed. Dr. Marla believes that you need to take a whole-person approach to both mental and physical health. She received her undergraduate degree from the University of Minnesota, Duluth, and then attended medical school at Stanford Medical School to complete her MD. With visions of becoming a general surgeon, she went to the University Hospitals of Cleveland and completed two years of general surgery training before seeing the light and transferring to psychiatry. She completed her psychiatry training at Stanford University and geriatric training many years later at UCSD. Her focus includes an integrated approach to the consideration of mental and physical health while incorporating mindfulness tools to teach skills of stress and anxiety management in everyday life. In conjunction with medication management, she uses interpersonal neurobiology to help clients understand triggers as well as methods to calm overactive stress responses and reactivity.

Dr Cardiel- Sam is Board Certified in both General Psychiatry and Child and Adolescent Psychiatry. He completed undergraduate training at University of Miami followed by medical school at St. Georges University. He has completed Residency in Psychiatry at Bergen New Bridge Medical Center and fellowship training for Child and Adolescent Psychiatry at Penn State University.  

His training in Child and Adolescent Psychiatry has given him a unique perspective on mental illness. He has found that these conditions rarely start in adulthood, but rather, are a product of multiple factors and years of lived experience. For this reason, Dr Cardiel- Sam approaches his patients through a trauma informed lens; an acknowledgement of the unique story and challenges that each individual has faced. He is comfortable treating a wide variety of psychiatric conditions including depression, anxiety, bipolar disorder, ADHD and many more.

Working with Dr Cardiel- Sam, you can expect holistic and collaborative psychiatric treatment. He believes that medication along with therapeutic treatment should fit seamlessly into a patient’s life, with minimal inconvenience. He strives to empower patients in shared medical decision making, making time to explain risks/benefits and alternatives for treatment.

Dr. Troy Grantham is a board-certified staff psychiatrist who treats adult patients. A former engineer, Dr. Grantham has developed a passion for guiding patients along the road to recovery. He completed his undergraduate studies at The University of Texas at Austin and later completed medical school and residency in General Psychiatry at The University of Texas Medical Branch at Galveston. Dr. Grantham's practice focuses on medication management. He utilizes a systematic approach to ensure diagnoses are accurate and treatment plans are optimized to each individual patient. His approach is also holistic in nature, often incorporating therapy and lifestyle modification into the treatment plan. Dr. Grantham employs multiple therapeutic approaches in his practice depending on the needs of the patient including supportive therapy, Cognitive Behavioral Therapy (CBT), and Acceptance and Commitment Therapy (ACT). He places great emphasis on psychoeducation so that patients are aware of the nature and prognosis of their conditions as well as the treatment options available. When multiple treatment options are reasonable, Dr. Grantham takes patient preference into account, offering flexibility to the patient experience. He treats a variety of psychiatric disorders with a particular focus on mood disorders, anxiety disorders, obsessive-compulsive disorders, and trauma-related disorders.

Please note: Dr. Grantham does not prescribe long-term, daily benzodiazepine medications, however he is happy to help you taper off of these medications and transition to a safer, long-term medication regimen.

Daniel Ebert, MD, earned his medical degree from Vanderbilt University School of Medicine and completed his psychiatry residency at Massachusetts General Hospital and McLean Hospital. He has served on the faculty at Harvard Medical School and Johns Hopkins School of Medicine for over 15 years. Board certified in psychiatry by the American College of Psychiatry and Neurology, Dr. Ebert has extensive experience treating mood, anxiety, psychotic, and substance use disorders across inpatient and outpatient settings, including student mental health, community psychiatry, and academic outpatient practices.

Dr. Ebert strives to create a respectful environment where patients feel heard as they build a strong therapeutic alliance. He values long-term collaboration to achieve meaningful treatment goals and improve quality of life. With clinical experience guiding his approach, he offers reasonable therapeutic optimism while addressing challenging symptoms and issues.

Dr. Ebert begins with a comprehensive clinical assessment to understand each patient’s symptoms, life story, behavior, and personality. He develops a collaborative treatment plan, revisiting it over time. Follow-up appointments integrate medication management, if prescribed, and psychotherapy tailored to the individual, using a combination of standard therapeutic approaches aligned with the shared plan.

Dr. Rayal Gorrepati is double board certified in both adult and geriatric psychiatry. He has been practicing for over 12 years. Dr. Gorrepati's practice focuses on medication management. Typically, he offers this in conjunction with supportive psychotherapy in 30-minute follow-up visits. However, occasionally Dr. Gorrepati may believe that additional therapy is also needed and ask that you bring a therapist into your care team to provide the best possible outcome. He received his medical degree from the American University of the Caribbean School of Medicine. His general psychiatry residency was completed at Cooper University Hospital in New Jersey. He then completed a Geriatric Psychiatry Fellowship at the University of Hawaii. After completing training, he returned to his hometown of Chicago and began working at a Federally Qualified Health Center providing care to an underserved low-income population for nearly 12 years. While at the clinic, he treated a wide range of diagnoses, the most common ones being depression, anxiety, bipolar disorder, etc. His primary clinical focus is treating adults with depression, anxiety, and bipolar disorder.

Dr. Laura Ginory is double-boarded in child and adolescent psychiatry and adult psychiatry. She has been practicing for over 11 years. Dr. Ginory's practice focuses on medication management, which is offered in conjunction with supportive therapy, offered in 30-minute follow-up visits. However, occasionally Dr. Ginory may believe additional therapy is needed and ask that you bring a therapist into your care team to provide the best outcome. Ginory received her medical degree from the University of Puerto Rico School of Medicine in San Juan, Puerto Rico. She completed her residency in adult psychiatry at Jackson Memorial Hospital in Miami, FL. She pursued her fellowship in child and adolescent psychiatry at the University of Florida, in Gainesville. After completing training, Dr. Ginory worked with children and adults in a variety of settings including Community Mental Health Centers and hospitals, providing both inpatient and outpatient services. Dr. Ginory then became a Clinical Assistant Professor for the University of Florida Department of Psychiatry and provided clinical services for UF Student Mental Health at the Counseling and Wellness Center. While treating a wide variety of patients, her clinical focus has been in treating adolescents and young adults with mood and anxiety disorders.