Kyra Munzenmaier, MD

Damaris Chukwura, DNP, PMHNP-BC, is a Board-Certified Family Psychiatric Mental Health Nurse Practitioner with over a decade of experience in mental health care. She began her nursing career in 2007 and has been practicing as a psychiatric nurse practitioner since 2014. Damaris has worked in a wide range of settings including inpatient hospitals, residential treatment centers, partial and intensive outpatient programs, correctional psychiatry, and substance abuse treatment. Her clinical experience spans various conditions such as ADHD, eating disorders, mood disorders, psychotic disorders, PTSD, and treatment-resistant depression. She earned her BSN from Texas Christian University, MSN from The University of Texas at Arlington, and her DNP from The University of Alabama in Huntsville.

Damaris values open communication and collaboration with her patients. She creates a warm, caring environment where individuals feel heard and respected. Her approach is both evidence-based and supportive, blending professionalism with a welcoming demeanor. She is passionate about mental health advocacy and reducing stigma. Outside of work, Damaris enjoys spending time with her husband and three children, traveling, decorating, and watching reality TV.

During initial psychiatric evaluations, Damaris takes time to fully understand each patient’s history, concerns, and goals. She develops individualized treatment plans that align with these goals and may include supportive therapy or referrals for more intensive therapy if needed. Follow-up appointments typically last 30 minutes, allowing time to track progress and make adjustments as necessary.

Dr. Kathryn Bertacchi is board-certified in both adult and child & adolescent psychiatry. Originally from California, she earned her medical degree from University College Cork in Ireland and completed residency and fellowship at Emory University. She has practiced in varied settings, including developing specialized clinics in eating disorders and gender-affirming care. She is a member of several professional organizations including AACAP, APA, and WPATH.

Dr. Bertacchi fosters an inclusive, nonjudgmental environment where patients feel safe to be themselves. She approaches care with curiosity, compassion, and deep respect for each person’s unique story, aiming to help individuals feel genuinely heard and supported throughout their treatment journey.

In early sessions, Dr. Bertacchi works collaboratively to understand patients' lives, goals, and challenges. While her focus is medication management, she integrates cognitive-behavioral, humanistic, and supportive techniques. She may recommend additional therapy as needed and particularly values working with youth and adults from diverse backgrounds.

Dr. Ruiz is a compassionate psychiatrist specializing in adult and maternal mental health. She develops personalized treatment plans to address anxiety, depression, bipolar disorder, ADHD, OCD, PTSD, PMDD, and perinatal conditions. Her goal is to help patients reconnect with their values and live balanced, fulfilled, and meaningful lives.

Her passion for medicine began in childhood, inspired by curiosity about the mind and body. She earned an Honors Chemistry degree with  magna cum laude and completed her medical training and psychiatry residency at Texas Tech University Health Sciences Center. With a strong scientific foundation, Dr. Ruiz understands the role of medications, and embraces holistic healing through connection, gratitude, and spirituality.

Dr. Ruiz has experience in diverse clinical settings and has received national awards including the AWP International Fellowship and ADMSEP Innovations Award. She is dedicated to advancing maternal mental health screening and treatment through clinical care and education.

Dr. Ruiz combines pharmacotherapy (medication) with psychotherapy to create individualized treatment plans. Therapy provides powerful tools to manage thoughts, emotions, and behaviors that support balanced brain chemistry. Research shows that medication helps restore this balance more quickly and effectively, especially in moderate to severe cases.  

Dr. Ruiz likens medication for the brain to fertilizer for a garden. Imagine your mental health as a vibrant garden—when well-nourished, it can thrive with resilience, beauty, and balance. But when symptoms like depression, anxiety, ADHD, or mood instability take hold, they act like invasive weeds, crowding out healthy growth and making it hard to enjoy the space. Medication acts like fertilizer, strengthening the garden’s natural systems so the healthy parts can reclaim their place and flourish. Just as some gardens need only seasonal care while others require more consistent tending, medication plans are personalized to support each person’s long-term mental wellness. When the garden is healthy, there's more room to grow, connect, and fully enjoy life.

With a strong background in chemistry and pharmacology, Dr. Ruiz prioritizes educating her patients about how medications work and why they can be helpful. She believes patients should take an active role in understanding their diagnosis and treatment. Her approach emphasizes diagnostic clarity, medication management, patient education, and brief psychotherapy based on cognitive behavioral therapy (CBT) and acceptance and commitment therapy (ACT).

Your first appointment is a supportive, in-depth conversation to share your story, challenges, and goals. Dr. Ruiz will review your medical and psychiatric history and assess symptoms using a whole-person approach that considers biological, psychological, and social factors.

Together, you’ll develop a personalized plan that may include lab work, medication, and therapy. Initial visits last 60 minutes for thorough evaluation; follow-ups typically last 20–30 minutes, focusing on medication management and brief therapy. If needed, Dr. Ruiz can refer you to in-house or community therapists for add-on therapy support.  

Throughout your care, Dr. Ruiz prioritizes shared decision making to ensure you feel informed, empowered, and supported.

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Dr. O’Mara is a board-certified geriatric and general adult psychiatrist. She is originally from Ohio where she obtained her bachelor’s degree in neuroscience and psychology from Wright State University and attended medical school at Ohio University. She completed her psychiatry residency and geriatric psychiatry fellowship through Michigan State University at Pine Rest in Grand Rapids, Michigan. She has provided psychiatric care in both inpatient and outpatient settings. She was a faculty member and Associate Program Director for Trinity Health Livonia’s psychiatry residency. In her free time, she enjoys drawing and hiking.

Dr. O’Mara eagerly treats a wide range of age groups and conditions and is passionate about patients coping with chronic medical conditions and caregivers. She also has experience with perinatal mood disorders, obsessive compulsive disorder, and PTSD. She strives to deliver evidence-based treatment tailored to her patient’s individual needs.

In addition to medication management, she incorporates brief therapy modalities into her appointments including supportive therapy, cognitive behavioral therapy, and dialectical behavioral therapy skills. She will work with you to determine if more comprehensive therapy may be needed. She also can provide practical and realistic behavioral strategies to caregivers and patients with memory changes. Dr. O’Mara prefers to meet patients where they are in a supportive, safe, and non-judgmental environment.

Dr. Mayra Valdivia Carlisle is a bilingual Spanish and English-speaking board-certified Adult Psychiatrist and Child & Adolescent Psychiatrist. She earned her master's degree in public health and her medical degree from Oklahoma State University Center for Health Sciences. She went on to complete her residency training in Adult Psychiatry at the University of Texas Health Science Center in San Antonio and subsequently completed her fellowship in Child and Adolescent Psychiatry. She was awarded the Excellence in Public Health Award by the U.S. Public Health Service and Surgeon General for her work addressing health disparities in healthcare. Dr. Carlisle has extensive experience in outpatient and community mental health settings.

Dr. Carlisle provides patient-centered and compassionate psychiatric care combining medication management, psychotherapeutic methods, and lifestyle modifications to create a unique treatment plan. She recognizes that each person benefits from a personalized and holistic approach to healing. Dr. Carlisle specializes in treating diverse psychiatric conditions including ADHD, anxiety disorders, depression, and post-traumatic stress disorder in children, adolescents, and adults.

During an initial visit one can expect a comprehensive evaluation aimed at understanding individual mental health history, specific concerns, and overall treatment goals. Dr. Carlisle practices a holistic approach to treating mental disorders. This is done through an individualized plan for each patient with careful consideration to medication management, therapy techniques, and lifestyle modifications. Patients can expect an empathetic and collaborative environment focused on their personal experiences and goals.

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Dr. Wilbur is a Double Board Certified Psychiatrist in Adult and Addiction Psychiatry. He completed his undergraduate degree in Public Health Studies at Johns Hopkins University and his medical education at the UMass Chan Medical School. Dr. Wilbur completed his psychiatry residency training and addiction psychiatry fellowship training at Yale School of Medicine. His practice focuses on medication management, typically offered in conjunction with supportive therapy in 30-minute follow-up visits. Dr. Wilbur has an interest in treating patients with a wide range of psychiatric conditions including but not limited to depression, anxiety, obsessive compulsive disorder, trauma- and stressor-related disorders, and bipolar disorders. He also has experience treating psychiatric conditions in patients experiencing co-occurring medical illness. Dr. Wilbur believes that successful treatment begins with mutual trust between a patient and their doctor. He uses a warm, nonjudgmental, and collaborative approach. His assessments consider the biological, psychological, and social, and cultural factors that impact mental health. He implements a range of evidence-based treatments to alleviate psychiatric symptoms and improve wellbeing.