Marnie Stefan, MD

Michelle Kotte is a board-certified Psychiatric Nurse Practitioner with over 13 years of nursing experience. She creates a warm, supportive environment and values open communication. Michelle is passionate about focusing on the whole person and tailoring care to each client’s unique needs.

Michelle’s approach is direct, collaborative, and centered on partnership. She works closely with clients to develop a personalized plan, emphasizing transparency and shared decision-making throughout treatment.

Michelle begins with an in-depth initial assessment covering physical, mental, emotional, social, and environmental well-being. She focuses on medication management, supportive therapy, and lifestyle modifications to help clients reach their goals.

Dr. Jared Gorsuch, DO, earned his medical degree from Western University of Health Sciences College of Osteopathic Medicine of the Pacific in Pomona, California, graduating with Highest Honors. He completed his psychiatry residency at Loma Linda University in Loma Linda, California. Dr. Gorsuch has experience practicing psychiatry in both inpatient and outpatient settings, including roles at Gundersen Health System and the University of Pittsburgh Western Psychiatric Hospital, as well as virtual outpatient care through the University of Pittsburgh.

Dr. Gorsuch strives to foster a safe, respectful, and affirming environment where patients feel comfortable sharing their concerns. He treats a wide range of conditions, including depression, anxiety disorders, PTSD, ADHD, bipolar disorder, OCD, personality disorders, and LGBTQ+–related mental health concerns. He values collaboration, empathy, and transparency, and believes treatment is most effective when patients feel heard and supported.

During initial visits, Dr. Gorsuch takes time to complete a thorough psychiatric evaluation while building trust and rapport. He works collaboratively with patients to develop individualized treatment plans that align with their personal goals. His approach emphasizes thoughtful assessment, evidence-based care, and ongoing adjustment to help patients achieve long-term success.

Dr. Olivia Plante is a board-eligible psychiatrist with a focus on evidence-based medicine including psychopharmacology and nutritional psychiatry in the diagnosis and treatment of a wide range of psychiatric disorders.

She is originally from New York, having completed her undergraduate degree in psychology from The City College of New York, followed by a master’s degree in medical anthropology from Binghamton University and a Doctor of Medicine degree from the University at Buffalo. She completed psychiatric residency training at the Zucker School of Medicine/Northwell Health, with experience in medication management, psychotherapy, and collaborative multidisciplinary care of adults and adolescents in the outpatient, inpatient, partial hospital and emergency settings.

Initial evaluations will involve collecting history about social circumstances; past medical, psychiatric, substance use, and family conditions; as well as current lifestyle habits such as sleep, nutrition, supplement use, level of physical activity, and stress management skills.

Treatment sessions will explore the mind-body connection and individual lifestyle factors in combination with psychoeducation for a personalized wellness approach.

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Dr. Michael Miller earned his medical degree with honors and completed his residency in Adult Psychiatry at the University of Kentucky College of Medicine. He has worked across a wide range of clinical settings, including inpatient, outpatient, community clinics, and state hospitals. Dr. Miller is also trained in multiple psychotherapy modalities, equipping him to meet diverse patient needs.

Dr. Miller values creating a safe and nonjudgmental space where patients can speak openly about their experiences and goals. He believes in a collaborative approach, working with patients to discover strategies that best suit their lives. He also takes into account lifestyle factors that may influence mental health, supporting a well-rounded and sustainable path to wellness.

Dr. Miller begins care with a comprehensive conversation about current concerns, past mental health, physical health, and life experiences. From there, he works with patients to create a personalized treatment plan—whether through therapy, medication, lifestyle adjustments, or a combination. Follow-ups focus on refining the plan to ensure it continues to support the patient’s journey.

Dr. Elizabeth Foote is a board-certified addiction and general psychiatrist practicing medicine for over 15 years.  

Dr. Elizabeth Foote focuses on providing integrated care for those with co-occurring disorders, depression, anxiety, obsessive-compulsive disorder, post-traumatic stress disorder and other forms of mental illness in the outpatient setting.  

She provides medication management as well as psychotherapy which includes drug and alcohol counseling, cognitive-behavioral therapy, psychodynamic psychotherapy, and cognitive processing therapy for trauma.  When combining these treatment approaches, patients receive more comprehensive mental health care.  Treatment begins with an initial assessment and a comprehensive treatment plan developed in coordination with the patient to best meet their needs.

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Amanda Rivera, PMHNP, is a board-certified Psychiatric Mental Health Nurse Practitioner through the lifespan, certified by the ANCC in 2020. She earned a Bachelor of Science in Psychology with a biology minor from Clarkson University, followed by a Bachelor of Science in Nursing and a Master of Science in Nursing from St. John Fisher College. Amanda has over 15 years of experience in mental health, beginning in 2010 as a Therapy Aide at Rochester Psychiatric Center. She has practiced across inpatient hospitals, state psychiatric facilities, outpatient community clinics, correctional settings, group homes, and telehealth/private practice. She works with patients ages 16 and older and is highly experienced in trauma, mood and anxiety disorders, ADHD, autism, psychotic and personality disorders, substance use, and parenting challenges. She values working with families to strengthen the family unit.

Amanda values open communication and collaborates with patients to establish clear, meaningful treatment goals. She provides a warm, supportive environment where patients feel heard, respected, and empowered to take ownership of their mental wellness. Treatment is individualized, with medication decisions guided by a careful balance of safety and symptom relief. Appointments are conversational in nature, allowing care to be more personalized as patients share openly.

Amanda begins each visit by ensuring privacy and safety, then explores the concerns prompting care before gathering a biopsychosocial history through collaborative discussion. She provides education throughout sessions to help patients understand diagnoses and lived experiences. Medication options are discussed based on comfort level and clinical need. Follow-ups are scheduled at the end of each visit, with frequency adjusted as stability is achieved.

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