Mary Birse, PMHNP

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. McGowan is a board-certified adult psychiatrist with over 14 years of experience, during which time he primarily treated active-duty US Navy sailors, their family members, and military retirees in the outpatient setting. His practice focuses on medication management in addition to supportive and cognitive-behavioral therapy in 30-minute follow-up visits. He is a strong advocate of multiple treatment modalities and, in certain situations, may suggest that therapy and/or regular physical exercise be included in your treatment plan to provide the best outcome. He received his B.S. in Physics from the United States Naval Academy. After serving as an Intelligence Officer in the Navy for eight years, he transitioned to medicine and earned his medical degree from the Uniformed Services University of the Health Sciences in Bethesda, MD. After completing an intern year in Family Medicine, Dr. McGowan completed residency training in Psychiatry at Naval Medical Center Portsmouth, VA, where he remained on staff for the next ten years and was primarily involved in resident training and education. He held academic appointments at the Uniformed Services University and Eastern Virginia Medical School and served as the Psychiatry Residency Program Director for six years. He served his final four years in uniform running the behavioral health department at Naval Air Station Whidbey Island, WA. He recently retired from the Navy after a 30-year career. Dr. McGowan has extensive experience in outpatient psychiatric care. In addition to the full spectrum of mood and anxiety disorders, he has treated a very large number of patients with PTSD stemming from combat, natural disasters, and sexual trauma. He believes that, like his service to the country, working alongside others in their journey to better mental health is an incredible privilege.

Dr. Kevin Lu is a board certified adult psychiatrist. In addition to medication management, he integrates elements of psychotherapy, psychoeducation, lifestyle changes, and relationship skills into his approach. He enjoys working with a variety of individuals and conditions, with particular experience with veterans, immigrants, and university students. He has a friendly and casual style, and prioritizes strong therapeutic relationships in his work. Dr. Lu completed his undergraduate studies at New York University's Stern School of Business, and after a short career in finance, he made a transition into medicine. He received his medical degree from the Zucker School of Medicine at Hofstra/Northwell, and completed residency training in psychiatry at the University of Arizona in Tucson.

Dr. Amara (She/Her) is an American Board of Psychiatry and Neurology certified psychiatrist. She earned her bachelor's degree in psychology and arts from the University of Albany. She then graduated from St. Matthews University's School of Medicine in the Grand Cayman Islands. After completing her residency at LSUHSC-Ochsner program in 2016, she worked at Ochsner Medical Center, New Orleans for 7 years. Her roles there included working with patients in the field of Consultation Liaison psychiatry. In addition, she was the medical director of the behavioral medical unit (IOP) and the lead of the transcranial magnetic stimulation clinic. Dr. Amara has been very involved in academics and won the Faculty Member of the year, Adult Psychiatry Program, LSU-Ochsner 2021, Teaching Excellence Award in Psychiatry University of Queensland 2019 and Roger Hatchette Award of Excellence in Emergency Psychiatry 2016. She then served in her community at Crescent Care FQHC clinic in 2023. Her interests include providing care for various behavioral health concerns, including Adjustment disorder, Mood disorders, including Treatment resistant depression, Anxiety disorders, PTSD, Neurodegenerative illnesses, Somatic disorders, Gender Dysphoria, and LGBTQIA2S+ community inclusive care. Dr. Amara's practice is focused on the functionality of a person in their life, including relationships, career, physical wellness and living a robust life. She provides primarily medication management but also includes Supportive therapy, Action Oriented therapy, Cognitive Behavioral Therapy, and Motivational interviewing when appropriate. Her style is very approachable, inclusive and always grounded in humanistic values.**THIS PROVIDER CANNOT PRESCRIBE CONTROLLED SUBSTANCES FOR LOUISIANA PATIENTS**

Dr. Niles Drake is a board certified psychiatrist skilled in prescribing medications and working in psychotherapy. He combines a warm demeanor with excellent clinical skills, and has over 15 years' experience working with adult patients of all ages and many walks of life. He has special expertise combining medication and psychotherapy to help patients reduce symptoms and grow as individuals. Dr. Drake's additional training and experience in psychological modes of treatment enhance the quality of care he provides to all his patients, to meet them where they are and prioritize their individual needs and goals. He also provides medication management-only treatments for people who aren't looking for psychotherapy or who already have therapists. Dr. Drake completed his psychiatric residency at Columbia University Medical Center in New York. He also completed psychoanalytic training at the Columbia Center for Psychoanalytic Training and Research. He went on to teach classes at the Center, educating candidates about the nuances of combining psychotherapy with other treatment modalities. In addition to providing outpatient psychiatric treatment for over 10 years in private practice, he has worked extensively in psychiatric emergency settings, supervising residents as attending physician at Columbia-New York Presbyterian Hospital and Long Island Jewish Hospital psychiatric emergency rooms. He also has special expertise treating college-aged and young adult patients, having served as staff psychiatrist at Barnard College's Furman Counseling Center and worked with many students from Barnard and Columbia in his private practice. Dr. Drake offers treatment for many psychiatric conditions, including but not limited to depression, anxiety disorders, bipolar disorder, ADHD, and personality disorders. He identifies helping people ease and overcome their psychiatric conditions as his calling, and approaches each patient with humility, diligence, and a collaborative spirit.

Dr. Walter Piddoubny is a double boarded psychiatrist in Adult Psychiatry and Consultation Liaison Psychiatry. He completed his undergraduate degree at Stony Brook University followed by his medical degree at SUNY Buffalo School of Medicine and Biomedical Sciences. He completed his Psychiatry Residency at Stony Brook University Hospital followed by his fellowship in Consultation Liaison Psychiatry at Yale New Haven Hospital. Dr. Piddoubny has held academic appointment at Stony Brook University Hospital practicing as a consultant psychiatrist as well as Associate Program Director of the Psychiatry Residency Program. He has been actively involved in teaching and was awarded "Teacher of the Year" in 2018 by the psychiatry residents. Dr. Piddoubny's practice focuses on medication management. Typically, he offers this in conjunction with supportive or emotionally focused therapy during 30-minute follow-up visits. Occasionally, Dr. Piddoubny may believe that additional therapy is warranted and ask that you bring a therapist into your care team in order to provide the best possible outcome.‍