Mary Poupon, PMHNP

Dr. Iris Guerrero Urena is double board-certified in psychiatry and consultation-liaison psychiatry. She received her medical degree from Universidad Iberoamericana in the Dominican Republic and went on to complete psychiatric residency at Lincoln Hospital in New York City. Dr. Guerrero then completed a consultation liaison fellowship at Morningside and West Mount Sinai Hospital in New York, further acquiring proficiency in caring for patients with complex medical and psychiatric comorbidities. After completing training, Dr. Guerrero worked in an acute inpatient unit and as a psychiatric consultant for patients admitted to medical units in Oregon. Dr. Guerrero Urena focuses on medication management while also implementing elements of supportive, dialectical behavioral, and cognitive behavioral therapy within each session to fully address individual needs. At times, Dr. Guerrero Urena may recommend a therapist for additional therapy. Dr. Guerrero Urena is experienced in treating a wide range of psychiatric conditions including depression, bipolar disorder, anxiety, PTSD, OCD.

Bridgette K. Hathaway, LCSW holds the position of clinical therapist at Talkiatry. She is board-certified in clinical social work. She has been practicing for over 5 years. Ms. Hathaway's practice focuses on individual psychotherapy. Typically, she offers this in conjunction with solution-focused motivational interviewing and cognitive behavioral therapy, in 60-minute visits. She received her bachelor's degree in liberal arts with a focus in behavioral neurobiology and women's studies from Harpur College at Binghamton University, and her master's degree in social work at the College of Community and Public Affairs at Binghamton University. Additionally, Ms. Hathaway studied abroad in Blantyre, Malawi, Africa, completing an Asset-Based Community Development program promoting social-emotional wellbeing for youth. After completing training, she returned and worked in her local community, Binghamton, NY, in myriad roles. First, with adolescents at the Promise Zone Summer Zone Summer Camp as program coordinator, continuing to focus on the wellbeing of youth, before becoming the MICA enhanced residential coordinator for Fairview Recovery Services, where she spent time providing addiction services to the dually diagnosed. She was then the residential treatment center social worker at the Children's Home of Wyoming Conference focused on service provision to adolescent males, before becoming a behavioral health counselor providing integrated mental health and addiction services to individuals of all ages, at Family and Children's Counseling Services. Further, Ms. Hathaway participated in continuing education in LGBTQ, Gender Identity, Expression, and Behavioral Health; OASAS Person-Centered Care and Harm-Reduction; Integrated Mental Health Addictions Treatment; NYSED Safe Schools Against Violence in Education; Borderline Personality Disorder; Integrated Treatment-Individual Interventions; and Motivational Interviewing. Her auxiliary certifications include Child and Adolescent Needs and Strengths Needs Assessments, Therapeutic Crisis Intervention, ASIST-Applied Suicide Intervention Skills, and NYSDOH Opioid Overdose Naloxone Program.‍

Dr. Karina Fatova is a board certified psychiatrist who hails from New York City but has made New Orleans her home for the past ten years. She is a graduate of Albert Einstein College of Medicine in Bronx, NY, and she did her adult psychiatry residency at Tulane University in New Orleans, LA. She was proud to have her first position post-residency at the River Oaks Hospital Trauma Unit in New Orleans, LA where she treated patients with Complex PTSD and eating disorders. The Trauma Unit was one of a few of its kind nationally because it provided very specialized treatment that was affordable to many. Dr. Fatova then went on to work at the New Orleans Veterans Affairs Hospital for the last five years in its ambulatory outpatient mental health clinic. Though her passion is Complex Trauma/PTSD, she also regularly saw veteran patients who have been diagnosed with anxiety, depression, bipolar disorder, ADHD, and adjustment disorder. During her five years at the New Orleans VA, she received three special commendations from the director of the VA for feedback from her patients about her effective integrative approach to supportive psychotherapy and medication management. She believes that her rapport with her patients, and their therapeutic work together, is just as important as the medication she prescribes to heal or alleviate their symptoms. Dr Fatova employs psychodynamic therapy techniques, at times, to help those patients who would like to explore childhood experiences that may continue to impact them in their adult lives. With respect to medication management she regularly helps patients target symptoms such as sleep issues, nightmares, persistent worry, emotional dysregulation, frequent mood changes, impulsivity, and "toning down the nervous system," among others. She strongly believes that treatment decisions are best approached as a collaboration between patient and doctor. She sees young adults who are just starting their journey into adulthood, as well as adults who have been navigating life with challenges, which may include untreated, or poorly treated, mental health symptoms. Often, by the time Dr. Fatova sees a patient, they may have lost a significant amount of faith in their mental health doctors, and she is particularly attuned to helping individuals with this type of experience.

Gabrielle Delarose is a dually boarded Psychiatric Mental Health and Family nurse practitioner with over ten years of clinical experience. Gabrielle is dedicated to providing culturally competent and evidence-based medication management and psychotherapy to assist individuals in achieving their goals to live their best life. I believe in holistic treatment of individuals, and focus on the individual’s overall well-being, including how they are functioning socially and professionally. In addition to medication and psychotherapy, she is a proponent of incorporating research-supported alternative modalities, including dietary changes, exercise, social interaction, and yoga. She also advocates of forest bathing (“shinrin-yoku”), a practice of spending time in nature that yields both medical and mental health benefits as discovered in research trials from around the world. As a professionally trained cellist, she also frequently incorporates art and music into appointments and treatment plans with patients. Her goal for all her patients is to improve all facets of a person’s life with treatment. Gabrielle is an LGBTQ+ affirming provider and has extensive experience working with diverse populations.

New patients should know that the initial appointment will consist of obtaining their social history in addition to their medical history. This is an important part of establishing a therapeutic relationship in addition to obtaining health information to use in formulating treatment plans. A person’s identity and life experiences are a significant influence on a person’s health and well-being, and Gabrielle believes in discussing these experiences in order to best understand a patient’s background and incorporate that into their care. Patients are encouraged to write down any questions they may have prior to the appointment, as well as any significant points they want to discuss. This is encouraged because, as patients, we may forget to address these points without a prompt from the provider. Gabrielle also encourages patients to actively participate in their care and firmly believes in a patient’s right to autonomy and agency. This patient-centered approach empowers patients to help guide treatment plans that best fit the patient’s needs and abilities at any given time. Patients are also encouraged to discuss any concerns about medications or treatment, particularly if there are concerns about side effects.

Gabrielle works collaboratively with patients to determine appropriate and preferred treatment plans, including medication and therapy. She uses cognitive behavioral therapy (CBT) as the primary therapy modality, in conjunction with existential therapy, depending on the patient’s needs and preferences. She prefers to allow patients flexibility in their treatment, so the process may look less structured depending on the immediate needs of the patient. Other times, particularly while working through a specific problem in therapy, appointment agendas may be planned out for several weeks. If at any time, however, a need arises to deviate from preplanned appointment agenda, patients are encouraged to discuss this at the beginning of the appointment. Above all, patients’ needs will guide the agenda.

Dr. La Haie is board certified in adult psychiatry and has been in practice for over 15 years.  She completed her residency at Banner Good Samaritan (now Banner University) Hospital in Phoenix, Arizona.  After completing her residency training, Dr. La Haie worked with the severely mentally ill population for several years, then transitioned to a private practice setting that offered the interventional options of transcranial magnetic stimulation and ketamine infusion.  Most recently, Dr. La Haie has worked at the Phoenix VA treating veterans, with focus on PTSD, depression and anxiety.  Dr. La Haie has held an academic appointment at the University of Arizona Medical School and has spent her professional career supervising/teaching medical students and psychiatry residents.

Dr. La Haie's practice focuses on medication management and providing psychoeducation to her patients. However, if indicated, Dr. La Haie may believe that additional therapy is also needed and ask that you bring a therapist into your care team to provide the best outcome.

Dr. La Haie has experience treating a large variety of mental health conditions across a variety of populations. She strongly believes in tailoring treatments through a holistic and patient-centered approach based on individual and multi-faceted histories. Dr. La Haie looks forward to working with you.

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Joseph Smith, LMHC, earned his Master's Degree in Clinical Mental Health Counseling from Eastern Kentucky University in 2015 and has worked with patients in a clinical capacity for the past six years. While in graduate school, he was exposed to various clinical and research experiences, where he found his passion in examining the motivational factors of human behavior. Joseph's academic work strengthened his interest to work with individuals in a therapeutic capacity, which ultimately led to advanced experiential training in crisis interventions and the treatment of individuals with severe and persistent mental illness. Before relocating to New York City, he worked with individuals in under-served communities in the Appalachian region. Joseph subscribes to a humanistic, motivational enhancement, and cognitive behavioral framework. Understanding the benefit of therapeutic rapport, Joseph fosters an environment of self-acceptance and self-awareness while promoting intrinsic motivation for patients to act as their own catalyst of change. In addition, Joseph has a passion for working with individuals from diverse backgrounds, the LGBTQIA+ community, women with reproductive challenges, and victims of domestic violence.