Megan Crochet, MD

Dr. Alexandre Cupler is a board-certified psychiatrist who began his career in community mental health in 2014, working as a counselor in psychiatric rehabilitation facilities. Since then, he has gained experience across inpatient hospitals, outpatient clinics, and residential treatment settings. Dr. Cupler earned his medical degree from Rush Medical College and completed his psychiatry residency at Chicago Medical School.

Dr. Cupler takes a patient-centered approach to care, making it a priority to ensure that each patient’s concerns are genuinely heard. He strives to create a culturally sensitive, non-judgmental, and safe environment where patients feel comfortable discussing difficult topics and working collaboratively toward their goals.

Initial sessions with Dr. Cupler focus on understanding the patient’s primary concerns, history, and treatment goals. He tailors care to each individual's preferred treatment style and ensures patients are informed about their treatment plan so they know what to expect and can take an active role in their care.

Dr. Erica Mark is a board-certified psychiatrist with experience in both inpatient and outpatient care. She formerly served as a Staff Psychiatrist at a VA Medical Center, where she specialized in the mental health needs of veterans. Dr. Mark earned her B.S. in Biological Sciences, Summa Cum Laude, from Hampton University, received her MD from the University of Texas Medical Branch, and completed her psychiatry residency at Tulane University School of Medicine, serving as Chief Resident in 2017.

Dr. Mark fosters a warm, supportive environment where patients feel heard and respected. She values open communication and works collaboratively to set clear, personalized treatment goals. Deeply committed to service, she has supported underserved and marginalized communities through various nonprofit initiatives.

During initial sessions, Dr. Mark takes time to understand each patient’s history, concerns, and goals. She then creates individualized treatment plans aligned with each patient's unique needs and preferences. Dr. Mark encourages ongoing dialogue to adapt care plans and support long-term progress.

Bethanie is a board-certified Mental Health Nurse Practitioner who earned her Psychiatric Mental Health Nursing credentials and a Master’s in Psychiatric and Mental Health Nursing from Columbia University School of Nursing, where she was inducted into the Sigma Theta Tau Nursing Honor Society. She has been in practice for over 10 years, providing care to individuals with anxiety, depression, bipolar disorder, and schizophrenia. Bethanie also has a strong passion for supporting women’s mental health during the perinatal phase of life.

She believes in a collaborative partnership with her clients, working together to develop a mutually agreed-upon plan of action that maximizes the chances of success.

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Dr. Perington is a Staff Psychiatrist with Talkiatry. She previously served in the US Air Force, where she completed her residency training in psychiatry (Lackland AFB) and was the medical director for a small-sized mental health clinic (Hill AFB). Dr. Perington uses a person-centered approach to tailor treatment to the individual, with an emphasis on shared decision making. She prefers to focus on psychotherapy and behavioral interventions as a primary part of the treatment plan, in addition to any indicated medication.

Motivation for change is a large part of the healing process, and for many people recovery doesn't happen with medication alone. Dr. Perington asks all her patients to play an active role in their treatment.

A thorough diagnostic assessment with discussion of the best treatment setting and modality, then regular follow up visits with emphasis on psychotherapy in addition to medication management (if indicated).

Dr. Fatima Ghandour is an adult psychiatrist originally from Southeast Michigan. She earned her undergraduate degree at the University of Michigan and her medical degree at Western Michigan University Homer Stryker MD School of Medicine. She completed her psychiatry residency at Authority Health in Detroit, where she was recognized as Resident of the Year in her graduating class. Dr. Ghandour has experience practicing in both outpatient and inpatient settings and has treated a wide range of conditions including depression, anxiety, ADHD, and PTSD.

Dr. Ghandour values open communication and collaboration, working closely with patients to set clear and meaningful treatment goals. She fosters a warm, supportive environment where patients feel heard, respected, and empowered to take an active role in their care. Her empathetic and patient-centered approach helps individuals feel safe sharing their unique experiences and challenges.

Dr. Ghandour begins each relationship with a thorough evaluation, taking time to understand each patient’s history, concerns, and goals. From there, she develops an individualized treatment plan that reflects the patient’s needs and preferences. She combines evidence-based strategies with ongoing dialogue to ensure treatment remains responsive and aligned with each patient’s progress and well-being.

Darcie Farrell is an ANCC Board Certified Family Psychiatric Nurse Practitioner.  She has worked exclusively in the field of psychiatry during her forty-year nursing career.  She has worked in many care settings, including as a psychiatric Home Health Nurse and as a Certified Case Manager (CCM) in Psychiatry at Blue Cross Blue Shield. During her time at Excellus Blue Cross Blue Shield, she realized the urgent need for psychiatric nurse practitioners, so enrolled in the BSN/MSN program at the University of Rochester, graduating in 2016 with her BSN and in 2018 with her MSN.  She has strong skills and experience in Motivational Interviewing, having worked as a Motivational Counselor for a University of Rochester's Pediatric Research Program.   She has worked for the past seven years as a Nurse Practitioner in Geriatric Outpatient Psychiatry.

Darcie Farrell is a compassionate provider who is client centered. I rely on evidence-based scientific research when determining the best treatment options for clients.  

Darcie Farrell has a very relaxed process for working with patients which allows the client to provide information that is pertinent to their goals for care.  Then, together, we determine which treatment options are likely to be best for the client.

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