Michael Escamilla, MD

Dr. Jen Wygant is a board-certified psychiatrist who specializes in adult psychiatry. She completed her residency training in general adult psychiatry at the University of Michigan and received her medical degree from Rocky Vista University College of Osteopathic Medicine. However, she took a non-traditional path to medical school. She earned her undergraduate degree in nursing at Northern Michigan University where she also did Army ROTC and competed on their cross-country ski team. After graduation, she went on to work as a nurse in the Army and compete on the US National Biathlon Team.

During her training, Dr. Wygant gained extensive experience treating a wide range of diagnoses with particular emphasis on PTSD, anxiety and depression in diverse populations, including college students, LGBTQIA+ individuals, perinatal individuals, Veterans and those with socioeconomic disadvantages.

Through her work as an Army nurse, lifestyle as an elite level athlete, and training as an Osteopathic physician she has developed a holistic and compassionate approach to providing care as well as an understanding of challenges unique to athletes and Service members. She integrates multiple types of therapy into her medication management appointments and collaborates with patients to form an individualized and empowering care plan that aligns with their goals and priorities.  

Dr. Wygant looks forward to working with you!

Dr. Cabrera is a board‐certified psychiatrist with several years of experience working with an ethnically and culturally diverse population in outpatient, inpatient, and psychiatric emergency room settings. Most recently, Dr. Cabrera practiced privately treating adults with a wide range of mental illnesses both in person and via telepsychiatry. Prior to this, she was an attending psychiatrist in the outpatient department and in the Comprehensive Psychiatric Evaluation Center at Mount Sinai Beth Israel where she also served as Associate Training Director of Psychiatric Residency Training. Dr. Cabrera has a strong background in psychopharmacology and supportive and psychodynamic psychotherapy.

Richard "Rick" States is a Licensed Professional Counselor, with broad and varied professional work experience in behavioral health (inpatient and outpatient, individuals and families, children and adults, direct service and program administration). Rick earned his B.A. in Psychology at Gannon University and his M.A. in Clinical Psychology at Edinboro University of Pennsylvania.

He's earned a Post-Master's Certificate in General Psychology from Northcentral University and has completed many doctorate credits in Psychology. Since 1999, Rick has taught university courses in Psychology, Sociology, and Human Services, most recently at Gannon University and Penn State University.

Rick's greatest area of clinical interest and skill centers around self-regulation or "how we manage" our thoughts, feelings, emotions, behaviors, etc. Rick appreciates the challenges related to anxiety, stress, depression, substance use, and trauma, and he employs various tools to help folks manage (e.g., cognitive behavioral therapy, psychodynamic therapy, humanism, mindfulness/somatic psychology, etc.).

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Dr. Akhtar is a board-certified psychiatrist specializing in compassionate and comprehensive mental health care. She focuses on medication management for a wide range of psychiatric conditions, providing supportive therapy to help individuals navigate life's challenges and enhance their overall well-being, while emphasizing lifestyle changes and the development of coping skills. Dr. Akhtar completed her medical degree at the American University of Antigua, gaining a profound understanding of the biological, psychological, and social aspects of mental health. Following her residency at Bergen, Newbridge Medical Center, where she was appointed Chief Resident in her fourth year, she worked for several years in both inpatient and outpatient hospital settings. Committed to holistic wellness, Dr. Akhtar believes in empowering individuals to make positive changes in their lives and offers guidance on nutrition, exercise, sleep hygiene, and stress management techniques. She is dedicated to fostering a therapeutic alliance built on trust, empathy, and collaboration. Her approach is rooted in evidence-based practices and tailored to meet the unique needs of each individual under her care.

Dr. Jennifer Ruch is a board-certified psychiatrist who strives to understand her patients' lived experiences and aspirations to develop supportive therapeutic relationships through empathetic listening, mutual trust, and respect. She collaboratively creates individualized care plans that align with personal treatment goals in a safe and judgment-free environment. After completing her Bachelor of Science degree in Human Biology with a focus in psychology from the University of California, Merced, she earned her medical degree from Lake Erie College of Osteopathic Medicine. Dr. Ruch completed her General Psychiatry Residency at Arnot Ogden Medical Center in New York. Her clinical experience involves treating individuals of all age groups from diverse populations and socioeconomic backgrounds suffering from anxiety, depression, bipolar disorder, psychotic disorders, neurodevelopmental disorders, and neurocognitive disorders. She has provided care in inpatient and outpatient psychiatric facilities, the Veterans Affairs Medical Center, emergency rooms, state facilities, and an inpatient chemical dependency center. She also performed pre-procedure psychological evaluations for bariatric and spinal cord surgeries, and psychiatric consult liaison services on medical units and has clinical training in inpatient and outpatient neurology. Her clinical experience incorporated treatment modalities such as pharmacotherapy and interventional psychiatry, including Transcranial Magnetic Stimulation and Spravato. Dr. Ruch integrates a wide array of psychotherapy as needed; however, her practice primarily focuses on medication management while utilizing referrals to therapists and providing collaborative care for optimal outcomes.

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.