Michael Escamilla, MD

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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Douglas Brennan, MD, earned his medical degree from the University of Colorado School of Medicine and completed an adult psychiatry residency at Massachusetts General Hospital (MGH) and McLean Hospital. He also completed a forensic psychiatry fellowship at MGH. Dr. Brennan has experience in both outpatient and inpatient settings, supervising residents and mid-level practitioners, and working in emergency and inpatient facilities. He remains on staff at MGH as an instructor for Harvard Medical School and is double-board certified in adult and forensic psychiatry. His outpatient work includes several years treating patients at the Department of Veterans Affairs with post-traumatic stress disorder, depression, and anxiety.

Dr. Brennan enjoys collaborating with patients to understand their goals, set expectations, and provide education on treatment options. He offers medication management evaluations and follow-up visits while working alongside licensed therapists to provide behavioral support as needed.

Dr. Brennan begins by thoroughly reviewing each patient’s history, concerns, and goals in the initial session. He then develops individualized treatment plans tailored to the patient’s objectives, ensuring care aligns with their personal goals and needs.

Dr. Colleen Ryan is a psychiatrist who grew up in Kentucky and has trained and practiced in a wide range of clinical settings. Her experience spans inpatient and outpatient care, community mental health, state hospitals, addiction clinics, VA hospitals, and academic medicine. She became board certified in addiction medicine in 2019, deepening her understanding of how addiction affects individuals and families. She has also worked extensively with patients experiencing Post-Traumatic Stress Disorder, including both military- and civilian-related trauma. Her diverse background allows her to appreciate the complex personal, social, and medical factors that influence mental health.

Dr. Ryan believes effective treatment begins with understanding a patient’s life experiences and perspective. She takes time to explore how patients see their challenges and what is or is not working for them. While medication can be an important tool, she does not focus on medication alone and values open discussion about its benefits and concerns. She prioritizes understanding how patients are functioning across all areas of life and strongly values a collaborative approach, viewing treatment as a partnership built on shared decision-making.

Dr. Ryan begins with a thorough evaluation that includes medical and family history, ensuring that underlying medical issues are not overlooked. The first visit is also an opportunity to build rapport and help patients feel comfortable. Together, she and her patients develop a treatment plan aligned with the patient’s goals. She recognizes that goals evolve over time and works collaboratively to adjust treatment as part of the ongoing growth process.

Dr. Alejandra Vivas is board-certified in adult psychiatry and board-eligible in child and adolescent psychiatry. She completed her general psychiatry residency at Montefiore Medical Center and a child and adolescent fellowship at Mount Sinai School of Medicine. Dr. Vivas brings extensive experience from outpatient, emergency, and telepsychiatry settings. She has advanced training in CBT, Motivational Interviewing, and Psychodynamic Therapy. Fluent in English and Spanish, she is committed to culturally sensitive, individualized care.

Dr. Vivas fosters a warm, respectful, and professional space where patients feel seen and empowered. She values open communication and builds collaborative relationships to align treatment with each person’s values, goals, and lifestyle. Her approach is integrative and flexible, grounded in evidence-based methods to support lasting, meaningful change.

Dr. Vivas begins with a thorough evaluation to understand each patient’s history and goals. She creates customized treatment plans that may include therapy, medication, or both. Drawing on CBT, Motivational Interviewing, and Psychodynamic Therapy, she adapts care to meet evolving needs, aiming to relieve symptoms, foster resilience, and support long-term well-being.

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Jenna McDonald is a Licensed Mental Health Counselor in New York State who has extensive experience working in the mental health field. Jenna attended undergraduate school in Amherst, NY , graduate school in Buffalo, NY, and completed internship programs during her time there at both schools. Jenna continues to obtain knowledge through regular trainings and certifications that interest her, including EMDR.

Jenna has worked directly with many different kinds of clients, who have experienced an array of mental health concerns at all levels. Jenna also has experience in working with comorbid disorders that can at times go hand-in-hand such as anxiety & depression, or homelessness & substance use. Jenna has been working in mental and behavioral health for approximately 10 years and continued after being fully licensed, which required 3000 hours of supervised experience as well. As an LMHC , Jenna likes to focus on helping those with anxiety, depression, relationship/employment concerns, and overall transitions of life ( school/work/medical issues/moving stressors etc), which may hinder daily life. Working with Jenna, treatment is tailored to the individual client in order to choose the treatment plan that fits that individual’s personal struggles.

Jenna uses a mix of different approaches typically found in Solution Focused Therapy, Person Centered Therapy , Motivational Interviewing , and Cognitive Behavioral Therapy. Whether the goal is talk therapy or problem solving , Jenna would be more than happy to explore your goals with you.

Dr. Nicole Martinez received her Master's and Doctorate from the Illinois School of Professional Psychology and completed her pre-doctoral and post-doctoral fellowship at Gateway Foundation in Lake Villa, Illinois. She earned a double major in Psychology and Therapeutic Recreation at the University of St. Francis. Dr. Martinez has extensive experience working with children, adolescents, and adults in individual, family, and group treatment. Her therapeutic approach is integrative, combining Cognitive Behavioral Psychotherapy (CBT) with holistic methods, emphasizing Solution Focused Therapy, Reality Therapy, and Positive Psychology. She believes in the mind-body connection and that exploring various areas of an individual's functioning is essential for optimum physical and emotional health. Dr. Martinez emphasizes a collaborative therapist-client relationship, where both act as partners in designing treatment goals. She values identifying ineffective past modalities to avoid frustration and ensure personalized care. Recognizing that each person is unique, she adapts to the patient's evolving needs, ensuring they feel heard and supported for positive outcomes. Her areas of expertise include health psychology, complex trauma, PTSD, depression, anxiety, social anxiety, bipolar disorder, ADHD, autism spectrum disorders, LGBTQIA populations, bereavement, forensics, substance abuse, couples work, MISA, co-occurring disorders, domestic violence, sex offenders, special needs populations, and chronic medical issues and rare diseases. She is skilled in the evaluation and assessment of these populations.