Michelle Hamilton, PMHNP

Dr. Santos is a psychiatrist with more than 4 years of experience practicing in a variety of settings with an emphasis on psychiatric outpatient care. She is experienced in treating several psychiatric disorders including but not limited to: Bipolar and Related Disorders, Depressive Disorders, Anxiety Disorders, Trauma and Stressor Related Disorders, Obsessive-Compulsive and Related Disorders, and Substance Related and Addictive Disorders. Dr. Santos received her medical degree from the University of Queensland in Brisbane, Australia / Ochsner Clinical School in New Orleans, Louisiana. She completed her residency training at Louisiana State University in Shreveport, Louisiana. Dr. Santos tailors her approach to the individual patient. She focuses on medication management and incorporates several therapeutic techniques including supportive therapy, cognitive behavioral therapy, acceptance therapy and mindfulness.

Dr. Deringer is a psychiatrist with board certification in general psychiatry and addiction psychiatry. She earned her M.D. from the University of Michigan Medical School, and she completed her psychiatry residency and addiction psychiatry fellowship training at New York University. She has previously held faculty roles at New York University School of Medicine and Harvard Medical School. She has been involved in training the next generation of psychiatrists through her past work on the Program Director team for the MGH-McLean Psychiatry Residency Program. She has expertise in treating adults with mood disorders, anxiety disorders, substance use disorders, personality disorders, trauma, and ADHD.

Dr. Deringer cares deeply about understanding each patient's unique experience.  She recognizes that mental health symptoms are impacted by an individual's biological make-up, social situation, and their individual way of interacting with others in the world.  She will assess all of these factors and work with you to develop an appropriate treatment plan to help you feel better and meet your goals.  She incorporates supportive psychotherapy into all of her patient meetings; this may include discussions of the role of nutrition, exercise, and sleep habits in your overall well-being.

Dr. Deringer will begin the evaluation process with a thorough one-hour session in which we will discuss your current symptoms, your prior treatment history, your medical history, and your goals for treatment.  At the end of that session, she will begin to formulate her diagnostic impression and treatment recommendations.  Sometimes, the evaluation process may require more than one session, and it may be helpful for Dr. Deringer to gather information, with your permission, from prior treatment or to collaborate with your therapist if you have one.  Dr. Deringer will work with you on a medication treatment plan, if clinically indicated, to help you manage your symptoms and achieve your treatment goals.

Karina Eugenio Vargas, LMHC, LPC received a Master of Science in Education and Clinical Mental Health Counseling from St. John's University of New York. She has completed training at Yale's Child Study Center specializing in Child and Adult abuse and has worked in community mental health and outpatient based settings. For the past 5 years, Karina has dedicated her career to trauma-informed care, specifically using CBT. She has experience working with children, adolescents, and adults treating anxiety, depression, family and relationship issues, and other mental health issues. Karina practices from a Psychodynamic framework and integrates other modalities depending on the needs of each client.

Dr. Julie Rodriguez is an ABPN boarded adult psychiatrist with over 15 years of clinical experience. Dr. Rodriguez's practice focuses on medication management, which is offered in conjunction with supportive therapy. Dr. Rodriguez obtained her medical degree from the Universidad Cat�lica Madre y Maestra Dominican Republic. She then completed her residency in adult psychiatry at the University of Florida, in Gainesville. After completing training, Dr. Rodriguez became a Clinical Assistant Professor for the University of Florida Department of Psychiatry. In this role she served students at UF Student Mental Health at the Counseling and Wellness Center. She also provided treatment to adults in inpatient services and other settings. While doctor Dr. Rodriguez treats a variety of age ranges and diagnoses, she is most passionate about college student mental health with a clinical expertise in the area of mood and anxiety disorders.

Matthew is a board-certified psychiatric mental health nurse practitioner and received his education in this specialty at Maryville University of St. Louis, Missouri.  He has been working in the mental health field for over 20 years and has provided care to patients in diverse care settings including psychiatric hospitals, outpatient mental health centers, psychiatric home health, and telepsychiatry.  Matthew is passionate about expanding access to high quality mental health care to all in need and greatly enjoys collaborating with patients from diverse backgrounds.  In his free time, he enjoys hiking, camping, reading, traveling, and searching for the best Mexican food around.  

Patients working with Matthew should know that he utilizes a very collaborative approach to patient care.  He does not assume that he knows what's best for patients but works closely with them to find the most appropriate and effective treatment plan for the unique individuals that he treats.  For Matthew, safety is always the first priority, but he does not believe in a "one size fits all" approach to mental health care and is focused on tailoring the treatment to the patient.  Matthew utilizes an empathic approach to mental health treatment and patients will feel heard and valued.  

Matthew's process for working with patients includes a thorough psychiatric evaluation at the initial appointment to make sure we are getting to the right diagnosis and remaining on track to improve the patient's mental health. Follow-up appointments are focused on monitoring for progress or regression and working collaboratively to meet mutually agreed upon goals. Collaboration is key!

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Robynn Cavaliere, PMHNP-BC, is a nationally board-certified Psychiatric Mental Health Nurse Practitioner. She earned her nursing practice degree from the University of San Diego (USD). Her passion for helping others began at the age of 16 when she became an EMT and volunteered with a local emergency unit. Inspired by a strong belief in service to country and a desire to follow in her brothers’ footsteps, she proudly served in the United States Marine Corps.

Robynn’s nursing journey began over two decades ago, driven by a deep calling to care for others. She started her career as an LVN on medical/surgical/telemetry floors, advanced to an RN in the emergency room, and eventually became a psychiatric nurse practitioner.

Her extensive nursing experience spans a wide range of clinical settings and patient populations, shaping her approach to interviewing, assessment, and intervention. Robynn applies the Biopsychosocial Model in every patient encounter, believing that a comprehensive understanding of the whole person leads to more effective treatment recommendations, improved outcomes, and better prognoses.

She is deeply committed to making a positive impact in her patients’ lives and giving back to the nursing profession. Robynn precepts student nurse practitioners in her practice and serves as a Clinical Assistant Professor at USD, where she helps educate the next generation of healthcare providers.

Robynn emphasizes the importance of comprehensive assessments, active listening, and building therapeutic alliances that foster trust and create a safe space for patients to share their thoughts and concerns. She collaborates closely with patients to ensure they feel heard, encourages active participation in their treatment, and provides education to enhance insight and promote behavioral change. Her approach includes supportive psychotherapy and incorporates techniques from Cognitive Behavioral Therapy (CBT), Interpersonal Therapy, Reality Therapy, and Solution-Focused Therapy during medication management visits.

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