Natalia Roque, MD

Dr. Melody Santos is dual-trained in Internal Medicine and Psychiatry, with experience in both outpatient and inpatient settings. She served as Chief Resident and Deputy Chief Resident in East Carolina University’s combined residency program, where she led academic and clinical initiatives. Dr. Santos has published research on topics including adult ADHD and metabolic psychiatry, with presentations at national conferences. She earned her MD from the American University of the Caribbean and a BS in Biology with a minor in Jazz Piano from the University of Tampa. A native Spanish speaker, she is active in community service and church-based outreach.

Dr. Santos values open and clear communication, creating a safe, non-judgmental space where patients feel heard and respected. She blends traditional and innovative approaches, including metabolic psychiatry and dietary strategies, to support wellness. Her care is culturally sensitive and patient-centered, always tailored to each individual’s needs and values. Through empathy and education, she empowers patients and fosters resilience.

Dr. Santos begins with a thorough assessment of each patient’s medical, psychiatric, and lifestyle history. She collaborates with patients to build personalized, evidence-based treatment plans that reflect their goals and preferences. Her holistic care model considers social, cultural, and environmental influences, and she ensures consistent follow-up to adjust care as needed, promoting informed, long-term wellness.

Ronda T. Alaniz, LPC, is a Licensed Professional Counselor with extensive experience providing therapy and case management for children, adolescents, and adults. She currently serves as a Remote Therapist with Hazel Health Services, conducting evaluations and offering evidence-based counseling for clients ages 4–25. With over nine years as a School Mental Health Counselor at Edgewood ISD, Ronda developed and implemented individual and group counseling programs for PK–12 students. She also brings valuable leadership experience as a former Program Director and Case Manager in nonprofit and social service settings. Ronda earned her Master of Arts in Psychology from Stephen F. Austin State University and her Bachelor of Science in Psychology from Texas A&M University.

Ronda creates a warm, supportive, and collaborative environment where clients feel heard and respected. She values open communication and works closely with clients to establish meaningful, achievable goals. Her approach integrates evidence-based methods tailored to each client’s developmental stage and individual needs. Ronda empowers clients through education, self-awareness, and practical coping skills, fostering growth, resilience, and emotional well-being.

Ronda begins with a comprehensive assessment to understand each client’s history, strengths, and challenges. She then collaborates on a personalized treatment plan centered on the client’s goals and progress. Utilizing Cognitive Behavioral Therapy (CBT) and Trauma-Focused CBT, Ronda ensures care remains effective and responsive. Her sessions emphasize emotional regulation, skill-building, and positive self-talk to promote lasting well-being.

Dr. Krithika Mittakanti is a board-certified psychiatrist with experience in both outpatient and inpatient settings. She earned a Bachelor of Science in Biomedical Engineering from The University of Texas at Austin and her medical degree from the University of Texas Southwestern Medical Center in Dallas. She completed her psychiatry residency at Baylor College of Medicine Menninger Department of Psychiatry and Behavioral Sciences in Houston, TX. Dr. Mittakanti previously served as a Staff Psychiatrist at the Michael E. DeBakey Veterans Affairs Medical Center for over seven years, where she evaluated and treated veterans with a wide range of psychiatric conditions including depression, anxiety and panic disorders, PTSD, bipolar-related disorders, ADHD, and substance use disorders.

Dr. Mittakanti practices with empathy, compassion, and active listening, maintaining a non-judgmental approach to create a safe and respectful environment. She values open communication and works closely with patients to establish clear, shared treatment goals.

Dr. Mittakanti begins by gaining a thorough understanding of each patient’s history, concerns, and goals. She takes a holistic approach, considering biological, psychological, social, and environmental factors. Treatment plans are individualized and may include medication, psychotherapy, and lifestyle changes, with a collaborative team-based approach when appropriate.

Paul Pennington is a Licensed Professional Counselor with over 15 years of mental health experience in a variety of settings ranging from schools, private practice, residential facilities, and crime scene crisis counseling. Paul has had the privilege of helping people with various situations including depression, anxiety, stress, anger, trauma, abuse, life transitions, relationships, integration, existential issues, and other obstacles that have caused an imbalance in their lives. Paul specializes in working with teachers, first responders, young parents, and individuals that just want to be seen as who they truly are.‍Paul earned a Bachelor of Science in Psychology with a minor in Sociology from Texas State University and a Master of Education in Guidance and Counseling from Angelo State University. A few of the certifications Paul has earned over the years are: Residential Staff from the Texas Department of Criminal Justice, Certified Anger Resolution Therapist (C.A.R.T.), AgriSafe Farm Response, Trust Based Relational Intervention (TBRI) Practitioner Trainer, Texas Education Agency: EC-12 SpEd, 4-8 Generalist, EC-12 School Counselor, SAFE EMDR, Mental Health First Aid, and Ketamine Assisted Psychotherapy.‍Paul believes everyone is different and takes an individualized approach with each client. He operates from a foundation in Cognitive Behavioral Therapy, Trust-Based Relational Intervention, Solution Focused Therapy, and Mindfulness.

Dr. Carter chose the field of psychiatry with the goal of empowering her patients and equipping them with the skills and tools to improve their mental health. She strives to create a safe, nonjudgmental space where patients feel heard and supported. She strives to destigmatize mental illness and normalize seeking help when struggling. Her passion for psychiatry stems from a deep interest in connecting with people and understanding their unique stories.

Dr. Carter believes the patient-physician relationship should be a partnership, built on trust, empathy, and shared goals. She encourages honesty, collaboration, and open communication, and believes there are no wrong questions, and your voice matters. She encourages questions and feedback and tailors care to each person’s goals, comfort level, and pace.

Dr. Carter wants to get to know the whole person, not just their symptoms. Together, she works with patients to create a personalized and thoughtful treatment plan that may include therapy, lifestyle support, and/or medication, always with room to adjust based on your evolving needs and preferences.

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*THIS PROVIDER CANNOT PRESCRIBE CONTROLLED SUBSTANCES FOR NH PATIENTS* Dr. Peter Truong is a board-certified psychiatrist trained in Adult Psychiatry. He received his medical degree from FIU Herbert Wertheim College of Medicine in Miami, Florida, and completed his residency training at Cambridge Health Alliance – Harvard Medical School.

Dr. Truong treats each patient with a holistic, evidence-based approach that incorporates psychopharmacological and psychotherapeutic best practices. His priority is to build a safe and trusting working relationship with each patient, keeping in mind their unique biological, psychological, social, and spiritual contexts.

Dr. Truong has extensive experience treating depression, anxiety, ADHD, and trauma-related disorders. He incorporates therapy modalities such as supportive, psychodynamic, CBT, and EFT. Other professional interests include LGBTQIA and college mental health, mindfulness, and interventional psychiatry. He has worked with individuals with diverse backgrounds from all walks of life.