Natalie Gugino, MD

Staff Psychiatrist

“It is not the strength of the body, but the strength of the spirit.” - J.R.R. Tolkien

Medication Management
Years of Experience
New York

• Jacobs School of Medicine and Biomedical Sciences, MD & Residency

• George Washington University School of Medicine and Health Sciences


Dr. Natalie Gugino is originally from Upstate New York. She attended SUNY Buffalo for her undergraduate education and graduated summa cum laude with her Bachelors of Science in Biomedical Science 2011. She then went on to attend the SUNY Buffalo School of Medicine, now called the Jacobs School of Medicine, from 2011 to 2015.

She chose to stay in Buffalo for her residency in General Psychiatry because of their excellence in teaching and their Comprehensive Psychiatric Emergency Program (CPEP). During residency, she served as the Chief for the Resident Psychotherapy Clinic and gave her grand rounds presentation on the interrelation between trauma and psychosis. She graduated in 2019 and moved to Arlington, Virginia, where she completed her fellowship in Consultation Liaison (CL) Psychiatry at INOVA Fairfax Medical Center, through George Washington University, focusing on the overlap between psychiatry and medical/physical illness. Whilst there, she also worked as a psychiatrist at an INOVA HIV Clinic and facilitated a metastatic breast cancer support group. She attained her board certification in General Psychiatry in 2020. She graduated from CL fellowship in 2020 and then began working at INOVA Behavioral Health as a staff psychiatrist. She managed a spectrum of diseases with a caseload of over 600 patients, from high functioning major depression and generalized anxiety disorders to refractory schizophrenia and bipolar disorder. She managed a number of cases involving intellectual disability, dementia with behaviors, and perinatal maternal psychiatric illness. She also supervised the CL fellows for their weekly table rounds to discuss challenging cases.

Dr. Gugino’s approach to mental health goes beyond medications. Therapeutic rapport is most important and the cornerstone of good treatment. With her CL background, she will often recommend a medical workup if necessary before commencing treatment. She believes psychotherapy is an integral part of treatment plans, alone or in addition to other modalities. Her therapy approach is largely a composition of supportive, psychodynamic, and cognitive-behavioral interventions. She teaches her patients a healthy respect for medications, as well as their indications, mechanisms, and uses, with the lowest effective dose as the goal. Controlled substance medications may be prescribed appropriately and judiciously, with firm boundaries around drug and alcohol use, including cannabis. She also incorporates simple interventions like hydration and exercise into treatment plans.

Professionally, Dr. Gugino is interested in anxiety disorders, particularly generalized anxiety disorder, panic disorder, and post-traumatic stress disorder.

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