Richard Hess, MD

Dr. Upton Thomas is a board-certified psychiatrist who takes a warm, collaborative, and evidence-based approach to care. With a focus on treating mood disorders, anxiety, OCD, and substance use, he integrates psychopharmacology and psychotherapy to support patients in achieving meaningful change. He brings curiosity, creativity, and a deep respect for each individual’s story to his clinical work.

Patients often find Dr. Thomas easy to talk to and appreciate his calm, thoughtful demeanor. He emphasizes shared decision-making and believes that treatment works best when the patient’s values and voice are at the center. Dr. Thomas aims to create a safe space for honest dialogue and ongoing reflection as treatment evolves.

Dr. Thomas begins with a comprehensive evaluation to understand each patient’s mental health history, current concerns, and goals. He then develops an individualized treatment plan that may include medication, therapy, or both. He prefers to use the lowest effective dose of medications and often integrates psychotherapeutic strategies such as CBT, DBT, or insight-oriented work into his sessions.

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Dr. Panchal is a board-certified adult psychiatrist who works with motivated adults to navigate and discover the root of their mental health struggles. Since working in private practice, Dr. Panchal knows that discovering the root of difficulties allows clients to find healthy perceptions of themselves and strengthen their relationships so they can know themselves as a whole. She is trained in multiple therapeutic modalities as well as medication management, implementing individually tailored treatment. Her educational background includes training in psychodynamic psychotherapy with the Psychoanalytic Association of New York. She has completed her psychiatry training at Delaware Psychiatry Residency Program in New Castle, Delaware.

Dr. Dominique Holley is a triple board-certified psychiatrist in Adult Psychiatry, Child and Adolescent Psychiatry, and Addiction Medicine. Dr. Holley completed her post-doctoral residency and fellowship training at Walter Reed National Military Medical Center. She has served as an active US Army officer and recently separated from the US Army after 11 years of service. In her most recent role, she served as the Deputy Chief of the Department of Behavioral Health at Fort Campbell, KY where she provided clinical and administrative supervision, as well as mentorship and guidance for an interdisciplinary team of over 140 personnel. She maintained oversight of behavioral health care being delivered through 11 clinics and satellite locations, providing patient care for over 30,000 beneficiaries. While in leadership, she continued to provide direct patient care for service members and dependents including child and adolescent populations. Due to her experience with this unique population, she has extensive experience in treating individuals with trauma. She offers an holistic approach when caring for individuals dealing with mental illness as well as phase of life circumstances. She believes in treating the whole person and attending to physical, spiritual, and mental health. Dr. Holley provides supportive, cognitive behavioral, acceptance and commitment, and psychodynamic therapy skills that complement medication management in order to help improve wellness.

Dr. Ali Imran is double board-certified in Adult Psychiatry and Child and Adolescent Psychiatry by the American Board of Psychiatry and Neurology. He completed his psychiatry residency training at SUNY Downstate Medical Center. He completed his Child and Adolescent Psychiatry Fellowship at Hofstra/Northwell Zucker Hillside Hospital. He has practiced in various settings over his career, including inpatient psychiatric units, adult and child outpatient treatment clinics, urgent care centers, and emergency psychiatric treatment centers. Dr. Imran has more than five years of experience treating patients with depression, anxiety, OCD, bipolar disorder, ADHD, and learning disorders. Dr. Imran's approach is collaborative, supportive, and patient-centered.�

Dr. Natalie Armijo is a board-certified adult psychiatrist with over twenty years of experience. She completed medical school, internship and residency at the University of New Mexico. She has worked for private HMOs and government facilities. Her private practice combines conventional treatment with nutrition and physical activity to support total health.

Dr. Armijo treats patients, ages 18 to 64, who have conditions related to anxiety, depression, trauma and ADHD with medication and supportive therapy. Her clinical interests include integrative medicine and nutritional psychiatry.

Your first visit with Dr. Armijo will range from thirty minutes to one hour and is designed to collect and clarify information about you. Topics will include your current symptoms, previous mental health treatment, medical conditions, substance use and family history. She will review treatment options, including their risks and benefits. At the end of the visit, she will let you know if her clinical experience and the limitations of an online platform are compatible with your needs. Your safety is her priority.

Follow-up visits range from twenty to thirty minutes and will initially focus on how you are responding to treatment. As your condition stabilizes, she will help you.

- Organize a long-term mental health

- Develop discipline to accomplish your goals

- Evaluate your progress

- Maintain motivation to reach your highest potential

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Dr. James “Jim” Staudenmeier is a physician with a distinguished career in military and civilian psychiatry. A retired Colonel in the U.S. Army, he has served as a plenary and invited speaker at national and international conferences on topics including addiction, electroconvulsive therapy, hypnotherapy, and quality improvement. He is a Certified Healthcare Executive, holds a master’s degree in preventive medicine and biometrics, and has published in peer-reviewed journals. His clinical background includes pain management, addiction psychiatry, child and adult psychiatry, and academic appointments at multiple universities.

Dr. Staudenmeier values collaboration and encourages patients to ask questions, clarify expectations, and identify their primary concerns from the start. While medication management is part of care, he emphasizes insight, goal setting, and skill building. He integrates hypnotherapy, guided imagery, relaxation, and meditation to support wellness, pain management, sleep, anxiety, and addiction, tailoring treatment to each patient’s needs.

Dr. Staudenmeier takes a flexible, whole-person approach, combining medication management with evidence-based therapies such as CBT, CPT, motivational interviewing, and family-based interventions. He works comfortably with children, adults, families, service members, Veterans, and individuals facing life transitions, including end-of-life concerns. His goal is to help patients develop practical tools for lasting mental, emotional, and spiritual well-being.