Richard Hess, MD

Dr. Pressley Warrick is a double board-certified psychiatrist specializing in general psychiatry and child and adolescent psychiatry. Dr. Warrick currently practices full-time, offering comprehensive psychiatric care to children, adolescents, and adults. She previously established and led a Behavioral Health Clinic integrated within a Family Medicine Practice. Prior to this role, Dr. Warrick provided dedicated psychiatric care at a private psychiatry practice for over a decade.

Dr. Warrick earned her medical degree from the Medical University of South Carolina, completed residency training at Baylor College of Medicine's Menninger Department of Psychiatry and Behavioral Sciences, and pursued additional specialization through a Child and Adolescent Psychiatry fellowship at Palmetto Health/USC School of Medicine.

Known for a collaborative and holistic treatment approach, Dr. Warrick emphasizes individualized care and evidence-based practices to support patients’ mental wellness. Her professional excellence has earned recognition as Sumter’s Best Psychiatrist for consecutive years.

Dr. Warrick’s preferred treatment modalities include medication management, psychodynamic psychotherapy, and supportive psychotherapy. She specializes in treating depression, anxiety, ADHD, autism, OCD, bipolar disorder, and PTSD. Her typical approach for new patients involves taking a detailed patient history, establishing rapport, and setting clear treatment goals in partnership with her patients.

Dr. Ann Landowne is Board Certified in Adult, Adolescent, and Child Psychiatry. She has over thirty-five years of experience helping people of all ages cope with a wide range of problems. Dr. Landowne received her medical and psychiatric training at Albert Einstein College of Medicine and advanced training in psychotherapy at the Psychoanalytic Association of New York where she is on the faculty. She focuses on medication management and is holistic in her approach to people and the difficulties they face in life. She has expertise in the treatment of children and adolescents with emotional and behavioral problems, and people struggling with anxiety, depression, bipolar disorder, obsessive-compulsive symptoms, and eating disorders.�

Dr. Karina Fatova is a board certified psychiatrist who hails from New York City but has made New Orleans her home for the past ten years. She is a graduate of Albert Einstein College of Medicine in Bronx, NY, and she did her adult psychiatry residency at Tulane University in New Orleans, LA. She was proud to have her first position post-residency at the River Oaks Hospital Trauma Unit in New Orleans, LA where she treated patients with Complex PTSD and eating disorders. The Trauma Unit was one of a few of its kind nationally because it provided very specialized treatment that was affordable to many. Dr. Fatova then went on to work at the New Orleans Veterans Affairs Hospital for the last five years in its ambulatory outpatient mental health clinic. Though her passion is Complex Trauma/PTSD, she also regularly saw veteran patients who have been diagnosed with anxiety, depression, bipolar disorder, ADHD, and adjustment disorder. During her five years at the New Orleans VA, she received three special commendations from the director of the VA for feedback from her patients about her effective integrative approach to supportive psychotherapy and medication management. She believes that her rapport with her patients, and their therapeutic work together, is just as important as the medication she prescribes to heal or alleviate their symptoms. Dr Fatova employs psychodynamic therapy techniques, at times, to help those patients who would like to explore childhood experiences that may continue to impact them in their adult lives. With respect to medication management she regularly helps patients target symptoms such as sleep issues, nightmares, persistent worry, emotional dysregulation, frequent mood changes, impulsivity, and "toning down the nervous system," among others. She strongly believes that treatment decisions are best approached as a collaboration between patient and doctor. She sees young adults who are just starting their journey into adulthood, as well as adults who have been navigating life with challenges, which may include untreated, or poorly treated, mental health symptoms. Often, by the time Dr. Fatova sees a patient, they may have lost a significant amount of faith in their mental health doctors, and she is particularly attuned to helping individuals with this type of experience.

Virginia Hogan, PMHNP, is a dedicated psychiatric mental health nurse practitioner with experience in both inpatient and outpatient psychiatric care. She began her career in general surgery and primary care before pursuing her passion for mental health. Virginia earned a bachelor’s degree in Biology, a BSN in Nursing, and a Master of Science in Nursing from Northern Kentucky University. She is board-certified through the ANCC as a Psychiatric Mental Health Nurse Practitioner.

Virginia is deeply committed to patient-centered care, always taking into account and respecting each individual’s unique needs and experiences. She emphasizes patient strengths when setting treatment goals and fosters a supportive, empathetic environment. Patients can expect someone who listens attentively, values collaboration, and works to build a positive and mutually respectful therapeutic relationship.

During the initial session, Virginia encourages patients to share their stories in order to gain a full understanding of their history, concerns, and goals. Together, she and her patients develop individualized treatment plans that align with those goals. Follow-up appointments are designed to track progress, celebrate growth, and make thoughtful adjustments as needed.

Dr Mark Giordano is a board-certified psychiatrist with over ten years of experience in adult psychiatry, addiction medication, pregnancy and post-partum care, complex medical consultation, and military health. Dr G practices psychodynamic psychotherapy as well as evidenced based medication management. Dr G has extensive experience working with culturally diverse populations, and is an Army veteran who deployed to Korea and Afghanistan.

Patients often describe Dr G as caring, providing clear explanations, and responsive to concerns.   Dr G highly values his patients trusting him to listen and respect them, as well as in his clinicial skills.  He works hard at helping his patients understand his approach to treatment, and what is happening along the way and why. He may be the medical expert, but he and his patients are partners working together in the process of achieving better health and functionality for them so they can live their best lives.

Dr G starts by explaining his overall approach to medication management and his goal of helping his patients live a better life free of disability. He conducts a detailed evaluation of your concerns, your experiences, and your priorities in treatment.  Dr G develops a unique treatment plan based on your unique needs. He emphasizes positive developments over the course of your work together and makes sure you always have a chance to discuss any questions or concerns you want him to know and answer.

Dr. Avjola Hoxha, MD, has experience practicing in both outpatient and inpatient settings. She earned her medical degree from the University of South Carolina School of Medicine and completed her psychiatry residency and Child and Adolescent fellowship at the University of Florida. She is board-certified and passionate about providing comprehensive, patient-centered care.

Dr. Hoxha values open communication and works collaboratively with patients to set individualized treatment goals. She creates a warm, supportive environment where patients feel heard, respected, and empowered throughout their care.

During the initial session, Dr. Hoxha thoroughly explores each patient’s history, concerns, and goals. She ensures patients fully understand treatment options and develops individualized plans aligned with their goals, always respecting patient autonomy and fostering a collaborative approach to care.

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