Saisha Saint-Cyr, MD

Donna is a Board-Certified Psychiatric Nurse Practitioner dedicated to breaking down mental health stigma and expanding access to compassionate, quality care. With over 20 years of nurse practitioner experience, she has supported patients and families through life’s emotional and physical challenges across outpatient, inpatient, and telepsychiatry settings. Donna is passionate about creating a safe, empowering space where individuals feel seen, heard, and valued on their mental health journey.

Donna helps patients become the best, healthiest version of themselves, both mentally and emotionally. She values open communication, mutual respect, and collaborative decision-making. Her treatment plans include medication management, healthy coping strategies, and tools to build self-awareness and resilience. Known for her warmth and empathy, Donna creates a judgment-free environment where every voice matters.

Donna begins by building trust through a compassionate, in-depth initial interview. Together with each patient, she develops a personalized treatment plan that blends medication management with lifestyle recommendations tailored to individual goals and values. Her holistic approach focuses not just on symptom relief, but on fostering lasting growth, confidence, and overall well-being.

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Michelle Kotte is a board-certified Psychiatric Nurse Practitioner with over 13 years of nursing experience. She creates a warm, supportive environment and values open communication. Michelle is passionate about focusing on the whole person and tailoring care to each client’s unique needs.

Michelle’s approach is direct, collaborative, and centered on partnership. She works closely with clients to develop a personalized plan, emphasizing transparency and shared decision-making throughout treatment.

Michelle begins with an in-depth initial assessment covering physical, mental, emotional, social, and environmental well-being. She focuses on medication management, supportive therapy, and lifestyle modifications to help clients reach their goals.

Dr. Sean Culver is an outpatient psychiatrist with experience treating a wide variety of disorders across multiple distinct age groups. He completed his undergraduate education at the University of Pittsburgh, graduating summa cum laude while majoring in neuroscience. He attended medical school at the Ohio State University College of Medicine, where he was granted an annual merit scholarship. Dr. Culver then remained at the OSU Wexner Medical Center for residency training. Outside of psychiatry, he enjoys numerous interests including soccer, hockey, music, photography, and video games.

During residency, Dr. Culver developed particular interest in working with young adults, college students, and athletes, but is comfortable with patients of all ages. He strongly believes in the practice of evidence-based medicine, utilizing the most current research to guide recommendations. He is a strong advocate for patient autonomy and therefore provides psychoeducation on diagnoses and medications so that each patient can make informed decisions which align with their own values.

Dr. Culver approaches each patient in the context of their individual interests, family dynamics, and life goals. He understands that not every patient requires or desires medication and is comfortable in a number of psychotherapy techniques including cognitive behavioral therapy, psychodynamic therapy, and supportive therapy. He emphasizes a trusting and honest therapeutic relationship with his patients.

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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.

Dr. Thomas O’Brien holds a Bachelor of Science degree from the University of Wisconsin–Madison and earned his medical degree from Midwestern University Chicago College of Osteopathic Medicine. He completed his psychiatry residency at Loyola University Medical Center. Dr. O’Brien has experience practicing across outpatient, PHP, IOP, and inpatient settings.

He strives to create a supportive environment where patients feel heard, respected, and understood. His approach emphasizes a holistic, whole-person method to healing, guided by the patient’s own goals and values. Dr. O’Brien integrates psychotherapy with medication management, drawing on his background in psychodynamic psychopharmacology and acceptance and commitment therapy.

Dr. O’Brien focuses on understanding each patient as a whole to create individualized treatment plans. This begins with a comprehensive history during the initial session to identify biopsychosocial factors. Treatment is then tailored to align with the patient’s unique goals and values, promoting meaningful progress.

Dr. Jaffarzad is a board eligible adult psychiatrist who completed her undergraduate training at the University of Texas at Austin and earned her medical degree at the American University of the Caribbean. She completed her psychiatry residency at Louisiana State University Our Lady of the Lake Psychiatry Residency Program. After completing residency, she worked in an outpatient setting and provided consultation liaison services at Our Lady of the Lake Hospital. Moreover, she held volunteer academic positions supervising and instructing residents and medical students. She has experience treating culturally diverse patient populations with a variety of mental health conditions. Dr. Jaffarzad primarily offers medication management in conjunction with supportive therapy during follow-up visits. She values the importance of open communication and a strong doctor-patient therapeutic alliance.