Swarnalata Debbarma, MD

Dr. Delane Casiano is a board-certified adult psychiatrist with specialized interest and expertise in cultural psychiatry. She earned her undergraduate degree from Brown University and her medical degree from Morehouse School of Medicine. She completed psychiatry residency and research fellowship at the University of Pennsylvania. Such organizations as the American Psychiatric Association, National Institute of Mental Health, and Philadelphia Department of Behavioral Health have recognized her research examining cultural influences on mental health beliefs and service utilization.

Dr. Casiano brings a systems-based, culturally informed perspective to her work. With over 15 years of experience, she has supported individuals with diverse backgrounds and identities. Examples of her leadership of multidisciplinary teams include serving as associate medical director of a women's trauma program and founding an integrated care program for underserved communities. She has directed academic training programs, presented at national conferences, and led numerous community-based events focused on mental health awareness and stigma reduction.

Dr. Casiano values compassion and collaboration in the treatment relationship. She helps patients navigate depression, anxiety, ADHD, and post-traumatic stress, while also supporting those facing major life transitions.

Her approach combines evidence-based medication management, supportive therapy, and

psychoeducation. She tailors each treatment plan to the individual while offering encouragement and structure.

Deborah Ford PMHNP, FNP is a dually certified board certified Psychiatric Mental Health Nurse Practitioner.  She is also qualified as a family nurse practitioner.  She completed her education at the University of Cincinnati in Ohio and the University of Kennesaw in Ga.  Ms. Ford has 10 years of treating patients with mental health issues.  Working in various settings such as outpatient, inpatient, private practice and telepsychiatry.

Whether you’re struggling with Schizophrenia, ADD, Anxiety, Depression, PTSD, Bipolar, Panic, or other mental health disorders. Together we can work to help equip you with the necessary tools to help you face and overcome challenges. Please understand you are the priority!   Deborah Ford offers encouragement, empathy, hope and understanding by providing compassion and promoting self-care.  In her free time, she enjoys exercise and travel.  Believing that self-love is an essential part of mental wellness.  She believes in continuous learning and is a patient advocate.  As a team, support is provided with the help of psychotherapy such as cognitive behavioral therapy, mindfulness, psychodynamic therapy using motivational interviewing.  Deborah Ford’s Core Values surround Integrity, accountability, diversity, collaboration, inclusion & respect.

Rebecca Kostopoulos, PMHNP, is a board-certified psychiatric nurse practitioner committed to helping individuals facing mental health challenges lead full and balanced lives.

Her practice primarily focuses on medication management, often combined with supportive or emotionally focused therapy during 30-minute follow-up visits. When appropriate, Rebecca may recommend involving an additional therapist to ensure the most effective and comprehensive care.

She earned her Master of Science in Nursing with a specialization in psychiatry from Columbia University and her Bachelor of Science in Nursing from Boston College. Her training includes psychiatric diagnosis, medication management, and both psychodynamic and cognitive-behavioral therapies.

With over a decade of experience, Rebecca has evaluated and treated adults in a variety of clinical settings. Her previous roles include working at Elmhurst Hospital’s Comprehensive Psychiatric Emergency Program, Gracie Square Hospital’s inpatient unit, as well as in community health centers and skilled nursing facilities.

As a nurse practitioner, Rebecca believes that mental health is just as vital as physical health. She values the therapeutic relationship and approaches treatment with empathy and collaboration, ensuring that each patient receives personalized and compassionate care.

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Dr. Ruchir Arvind is an Adult General psychiatrist. He is a Diplomat of the American Board of Psychiatry and Neurology. He has been practicing for 4 years.

Dr. Arvind believes in collaborative and educational approaches to address his client’s needs. He believes that therapy is a foundational part in building a long term therapeutic relationship with his clients. He tries to put some educational part in helping his client’s to have a deeper understanding about their illness and related struggles and needs. He likes to follow up closely regarding progress towards his client’s goals. He integrates psycho education in all sessions into explaining his reasoning behind the choice of treatment options based on evidence based medicine. He also provides a brief supportive psychotherapy and Cognitive Behavioral Therapy to aid in treatment for depression, anxiety and insomnia.

Dr. Arvind received his medical degree from PramukhSwami Medical College in India and completed his residency training at University of Texas Health Science Center in his Hometown of Houston, Texas. He held an academic position as a faculty with University of Texas Health Science Center – McGovern Medical School in Houston as assistant professor and enjoyed teaching opportunities.

During his pursuit for residency training in psychiatry Dr. Arvind had been extensively involved in clinical research understanding neurobiological and psychological aspects of development of different anxiety disorders and bipolar disorders as early as in childhood populations. He has had Publications for several peer-reviewed articles and manuscripts and presentations at annual conferences.

Dr. Arvind has experience in treating versatile patient populations. His areas of focus have been anxiety disorders, Acute stress and Post traumatic stress disorder, Attention Deficit Hyperactivity Disorder( ADHD ) and Attention Deficit Disorder ( ADD ) , Tics  and Tourette Syndrome ,Insomnia and depression. He has also worker with adults with Bipolar illness and pregnancy related anxiety and depression and helping clients with any psychiatric illness due to underlying neurological issues like Seizures, Multiple Sclerosis and NeuroCognitive Issues along with addressing Caregiver Burden for some clients.

Patients looking for a psychiatric provider will find Dr. Arvind’s approach in a gentle, friendly and educational way with a composed demeanor. He tends to approach Individualized treatment plans based on different needs for different clients and will always welcome any questions regarding the plan to reach Client’s Goals.

Dr. Zeynep Altun is board-certified in Psychiatry and holds a Ph.D. in Neuroscience. Dr. Altun graduated cum laude from Istanbul University, Istanbul Medical School. She completed her residency training in Neurology and is Turkish board-certified in clinical Neurology. Subsequently, she moved to the U.S. and finished her Ph.D. in cellular Neuroscience at Cornell University Graduate School of Medical Sciences. Dr. Altun completed her psychiatry residency training at Albert Einstein College of Medicine, Department of Psychiatry and after, her clinical fellowship in Comprehensive Psychiatric Emergency Program at Columbia University Medical College, New York Presbyterian Hospital. Dr. Altun has practiced in various settings including Bellevue Hospital, New York Presbyterian Hospital, Columbia Doctors Faculty Practice Office, Mount Sinai West and Mount Sinai Morningside Hospitals. Dr. Altun has held various academic appointments at New York University School of Medicine Department of Psychiatry; New York Presbyterian Hospital-Columbia University Medical College Department of Psychiatry; New York State Psychiatric Institute and Mount Sinai School of Medicine Department of Psychiatry. She spent most of her professional career supervising and teaching medical students, psychiatry residents and nurse practitioners. As an adult psychiatrist, Dr. Altun has extensive theoretical knowledge of the nervous system and its disorders and more than 10 years of experience in treating various mental illnesses including mood disorders, anxiety disorders, psychotic disorders, autism-spectrum and neuropsychiatric disorders, psychiatric emergencies and crisis management as well as cognitive behavioral and supportive psychotherapy. In Columbia Doctors, she collaborated closely with the Lieber Recovery Clinic, treating young adults with various mental illnesses. The philosophy of her practice is to collaborate with patients and work together with them so that they can lead symptom-free, productive, and stable lives.

Dr. Gotsche is a board-certified adult psychiatrist who is dedicated to helping individuals navigate their mental health journey. Originally from Illinois, she completed her undergraduate studies at Illinois State University before earning her medical degree from Kansas City University. She went on to complete her psychiatry residency at the University of Oklahoma. Following residency, she worked at the Kansas City VA Medical Center where she primarily focused on outpatient mental health. Outside of her clinical work, she enjoys cooking, reading, cycling, and hiking.

Dr. Gotsche takes a holistic, integrative, and evidence-based approach to mental health care. She emphasizes the importance of building a strong therapeutic alliance and working closely with each patient to ensure treatment fits their unique needs and goals. She is experienced in treating a variety of psychiatric conditions including mood disorders, anxiety, trauma-related disorders, and ADHD. She is committed to providing comprehensive care in a supportive environment.

Dr. Gotsche will conduct a thorough evaluation to learn each patient’s medical history, current symptoms, and treatment goals. She values open communication and a collaborative approach, ensuring that patients are actively involved in the decision-making process. An individualized treatment plan will be developed which may include medication management, psychotherapy, or referrals to additional services as needed. Her goal is to provide integrated, patient-centered care that promotes long-term well-being.