Thomas Ittoop, MD

Rebecca Jarrell is a Licensed Professional Counselor in Texas and a Licensed Professional Clinical Counselor in California and New Mexico. She has been in the mental health field for over 24 years in a variety of clinical settings. Early in her career, she worked in an inpatient psychiatric hospital on the child and adolescent unit. Most recently, Rebecca has spent over a decade in the private practice setting working with adults and specializing in anxiety, depression, trauma, and grief and loss issues. While she provides a holistic, individualized treatment approach, she has a strong background in Cognitive Behavioral Therapy. She is a Certified Clinical Trauma Professional (CCTP) and a Certified Grief Educator. She feels strongly about treating each client as a unique individual and meeting them wherever they are on their mental health journey. Rebecca is committed to creating a supportive and nonjudgmental environment where clients feel seen, heard, and empowered to make meaningful changes in their lives. Clients looking for a therapist will find Rebecca to be compassionate and direct, encouraging clients to challenge and reframe distorted thoughts while reinforcing positive adaptive behaviors.

Dr. Deringer is a psychiatrist with board certification in general psychiatry and addiction psychiatry. She earned her M.D. from the University of Michigan Medical School, and she completed her psychiatry residency and addiction psychiatry fellowship training at New York University. She has previously held faculty roles at New York University School of Medicine and Harvard Medical School. She has been involved in training the next generation of psychiatrists through her past work on the Program Director team for the MGH-McLean Psychiatry Residency Program. She has expertise in treating adults with mood disorders, anxiety disorders, substance use disorders, personality disorders, trauma, and ADHD.

Dr. Deringer cares deeply about understanding each patient's unique experience.  She recognizes that mental health symptoms are impacted by an individual's biological make-up, social situation, and their individual way of interacting with others in the world.  She will assess all of these factors and work with you to develop an appropriate treatment plan to help you feel better and meet your goals.  She incorporates supportive psychotherapy into all of her patient meetings; this may include discussions of the role of nutrition, exercise, and sleep habits in your overall well-being.

Dr. Deringer will begin the evaluation process with a thorough one-hour session in which we will discuss your current symptoms, your prior treatment history, your medical history, and your goals for treatment.  At the end of that session, she will begin to formulate her diagnostic impression and treatment recommendations.  Sometimes, the evaluation process may require more than one session, and it may be helpful for Dr. Deringer to gather information, with your permission, from prior treatment or to collaborate with your therapist if you have one.  Dr. Deringer will work with you on a medication treatment plan, if clinically indicated, to help you manage your symptoms and achieve your treatment goals.

Dr. Chelsea Karson is a board-certified psychiatrist who completed her residency training at Advocate Lutheran General Hospital where she was Chief Resident of her program. Dr. Karson is passionate about patient care, believing in caring for the whole person. While completing her residency training, she led an interprofessional team to bring miniature-therapy horses to the inpatient psychiatry unit and thereby forge a relationship between the organization and all of Advocate Aurora Healthcare. Dr. Karson partnered with a mental health counselor to create a virtual therapy program of resources, the Bridge Project, to close the gap between inpatient and outpatient care that is now used throughout the Advocate Aurora network. At graduation Dr. Karson received the 2024 Advocate Lutheran General Hospital Ruggie Humanitarian Award. The Ruggie Award selects and honors a graduating resident or fellow who displays academic excellence, commitment to the education of others, professional bearing, and a concern for the patient within the light of Human Ecology. Dr. Karson attended undergraduate at Elmhurst University, a biology major with minors in chemistry and medical humanities. She went to medical school at Rosalind Franklin University and was chosen to join the Gold Humanism Honor Society for her dedication to compassionate patient care.

Dr. Colleen Ryan is a psychiatrist who grew up in Kentucky and has trained and practiced in a wide range of clinical settings. Her experience spans inpatient and outpatient care, community mental health, state hospitals, addiction clinics, VA hospitals, and academic medicine. She became board certified in addiction medicine in 2019, deepening her understanding of how addiction affects individuals and families. She has also worked extensively with patients experiencing Post-Traumatic Stress Disorder, including both military- and civilian-related trauma. Her diverse background allows her to appreciate the complex personal, social, and medical factors that influence mental health.

Dr. Ryan believes effective treatment begins with understanding a patient’s life experiences and perspective. She takes time to explore how patients see their challenges and what is or is not working for them. While medication can be an important tool, she does not focus on medication alone and values open discussion about its benefits and concerns. She prioritizes understanding how patients are functioning across all areas of life and strongly values a collaborative approach, viewing treatment as a partnership built on shared decision-making.

Dr. Ryan begins with a thorough evaluation that includes medical and family history, ensuring that underlying medical issues are not overlooked. The first visit is also an opportunity to build rapport and help patients feel comfortable. Together, she and her patients develop a treatment plan aligned with the patient’s goals. She recognizes that goals evolve over time and works collaboratively to adjust treatment as part of the ongoing growth process.

Amy Bichsel Pacheco Piña is a compassionate and experienced psychotherapist dedicated to helping individuals navigate the complexities of life with resilience and confidence. Amy holds a Master's in Social Work from the University of Nebraska-Omaha in 2008 and is licensed as a Licensed Clinical Social Worker (LCSW). With 16 years of experience in the mental health field, Amy specializes in anxiety, depression, trauma (including Narcissistic Abuse), and grief. Amy prides herself on creating a non-judgmental and healing environment that allows for self-discovery and assists clients in identifying their authentic selves. She has experience in many methods and techniques, ensuring that her approach integrates evidence-based practices with experiential techniques which are tailored to each client's unique needs to allow for nervous system regulation and a sense of safety within themselves. She believes in fostering a collaborative therapeutic relationship where clients feel empowered to set and achieve meaningful goals. From a holistic perspective, Amy incorporates techniques such as identifying strengths, mindfulness, polyvagal techniques, challenging core belief systems, early childhood, and attachment types to heal the mind, body, and spirit. When not working with clients, Amy enjoys being outdoors, reading, and spending time with her husband, son, and two dogs.

Chelsea is a Licensed Clinical Social Worker with over 7 years of experience in the field of mental health. Chelsea studied Sociology at the University of North Carolina in Charlotte North Carolina and obtained a master’s degree in social work at Norfolk State in Virginia. She has experience working with adolescents, adults, seniors, and families in various practice settings, such as psychiatric facilities, crisis stabilization/ substance abuse units, and outpatient agencies.

She specializes in working with individuals challenged with PTSD, Depression, Anxiety, Stress, Self-defeating thoughts, Communication, Boundary setting, Coping Skills, Parenting, and Life transitions. Chelsea is passionate about providing holistic modalities of treatment to assist clients to manage mental health. She has experience using Cognitive Behavioral Therapy, Person-Centered, Solution Focused, and Mindfulness Techniques, Person-Centered and Trauma-Focused Cognitive Behavioral Therapy

Chelsea's approach is empowering, direct, collaborative, and solution-focused, and she uses treatment modalities specific to the client's needs and goals. She believes in meeting clients where they are, advocating for clients’ needs, and creating a safe space for individual healing.

Chelsea is aware of the stigma created surrounding mental health in vulnerable communities. Chelsea believes that seeking therapy is a sign of strength and resiliency. Chelsea is honored to be able to support you on your journey toward healing and evolving.