Thomas P. Crane, MD

Patricia Grendell is a board-certified Psychiatric-Mental Health Nurse Practitioner who provides mental health care using a personalized, holistic approach. Patricia specializes in psychiatric evaluation and medication management along with psychotherapy and integrative interventions. Prior to receiving education and training in Nursing at New York University and Case Western Reserve University, Patricia earned a Master of Social Work from Boston College with a focus on health and mental health.  

Patricia specializes in working with adults experiencing a wide range of acute and chronic stressors and mental health symptoms. Patricia tailors' treatment to the goals, needs, and comfort level of each individual at her or his own pace. Patricia builds connections with patients so that they feel heard and understood, and partners with each individual to determine the most appropriate treatment strategies that maximize comfort, safety, and positive results.  

Over the past ten years as a Nurse Practitioner in outpatient and inpatient environments, Patricia has helped patients improve and overcome conditions including depression, anxiety, OCD, PTSD, ADHD, and insomnia. Using a combination of medication management, individual therapy, and psychoeducation, Patricia develops individualized treatment plans centered around patients’ priorities and safety to achieve improvements in health and quality of life.

Dr. Wilbur is a Double Board Certified Psychiatrist in Adult and Addiction Psychiatry. He completed his undergraduate degree in Public Health Studies at Johns Hopkins University and his medical education at the UMass Chan Medical School. Dr. Wilbur completed his psychiatry residency training and addiction psychiatry fellowship training at Yale School of Medicine. His practice focuses on medication management, typically offered in conjunction with supportive therapy in 30-minute follow-up visits. Dr. Wilbur has an interest in treating patients with a wide range of psychiatric conditions including but not limited to depression, anxiety, obsessive compulsive disorder, trauma- and stressor-related disorders, and bipolar disorders. He also has experience treating psychiatric conditions in patients experiencing co-occurring medical illness. Dr. Wilbur believes that successful treatment begins with mutual trust between a patient and their doctor. He uses a warm, nonjudgmental, and collaborative approach. His assessments consider the biological, psychological, and social, and cultural factors that impact mental health. He implements a range of evidence-based treatments to alleviate psychiatric symptoms and improve wellbeing.

Dr. Erlach is a board certified adult psychiatrist who has previously worked for the United States Air Force and the Department of Veterans Affairs. He attended medical school at the Uniformed Services University of Health Sciences, graduating in 2009, followed by active duty military service in the United States Air Force until 2024. He completed residency training at the combined military-civilian Wright State University/Wright Patterson AFB training program in Dayton, Ohio.

Dr. Erlach enjoys working with all types of patients. He takes a collaborative approach to patient care and develops a treatment plan alongside the patient so that both are fully invested in the plan. He generally has weekend and evening appointments only.

Dr. Erlach incorporates therapy into medication management appointments. Dr. Erlach feels that addressing psychosocial stressors and developing coping mechanisms are a vital component to treatment.

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Dr. Vargas is an adult psychiatrist who received her medical degree from the University of Texas Health Science Center of San Antonio. She subsequently completed her psychiatry residency training at UT Health San Antonio.

Dr. Vargas has a patient-centered and thorough approach to treatment. She has experience treating a broad spectrum of mental health disorders, with particular interest in depression, anxiety, and post-traumatic stress disorder. She has also worked in clinic with severely mentally ill patients at the South Texas VA in San Antonio.

Dr. Vargas's primary focus is medication management with an emphasis on shared decision-making; however, she frequently also utilizes supportive therapy, cognitive behavioral therapy, and psychodynamic therapy principles in her approach. She may refer patients to a therapist if further support would be beneficial.

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Dr. John's practice focuses on medication management, offered in conjunction with emotionally focused therapy in 30-minute follow-up visits. Occasionally, Dr. John may believe that additional therapy is also needed and ask that you bring a therapist into your care team to provide the best outcome. Dr. John strongly believes in a compassionate, collaborative approach and will provide psychoeducation to help patients make informed decisions and achieve their treatment goals.

Dr. Lanier Summerall attended Yale University, where she studied philosophy in the Great Books Program. She later studied Molecular Biology at the University of Colorado, where she and her husband moved after getting married. She received her medical degree from the University of Colorado Health Sciences Program, and completed her residency at Dartmouth Medical School. She also trained at Massachusetts General Hospital with Dr. Theodore Stern in his area of expertise (Consult Psychiatry) and learned from his immense skill at building strong rapport with all patients.

Dr. Summerall has experience in inpatient, and outpatient settings, along with teaching and research. She has worked in hospital administration, government entities, most importantly the Senate Veterans’ Affairs Committee.

Dr. Summerall values transparent communication and will work with you to create the change. She treats patients as unique individuals and treatment is put into place with individualized plans in mind. Her approach to patients, which emphasizes holistic, patient centered, strength based treatment built on a foundation of strong doctor-patient alliance and evidence based medical knowledge.

Your appointment with Dr. Summerall will be a conversation. She is there to work towards goals together and is a good translator of "medical-ese". She enjoys working with patients on all aspects of their health and caters treatment plans to you.