Thomas Spina, MD

Dr. Kirk Murphy, MD, completed residency and fellowship training in Trauma and Consultation-Liaison Psychiatry at UCLA School of Medicine. He also completed subspecialty training at UCLA’s Human Sexuality, Anxiety Disorders, and Mood Disorders Clinics. Dr. Murphy has extensive experience caring for outpatients with anxiety disorders, mood disorders, PTSD, and complex medical conditions.

Dr. Murphy takes time to understand each patient and their unique circumstances. He focuses on clarifying diagnoses and thoughtfully discussing potential treatment options, including risks and benefits. He is committed to creating a supportive, empathic, and respectful environment that prioritizes patient comfort and collaboration.

After learning about a patient’s symptoms and needs, Dr. Murphy establishes diagnoses using standardized diagnostic instruments. He reviews findings with patients and discusses treatment options in detail, ensuring understanding and aligning care with each patient’s values and preferences.

Languages: English and Burmese

Dr. Pe Win is a board-certified psychiatrist.  He earned his medical degree (M.B.,B.S) from Institute of Medicine (1), Rangoon, Burma.  He went to obtain master’s degree in public health (MPH, Epidemiology and Biostatistics) from New York Medical College, Valhalla, New York.  He worked as a researcher in the area of Behavioral Health associated with drug use among HIV patients and Colombian youth.  He published several papers together with principal investigators on NIMH grants.  He received his residency training in psychiatry at Westchester Medical Center, Valhalla, New York.

Dr. Win has extensive experience in working with veterans (23 years in VA health care system) in outpatient setting. He has plethora of experience in dealing with different levels of PTSD (combat-related and military sexual trauma), anxiety, bipolar disorder, depression, OCD, mood disorders as well as behavioral issues related with memory impairment (e.g. Traumatic Brain Injury and  dementia).      

Dr. Win also worked in inpatient setting for both adolescents and adults for 5 years on a part-time basis in Four Winds Hospital, Katonah, New York.

During the first visit, patients can expect comprehensive interview focusing on patient- center approach.  After attentive, compassionate interview and open communication, patients will be evaluated thoroughly of their symptoms, mental and medical heath history, social history, family history, risk assessment, patient’s goals and needs, and treatment plan will be discussed.

He will provide warm and supportive environment by active listening and giving constructive suggestions.  He will explore possible coping strategies, assess patient’s readiness to change, and provide mindfulness, behavioral modification, CBT, motivational interview as well as medication management emphasizing on personalized treatment plan.

Dr. Win is committed to ongoing follow-up visit, reviewing prior discussions, any changes in patient’s mental/medical condition, stress level, side effects of medication, psychoeducation, coping strategies, psychotherapy, and adjustment of care as needed (medication as well as behavioral therapy)

Avi Adri is a board-certified psychiatric nurse practitioner with a passion for helping others achieve their goals through medication management and psychotherapy. He is trained in cognitive behavioral therapy, psychodynamic therapy, and supportive therapy. Avi has experience supporting individuals with depression, anxiety, OCD, bipolar disorder, PTSD, and ADHD. He is an LGBTQIA+ affirming provider who believes in empowering individuals in their lives.

He earned his Master of Science in Nursing with a specialty in psychiatry from Stony Brook University and a nursing practice degree from Chatham University. Avi is committed to providing evidence-based, compassionate treatment for mental health conditions to enhance quality of life. His previous experience includes two years at Columbia University Medical Center on an inpatient psychiatric unit and four years on the medical consultation-liaison psychiatric team, where he treated patients with a range of acute and chronic medical conditions while providing medication management and psychotherapy. His work at Columbia involved treating a wide spectrum of psychiatric conditions with the goal of achieving symptom remission.

Additionally, Avi has practiced at a private clinic in New York City, focusing on interventional techniques such as TMS and ketamine therapy, alongside medication management and psychotherapy.

Through mindful techniques and compassionate care, Avi is dedicated to the well-being of his clients. He views each person as more than a diagnosis and approaches care through a client-centered, holistic lens.

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Bryan Larson is a Psychiatric Mental Health Nurse Practitioner (PMHNP) with a Doctorate of Nursing Practice from Washington State University (2019). He earned his Bachelor of Science in Nursing from Walla Walla University in 2003 and worked for over a decade as an emergency department nurse. Since 2019, he has provided outpatient psychiatric care for diverse patients, offering medication management and support for a variety of mental health diagnoses.

Bryan works with patients from all backgrounds with a focus on treating each individual uniquely. He emphasizes meeting patients “where they’re at” and collaborates in a supportive environment to achieve personalized treatment goals, ensuring every patient feels understood and valued.

During the initial appointment, Bryan reviews a patient’s psychiatric history and current concerns to develop a tailored treatment plan, which may include medication and/or therapy services. He fosters a welcoming environment and continually adjusts care plans to align with each patient’s goals, supporting long-term mental health improvement.

Garmis Sena, LMHC, is a licensed therapist with experience supporting children, adolescents, adults, and families. She brings a background in community mental health, school-based services, and outpatient therapy. Her clinical work includes treating trauma, anxiety, depression, emotional regulation challenges, family conflict, and life transitions. She holds a bachelor’s degree in Psychology and a master’s degree in Mental Health Counseling.

Garmis believes therapy should feel safe while also encouraging growth. She values honesty, trust, and emotional safety, and incorporates a holistic lens that considers mind, body, relationships, and life experiences. Patients can expect to be heard without judgment as she meets them where they are and supports them in building toward meaningful change.

Garmis begins by learning each patient’s story, stressors, and goals. She works collaboratively to identify patterns, triggers, and emotional blocks, and together develops realistic and personalized treatment goals. Sessions are structured yet adaptable, incorporating practical tools patients can use outside the therapy room. She regularly reviews progress and adjusts the approach as growth evolves.

Wayne R. McIntosh, PMHNP-BC, is a dedicated mental health professional with over a decade of experience in psychiatric care. He earned his advanced nursing degree with distinction from Arizona State University and also holds a Bachelor of Science in Nursing from Grand Canyon University and an Associate of Science in Nursing from Harry S. Truman College. He has been a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) since 2015.

Wayne specializes in family-centered care, working with individuals aged 18 to 65. Whether supporting patients through anxiety, depression, ADHD, or life transitions, he develops personalized diagnostic and treatment plans that may include therapy, coping strategies, and, when appropriate, medication. His approach emphasizes clear communication and collaboration, empowering patients to understand their challenges, apply practical tools, and achieve lasting change.

Throughout his career, Wayne has served as a Psychiatric Nurse Practitioner and Associate Director of Medical Services, leading multidisciplinary teams and promoting accessible, high-quality care. As a Faculty Associate at Arizona State University, he has mentored future nurse leaders, focusing on clinical excellence and patient advocacy. His military background and volunteer work further reflect his commitment to serving diverse populations with compassion and respect.

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