Thomas Spina, MD

Dr. Rania Elkhatib is a board-certified general psychiatrist with extensive experience in clinical care, teaching, and research. She earned her medical degree from the University of Texas Medical Branch in Galveston and completed her psychiatry residency at UTHealth Science Center in Houston, where she later served as an Assistant Clinical Professor. During that appointment, Dr. Elkhatib was heavily involved in medical education and has developed courses in cultural psychiatry and psychiatry boot camps for medical students.

Dr. Elkhatib specializes in treating a wide range of psychiatric conditions, including Major Depressive Disorder, Anxiety Disorders, Bipolar Disorder, OCD, ADHD, and PTSD. Dr. Elkhatib focuses on evidence-based medication management but will also incorporate supportive therapy and cognitive-behavioral techniques to optimize treatment management and patient’s wellness. She is fluent in Arabic and English and has a strong interest in working with diverse patient populations.

Dr. Elkhatib has a holistic approach with focus on medication management while incorporating supportive therapy and cognitive-behavioral techniques to optimize patient wellness.

Dr. Megan Freeman is board certified by the American Board of Psychiatry and Neurology in Adult Psychiatry. She completed her residency training at Vidant Medical Center at East Carolina University in Greenville, North Carolina in 2021 where she was the chief resident. Since then, she has worked as an attending physician at an inpatient adult psychiatric unit in Burlington, North Carolina. As a resident and attending she has treated adults of all ages and in all areas of mental health. Dr. Freeman's talkiatry practice will mostly focus on medication management in conjunction with support or acceptance-based therapy during 30-minute follow-up visits. During this time, Dr. Freeman hopes to collaborate with her patients to help set treatment goals and ways to track progress in between appointments. Dr. Freeman is board certified in adult psychiatry. She enjoys seeing patients with a wide variety of diagnoses including, but not limited to, major depressive disorder, bipolar disorder, post-traumatic stress disorder, obsessive-compulsive disorder, and generalized anxiety disorder. She enjoys combining medication management with various therapy techniques.‍

Dr. Borad is a Board Certified Psychiatrist and has specialized in Addiction Psychiatry. She finished her residency at the WVU campus of Charleston, WV, and finished the Addiction Psychiatry Fellowship at UPMC/Western Psychiatry Institute in Pittsburgh, PA. She has previously worked as an Assistant Professor at WVU of Charleston, where she was involved in working with residents in inpatient and outpatient settings, provided psychiatric consult services to hospitalized patients, and was part of the Outpatient Comprehensive Opioid treatment program where she provided Medication Assisted Treatment for patients with substance use disorders. She has an interest in treating patients with mood, anxiety, and psychotic disorders. Dr. Borad has a special interest in treating individuals having a substance use history and struggling to quit, and has expertise in treating patients with a dual diagnosis of substance use with other psychiatric conditions. She primarily does medication management, in addition to providing some supportive therapy and motivational interviewing to her patients in her 30-minute follow-up appointments. In addition, she may suggest bringing in a therapist to add to your care if clinically necessary.

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.

Dr. Malone is an adult psychiatrist with a passion for the patient-centered nature of psychiatry, specializing in treating anxiety, depression, ADHD, bipolar disorder and women’s health.

Dr. Malone maintains a holistic approach that considers the whole person. Their treatment philosophy centers on empowering patients to take charge of their mental health journey, incorporating comprehensive wellness strategies that help patients actively feel their progress toward better mental health. Dr. Malone completed both medical school and residency training at UT Houston McGovern Medical School, along with additional training in psychotherapy.

Dr. Malone integrates therapeutic techniques with medication management, recognizing that meaningful healing often requires both approaches working together to support each patient’s unique path to wellness.

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Roel Sepulveda is a board-certified psychiatric mental health nurse practitioner (PMHNP-BC) with a Master of Science in Nursing from the University of Alabama at Birmingham. Certified by the American Nurses Credentialing Center (ANCC), he has over 10 years of experience providing mental health care in psychiatric emergency rooms, outpatient psychiatry, and telehealth settings. Roel is committed to delivering comprehensive and accessible care that supports patients across diverse needs and backgrounds.

As a provider, Roel values creating a compassionate and collaborative environment where patients feel comfortable sharing their experiences. He takes a patient-centered approach, meeting individuals where they are and working together to identify treatment goals. Patients can expect a nonjudgmental space where their concerns are heard, respected, and addressed with empathy and understanding.

When working with patients, Roel begins by taking time to understand their history, symptoms, and current challenges. He develops individualized treatment plans that may include a combination of medication management, lifestyle strategies, and coordination with therapy or other supports. His goal is to provide evidence-based care while empowering patients to actively participate in their mental health journey and achieve lasting well-being.