Tulsie Patel, MD

Dr. Routhier was born in Quebec, Canada. She attended medical school at Ross University School of Medicine and graduated in three years with high honors. She trained as a psychiatry resident at Case Western Reserve School of Medicine in Cleveland, OH where she served as a junior attending and the medical student coordinator. She then was recruited by Monterey County Behavioral Health, CA as a clinical psychiatrist where she provided medication management and psychotherapy services to over 400 patients over the course of five years. She also created and led two dialectical behavior therapy groups for teens and young adults while training therapists and social workers to become group facilitators.

Dr. Routhier firmly believes in the mind-body connection. She feels that when the mind suffers, the body hurts as well and vice versa. As a result, she has developed a holistic approach to psychiatry and is comfortable offering a wide array of treatment modalities such as breathwork, dialectical behavior therapy, guided meditation, supportive psychotherapy, behavioral activation and medication management. She maintains that autonomy and a thorough understanding of one’s diagnosis and prognosis are critical for progress and healing. Her broad range of worldly experiences gives her the ability to work in a non judgemental, open-minded and authentic fashion. She connects with clients with ease and is passionate about self-awareness, constant evolution and empowering people so they can find their own way to happiness and health. She pushes her clients to find ways to build a life worth living, way beyond the goal of symptom resolution typical to psychiatry.

1. Getting to know you/understanding your “why”. Why are you seeking mental health treatment and why now? 2. Establish a list of issues and improvement zones. 3. Creating therapeutic goals. What do you want to work on? 4. Choosing treatment modalities to directly address these goals within a specific time frame. I provide updated and evidence-based information, and YOU choose what we do. 5. Figuring out the root causes to problems, symptoms and maladaptive behaviors/habits. How did this all start? Where does it come from? 6. Regular check-ins on how the treatment plan and therapeutic relationship are working for you. Are we a good fit? Are we meeting your goals/expectations? If not, back to the drawing board!

Dr. Anthony Finch is a graduate of the New York-Presbyterian Hospital/Weill Cornell Medical Center General Psychiatry residency and the Duke University Geriatric Psychiatry fellowship programs; he is board certified in Psychiatry by the ABPN. Dr. Finch was born and raised in New York and now lives in North Carolina. Dr. Finch specializes both in psychiatric medication management and various forms of psychotherapy. He believes that effective psychiatric treatment requires attention to multiple domains, including the establishment of a strong doctor/patient relationship, the development of a sound understanding of who the patient is as an individual, and a comprehensive assessment of spiritual and biological factors contributing to mental health. As such, Dr. Finch's practice includes both pharmacological and psychotherapeutic interventions that aim to treat the whole person on an individualized basis. He sees patients of all ages, specializing in older adults, and treats all psychiatric conditions. Dr. Finch received the 2023 Distinguished House Staff Award from the New York Weill Cornell Medical Center Alumni Council; this is awarded to one graduating house staff member from each department annually for excellence during training. He has conducted research on depression and PTSD, published a number of papers in peer-reviewed journals, presented posters at conferences, and written a chapter for a book on medical education. He practices in both English and German.

Dr. Kasey Broom earned her medical degree from the University of South Carolina School of Medicine Greenville and completed general psychiatry residency and an addiction psychiatry fellowship at the Medical University of South Carolina in Charleston. She holds undergraduate and master’s degrees in biomedical engineering. Dr. Broom has experience in telepsychiatry, inpatient, outpatient, and interventional psychiatry settings, with expertise in treating mood, anxiety, trauma-related, attention, and substance use disorders, as well as women’s behavioral health and veteran populations.

Dr. Broom believes it’s a privilege to be part of her patients’ healing journey. She fosters authentic, therapeutic relationships in a supportive, judgment-free space that encourages open, honest communication. Her collaborative style integrates motivational interviewing, supportive psychotherapy, and cognitive behavioral strategies, all while providing evidence-based, patient-centered care that may include medication, therapy, and lifestyle changes.

In the initial session, Dr. Broom focuses on understanding each patient’s history, concerns, and personal goals. She creates individualized treatment plans that align with those goals and emphasizes education to help patients better understand their diagnoses. Through this approach, she empowers individuals to actively participate in their care and take meaningful steps toward recovery.

Dr. Stephanie Negrey is a board certified psychiatrist. She completed her undergraduate degree in Biology and History at Fordham University in the Bronx and then attended medical school at the Renaissance School of Medicine at Stony Brook University. She completed her residency at Wright State University in Dayton, Ohio as a member of the United States Air Force. Dr. Negrey served as an active duty psychiatrist; her duties included medical director of the mental health clinic at a special operations base as well as a program manager for the Air Force substance use program.

Dr. Negrey has experience treating a wide range of ages and diagnoses, with particular emphasis on personality disorders, depression, anxiety, and post traumatic stress disorder. She integrates supportive and psychodynamic therapies into her medication management appointments with a goal of achieving improvement through a holistic approach. Dr. Negrey will work with patients to reach their goals for their mental health care while also providing a compassionate and collaborative environment.

Megan O’Brien is a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP) with experience in inpatient, outpatient, and emergency mental health settings. She earned her NP degree from UCSF, the top-ranked program in the country at the time. In addition to clinical work, she enjoys teaching and is passionate about training the next generation of compassionate psychiatric nurse practitioners.

Megan believes in meeting patients where they are, offering empathy, respect, and acceptance. She values open communication and sees treatment as a collaborative process. Her approach empowers patients to take the lead in their care while she supports them as a partner and guide along the way.

Megan begins by listening carefully to each patient’s story and asking relevant questions to understand their needs. Together, she and the patient build a tailored treatment plan that aligns with their goals. Her focus is on reducing mental health symptoms and helping people experience greater freedom and flexibility in their lives.

Dr. Nathan Schulz attended the Ohio State University College of Medicine where he received his degree before completing a residency in psychiatry at the University of Illinois, Chicago. After several years working with veterans at the Jesse Brown VA in Chicago, he returned to his home state of Iowa in 2022. Since then, he has continued to work with a wide variety of clients and conditions in both inpatient and outpatient settings, including at the University of Iowa and Clive Behavioral Health hospital.

Dr. Schulz values open, honest, and ongoing dialogue about how mental health treatment can improve wellbeing and lead to healing. Over time, he tailors treatment recommendations based on individual needs, which may include medication, therapy, lifestyle changes, or other approaches. He avoids a one-size-fits-all model and creates an environment where patients feel respected, understood, and supported as unique individuals.

In the first meeting, Dr. Schulz works to understand each patient’s goals, experiences, and preferences. Some arrive knowing what they want, while others are new to exploring mental health challenges. His goal is to meet patients where they are and adjust treatment focus as needs evolve. He emphasizes collaborative decision-making, clearly discussing treatment options, pros and cons, and next steps, while ensuring patients feel informed and empowered throughout care.