Tyler Josephs, DO

Dr. Matthew Hamilton is a psychiatrist who works with adults at all stages of life in improving mental health. He emphasizes a holistic approach in collaboration with patients to help them identify and achieve their goals. He has experience helping adults from a diversity of backgrounds with depression, anxiety, bipolar disorder, PTSD, panic, OCD, ADHD, substance use and autism spectrum disorder. He offers one-hour initial consultation appointments, as well as 20 to 30 minutes for follow-up visits. Dr. Hamilton received his undergraduate education at the University of Texas at Austin, his medical degree at Texas Tech University Health and Sciences Center, and completed his residency training at the University of Texas Medical Branch. During training he worked primarily with adults in local clinics and acute care hospitals in the greater Houston area. He was honored with an award for his accomplishments in psychotherapy during his senior year of residency. Dr. Hamilton offers his expertise in both medication management and psychotherapy in his practice, including cognitive, behavioral, motivational, and supportive therapies. He will collaborate with your therapist when you are working with one and may offer a referral to a specialist therapist if indicated.

Dr. Earl De Guzman is a psychiatrist who values therapeutic partnership, working with patients to balance symptom relief with meaningful self-exploration. He earned his BS in Psychology from the University of California, Davis, and his MD from Ross University School of Medicine. He completed his psychiatry residency at Los Angeles County + University of Southern California Medical Center and a consultation-liaison psychiatry fellowship at Stanford University Medical Center. He is triple-board-certified in psychiatry, consultation-liaison psychiatry, and addiction medicine, and holds psychoanalytic psychotherapy training certification from the Psychoanalytic Center of California. Currently, he is a psychoanalyst-in-training at the New Center for Psychoanalysis. His expertise spans medication management, supportive therapy, and psychodynamic therapy.

Dr. De Guzman takes a collaborative, patient-centered approach, creating a warm and nonjudgmental environment. He listens deeply, asks thoughtful questions, and encourages honest exploration of symptoms and underlying patterns. He values authenticity, curiosity, and respect for each patient’s unique experiences. While symptom relief is important, his goal is to foster self-understanding and long-term growth. He works best with patients open to collaboration and motivated for change, whether through medication management, therapy, or both.

Dr. De Guzman begins with a consultation phase to ensure a good fit, listening carefully to understand each patient’s challenges and goals. Together, he and his patients build a working alliance by clarifying difficulties, identifying realistic changes, and exploring deeper patterns. When appropriate, he prescribes medication thoughtfully, aiming to support therapy rather than replace it. Each session integrates supportive and psychodynamic elements, combining medication review with therapeutic dialogue. Treatment plans are regularly revisited, allowing flexibility and growth, with the ultimate aim of empowering patients toward lasting change.

Dr. Madiha Halim, MD, has experience practicing psychiatry in both Pakistan and the United States, giving her a well-rounded understanding of mental health across diverse cultures. She earned her medical degree from Army Medical College in Pakistan and completed her psychiatry residency at the University of North Dakota School of Medicine and Health Sciences, where she also served as Chief Resident Physician. In this role, she gained extensive academic and administrative experience while mentoring junior residents and contributing to program development.

Dr. Halim values open communication and strives to create a therapeutic environment rooted in empathy, warmth, and respect. She collaborates with patients to develop individualized treatment plans that integrate cultural, biological, psychological, and social factors. While her primary focus is on medication management, she often incorporates supportive therapy, cognitive behavioral therapy (CBT), dialectical behavior therapy (DBT), and motivational interviewing for a holistic and patient-centered approach.

Dr. Halim begins by taking time to understand each patient’s background, concerns, and goals during the initial session. She emphasizes collaboration, ensuring patients are informed and involved in their treatment decisions. Her process fosters empowerment and partnership, helping patients gain insight, build coping strategies, and achieve long-term mental wellness.

Dr. Michael Gravenstein earned his medical degree from the University of Florida College of Medicine, where he also completed his psychiatry residency. During training, he was recognized with multiple awards, including the Malcom Randall VA Resident of the Year Award, the Ross A. McElroy Psychotherapy Award, and the John “J.D.” Dorian Award for best sense of humor. He has worked across outpatient, inpatient, and consult liaison settings, and has experience treating a wide range of conditions including depression, anxiety, ADHD, OCD, personality disorders, and transitional age concerns. He also has expertise working with LGBTQIA+ patients and provides psychodynamic, CBT, and supportive therapies.

Dr. Gravenstein believes in a comprehensive approach to treatment that integrates medications, therapy, and lifestyle interventions. While medications can be very effective, he views them as just one part of a broader treatment plan tailored to each patient’s needs. He emphasizes individualized care and sees treatment as a team effort, meeting patients where they are and progressing at a pace they feel ready for.

Dr. Gravenstein strives to create a warm, collaborative environment that fosters open communication and genuine connection. He may challenge patients therapeutically but always with careful attention to their readiness and comfort. His goal is to build trust so that meaningful conversations and progress can occur. For him, success is always shared—when patients succeed, they succeed together; when challenges arise, they regroup and move forward together.

Dr. Elizabeth Foote is a board-certified addiction and general psychiatrist practicing medicine for over 15 years.  

Dr. Elizabeth Foote focuses on providing integrated care for those with co-occurring disorders, depression, anxiety, obsessive-compulsive disorder, post-traumatic stress disorder and other forms of mental illness in the outpatient setting.  

She provides medication management as well as psychotherapy which includes drug and alcohol counseling, cognitive-behavioral therapy, psychodynamic psychotherapy, and cognitive processing therapy for trauma.  When combining these treatment approaches, patients receive more comprehensive mental health care.  Treatment begins with an initial assessment and a comprehensive treatment plan developed in coordination with the patient to best meet their needs.

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Dr. Taj Deen earned their medical degree from Dow Medical College in Karachi, Pakistan, and completed psychiatry residency training at Maimonides Medical Center in Brooklyn. They have over 20 years of experience at Jacobi Medical Center’s acute inpatient psychiatric unit, led an acute psychiatric unit for 10 years at Montrose VA Hospital in New York, and served for 25 years in the psychiatric emergency room at Westchester Medical Center.

Dr. Deen prioritizes building a genuine therapeutic alliance with all patients, fostering open communication and collaboration. They work closely with patients to set clear treatment goals and objectives while creating a warm, supportive environment in which patients feel heard, respected, and empowered.

Dr. Deen begins with a comprehensive interview to understand each patient’s history, concerns, and goals. From there, they develop individualized treatment plans tailored to the patient’s objectives, combining compassionate guidance with evidence-based psychiatric care to support meaningful progress.

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