Valene Gifford, LMHC

Dr. Karina Fatova is a board certified psychiatrist who hails from New York City but has made New Orleans her home for the past ten years. She is a graduate of Albert Einstein College of Medicine in Bronx, NY, and she did her adult psychiatry residency at Tulane University in New Orleans, LA. She was proud to have her first position post-residency at the River Oaks Hospital Trauma Unit in New Orleans, LA where she treated patients with Complex PTSD and eating disorders. The Trauma Unit was one of a few of its kind nationally because it provided very specialized treatment that was affordable to many. Dr. Fatova then went on to work at the New Orleans Veterans Affairs Hospital for the last five years in its ambulatory outpatient mental health clinic. Though her passion is Complex Trauma/PTSD, she also regularly saw veteran patients who have been diagnosed with anxiety, depression, bipolar disorder, ADHD, and adjustment disorder. During her five years at the New Orleans VA, she received three special commendations from the director of the VA for feedback from her patients about her effective integrative approach to supportive psychotherapy and medication management. She believes that her rapport with her patients, and their therapeutic work together, is just as important as the medication she prescribes to heal or alleviate their symptoms. Dr Fatova employs psychodynamic therapy techniques, at times, to help those patients who would like to explore childhood experiences that may continue to impact them in their adult lives. With respect to medication management she regularly helps patients target symptoms such as sleep issues, nightmares, persistent worry, emotional dysregulation, frequent mood changes, impulsivity, and "toning down the nervous system," among others. She strongly believes that treatment decisions are best approached as a collaboration between patient and doctor. She sees young adults who are just starting their journey into adulthood, as well as adults who have been navigating life with challenges, which may include untreated, or poorly treated, mental health symptoms. Often, by the time Dr. Fatova sees a patient, they may have lost a significant amount of faith in their mental health doctors, and she is particularly attuned to helping individuals with this type of experience.

Nicole Estevez is a licensed mental health counselor in New York and an out-of-state telehealth provider in Florida. She received her Master of Mental Health Counseling from Alliance Graduate School of Counseling (now Alliance University). Nicole has 9 years of experience providing client-centered individual and family therapy services to a wide variety of clients. Nicole has worked in a variety of settings including an outpatient community clinic, in-home family therapy, treating undocumented minors with trauma history, and telehealth. Nicole has experience working with clients who are experiencing anxiety, depression, bipolar disorder, borderline personality disorder, grief, post traumatic stress disorder, and other mental health concerns. Over the years in the mental health field, she believes that the best approach to therapy is a collaborative process with the client to assist in achieving their goals. Nicole has experience with modalities including cognitive behavioral therapy, psychodynamic, motivational interviewing, and dialectical behavioral therapy.

Dr. Caitlin Gardiner is a board-certified psychiatrist specializing in child and adolescent psychiatry and psychotherapy. Dr. Caitlin Gardiner's practice is based on the biopsychosocial model and believes that the foundation of healing is in psychotherapy and human connection. She is known for incorporating therapy into her medication management practice. Typically she offers 30-minute follow-up visits for medication management with focused therapy based on individual needs. As a known helper, Dr. Gardiner started her career with a bachelor's degree in social work from Cazenovia College in Cazenovia, NY. After changing career paths, she received her medical degree from SUNY Upstate Medical University in Syracuse, NY. She stayed upstate to complete her general psychiatry residency, where she was chief resident at the beginning of the COVID-19 pandemic. Following this, she completed her child and adolescent psychiatry fellowship at Upstate due to the high quality of training. Dr. Gardiner has completed 3 years of advanced training in Dynamic Deconstructive Psychotherapy as well as specialized training in DBT. Dr. Gardiner is a well-rounded psychiatrist who enjoys treating youth and young adults during transitional phases of life while providing a safe and supportive environment. She believes strongly in reducing polypharmacy and providing high-quality medication management through a therapeutic and developmental lens.

Dr. Cindy Rossetti is board certified in Adult Psychiatry. She has been practicing for over 13 years. Dr. Rossetti received her medical degree from The University of Arkansas for Medical Sciences in Little Rock. She completed her general psychiatry residency at the University of Kentucky in Lexington where she was chief resident. She worked at Eastern State Hospital in Kentucky treating severe and persistent mental illness. She spent most of her post-graduate time providing outpatient care in a rural and underserved area of Arkansas. Dr. Rossetti offers both medication management and therapy together in 30- and 45-minute follow-up visits. Dr. Rossetti enjoys treating adults of all ages. Her areas of interest include ADHD, Depression, Anxiety, and Autism in adults. She enjoys addressing areas such as personal growth, stress management and self-care. Her treatment is patient-centered and geared toward individual healing and wellness.

Helen Fitzpatrick, LCSW, is a Licensed Clinical Social Worker with over 20 years of experience supporting individuals and families through life’s challenges. She earned her Master’s in Social Work from Loyola University–Chicago and has worked in diverse settings, including crisis centers, hospitals, senior services, and the VA. Helen has extensive experience with adults and children with disabilities, caregivers, and veterans, as well as those managing trauma, medical recovery, or ongoing health issues.

Helen believes that therapy should be a collaborative and supportive process. She takes time to truly listen and understand her clients’ experiences, helping them identify goals that feel meaningful and attainable. Helen creates a space where clients can speak freely—especially when it feels difficult to open up to family or friends—and she brings compassion, patience, and understanding to every session.

Helen begins by exploring what her clients would like to focus on and works together with them to develop realistic and personalized goals. She values open communication and mutual respect, adjusting her approach to meet each person’s unique needs and pace. Her process emphasizes healing, empowerment, and helping clients build confidence as they move toward greater emotional well-being.

Dr. Kim Brownell, MD, has extensive experience in both outpatient and inpatient settings. While on active duty, she practiced across the country in diverse rural and urban environments. Most recently, she spent eight years working with veterans in the VA healthcare system. She earned her medical degree from the Uniformed Services University of the Health Sciences, completed a Pediatrics Residency at Johns Hopkins Hospital, and later trained in Adult and Child Psychiatry at The Institute of Living, Hartford, CT.

Dr. Brownell values open communication and works with patients to set clear, achievable treatment goals. She fosters a warm, supportive environment where patients feel heard and respected. Her approach combines psychiatric medication management with supportive psychotherapy, elements of DBT, stress management techniques, and cross-cultural wisdom to meet patients where they are and collaboratively optimize wellness.

Dr. Brownell begins with a thorough one-hour evaluation to discuss current symptoms, treatment history, medical background, and personal goals. She listens carefully to each patient’s story to design an individualized plan that aligns with their objectives. Rooted in compassion and collaboration, she integrates her clinical expertise and life experience—including working with veterans and underserved populations—to identify strengths and guide patients on their mental health journey.