Xiomara Nieves Alvarado, MD

Karina Eugenio Vargas, LMHC, LPC received a Master of Science in Education and Clinical Mental Health Counseling from St. John's University of New York. She has completed training at Yale's Child Study Center specializing in Child and Adult abuse and has worked in community mental health and outpatient based settings. For the past 5 years, Karina has dedicated her career to trauma-informed care, specifically using CBT. She has experience working with children, adolescents, and adults treating anxiety, depression, family and relationship issues, and other mental health issues. Karina practices from a Psychodynamic framework and integrates other modalities depending on the needs of each client.

Akif A. Khawaja M.D. is a Clinical General Psychiatrist. He has worked in this field since graduating and obtaining his residency from the University of Mississippi Medical Center Department of Neurology and Behavioral Sciences in 1996. He has worked mostly with adults ranging from 18 to 90 years of age. He has served as a director of Intensive Outpatient Programs in the state of Mississippi. He currently focuses on medical management of patients above 50 years of age and has served as a director of Geriatric Psychiatric Units.

He has a particular interest in treating mood, anxiety, and cognitive disorders, including ADHD. Patients working with him can expect thorough and detailed appointments, as he places special emphasis on gathering comprehensive medical and psychiatric histories, including specific dates of past treatments. During initial visits, he carefully reviews previous medical interventions, particularly procedures such as electroconvulsive therapy (ECT) and vagus nerve stimulation (VNS).

His approach prioritizes thorough evaluations to ensure accurate diagnoses. He strongly believes that honesty is essential for achieving the best possible treatment outcomes.

Robynn Cavaliere, PMHNP-BC, is a nationally board-certified Psychiatric Mental Health Nurse Practitioner. She earned her nursing practice degree from the University of San Diego (USD). Her passion for helping others began at the age of 16 when she became an EMT and volunteered with a local emergency unit. Inspired by a strong belief in service to country and a desire to follow in her brothers’ footsteps, she proudly served in the United States Marine Corps.

Robynn’s nursing journey began over two decades ago, driven by a deep calling to care for others. She started her career as an LVN on medical/surgical/telemetry floors, advanced to an RN in the emergency room, and eventually became a psychiatric nurse practitioner.

Her extensive nursing experience spans a wide range of clinical settings and patient populations, shaping her approach to interviewing, assessment, and intervention. Robynn applies the Biopsychosocial Model in every patient encounter, believing that a comprehensive understanding of the whole person leads to more effective treatment recommendations, improved outcomes, and better prognoses.

She is deeply committed to making a positive impact in her patients’ lives and giving back to the nursing profession. Robynn precepts student nurse practitioners in her practice and serves as a Clinical Assistant Professor at USD, where she helps educate the next generation of healthcare providers.

Robynn emphasizes the importance of comprehensive assessments, active listening, and building therapeutic alliances that foster trust and create a safe space for patients to share their thoughts and concerns. She collaborates closely with patients to ensure they feel heard, encourages active participation in their treatment, and provides education to enhance insight and promote behavioral change. Her approach includes supportive psychotherapy and incorporates techniques from Cognitive Behavioral Therapy (CBT), Interpersonal Therapy, Reality Therapy, and Solution-Focused Therapy during medication management visits.

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Dr. Barbara Lampert is a board certified psychiatrist, diplomat of The American Board of Addiction Medicine, and Fellow of the American Society of Addiction Medicine. She trained at the Downstate School of Medicine in Brooklyn, NY, completed her internship at Georgetown University in Washington, DC, and her residency in Psychiatry at the David Geffen School of Medicine at UCLA in Los Angeles. Over 30 years, she has worked in inpatient and outpatient settings, taught 3rd-year residents psychopharmacology in the Mood Disorder clinic she created, consulted in the prison system, and volunteered in the aftermath of natural disasters. She joined the New Mexico Medical Reserve Corps and was active in the Corps while working in her private practice. She continued to study the effects of trauma when she returned to California in 2008. She received specialized training in EMDR and Dialectic Behavior Therapy. In addition, she studied substance abuse problems and became a Diplomate of the American Board of Addiction Medicine. Empathy forms the core of Dr. Lampert's approach to treating patients. Working with trauma survivors, she believes that the goal is not to dwell on "the story” because patients often need time to reconstruct an accurate history. Rather, helping patients manage the challenge of living in the present moment is a worthy goal. Dr. Lampert has been named one of the Best Doctors in America for the treatment of mood disorders and one of the Best Doctors in California. She has remained dedicated to the dual path she's followed for years: excellence in Biological Psychiatry and psychology. She looks forward to working with you to help you achieve your treatment goals.

Dr. Rodriguez is a board-certified adult psychiatrist. He earned his medical degree from the David Geffen School of Medicine at UCLA and completed his residency at the University of Southern California. Dr. Rodriguez has experience working in a variety of settings, including inpatient, outpatient, community mental health, and correctional facilities.

Dr. Rodriguez specializes in treating depression and anxiety. He acknowledges that while medications can be necessary, they are not magic, and a holistic approach is essential for achieving mental health. With this understanding, Dr. Rodriguez spends time getting to know his patients, focusing on helping them achieve mental wellness rather than simply prescribing medications. When he became a doctor, he made a pledge to "do no harm." He takes this commitment seriously and only prescribes medications, especially those with addictive properties, when it is safe and clearly indicated.

The first one or two appointments focus on a thorough assessment to establish a provisional diagnosis, which is essential for effective treatment planning. Once this initial diagnosis is made, Dr. Rodriguez collaborates with his patients to develop tailored treatment recommendations. During follow-up appointments, he actively listens to his patients and proposes adjustments to the treatment plan as needed.

After graduating from the University of Northern Iowa in 2014, Kendrah worked at a non-profit organization that focused on substance abuse and mental health. She worked there from 2014-2021 initially as a substance abuse counselor and later transitioned into a Clinical Director position. Most recently, Kendrah has been serving patients in a private practice mental health therapist role. Kendrah's interests and specialties are Trauma, Anxiety, Depression, Marriage and Family, Culture and Diversity, Dual Diagnosis, Meditation and Dating Violence/Abuse. She also has an interest in Self Image/Self-Esteem and Addictive Behaviors with Substance Use and Gambling.