Xiomara Nieves-Alvarado, MD

Dr. Macdonnell is a double-boarded psychiatrist with over 25 years of experience in adult psychiatry and geriatric psychiatry. Dr. Macdonnell focuses on treating individuals with medication management. Supportive and interpersonal therapy is incorporated as needed. When additional therapy or longer sessions are necessary to enhance the individual's treatment, she invites a therapist to become a member of your care team. Dr. Macdonnell attended undergraduate school at Manhattan School of Music earning a bachelor's and master's degree in violin performance and musicology. She then attended the City University of New York � Hunter College campus majoring in premedical sciences. Dr. Macdonnell attended Albert Einstein College of Medicine in the Bronx, New York, earning a degree in MD. She completed an internship in internal medicine before entering psychiatry residency at New York-Presbyterian Hospital � Westchester Division. After completing her residency, she stayed for an additional year, completing a fellowship in geriatric psychiatry. She was promoted to Attending Psychiatrist and Unit Chief of the Geriatric Partial Hospital Program. After two years in academic psychiatry, she entered private practice in New York and Connecticut for 8 years. She then served 2 years in the National Health Service providing outpatient care to an underserved area in central Florida. Moving to Georgia, she has worked in private practice and academic psychiatry at Mercer University College of Medicine before moving on to Veterans' care at Atlanta VA and Carl Vinson VA Medical Center. While Dr. Macdonnell has a wide range of experience, she focuses on general adult psychiatry.

Dr. Sophia Mikityanskiy is a board-certified psychiatrist with extensive experience in outpatient and psychiatric emergency settings in Brooklyn, where she served a diverse patient population. She earned her medical degree from the New York Institute of Technology College of Osteopathic Medicine and completed her adult psychiatry residency at Maimonides Medical Center, where she was Chief of Outpatient Psychiatry. Dr. Mikityanskiy spent six years as Associate Program Director and Director of Medical Student Education, mentoring future clinicians and leading initiatives to support mental health professionals.

Dr. Mikityanskiy creates a warm, supportive environment where patients feel heard and understood. She is collaborative, culturally sensitive, and integrates talk therapy with lifestyle interventions to address mental health holistically. She is thoughtful, detail-oriented, and values open communication to develop clear, personalized treatment plans with each patient.

Dr. Mikityanskiy begins with a comprehensive initial evaluation, listening closely to patient concerns, medical and psychiatric history, and treatment goals. She then develops an individualized plan, incorporating lifestyle modifications and shared decision-making. Throughout care, she remains actively involved, continuously adjusting plans to ensure patients feel informed and empowered.

Dr. Mennella is a board-certified adult psychiatrist. Her practice focuses on medication management and supportive therapy. Treatment emphasizes patient education and autonomy. Dr. Mennella is a proponent of shared decision-making and believes this facilitates a strong therapeutic relationship, greater satisfaction with care, and improved clinical outcomes. She completed an undergraduate degree in Information Technology from Purdue University and a master's degree in information systems from DePaul University. She received her medical degree from the University of Toledo College of Medicine and then completed her psychiatry residency at Loyola University Medical Center. Areas of interest include depression, bipolar, anxiety, and PTSD.

Dr. Alexandre is a board-certified psychiatrist who completed his psychiatry training both in Brazil and in the United States, where he served as Chief Resident in both programs. He is fluent in both English and Portuguese and is especially attuned to the unique challenges faced by international and immigrant populations. Dr. Alexandre is passionate about helping patients achieve meaningful and sustained improvements in their mental health.

He brings over a decade of experience in mental health care and has a strong foundation in evidence-based treatment. His clinical interests include mood and anxiety disorders, ADHD, and cross-cultural psychiatry.

Dr. Alexandre incorporates a collaborative and compassionate approach to care, combining medication management with elements of cognitive behavioral therapy, behavioral activation, and interpersonal strategies when appropriate.

‍

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.

Dr. Claudia Cao is a board-certified psychiatrist. She earned her medical degree and completed her general psychiatry residency at the University of Michigan, followed by a fellowship in psychodynamic psychotherapy through the Michigan Psychoanalytic Institute. Prior to psychiatry, Dr. Cao was a board-certified anesthesiologist and completed her anesthesia residency at UCLA and an obstetric anesthesia fellowship at Mass General Brigham.

Dr. Cao takes a multimodal approach to mental health care, integrating medication management, psychotherapy, lifestyle changes, and integrative methods. She values personal connection and believes that understanding each patient’s story is central to effective treatment. Her goal is to support patients in improving their quality of life in a collaborative and compassionate environment.

Dr. Cao spends the first several visits listening closely to understand each patient’s concerns, goals, and experiences. She then partners with patients to develop a personalized treatment plan. Ongoing visits are tailored to each individual’s needs and may evolve as treatment progresses.