Xiomara Nieves Alvarado, MD

Dr. Coy Bolton was born and raised in South Texas, and was a teacher before becoming a physician. He completed medical school training and residency at Texas Tech Health Sciences Center in Lubbock, TX. Dr. Bolton has wanted to be a Psychiatrist for as long as he could remember. He will do his best to thoroughly and carefully work with his patients to determine the most accurate Psychiatric diagnosis/diagnoses possible.

While working together, Dr. Bolton may ask sensitive questions, but will do so in a nonjudgmental way with the only goal of helping his patients. He will also work in psychotherapy techniques during the sessions together. Dr. Bolton takes a holistic approach when working with patients, that focuses on multiple aspects of their lives.

Dr. Bolton prides himself on creating a safe and nonjudgmental space where the focus is simply on helping patients. He strives to work collaboratively with his patients, to ensure that he and the patient are both on the same page when it comes to their mental healthcare.

Dr. Lundgren is a board-eligible adult psychiatrist who completed his residency at the University of Rochester. During his final year, he served as Chief Resident in both inpatient and emergency psychiatry, demonstrating leadership and clinical excellence in high-acuity settings.

Before beginning his medical journey, Dr. Lundgren earned a degree in philosophy from the University of Georgia. He went on to serve as a police officer and investigator near Atlanta, Georgia, for six years. These formative experiences gave him unique insight into the complex relationship between mental health and personal well-being, safety, and fulfillment. Motivated by this perspective, he pursued a degree in neuroscience at Columbia University, graduating with honors, before attending medical school.

Dr. Lundgren brings experience across outpatient, inpatient, and emergency psychiatric care. He emphasizes a strong therapeutic alliance, supportive psychotherapy, and evidence-based treatment. He is committed to understanding people within the context of their experiences and circumstances, recognizing how these factors may contribute to their mental health concerns and strengths.

Dr. Lundgren provides comprehensive psychiatric medication management and cares for individuals experiencing depression, anxiety, trauma-related disorders, and other mental health conditions. When beneficial, he may also recommend collaborating with a therapist to support a more holistic and effective treatment plan.

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Dr. Delane Casiano is a board-certified adult psychiatrist with specialized interest and expertise in cultural psychiatry. She earned her undergraduate degree from Brown University and her medical degree from Morehouse School of Medicine. She completed psychiatry residency and research fellowship at the University of Pennsylvania. Such organizations as the American Psychiatric Association, National Institute of Mental Health, and Philadelphia Department of Behavioral Health have recognized her research examining cultural influences on mental health beliefs and service utilization.

Dr. Casiano brings a systems-based, culturally informed perspective to her work. With over 15 years of experience, she has supported individuals with diverse backgrounds and identities. Examples of her leadership of multidisciplinary teams include serving as associate medical director of a women's trauma program and founding an integrated care program for underserved communities. She has directed academic training programs, presented at national conferences, and led numerous community-based events focused on mental health awareness and stigma reduction.

Dr. Casiano values compassion and collaboration in the treatment relationship. She helps patients navigate depression, anxiety, ADHD, and post-traumatic stress, while also supporting those facing major life transitions.

Her approach combines evidence-based medication management, supportive therapy, and

psychoeducation. She tailors each treatment plan to the individual while offering encouragement and structure.

Dr. Jennifer Ruch is a board-certified psychiatrist who strives to understand her patients' lived experiences and aspirations to develop supportive therapeutic relationships through empathetic listening, mutual trust, and respect. She collaboratively creates individualized care plans that align with personal treatment goals in a safe and judgment-free environment. After completing her Bachelor of Science degree in Human Biology with a focus in psychology from the University of California, Merced, she earned her medical degree from Lake Erie College of Osteopathic Medicine. Dr. Ruch completed her General Psychiatry Residency at Arnot Ogden Medical Center in New York. Her clinical experience involves treating individuals of all age groups from diverse populations and socioeconomic backgrounds suffering from anxiety, depression, bipolar disorder, psychotic disorders, neurodevelopmental disorders, and neurocognitive disorders. She has provided care in inpatient and outpatient psychiatric facilities, the Veterans Affairs Medical Center, emergency rooms, state facilities, and an inpatient chemical dependency center. She also performed pre-procedure psychological evaluations for bariatric and spinal cord surgeries, and psychiatric consult liaison services on medical units and has clinical training in inpatient and outpatient neurology. Her clinical experience incorporated treatment modalities such as pharmacotherapy and interventional psychiatry, including Transcranial Magnetic Stimulation and Spravato. Dr. Ruch integrates a wide array of psychotherapy as needed; however, her practice primarily focuses on medication management while utilizing referrals to therapists and providing collaborative care for optimal outcomes.

Dr. Alexandre Cupler is a board-certified psychiatrist who began his career in community mental health in 2014, working as a counselor in psychiatric rehabilitation facilities. Since then, he has gained experience across inpatient hospitals, outpatient clinics, and residential treatment settings. Dr. Cupler earned his medical degree from Rush Medical College and completed his psychiatry residency at Chicago Medical School.

Dr. Cupler takes a patient-centered approach to care, making it a priority to ensure that each patient’s concerns are genuinely heard. He strives to create a culturally sensitive, non-judgmental, and safe environment where patients feel comfortable discussing difficult topics and working collaboratively toward their goals.

Initial sessions with Dr. Cupler focus on understanding the patient’s primary concerns, history, and treatment goals. He tailors care to each individual's preferred treatment style and ensures patients are informed about their treatment plan so they know what to expect and can take an active role in their care.

Erin Snider, PMHNP, brings more than seven years of experience as an Advanced Practice Registered Nurse at Lindner Center of HOPE, a full-service psychiatric facility affiliated with the University of Cincinnati and Cincinnati Children’s Hospital. Her work has spanned the full spectrum of psychiatric care, including inpatient crisis intervention, partial hospitalization, and outpatient services. She holds a bachelor’s degree in psychology from the University of Kentucky and both a BSN and MSN from Wright State University. Erin also recently earned a Mindfulness and Yoga-Studies Certificate from the University of Cincinnati.

Erin prioritizes building a strong therapeutic relationship and values open communication to create a supportive environment for healing. She views psychiatry as a holistic practice, integrating evidence-based approaches that address mental, emotional, physical, and spiritual well-being. Patients working with Erin can expect compassion, respect, and a collaborative partnership in their care.

Erin begins each appointment with open conversation to better understand each individual’s story and experiences. She works with patients to identify their concerns, explore barriers to growth, and highlight strengths. Together, she collaborates on a treatment plan that aligns with the patient’s personal goals, ensuring care is both personalized and empowering.