Caitlin Gardiner, MD

Darcie Farrell is an ANCC Board Certified Family Psychiatric Nurse Practitioner.  She has worked exclusively in the field of psychiatry during her forty-year nursing career.  She has worked in many care settings, including as a psychiatric Home Health Nurse and as a Certified Case Manager (CCM) in Psychiatry at Blue Cross Blue Shield. During her time at Excellus Blue Cross Blue Shield, she realized the urgent need for psychiatric nurse practitioners, so enrolled in the BSN/MSN program at the University of Rochester, graduating in 2016 with her BSN and in 2018 with her MSN.  She has strong skills and experience in Motivational Interviewing, having worked as a Motivational Counselor for a University of Rochester's Pediatric Research Program.   She has worked for the past seven years as a Nurse Practitioner in Geriatric Outpatient Psychiatry.

Darcie Farrell is a compassionate provider who is client centered. I rely on evidence-based scientific research when determining the best treatment options for clients.  

Darcie Farrell has a very relaxed process for working with patients which allows the client to provide information that is pertinent to their goals for care.  Then, together, we determine which treatment options are likely to be best for the client.

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Dr. Shalin Shah earned his undergraduate degree from Northwestern University, his medical degree from Texas A&M University College of Medicine, and completed psychiatry residency at the University of Colorado Anschutz School of Medicine. He is ABPN certified in Psychiatry and completed a rigorous 3-year psychotherapy scholars track, gaining experience across multiple therapeutic modalities. During residency, he served as outpatient chief resident and was recognized with a selective service excellence and leadership award. Before medical school, he worked as a project manager for a large electronic health corporation.

Dr. Shah believes trust is the foundation of meaningful treatment. He aims to create a space where patients feel seen and supported yet thoughtfully challenged, using genuine curiosity, warm humor, humility, and a direct style. He collaborates with each patient to develop holistic, realistic treatment plans that may or may not include medication. His therapeutic work blends psychodynamic and humanistic approaches, with availability for a limited number of weekly psychotherapy patients.

In the first appointment, Dr. Shah explores each patient’s life story, asking detailed questions to understand them as a whole person. He then focuses on their immediate concerns and works collaboratively over time to refine a treatment plan that balances symptom relief with deeper, long-term healing. He thinks integrative and holistically, considering medical and mental health history, lifestyle, self-narrative, psychological structure, cultural and spiritual background, and broader societal influences.

Dr. Jennifer Hailey is a board-certified psychiatrist in Psychiatry. She completed her undergraduate training at Michigan State University followed by medical school at Nova Southeastern University College of Osteopathic Medicine. She has completed a residency in psychiatry at Michigan State University. Dr. Hailey has worked in many different settings including private hospitals, jails, military treatment facilities and private practice. She enjoys educating her fellow providers who specialize in psychiatry as well as other areas of medicine. She has a genuine interest in treating a vast array of psychiatric disorders including depression, anxiety, post-traumatic stress disorders, obsessive compulsive and personality disorders. She also has experience in treating patients with medical comorbidities and has training in issues related to women's health.

Denise White, PMHNP, has worked in the mental health field for over 30 years following the completion of her Bachelor’s degree in Psychology from Suffolk University in Boston. She began her career as a mental health technician in a geriatric residential program and later pursued additional education in nursing, earning an Associate Degree in Nursing from Quincy College, a Bachelor’s Degree in Nursing from South University, and a Master’s in Nursing from Eastern Kentucky University. Over the years, she has held diverse roles in adult and children’s case management, residential and intensive outpatient programs, inpatient psychiatric care, and crisis stabilization. Denise has provided care in both inpatient and outpatient settings as well as through hospital consult services across the country.

Denise prides herself on her ability to empathize with her patients and meet them exactly where they are in their journey. She believes that trust is the foundation of the therapeutic relationship and works diligently to create a supportive, nonjudgmental environment where patients feel safe, heard, and respected.

In the initial evaluation, Denise focuses on gathering comprehensive information to form a complete understanding of each patient’s unique background and needs. From there, she develops an individualized treatment plan that aligns with the patient’s prioritized goals. Each session begins from that foundation, allowing her to support patients at their own pace as trust deepens and progress unfolds.

Dr. Garrick Gaffney is board certified in psychiatry by the American Board of Psychiatry and Neurology (ABPN). He earned his medical degree from Kansas City University and completed his psychiatry residency at John Peter Smith Hospital in Fort Worth, Texas. A combat veteran, he served in the U.S. Marine Corps, including a tour in Iraq, and was honored with the Navy and Marine Corps Achievement Medal and a Certificate of Commendation for exemplary leadership.

During medical school, Dr. Gaffney pursued advanced training as an Osteopathic Manipulative Medicine fellow. As a resident, he served as Chief Academic Resident and earned accolades such as Intern of the Year and Outstanding Educator of the Year twice consecutively.

Dr. Gaffney specializes in treating complex psychiatric conditions, including depression, anxiety, PTSD, OCD, bipolar disorder, and insomnia. He has presented case studies and quality improvement projects at national conferences, including the American Psychiatric Association (APA), Academy of Consultation-Liaison Psychiatry, and Association for Academic Psychiatry.

A proponent of holistic care, Dr. Gaffney integrates psychotherapy into medication management and emphasizes lifestyle modifications and evidence‑based integrative medicine.

New patients receive comprehensive evaluations to rule out medical causes of symptoms, followed by tailored treatment plans combining therapy, medication, and lifestyle adjustments. Follow‑up visits focus on symptom management through supportive, brief dynamic, or cognitive behavioral therapy, with frequent appointments until stabilization is achieved.

Dr. Gaffney is committed to collaborative, patient‑centered care that addresses both mental and physical well‑being.

Dr. Christopher DeBernard is a board-certified psychiatrist with extensive clinical leadership experience. He earned his MD and completed a combined residency in Internal Medicine and Psychiatry at Tulane University School of Medicine. Previously board certified in Internal Medicine, he is especially comfortable caring for patients with medical comorbidities. Dr. DeBernard has worked in both inpatient and outpatient settings and held leadership roles as Chief Medical Officer at Arisa Health and Lotic.ai. He also brings a systems-thinking perspective to clinical care from earlier careers in engineering and consulting. He holds active medical licenses in Louisiana and Arkansas.

Dr. DeBernard strives to create a warm, collaborative environment where patients feel respected, understood, and supported. His approach combines evidence-based medicine with an appreciation for each patient’s unique story, values, and motivations. Patients can expect open, direct communication, shared decision-making, and treatment plans that align with their personal goals. Trust, empathy, and authenticity form the foundation of his therapeutic relationships.

Dr. DeBernard begins by listening closely to each patient’s history, concerns, and hopes for treatment. Together, he works with patients to establish clear goals and develop individualized care plans that may include therapy, medication management, and lifestyle approaches. His focus is on both symptom relief and building long-term resilience, helping patients develop strategies that sustain well-being. Over time, he collaborates with patients to adapt treatment as their needs evolve, ensuring care remains effective and personalized.