Hala Mouneimne, DO

Violetta Aranda, LPC is a native South Texan and second generation Mexican- American. She is a 2011 graduate of St. Edward's University in Austin, Texas and obtained full LPC licensure in Texas in August of 2017. Her practice focuses on cognitive behavioral modalities within a humanistic client-centered approach to foster healing through self-acceptance and self-awareness. She has over a decade's worth of experience working within the mental health field and fifteen years working directly with children and adolescents in various capacities. Before joining Talkiatry, Miss Aranda practiced exclusively within the community health sector and these experiences provided the opportunity to become fully immersed in Trauma and Crisis Management and fostered the passion for evolving research in the treatment of trauma-informed care. She now aspires to utilize these allocated experiences and passion for the field to promote mental health awareness, client advocacy, and quality of care.

Renee is a licensed therapist in the states of Texas and Florida. She earned a Master’s degree in Counseling from Sam Houston State University. Renee brings 15 years of experience in the mental health field supporting adults, adolescents, and children across a diverse range of therapeutic needs in the private practice and school setting.

Renee is dedicated to helping clients navigate life's complexities with confidence and resilience. Renee provides a safe, empathetic space where clients can explore their challenges and discover their inner strength.

Drawing from evidence-based practices, such as Cognitive Behavioral Therapy, Renee partners with clients to develop practical coping strategies, foster self-awareness, and build emotional resilience. Whether you're facing anxiety, depression, trauma, ADHD, or life transitions, Renee is here to support your journey toward wellness. She believes in building on your existing strengths while developing new tools to help you thrive, not just survive.

‍

Karen Tonner, MSN, PMHNP-BC is an ANCC board-certified Psychiatric Mental Health Nurse Practitioner with over eight years of experience providing psychiatric care in outpatient and community mental health settings. She works with patients across the lifespan and treats a broad range of mental health conditions, including depression, anxiety disorders, attention-deficit/hyperactivity disorder (ADHD), obsessive-compulsive disorder (OCD), and post-traumatic stress disorder (PTSD).

Karen primarily provides medication management in conjunction with supportive therapy, using evidence-based practices to help patients achieve symptom relief and improved functioning. Her approach to care is holistic, person-centered, and collaborative, emphasizing shared decision-making and individualized treatment planning. She strives to create a welcoming, approachable, and supportive environment where patients feel comfortable being themselves and actively participating in their care. She believes that understanding each patient’s unique experiences, goals, lifestyle, and strengths is essential to effective mental health treatment.

Karen earned her Bachelor of Science in Nursing from Kennesaw State University and her Master of Science in Nursing from the University of Alabama at Birmingham. She is dedicated to continuing education to remain current with psychiatric research and is committed to delivering compassionate, high-quality care that helps patients feel heard, respected, and empowered.

Dr. Michael Fiori is Board Certified in Adult Psychiatry and Addiction Medicine. He has practiced general psychiatry for 37 years, and has also sub-specialized in Addiction Psychiatry for the past 20 years. Dr. Fiori's practice emphasizes Diagnostic Clarification, which is an ongoing process. He is highly trained and experienced in the biological and psychosocial underpinnings of psychiatric problems. He typically follows diagnostic evaluations with 30-minute follow up visits for medication adjustments and brief therapy. Dr. Fiori often enjoys collaborating with outside therapists when needed. Dr. Fiori graduated from Amherst College and received his medical degree from NY Medical College. He subsequently completed his residency in psychiatry at the Mount Sinai Medical Center in NYC. He excelled in Academic Psychiatry as both a teacher and a mentor. His practice has always combined medications with evidence-based therapies to alleviate suffering and maximize functioning. In addition to his work as a Board Certified Adult Psychiatrist, he has specialized in helping patients suffering from Substance Use Disorders. Dr. Fiori is Board Certified in Addiction Medicine, and helps patients understand the interrelationships between their Substance Use Disorders and their Psychiatric illnesses.

Dr. Rania Elkhatib is a board-certified general psychiatrist with extensive experience in clinical care, teaching, and research. She earned her medical degree from the University of Texas Medical Branch in Galveston and completed her psychiatry residency at UTHealth Science Center in Houston, where she later served as an Assistant Clinical Professor. During that appointment, Dr. Elkhatib was heavily involved in medical education and has developed courses in cultural psychiatry and psychiatry boot camps for medical students.

Dr. Elkhatib specializes in treating a wide range of psychiatric conditions, including Major Depressive Disorder, Anxiety Disorders, Bipolar Disorder, OCD, ADHD, and PTSD. Dr. Elkhatib focuses on evidence-based medication management but will also incorporate supportive therapy and cognitive-behavioral techniques to optimize treatment management and patient’s wellness. She is fluent in Arabic and English and has a strong interest in working with diverse patient populations.

Dr. Elkhatib has a holistic approach with focus on medication management while incorporating supportive therapy and cognitive-behavioral techniques to optimize patient wellness.

Gabrielle Delarose is a dually boarded Psychiatric Mental Health and Family nurse practitioner with over ten years of clinical experience. Gabrielle is dedicated to providing culturally competent and evidence-based medication management and psychotherapy to assist individuals in achieving their goals to live their best life. I believe in holistic treatment of individuals, and focus on the individual’s overall well-being, including how they are functioning socially and professionally. In addition to medication and psychotherapy, she is a proponent of incorporating research-supported alternative modalities, including dietary changes, exercise, social interaction, and yoga. She also advocates of forest bathing (“shinrin-yoku”), a practice of spending time in nature that yields both medical and mental health benefits as discovered in research trials from around the world. As a professionally trained cellist, she also frequently incorporates art and music into appointments and treatment plans with patients. Her goal for all her patients is to improve all facets of a person’s life with treatment. Gabrielle is an LGBTQ+ affirming provider and has extensive experience working with diverse populations.

New patients should know that the initial appointment will consist of obtaining their social history in addition to their medical history. This is an important part of establishing a therapeutic relationship in addition to obtaining health information to use in formulating treatment plans. A person’s identity and life experiences are a significant influence on a person’s health and well-being, and Gabrielle believes in discussing these experiences in order to best understand a patient’s background and incorporate that into their care. Patients are encouraged to write down any questions they may have prior to the appointment, as well as any significant points they want to discuss. This is encouraged because, as patients, we may forget to address these points without a prompt from the provider. Gabrielle also encourages patients to actively participate in their care and firmly believes in a patient’s right to autonomy and agency. This patient-centered approach empowers patients to help guide treatment plans that best fit the patient’s needs and abilities at any given time. Patients are also encouraged to discuss any concerns about medications or treatment, particularly if there are concerns about side effects.

Gabrielle works collaboratively with patients to determine appropriate and preferred treatment plans, including medication and therapy. She uses cognitive behavioral therapy (CBT) as the primary therapy modality, in conjunction with existential therapy, depending on the patient’s needs and preferences. She prefers to allow patients flexibility in their treatment, so the process may look less structured depending on the immediate needs of the patient. Other times, particularly while working through a specific problem in therapy, appointment agendas may be planned out for several weeks. If at any time, however, a need arises to deviate from preplanned appointment agenda, patients are encouraged to discuss this at the beginning of the appointment. Above all, patients’ needs will guide the agenda.