Vandana Kethini, MD

Dr. Karla Garcia is a board-certified psychiatrist trained in Adult Psychiatry. She graduated from the University of Notre Dame with a Bachelor of Science and a Master of Education. She then went on to complete her medical education and residency training at the University of Chicago. She is board certified in Adult Psychiatry by the American Board of Psychiatry and Neurology.

Dr. Garcia believes in patient-centered care, seeking to care for the whole person.  She values the therapeutic relationship, working to guide patients in their treatment while also encouraging patients to take an active role in their care. Dr. Garcia cares about getting to know you as a person and helping you reconnect with your values. Her clinical approach is holistic, collaborative, and supportive.

Dr. Garcia focuses on evidence-based treatments for psychiatric illness that utilize a combination of medications and psychotherapy. Using a range of skills and interventions, Dr. Garcia believes in a multi-faceted approach to treatment.

Dr. Garcia has experience working in a wide variety of inpatient, emergency, partial hospitalization, intensive outpatient, and outpatient psychiatric settings and in treating a broad spectrum of psychiatric disorders including depression, anxiety, bipolar disorder, trauma, substance use disorders, personality disorders, ADHD, and OCD. She treats patients in English and Spanish.

Paul Pennington is a Licensed Professional Counselor with over 15 years of mental health experience in a variety of settings ranging from schools, private practice, residential facilities, and crime scene crisis counseling. Paul has had the privilege of helping people with various situations including depression, anxiety, stress, anger, trauma, abuse, life transitions, relationships, integration, existential issues, and other obstacles that have caused an imbalance in their lives. Paul specializes in working with teachers, first responders, young parents, and individuals that just want to be seen as who they truly are.‍Paul earned a Bachelor of Science in Psychology with a minor in Sociology from Texas State University and a Master of Education in Guidance and Counseling from Angelo State University. A few of the certifications Paul has earned over the years are: Residential Staff from the Texas Department of Criminal Justice, Certified Anger Resolution Therapist (C.A.R.T.), AgriSafe Farm Response, Trust Based Relational Intervention (TBRI) Practitioner Trainer, Texas Education Agency: EC-12 SpEd, 4-8 Generalist, EC-12 School Counselor, SAFE EMDR, Mental Health First Aid, and Ketamine Assisted Psychotherapy.‍Paul believes everyone is different and takes an individualized approach with each client. He operates from a foundation in Cognitive Behavioral Therapy, Trust-Based Relational Intervention, Solution Focused Therapy, and Mindfulness.

Donna is a Board-Certified Psychiatric Nurse Practitioner dedicated to breaking down mental health stigma and expanding access to compassionate, quality care. With over 20 years of nurse practitioner experience, she has supported patients and families through life’s emotional and physical challenges across outpatient, inpatient, and telepsychiatry settings. Donna is passionate about creating a safe, empowering space where individuals feel seen, heard, and valued on their mental health journey.

Donna helps patients become the best, healthiest version of themselves, both mentally and emotionally. She values open communication, mutual respect, and collaborative decision-making. Her treatment plans include medication management, healthy coping strategies, and tools to build self-awareness and resilience. Known for her warmth and empathy, Donna creates a judgment-free environment where every voice matters.

Donna begins by building trust through a compassionate, in-depth initial interview. Together with each patient, she develops a personalized treatment plan that blends medication management with lifestyle recommendations tailored to individual goals and values. Her holistic approach focuses not just on symptom relief, but on fostering lasting growth, confidence, and overall well-being.

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Dr. Ariela Karasov completed her psychiatry residency at Stanford, serving as Chief Resident in her final year, and pursued a fellowship in Neuropsychiatry at Stanford Hospital. She is board certified in Behavioral Neurology and Neuropsychiatry and has worked as a National Expert in bipolar disorder at the VA. She has experience treating Generalized Anxiety Disorder, Obsessive-Compulsive Disorder, Bipolar Disorder, PTSD, and Depression, as well as patients with comorbid neurologic and mental health conditions. Dr. Karasov has also taught residents as adjunct clinical faculty at the University of Wisconsin Hospital and Clinics.

Dr. Karasov takes a collaborative approach, actively engaging patients in treatment planning and decision-making. She incorporates therapy into her practice, emphasizing each individual’s values and what gives their life meaning and purpose. Patients can expect a thoughtful, empathetic, and patient-centered environment where their goals and experiences are prioritized.

She values a thorough evaluation to understand how medical, psychological, and social factors contribute to a patient’s presentation. When appropriate, she invites family members or friends to provide collateral information to ensure a complete understanding, guiding a tailored and effective treatment plan.

Dr. Shahan Syed is a Board-Eligible Psychiatrist who offers personable, compassionate, and empathetic care. Before completing his residency in psychiatry, Dr. Syed graduated from International American University College of Medicine and recently completed his residency at Bergen New Bridge Medical Center in Paramus, NJ. He gained experience as a clinical researcher, emergency medical technician, and a registered nurse in both psychiatric and emergency departments prior to his formal training. This diverse background equipped him with valuable tools to deliver empathetic care to a wide range of patients with experience treating anxiety disorder, traumatic disorders, depressive and bipolar disorders, substance use disorders, ADHD, OCD, and psychotic disorders. During his residency, Dr. Syed also took on the role of chief resident, demonstrating a remarkable ability to educate both his patients and colleagues. Throughout his residency, Dr. Syed actively pursued additional training opportunities at various safety net hospitals in New Jersey to care for underserved populations.

Dr. Syed places significant importance on collaborating with patients and all relevant parties to gain a comprehensive understanding of the factors affecting the patient's life before making treatment recommendations. Additionally, Dr. Syed emphasizes the importance of lifestyle, sleep, mindfulness, and nutrition, and their impact on overall mental health. He has experience in utilizing interpersonal and supportive psychotherapy, along with principles of motivational interviewing and cognitive-behavioral therapy, to foster resilience and meaningful change in partnership with other mental health professionals involved in patient care.

Dr. Syed employs a range of therapeutic methods alongside medication management to ensure a thorough and holistic approach for every patient. His goal is to create a safe environment that encourages healing and wellness, enabling individuals to remain motivated and live their lives to the fullest.

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Shanika is a dedicated and compassionate board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) with over a decade of experience in the mental health field. She holds a Bachelor of Science in Nursing, a Masters in Nursing Education, and a Post-Master’s Certificate as a Family Psychiatric Nurse Practitioner. Shanika is known for her patient-centered approach, prioritizing empathy, respect, and individualized care. She is committed to building strong therapeutic relationships grounded in trust and open communication.

New patients can expect a warm, non-judgmental environment where they feel heard and supported. Shanika collaborates closely with each patient to create personalized treatment plans, helping them feel empowered in their mental health journey.

Shanika begins with a comprehensive psychiatric evaluation to understand each patient’s history, symptoms, and goals. Her treatment may include medication management, supportive therapy, and psychoeducation. She specializes in anxiety, depression, bipolar disorder, ADHD, trauma/PTSD, mood disorders, and women’s mental health. Shanika has extensive experience providing care for both adolescents and adults in outpatient settings, with a particular focus on underserved communities.

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