Zeshen Wu, MD

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.

Michelle Kotte is a board-certified Psychiatric Nurse Practitioner with over 13 years of nursing experience. She creates a warm, supportive environment and values open communication. Michelle is passionate about focusing on the whole person and tailoring care to each client’s unique needs.

Michelle’s approach is direct, collaborative, and centered on partnership. She works closely with clients to develop a personalized plan, emphasizing transparency and shared decision-making throughout treatment.

Michelle begins with an in-depth initial assessment covering physical, mental, emotional, social, and environmental well-being. She focuses on medication management, supportive therapy, and lifestyle modifications to help clients reach their goals.

Dr. Corey Greenwald is a board-certified psychiatrist with years of experience treating patients in both acute inpatient psychiatric emergencies and outpatient medication and psychotherapy settings. He earned his medical degree from Brown University, completed his internship in the Columbia system, and pursued residency training at Mount Sinai Medical Center in New York City. Dr. Greenwald has practiced in academic, urban, suburban, and rural environments, which has given him broad perspective and adaptability in caring for diverse patient populations.

Dr. Greenwald emphasizes psychoeducation as a core part of care, ensuring patients are active participants in understanding and managing their mental health. He brings a deep interest in transcultural issues and in how social media and news cycles impact emotional well-being. Having witnessed the effects of mental illness within his own family, Dr. Greenwald approaches his work with empathy, insight, and a strong commitment to helping patients feel supported throughout their journey.

Dr. Greenwald works collaboratively with patients to define or clarify concrete treatment goals by the end of the initial appointment. He maintains a low threshold for revisiting and adjusting treatment plans if progress feels unsatisfactory, ensuring care remains flexible and effective. His informal, eclectic interpersonal style allows him to tailor his approach to each individual, fostering trust and partnership in the therapeutic process.

Dr. Vina Mehta is double-boarded in adult psychiatry and child & adolescent psychiatry. With over 30 years of experience, she has provided compassionate care across inpatient, residential, and outpatient settings. She is committed to supporting patients with a wide range of psychiatric conditions, including PTSD, depression, bipolar disorder, anxiety, OCD, and ADHD.

Dr. Mehta works collaboratively with her patients, creating a supportive environment that emphasizes understanding and shared decision-making. She values open communication and tailors treatment approaches to align with each patient’s unique goals and needs.

Her approach combines psychotherapy—including cognitive, behavioral, and supportive techniques—with thoughtful medication management. Dr. Mehta establishes individualized treatment plans, focusing on strategies that promote long-term wellness and resilience.

Dr. Elizabeth Foote is a board-certified addiction and general psychiatrist practicing medicine for over 15 years.  

Dr. Elizabeth Foote focuses on providing integrated care for those with co-occurring disorders, depression, anxiety, obsessive-compulsive disorder, post-traumatic stress disorder and other forms of mental illness in the outpatient setting.  

She provides medication management as well as psychotherapy which includes drug and alcohol counseling, cognitive-behavioral therapy, psychodynamic psychotherapy, and cognitive processing therapy for trauma.  When combining these treatment approaches, patients receive more comprehensive mental health care.  Treatment begins with an initial assessment and a comprehensive treatment plan developed in coordination with the patient to best meet their needs.

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Melissa Sims, MSN, APRN, PMHNP-BC, is a board-certified psychiatric mental health nurse practitioner who is passionate about delivering high-quality, compassionate, and comprehensive mental health care. She earned her Master of Science in Nursing from the University of Alabama at Birmingham in 2022 and has since worked in both community mental health and correctional settings.

Melissa takes a collaborative approach to care, working closely with other mental health professionals, medical providers, families, and relevant support systems to ensure well-rounded treatment. She emphasizes a patient-centered, individualized approach, combining medication management with psychotherapy to meet each person’s unique needs.

Patients working with Melissa can expect a thorough evaluation, accurate diagnosis, and a personalized treatment plan tailored to their mental health goals. One of her core priorities is to empower individuals to make informed decisions about their care by providing education grounded in research, evidence-based practices, and clinical experience.

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