What we treat

PTSD

Medication Management: What to Expect

Welcome to our medication management service, an essential part of our commitment to ensuring the best possible care for our patients. Here’s a guide to what you can anticipate:

  1. At Mind Align Psychiatry, we understand that trauma can have lasting effects across many aspects of patients’ lives.

  2. Post-Traumatic Stress Disorder (PTSD), including its more recent exploration as Chronic PTSD (C-PTSD), is a complex mental health condition that arises from experiencing or witnessing traumatic events. Our approach recognizes the profound impact of trauma, not just psychologically, but also physically.
  3. Trauma can affect individuals in diverse ways. Psychologically, it may manifest as intrusive memories, nightmares, or flashbacks of the traumatic event, leading to avoidance of reminders, emotional numbness, and detachment from others. Hyperarousal symptoms like increased anxiety, hypervigilance, and difficulty concentrating are common. People with PTSD might also experience negative changes in mood, self-perception, and interpersonal relationships.
  4. Physiologically, trauma can disrupt the nervous system, causing increased heart rate, elevated blood pressure, and rapid breathing. Long-term effects of this constant hyperarousal include chronic fatigue, sleep disturbances, gastrointestinal issues, headaches, and muscle tension. The continuous activation of the body's stress response can significantly impact overall health.
  5. At Mind Align Psychiatry, we prioritize early screening and identification of trauma, creating a trauma-informed treatment plan tailored to each patient's needs. We understand the delicate nature of trauma disclosure and strive to guide our patients at their own pace through a variety of treatment options.
  6. Our comprehensive approach at Mind Align Psychiatry includes:

    1. Psychotherapy:We employ therapies like cognitive-behavioral therapy (CBT), eye movement desensitization and reprocessing (EMDR), and psychodynamic therapy. These help individuals process traumatic experiences, challenge negative beliefs, and develop coping strategies, while also addressing the mind-body connection.
    2. Medication Management: We may prescribe psychotropic medications, such as selective serotonin reuptake inhibitors (SSRIs), to alleviate symptoms like depression, anxiety, and sleep disturbances, supporting the body-brain connection.
    3. Mind-body Interventions: Techniques like mindfulness-based stress reduction (MBSR), yoga, meditation, and biofeedback are used to help regulate emotions and reduce physiological arousal, fostering relaxation and self-awareness.
    4. Nutrition Therapy: Our dietitians provide guidance on balanced diets and supplements that support mental wellness, brain health, and the body's stress response.
  7. By integrating these diverse approaches, we aim to address both the psychological and physiological aspects of PTSD/C-PTSD. Our goal is to restore the balance between the body and brain, acknowledging the interconnected nature of symptoms for holistic healing and well-being.


Your monthly subscription ensures continuous, seamless care. Our goal is to make medication management efficient, educative, and empowering, giving you the peace of mind you deserve.

Provider Spotlight

Alane Degli Esposti, MSS, LSW

Alane is a clinician who excels in treating PTSD, emphasizing unconditional positive regard, curiosity, and respect in her practice. She skillfully integrates psychodynamic theories with experiential methods, EMDR, and somatic techniques, offering a range of options beyond traditional cognitive behavior therapy. Alane views her role as a guide through challenging times, such as transitions, loss, relationship conflicts, and life difficulties, with a deep sense of honor and commitment to her clients' well-being.

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Alane Degli Esposti, MSS, LSW
Licensed Therapist

As a clinician, Alane believes in leading with unconditional positive regard, curiosity, and respect. Alane is informed by psychodynamic theories and integrate experiential, EMDR, and somatic techniques as additional options beyond cognitive behavior therapy in her collaboration with clients. She considers it an honor to guide individuals confidently through times of transition, loss, relationship conflict, and life challenges they may find difficult to resolve on their own.

Meet our team

All Specialties
Psychiatrists
Psychiatric Nurse Practitioners
Dietitians
Licensed Therapists
Behavior Technicians
Coaches
Admin Supports
Dr. David Danish, MD
Owner, Psychiatrist
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Dr. David Danish, MD
Owner, Psychiatrist
Joseph Gagnon Jr., CRNP, PMHNP-BC
Psychiatric Nurse Practitioner
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Joseph Gagnon Jr., CRNP, PMHNP-BC
Psychiatric Nurse Practitioner
Kellie Booth, CRNP, PMHNP-BC
Psychiatric Nurse Practitioner
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Kellie Booth, CRNP, PMHNP-BC
Psychiatric Nurse Practitioner
John Guardiani, MA, LPC
Vice President & Licensed Therapist
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John Guardiani, MA, LPC
Vice President & Licensed Therapist
Kristen Ott, MA, LMFT
Clinical Supervisor of Outpatient Services & Therapist
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Kristen Ott, MA, LMFT
Clinical Supervisor of Outpatient Services & Therapist
Marni Mackey, RDN, LDN
Registered Dietitian
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Marni Mackey, RDN, LDN
Registered Dietitian
Mark Agnew, MS
Licensed Therapist
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Mark Agnew, MS
Licensed Therapist
Dominic D'Angelo, MA, LPC
Licensed Therapist , Coach
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Dominic D'Angelo, MA, LPC
Licensed Therapist , Coach
Alexa Gavrilov, LCSW
Licensed Therapist
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Alexa Gavrilov, LCSW
Licensed Therapist
Tracy Sciulli, MS, Doctoral Candidate,LPC, RYT-200
Licensed Therapist
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Tracy Sciulli, MS, Doctoral Candidate,LPC, RYT-200
Licensed Therapist
Dr. Lauren Bartholomew, Psy.D
Licensed Therapist
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Dr. Lauren Bartholomew, Psy.D
Licensed Therapist
David R. Feeney, MA, Ed.D., LBS
Licensed Therapist , Coach
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David R. Feeney, MA, Ed.D., LBS
Licensed Therapist , Coach
Justin Bwint, MA, BCB
Licensed Therapist
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Justin Bwint, MA, BCB
Licensed Therapist
Alex Brogan, LCSW
Licensed Therapist
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Alex Brogan, LCSW
Licensed Therapist
Kianna Morgan, MSW, LSW
Licensed Therapist
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Kianna Morgan, MSW, LSW
Licensed Therapist
Justin Vespasiani
Behavior Technician , Coach , Admin Support
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Justin Vespasiani
Behavior Technician , Coach , Admin Support
Rebecca Lichtenstein
Behavior Technician
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Rebecca Lichtenstein
Behavior Technician
Kevin Keane CRNP, PMHNP
Psychiatric Nurse Practitioner
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Kevin Keane CRNP, PMHNP
Psychiatric Nurse Practitioner
Juan Montoya
Behavior Technician , Admin Support
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Juan Montoya
Behavior Technician , Admin Support
Sophia Gant, LCSW
Licensed Therapist
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Sophia Gant, LCSW
Licensed Therapist
Alane Degli Esposti, MSS, LSW
Licensed Therapist
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Cross
Alane Degli Esposti, MSS, LSW
Licensed Therapist
Stephanie Dunn
Behavior Technician
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Cross
Stephanie Dunn
Behavior Technician
Jahlia Smallwood
Behavior Technician
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Arrow
Cross
Jahlia Smallwood
Behavior Technician
Dr. David Danish, MD
Owner, Psychiatrist
Learn more
Arrow
Cross
Dr. David Danish, MD
Owner, Psychiatrist
Joseph Gagnon Jr., CRNP, PMHNP-BC
Psychiatric Nurse Practitioner
Learn more
Arrow
Cross
Joseph Gagnon Jr., CRNP, PMHNP-BC
Psychiatric Nurse Practitioner
Kellie Booth, CRNP, PMHNP-BC
Psychiatric Nurse Practitioner
Learn more
Arrow
Cross
Kellie Booth, CRNP, PMHNP-BC
Psychiatric Nurse Practitioner
Kevin Keane CRNP, PMHNP
Psychiatric Nurse Practitioner
Learn more
Arrow
Cross
Kevin Keane CRNP, PMHNP
Psychiatric Nurse Practitioner
Marni Mackey, RDN, LDN
Registered Dietitian
Learn more
Arrow
Cross
Marni Mackey, RDN, LDN
Registered Dietitian
John Guardiani, MA, LPC
Vice President & Licensed Therapist
Learn more
Arrow
Cross
John Guardiani, MA, LPC
Vice President & Licensed Therapist
Kristen Ott, MA, LMFT
Clinical Supervisor of Outpatient Services & Therapist
Learn more
Arrow
Cross
Kristen Ott, MA, LMFT
Clinical Supervisor of Outpatient Services & Therapist
Mark Agnew, MS
Licensed Therapist
Learn more
Arrow
Cross
Mark Agnew, MS
Licensed Therapist
Dominic D'Angelo, MA, LPC
Licensed Therapist , Coach
Learn more
Arrow
Cross
Dominic D'Angelo, MA, LPC
Licensed Therapist , Coach
Alexa Gavrilov, LCSW
Licensed Therapist
Learn more
Arrow
Cross
Alexa Gavrilov, LCSW
Licensed Therapist
Tracy Sciulli, MS, Doctoral Candidate,LPC, RYT-200
Licensed Therapist
Learn more
Arrow
Cross
Tracy Sciulli, MS, Doctoral Candidate,LPC, RYT-200
Licensed Therapist
Dr. Lauren Bartholomew, Psy.D
Licensed Therapist
Learn more
Arrow
Cross
Dr. Lauren Bartholomew, Psy.D
Licensed Therapist
David R. Feeney, MA, Ed.D., LBS
Licensed Therapist , Coach
Learn more
Arrow
Cross
David R. Feeney, MA, Ed.D., LBS
Licensed Therapist , Coach
Justin Bwint, MA, BCB
Licensed Therapist
Learn more
Arrow
Cross
Justin Bwint, MA, BCB
Licensed Therapist
Alex Brogan, LCSW
Licensed Therapist
Learn more
Arrow
Cross
Alex Brogan, LCSW
Licensed Therapist
Kianna Morgan, MSW, LSW
Licensed Therapist
Learn more
Arrow
Cross
Kianna Morgan, MSW, LSW
Licensed Therapist
Sophia Gant, LCSW
Licensed Therapist
Learn more
Arrow
Cross
Sophia Gant, LCSW
Licensed Therapist
Alane Degli Esposti, MSS, LSW
Licensed Therapist
Learn more
Arrow
Cross
Alane Degli Esposti, MSS, LSW
Licensed Therapist
Justin Vespasiani
Behavior Technician , Coach , Admin Support
Learn more
Arrow
Cross
Justin Vespasiani
Behavior Technician , Coach , Admin Support
Rebecca Lichtenstein
Behavior Technician
Learn more
Arrow
Cross
Rebecca Lichtenstein
Behavior Technician
Juan Montoya
Behavior Technician , Admin Support
Learn more
Arrow
Cross
Juan Montoya
Behavior Technician , Admin Support
Stephanie Dunn
Behavior Technician
Learn more
Arrow
Cross
Stephanie Dunn
Behavior Technician
Jahlia Smallwood
Behavior Technician
Learn more
Arrow
Cross
Jahlia Smallwood
Behavior Technician
Dominic D'Angelo, MA, LPC
Licensed Therapist , Coach
Learn more
Arrow
Cross
Dominic D'Angelo, MA, LPC
Licensed Therapist , Coach
David R. Feeney, MA, Ed.D., LBS
Licensed Therapist , Coach
Learn more
Arrow
Cross
David R. Feeney, MA, Ed.D., LBS
Licensed Therapist , Coach
Justin Vespasiani
Behavior Technician , Coach , Admin Support
Learn more
Arrow
Cross
Justin Vespasiani
Behavior Technician , Coach , Admin Support
Justin Vespasiani
Behavior Technician , Coach , Admin Support
Learn more
Arrow
Cross
Justin Vespasiani
Behavior Technician , Coach , Admin Support
Juan Montoya
Behavior Technician , Admin Support
Learn more
Arrow
Cross
Juan Montoya
Behavior Technician , Admin Support
Cross

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