Our Staff

PMHNP-BC

Amy Duschinski

As a board-certified Psychiatric-Mental Health Nurse Practitioner (PMHNP), Amy is dedicated to delivering high-quality, compassionate care rooted in evidence-based practices. She earned her advanced degree from Wilkes University and remains committed to continuous learning. Her approach integrates the latest research and clinical guidelines to ensure that each patient receives personalized and effective treatment. Amy is committed to understanding the unique needs of each individual, providing support that is both holistic and empathetic. She treats patients ages 18–65 and strives to foster an environment of trust and collaboration, empowering individuals to achieve their mental health and wellness goals.

Amy specializes in the diagnostic assessment and medication management of depression, anxiety, mood disorders, post-traumatic stress disorder, and obsessive-compulsive disorder. She also provides medication management for ADHD.

DNP, PMHNP-BC

Beth Piraino

Beth Piraino, DNP, is a board-certified nurse practitioner in both mental health and family practice with over 10 years of experience in the medical field. She provides compassionate, evidence-based care to patients ages 6 to 65.

Her expertise includes diagnosing and treating depression, anxiety, ADHD, women’s health concerns, and child psychiatry. Additionally, she has advanced training in assessing, diagnosing, and managing autism spectrum disorders and conduct disorders. Beth is committed to delivering personalized, patient-centered care to support the well-being of individuals and families.

PMHNP-BC

Bethany Bartlett

Bethany Bartlett is a board-certified Psychiatric Mental Health Nurse Practitioner with over 11 years of experience treating individuals ages 12 and up.

Specializing in mood disorders, depression, anxiety, trauma, and perimenopausal and menopausal mental health, Bethany is dedicated to helping patients achieve emotional well-being. With a strong focus on nutritional psychiatry and holistic, patient-centered care, Bethany takes an integrative approach to mental health treatment, tailoring care to each individual’s unique needs. Passionate about empowering patients, Bethany strives to create a supportive and compassionate environment for healing and growth.

Clinical Director, DNP, PMHNP-BC

Cara Quade

Cara Quade is the clinical director for Elevate Mental Health. She is a doctoral prepared nurse practitioner who is board certified in psychiatry. She received both her Bachelor’s and Master’s Degrees from the University of Arizona. In 2015, she expanded her practice to focus on the entire lifespan through the obtainment of her post-master’s certificate from Arizona State University (ASU). To provide a more robust foundation for professional growth, she later achieved her Doctoral Degree from ASU. This has allowed greater focus on innovative leadership and enhanced implementation of evidence-based practice in the clinical environment.

For almost 25 years, Cara has held administrative, educational, advisory, and clinical roles in the field of mental health. She has developed a confident and unique practice style that focuses on diagnostic accuracy, patient education, therapeutic approaches, supportive lifestyle changes, and tailored pharmacologic strategies. She particularly enjoys partnering with patients in the psychotherapeutic setting to improve their quality of life and actualize their greatest potential. As a leader, she has set intentions to improve access to care, enhance the quality of care, and expand education specific to the importance of mental healthcare and wellness.

LPC

Carly Dana

With over 17 years of experience in the mental health field, Carly Dana is a Licensed Professional Counselor in both Arizona and Oregon. She holds a Master’s degree in Clinical Mental Health Counseling from Walden University and a Bachelor’s degree in Psychology from Northern Arizona University.

Her therapeutic style is interactive, compassionate, and grounded in genuine connection. She prioritizes building strong rapport to create a safe, welcoming space where clients feel empowered to explore their goals and address the obstacles in their path. Believing that a shift in perspective can be both liberating and transformative, she encourages curiosity over self-judgment, even when navigating painful or complex experiences.

Drawing from Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT), and Acceptance and Commitment Therapy (ACT), she tailors her approach to each individual’s needs. She has extensive experience supporting clients across the lifespan with challenges such as depression, anxiety, mood disorders, substance use, relationship concerns, and personality disorders.

Humor and self-compassion are foundational to her practice, and she brings these values into each session, helping clients grow with honesty, resilience, and heart.

PMHNP-BC

Christina DeMuro

Christina DeMuro is a Psychiatric Mental Health Nurse Practitioner with over 10 years of experience in the mental health field. She takes an integrated mental health approach to help individuals live their best lives.
She provides compassionate, evidence-based care to patients ages 8 and up, specializing in depression, anxiety, ADHD, mood disorders, OCD, women’s health, and LGBTQ+ mental health.

Committed to a patient-centered approach, Christina strives to create a supportive environment where individuals feel heard, empowered, and equipped to navigate their mental health journey.

PMHNP-BC

David Rope

Dave is a dual board-certified Nurse Practitioner in Psychiatry and Mental Health as well as Family Practice. He graduated in 2000 with a Master’s of Science in Nursing from University of San Diego and in 2019 with a postgraduate degree in Psychiatric and Mental Health Nursing from Western Kentucky University. Dave’s subspecialty is in Latino health. He is bilingual in Spanish and bicultural in the Latino lifestyle. His training and experiences have led to a passionate pursuit of partnering with individuals and families to restore optimal mental health. Additionally, he advocates to erase the stigma and stereotypes of mental health.

It is Dave’s desire to collaborate with clients and families to develop a plan to instill hope, promote health and realize potential He takes the time to build rapport and develop a trusting relationship to determine the best treatments and appropriate therapies. He also enjoys incorporating the latest evidence-based research to individualized plans of care.

Dave has lived with his family in AZ for the past 20 years and has developed many partnerships with various health care professionals. When not in the office, he enjoys bicycling, various styles of music and family trips.

PMHNP-BC

Dustin Husemann

Dustin Husemann is a dedicated Psychiatric Mental Health Nurse Practitioner with a passion for providing compassionate, patient-centered care to patients ages 18 and up. As a strong mental health advocate, Dustin specializes in treating anxiety, depression, mood disorders, ADHD, dual diagnosis, OCD, PTSD and LGBTQ+ mental health.

Dustin ensures a safe and supportive environment for all patients where individuals feel heard, empowered, and equipped to navigate their mental health journey.

LMFT, LISAC

Erin Sebree

Erin Sebree is a Licensed Marriage and Family Therapist (LMFT) and Licensed Independent Substance Abuse Counselor (LISAC) dedicated to helping individuals and couples navigate life’s challenges. With a creative and integrative approach, Erin works collaboratively with clients 18 and older, offering meaningful discussions that explore both the positives and challenges of change. Specializing in depression, anxiety, PTSD and Trauma, self-worth and self-esteem issues, couples counseling, substance use, and stress management, Erin provides a supportive space for clients to explore their experiences and build a path toward healing.

Through a variety of therapeutic frameworks, Erin witnesses and guides clients as they move toward brighter, more fulfilling lives.

LPC, LCSW

Eva Besmanoff

Eva Besmanoff is a dedicated and compassionate Licensed Professional Counselor and Licensed Clinical Social Workers with over 10 years of experience helping adults (18+) navigate life’s challenges. Specializing in depression, anxiety, trauma, substance use, and life transitions, Eva utilizes evidence-based approaches such as Cognitive Behavioral Therapy (CBT) and Dialectical Behavior Therapy (DBT) to support clients in developing new skills and healthier ways of thinking.

With a client-centered and collaborative approach, Eva creates a nonjudgmental and supportive space where individuals can work toward their goals at their own pace. Committed to empowering clients, Eva helps them build resilience, improve emotional well-being, and make meaningful changes in their lives.

PMHNP-BC, PMH-C

Joseph Tris

Joseph Tris is a dedicated Psychiatric Mental Health Nurse Practitioner with over 13 years of experience in mental health, working in a variety of settings, including inpatient and crisis care. Joseph provides compassionate, evidence-based treatment for adults 18 and older, specializing in depression, anxiety, mood disorders, OCD, psychotic disorders, LGBTQ+ mental health, and eating disorders.

Joseph also has expertise in excoriation disorder, trichotillomania, and women’s health, holding a Perinatal mental Health Certification (PMH-C). Joseph is dedicated to creating a safe, inclusive space where patients can work toward healing and well-being.

Originally hailing from Chicago, Arizona has been Joseph’s home since 2006. When not helping others to be their best self, you can find him rock climbing, backpacking, and canyoneering throughout our great state.
Joseph is dedicated to providing wholistic person-centered treatment that focuses on proper nutrition, physical activity, healthy relationships, and professional development.

LPC

Julianna Kellner

Julianna understands that while life can be beautiful, it can also feel overwhelming and out of control. She helps clients find the tools they need to face challenges, uncover their strengths, and build a more hopeful future.

She has experience working with depression, anxiety, trauma, PTSD, ADHD, substance use, stress, and relationship concerns, and also specializes in using EMDR to support both healing and sports performance.

By combining approaches like DBT, EMDR, and CBT, Julianna creates a safe and supportive space where clients can work through past struggles and move toward the life they want with confidence.

MFT, LPC

Krystine Garcia

Krystine Garica is a Licensed Professional Counselor (LPC) with a deep understanding of the diverse needs of individuals and families. As an EMDRIA-approved EMDR therapist and Level 2 Gottman-trained therapist, Krystine specializes in helping clients navigate trauma, anxiety, depression, life transitions, parenting challenges, relationship issues (for individuals and couples), low self-esteem, and ADHD.

Using a compassionate and integrative approach, Krystine tailors therapy to each client’s unique needs, drawing from CBT, DBT, solution-focused therapy, family systems, and parts work to promote healing and personal growth. Whether working with individuals, couples, or families ,Krystine provides a supportive space for meaningful change and lasting well-being.

RN, BSN, PMHNP-BC

Krystle Brunker

Krystle Brunker is a dedicated Psychiatric Mental Health Nurse Practitioner with over a decade of experience in the mental health field. Krystle provides compassionate, evidence-based care to patients ages 6 to 65, specializing in the treatment of depression, anxiety, mood disorders, and ADHD.

With a deep commitment to fostering a supportive and inclusive environment, Krystle is especially passionate about working with the LGBTQIA+ community. Krystle takes a patient-centered approach to mental health care, empowering individuals to achieve stability and wellbeing.

MD

Michael Rockwell

Dr. Michael Rockwell is a board-certified psychiatrist with extensive experience treating a broad range of mental health conditions. As a self-described generalist, he has worked with diverse patient populations and specializes in managing depression (unipolar and bipolar types), anxiety, ADHD, OCD, dementia, schizophrenia, and schizoaffective disorder.

With a compassionate and individualized approach, Dr. Rockwell is committed to helping patients achieve stability and improve their overall well-being.

PMHNP-BC

Nikka Jones

Nikka Jones is a board-certified Psychiatric Mental Health Nurse Practitioner with a diverse background in emergency care, substance use treatment, and working with blended families. With a holistic, patient-centered approach, Nikka looks beyond symptoms to consider social and non-medical factors that impact overall well-being.

Specializing in care for children, individuals with ADHD, men’s and women’s health, mood and psychiatric disorders, sleep disturbances, seniors, minorities, and those with special needs, Nikka offers a comprehensive, compassionate, and private treatment experience. Known for being understanding and approachable, Nikka is committed to creating a well-rounded, supportive environment where patients feel heard and valued.

PMHNP-BC

Rebecca Reza

Rebecca Reza is a board-certified Psychiatric Mental Health Nurse Practitioner dedicated to improving mental health and overall well-being through self-discovery and empowerment. With a compassionate, nonjudgmental approach, Rebecca creates a safe space for individuals to explore their thoughts, experiences, and behaviors, working collaboratively to develop personalized treatment plans.

Believing that true healing occurs when the mind, body, and spirit are in balance, Rebecca integrates a holistic approach that promotes a healthy lifestyle through proper nutrition, exercise, sleep hygiene, stress management, mindfulness, and personal development alongside evidence-based medication management.

Utilizing patient-centered, strength-based, and solution-focused therapy (SFBT), Rebecca provides care for adults 18 and older, specializing in the treatment of unipolar and bipolar depression, anxiety, and PTSD. By fostering resilience and empowering patients with the tools they need, Rebecca helps individuals achieve lasting wellness and a higher quality of life.

PMHNP-BC

Samantha Kragel

Samantha Kragel is a board-certified Psychiatric Mental Health Nurse Practitioner with experience in healthcare dating back to 2008. As her career progressed, she recognized the growing need for quality mental health care across all age groups. This inspired her to broaden her focus and support individuals of all ages who are navigating mental health challenges. She is committed to working collaboratively with clients and their families to create personalized treatment plans that promote success at home, school, work, and in relationships. Her approach integrates medication management, therapy, coping strategies, and lifestyle modifications to help each client reach their fullest potential.

Outside of her professional life, she enjoys spending time with her husband, three children, and their golden retriever, who all bring joy and balance to her life.

LPC

Tyler Maneth

Are you feeling stuck in the same thought patterns or emotional loops and searching for deeper understanding and lasting change? Tyler’s approach to therapy goes beyond surface-level coping skills. Together, you’ll explore the “why” behind your thoughts, emotions, and behaviors through honest dialogue and reflection.

Tyler integrates a multitude of interventions in sessions so you can address problems from different angles. These can include Cognitive Behavioral Therapy (CBT), Psychoanalytic Therapy, Solution-Focused Therapy, the Rogerian client-centered model and Jungian concepts such as shadow work. He also incorporates a philosophical style approach such as Existential and Stoic philosophy. This means that you will work collaboratively to help uncover the root of your struggles while developing practical tools for growth.

Tyler believes therapy is a conversation between two people: a space for curiosity, critical thinking, and self-discovery. His goal is to help you gain greater self-awareness, learn from the past, and develop a deeper understanding of yourself and the world around you. Together, you will challenge distorted thinking, uncover hidden patterns, and create space for new perspectives that foster clarity, acceptance, and personal evolution.

Whether you’re struggling with anxiety, depression, identity, or simply feeling disconnected from your purpose, he will help you navigate life’s complexities with both insight and resilience so you can feel more confident to thrive in high stress situations.

LCSW

Tyra Flowers

Are you struggling with anxiety and/or depression? Or low self-esteem? Has your confidence decreased? Has the ability to cope with life stressors become overwhelming? Is it difficult to communicate or express your emotions? Tyra’s goal is to help you navigate life’s journey and restore your joy, peace, and happiness. Many times we forget that our mental health is just as important as our physical health. Let her help you get mentally fit!