Dr. Melissa Stennett Deuter, MD

Dr. Melissa Deuter is a board certified psychiatrist in San Antonio, Texas.  Dr. Deuter is the Medical Director for Sigma Mental Health Urgent Care located in the Stone Oak area of San Antonio.  She received her undergraduate degree from the University of Arkansas and attended medical school at the University of Arkansas for Medical Sciences.  She completed psychiatry residency at the University of Texas Health Science Center San Antonio and served as the Chief Resident in 2004.  Dr. Deuter currently holds an appointment as Clinical Assistant Professor of Psychiatry at UTSCSA and has been the course director for the resident training seminars on Eating Disorders.  In previous years, she directed the course on Sexuality and Sexual Development.  She is a former president of the Bexar County Psychiatric Society, a current member of the Texas Society of Psychiatric Physicians Ethics Council, and a current member of the South Texas Psychiatric Physicians Research Network’s Executive Committee.  She has been recognized as a San Antonio’s “Top Doctor” and a “Best of” Doctor, a Texas Super Doctor’s “Rising Star,” and has received the American Registry “Patient’s Choice Award.”  Dr. Deuter specializes in the care of teens, young adults and their families and has a special interest in the unique mental health needs of emerging adults.

Dr. Deuter is the author of STUCK in the Sick Role: How Illness Becomes An Identity available on Amazon:



Dr. Deuter also writes a weekly blog on a variety of mental health and parenting related topics.  You can read her blog by following this link: http://www.melissadeuter.com/news/

Dr. Sandra Vale, MD

Sandra D. Vale, M.D. is the Texas Medical Director for Cenpatico Behavioral Health serving Superior Health Plan of Texas.  She was most recently the Medical Director of Adult Behavioral Health at the Center for Health Care Services (CHCS) of Bexar County in San Antonio, Texas.  While at CHCS, she also served as the lead psychiatrist for the Assertive Community Treatment (ACT) program and Intensive Outpatient Commitment Program (IOPC).  In previous years she served as the Chief of Behavioral Health at WellMed Medical Group where she developed an integrated behavioral health program for WellMed’s primary care clinics.  She also served as the director of psychiatry services at the San Antonio State Supported Living Center which works with the intellectually challenged/psychiatrically challenged dual diagnosis adult population.


Dr. Vale is a native San Antonian.  She attended the University of Texas at San Antonio and completed medical school at the University of Texas Health Science Center at San Antonio (UTHSCSA).  Dr. Vale completed her residency training in General Adult Psychiatry at the University of Texas Medical Branch (UTMB) at Galveston where she served as Chief Resident during her final year of residency.  She completed additional Fellowship training in Geriatric Psychiatry at the University of Texas Health Science Center in San Antonio and continues to focus on the geriatric population through her clinical work.  She has received numerous awards and recognition for her clinical care and teaching to most recently include being recognized as one of San Antonio’s top physicians.  Dr. Vale sees herself as a champion for transformation of healthcare systems that are integrated, person centered, and quality focused.

Dr. Phillip Balfanz, MD

Dr. Phillip Balfanz is board certified child and adolescent psychiatrist who earned his medical degree from the University of Texas Medical Branch in Galveston.  He completed his psychiatric residency and child fellowship at the University of Texas Southwestern.  He served as Chief Fellow at UTSW during 2012 while on the Public Psychiatry Fellowship Track.  During fellowship, he worked with Metrocare Center for Education and Research in Dallas and was able to treat young children at risk for losing placement in school/daycare, foster children, adolescents in the youth and family juvenile offenders program, and youth with co-occurring developmental disabilities.  Following fellowship, Dr. Balfanz worked at Hill Country MHDD as a Child and Adolescent Psychiatrist serving the western 16 counties of the Hill Country area.  He served as Medical Director for the Linda J. Werlein Crisis Stabilization unit focused on person centered recovery for adults in psychiatric crisis. Dr. Balfanz is a member of several medical societies including the Texas Medical Association, the Texas Society of Child and Adolescent Psychiatrists, is a Fellow in the American Psychiatric Association and has served on the Department of State Health Services Executive Formulary Committee.  Dr. Balfanz strives to partner with individuals and families to empower their recovery toward health and hope.

Dr. Christine Masuda, MD

Dr. Christine Masuda is a board certified psychiatrist in Austin, Texas. She received her undergraduate degree from the University of Washington before moving to Texas to serve in Teach for America as a high school science teacher. She attended medical school at the University of Texas Southwestern and completed psychiatric residency at the University of Texas at Austin Dell Medical School.


During her residency, she did a senior selective in psychiatric emergency medicine and saw firsthand the need for more psychiatric urgent care resources. Following residency, she served as a psychiatrist for Harris Health in Houston, where she practiced psychiatry integrated in a family practice setting. 


Dr. Masuda values evidence based medicine and the close partnership of psychiatry with psychotherapy. She completed cognitive processing therapy training which impressed upon her the power in approaching mental illness with multiple modalities.

Tracy Clark, PA-C

Tracy Clark is certified by the National Commission on Certification of Physician Assistants as a Physician Assistant and licensed in the state of Texas by the Texas Medical Board.  She is a graduate of University of Texas Health Science Center in San Antonio.  She has been in practice for seven years and has experience in Family Medicine to include treating the most common mental health disorders such as depression, anxiety, PTSD.  She saw the gap in mental health care while working with Veterans in the VA system and decided that she would look out for an opportunity to work with those in need of mental health services.

Caroline Horton, PA-C

Caroline is a Physician Assistant and is nationally certified by the National Commission on Certification of Physician Assistants. She received a Master in Physician Assistant Studies at James Madison University in Virginia and is licensed to practice in the state of Texas by the Texas Medical Board. She has experience in Emergency Medicine and the care of adults and children with acute and chronic mental health disorders in the emergency room setting. She is committed to helping provide mental health services to the people of San Antonio and the surrounding communities that allows more people to access the care they need in an outpatient setting.

Gina Seyfried, PMHNP

Gina Seyfried is a family psychiatric nurse practitioner in the state of Texas with 31 years of Nursing experience, 27 of those years in the Emergency Department.  Gina graduated with her Family Nurse Practitioner certification from Walden University in 2015.  In 2018, she received her Psychiatric Mental Health Nurse Practitioner certification from University of Texas Rios Grande Valley.  She currently works at Center for Healthcare Services and that's where she recognized the need to go back to school to get her certification in Mental Health.  Gina is Passionate about helping individuals dealing with mental health.

Matthew Dietz, PMHNP

Matthew is a psychiatric mental health nurse practitioner certified by the American Nurses Credentialing Center and is licensed in the State of Texas by the Texas Board of Nursing.  He is a graduate of the University of Texas Health Science Center in San Antonio. Prior to becoming a nurse practitioner, he worked in multiple inpatient mental health facilities as a charge nurse.  He also worked in the home environment with special needs children and adolescents. Matthew believes that a patient-centered, holistic collaborative approach in mental health care is essential in building a great therapeutic relationship with those we serve.

Dr. Margo de la Garza, LPC, Ph.D.

Margo DelaGarza is a psychotherapist in private practice in San Antonio, Texas.  She provides clinical services at Sigma Mental Health Urgent Care and at San Antonio Behavioral Healthcare Hospital.  Margo began her career in social services over 15 years ago and is experienced in the treatment and assessment of children, adolescents, and adults struggling with a variety of behavioral and mental health issues.


Previously, Margo worked as an Early Childhood Mental Health Clinician for the Early Childhood Well-Being Project.  She is the former co-chair of the Healthy Futures Alliance (HFA), a community coalition of over 400 members, and has worked for Healthy Futures of Texas where she conducted group sessions for parents and teens regarding healthy sexuality, relationships, and reproductive health.  She has also worked for the State of Texas as a Child Abuse Investigator.  Margo provides professional training in the areas of sexual health, infant and early childhood mental health, parenting education, and the 40 Developmental Assets. 


Margo completed her undergraduate and master’s degrees in psychology at the University of Texas at San Antonio and her doctorate at St. Mary’s University.

Susan D. Sundin, MA, LPC-S

Susan Sundin is a Licensed Professional Counselor with Supervision certification. Susan is currently a psychotherapist in Boerne, Texas with over 7 years of private practice experience and also does educational consulting in school districts throughout Texas.  She has over 25 years’ experience working as a counselor and behavior specialist in public schools. Prior to her work in public schools she was a Licensed Chemical Dependency Counselor and Recreational Therapist working in child and adolescent residential treatment facilities. Susan is a graduate of Texas State University.

Susan’s approach to therapeutic work is based entirely on the relationship that is built between the therapist and the client. She works at providing her clients with a safe and welcoming environment so that they will feel safe in sharing their journey with her. Susan helps her clients understand developmental processes and assists her clients in identifying areas that have hindered their development with the hope that, while working together, they can get the client back on track in their development as a whole person.

Susan specializes in the treatment of anxiety, depression and grief and loss. She has expertise in the area of working with parents of children with special needs, children with behavioral disorders, and young children.

Brenda Compagnone, LPC-S

Brenda is a Licensed Professional Counselor and a State Recognized Supervisor who has been in private practice for nine years.  She views therapy with her clients as a teamwork process of understanding her patient's concerns.  Her priority is to find the best way to manage and deal with the psychostressors of life.  Brenda's style is direct and practical, using a wide variety of therapeutic processes she has found to be effective in her nine years of practice.  She has experience with depression, anxiety, PTSD or wanting support and guidance in dealing with life transitions.  Brenda's focus as a therapist is to provide patients with the best counseling experience possible.

Tracy Kitchen, LCSW

Tracy is a Licensed Clinical Social Worker who has seven years of experience with four of those years in private practice. She feels there is significant power in the therapeutic relationship, which is the working relationship between therapist and client. Her goal is to provide a safe, nonjudgmental environment where a strong therapeutic alliance can flourish, making it possible for you to process your pain and find healing.  Although symptom management is important, her goal is to also help you understand the root of your problems. As you gain awareness into the influences from your past, you will be able to resolve any unfinished business and implement healthier approaches and perspectives, so that lasting change is achieved. Tracy specializes in the treatment of anxiety, depression, relationship issues, and trauma recovery with an emphasis on adult survivors of abuse.

Dexter Brown, LPC

Dexter is a Licensed Professional Counselor who completed his Masters of Science degree in Marriage and Family counseling at Prairie View A&M University.  Dexter currently provides clinical services at Sigma Mental Health Urgent Care and trauma focused equine assistant psychotherapy (TF-EAP) at Courage Ranch.  His focus includes adolescents and families who have been impacted by adverse childhood experiences (ACEs).  There are many forms of trauma which can disrupt an individuals' ability to connect with themselves and others, as well as cause other mental health issues.  He believes creating a safe space and a healthy therapeutic relationship with individuals can create a pathway for healing.  In addition to providing different alternatives to address presenting problems, developing and exploring meaning behind behavior can be empowering.

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