Meet Our Clinicians


Danielle Rosnov-Castelar, Ph.D. (Clinical Psychologist/Owner)

Dr. Rosnov-Castelar is a Licensed Clinical Psychologist and the practice owner. She earned her Master’s Degree in clinical psychology from Western Carolina University. She, then, went on to earn her doctoral degree in clinical child psychology from the University of Kansas and completed her internship and post-doctoral training at the Alfred I. duPont Hospital for Children in Wilmington, Delaware.   Although she considers her specialty area to be providing therapy and comprehensive evaluation services to children and adolescents, Dr. Rosnov-Castelar also enjoys working with young adults. Dr. Rosnov-Castelar has worked in a variety of settings including private practice, schools, outpatient community mental health centers, children’s hospitals, and primary care offices. Working in these diverse venues has allowed Dr. Rosnov-Castelar to gain experience and expertise in treating children, adolescents, and adults with a broad range of psychological issues including anxiety, depression, ADHD/behavior disorders, autism spectrum disorders, mood disorders, grief, and adjustment to parent separation/divorce, among others. Dr. Rosnov-Castelar approaches therapy primarily from a cognitive-behavioral and/or developmental perspective. In addition to providing individual therapy services, Dr. Rosnov-Castelar conducts comprehensive psychological and psycho-educational evaluations.     

  *This provider is currently in-network with Anthem BCBS, CIGNA, and Aetna 


Alexandre Fleche, LCSW (Licensed Clinical Social Worker)

Alexandre Fleche is a Licensed Clinical Social Worker with more than seven years of direct clinical experience and more than three years of program development and management experience. He has worked in community mental health, primary care, and psychiatric hospital settings. Alexandre obtained postgraduate supervision in Bowen Family Systems Theory to complement his evidence-based clinical skills in Cognitive-Behavior Therapy, Dialectical Behavior Therapy, Motivational Interviewing, and brief solution-focused therapies. Over the past few years Alexandre developed and managed the Choices Adolescent Intensive Outpatient Program at Dominion Hospital, the first Dominion Hospital program in Loudon County. Alexandre enjoys working with adolescents, adults, families, and couples.   

 *This provider is currently in-network with Anthem BCBS, CIGNA, and Aetna


Michelle Lam, LCSW (Licensed Clinical Social Worker)


Michelle Lam is a Licensed Clinical Social Worker with more than 10 years of experience providing direct mental health services. She earned her Bachelor’s Degree in Psychology from Virginia Tech and her Master’s Degree in Clinical Social Work from Virginia Commonwealth University.  Michelle’s experience includes working in a variety of settings including local Community Services Boards, supported employment programs, and in-home supports. Through her experience, Michelle has worked primarily with adults with a broad range of psychological issues to include anxiety, depression, ADHD, personality disorders, and autism spectrum disorders. Additionally, she has experience working with children, adolescents, and families focusing on finding solutions and improving communication. Michelle’s clinical skills include Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, and Motivational Interviewing. 

 *This provider is currently in-network with Anthem BCBS and CIGNA 


Rituma Patel, Psy.D. (Clinical Psychologist)

 Rituma Patel, PsyD. is a Commonwealth of Virginia Licensed Clinical Psychologist. She graduated with a Doctorate of Psychology from James Madison University’s Combined-Integrated Clinical and School Psychology program in 2008. Dr. Patel has substantive psychotherapy experience working with children, adolescents, and families in diverse settings including private practice, hospitals, community mental health centers, and college counseling centers. Working in these settings has provided her a wealth of clinical experience providing individual, couples, group and family therapy. Her experiences include working with adults, adolescents, children and families presenting with a variety of concerns including anxiety disorders, mood disorders, ADHD, parenting issues, anger management among others. Using a client-centered and strength-based approach in therapy, she draws from a range of theoretical orientations (e.g. Psychodynamic, Cognitive-Behavioral, etc.) to best meet the needs of her clients. 

 *This provider is currently in-network with Anthem BCBS and CIGNA