CARMApsychiatry is an interdisciplinary holistic psychiatry practice formed as a collaboration between nurse practitioners and psychiatric physicians. The CARMApsychiatry model blends holistic nursing care with medical science. CARMApsychiatry believes in a strengths-based and systems-oriented approach to health and wellness. Life stress and illness rarely arise from a single factor, so positive change is rarely the result of a single treatment.  We believe that diet, exercise, lifestyle, thought patterns, stress tolerance, capacity for mindfulness, and medical interventions all play significant and interconnected roles in mental, physical, and spiritual health.

David Walsh, MSN, RN, PMHNP-BC

David is a board-certified Family Psychiatric-Mental Health Nurse Practitioner, licensed and trained to treat behavioral health concerns across the lifespan. In practice, David’s primary area of interest is in working with families struggling with addiction, and supporting those in recovery through smart medication management and ongoing therapy.

A graduate of The University of Texas at Austin, David is a published author, educator, and speaker who maintains close ties to both the University and a number of local and national professional affiliations.  

His research background is matched by his experience, providing psychiatric medication management services not only at his clinic but also in several local substance abuse facilities. Prior to entering into advanced practice nursing, David served as Director of Nursing at a highly regarded 90-day residential treatment facility in the Austin area in addition to providing detox services and psychiatric nursing at rehabilitation centers and psychiatric hospitals locally.

David’s belief in the recovery model informs his empathic yet pragmatic approach to behavioral healthcare.

Carlos F. Tirado, MD, MPH, FABAM

Dr. Tirado is board certified in general and addiction psychiatry by the American Board of Psychiatry and Neurology and addiction medicine by the American Board of Addiction Medicine. Dr. Tirado attended medical school at The University of Texas Houston Health Science Center and completed his residency in general psychiatry at The University of Texas Southwestern Medical Center in Dallas. Dr. Tirado received specialty training in addiction psychiatry and research at the internationally prestigious Center for Studies on Addiction at the University of Pennsylvania. Dr. Tirado is trained in Cognitive Behavioral Therapy and Motivational Interviewing.

Dr. Tirado is a recognized expert and thought leader in medication-assisted therapy for addiction, dual-diagnosis and in blending traditional abstinence-based and risk reduction approaches to recovery. Dr. Tirado is fluent in Spanish. Dr. Tirado’s approach to treatment is evidence-based, non-judgmental and collaborative. Dr. Tirado's combination of clinical, academic and consulting experience is unsurpassed in the region.

Dr. Schaefer specializes in general and child and adolescent psychiatry and is board eligible by the American Board of Psychiatry and Neurology. Dr. Schaefer graduated from medical school at The University of Texas Health Science Center at San Antonio. She completed both her general
psychiatry residency and child and adolescent fellowship training at The University of Texas at Austin Dell Medical School, where she served as chief resident. Dr. Schaefer is trained in psychodynamic psychotherapy, cognitive behavioral therapy, play therapy, and motivational

Dr. Schaefer provides a compassionate, thoughtful, and evidence-based approach to treatment in working with children, teenagers, and their families. She works to collaboratively target each patient’s treatment to their particular goals through a combination of medication management and individual or family therapy. Dr. Schaefer’s approach to treatment is to non-judgmentally help her patients to develop hope, discover meaning, and become empowered to recover.


Jennifer Schaefer, MD