A Medical Home for Your Health and Well-Being

The ideal model of treatment for substance use disorders is to provide the right services at the right cost at the right time. CARMAhealth is setting a new standard in treatment and expanding access to care for individuals throughout their journey in recovery.

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Steven Powell
Steven PowellMedical Director
CARMAhealth’s Medical Director Dr. Steven Powell is board certified in Family Medicine, and is a member of the American Academy of Family Physicians and the Texas Academy of Family Physicians.
Carlos Tirado
Carlos TiradoFounder and Chief Medical Officer
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. [click for full bio]
David Walsh
David WalshPsychiatric Nurse Practitioner
David is a board-certified Family Psychiatric-Mental Health Nurse Practitioner whose primary area of interest is working with families struggling with addiction repair their family dynamic. [ click for full bio ]
Casey Coton
Casey CotonPsychiatrist
Dr. Coton is board-eligible in general psychiatry by the American Board of Psychiatry and Neurology. [click for full bio]
Caroline Hedenberg
Caroline HedenbergCollaborative Care Clinician
Caroline has been in practice as a Social Worker since 2003, and has worked in the inpatient social work and utilization review areas of healthcare, through which she has gained considerable expertise. [ click for full bio ]
Lorie Kmetz
Lorie KmetzFamily Nurse Practitioner
Lorie Kmetz is a board-certified Family Nurse Practitioner. She specializes in primary care and medication-assisted treatment (MAT) for patients with substance use disorders. [ click for full bio ]
Sally Reese
Sally ReeseFamily and Psychiatric Nurse Practitioner
Sally is dual certified as a Family Nurse Practitioner and a Psychiatric Mental Health Nurse Practitioner. Her dual certification and her years of clinical expertise have enabled her to help virtually every patient in our behavioral health population. [ click for full bio ]
Melissa Rivera
Melissa RiveraPsychiatric Nurse Practitioner
Melissa is a board-certified Psychiatric-Mental Health Nurse Practitioner, licensed and trained to treat behavioral health concerns across the lifespan. She is bilingual and fluent in Spanish with a particular interest in serving diverse populations.  [ click for full bio ]
Becky Scaduto
Becky ScadutoPsychiatric Nurse Practitioner
Becky is a board-certified Psychiatric-Mental Health Nurse Practitioner trained to treat mental disorder. Her background in research and evidence-based practice has helped her provide quality treatment for her patients. [click for full bio]
Jennifer Schaefer
Jennifer SchaeferPsychiatrist
Dr. Schaefer is double board certified in General Psychiatry and Child and Adolescent Psychiatry by the American Board of Psychiatry and Neurology. [ click for full bio ]
Isela Werchan
Isela WerchanPsychiatrist
Dr. Isela Werchan is board certified by the American Board of Psychiatry and Neurology in General Psychiatry. She has helped our patients rebuild their lives and thrive in recovery. [ click for full bio ]
Anabel Winiecki
Anabel WinieckiFamily Psychiatric Mental Health Nurse Practitioner
Anabel is a board-certified Family Psychiatric Mental Health Nurse Practitioner, trained to treat behavioral and mental health across the lifespan. She graduated with her Masters in Nursing from the University of Texas at Austin. [ click for full bio ]

Our Purpose: Primary Care to Address Substance Use and Psychiatric Disorders

The World Health Organization and Centers for Disease Control have long identified Substance Use Disorders (SUD) and Depression as major contributors to morbidity and mortality. SUD and mental illness are huge drivers of health care costs. These two personal and public health issues also deeply impact families and whole communities. Lack of access to competent primary care and lack of behavioral health integration keeps people sick.

CARMAhealth adopts a collaborative model of care that blends primary care medicine and behavioral health. We adopt a pragmatic, risk informed approach to care. Our goal is to create a medical home for our patients, their family and our community.

CARMAhealth Health Core Values

• Provide unconditional access to life saving treatment for addiction and related disorders;

• Support long term recovery through the lifespan with compassionate awareness of the relapsing nature of addiction;

• Engage in continuous innovation to refine and enhance the clinical impact of services on individual lives.

CARMAhealth provides comprehensive primary care for addiction and related behavioral and medical disorders. Our providers adopt a positive, collaborative approach and integrate primary medicine, behavioral health and care management to promote lasting recovery, encourage self-care and improve treatment outcomes. CARMA stands for Collaborative Addiction Recovery Management and Assistance.

CARMAhealth will be a leader in clinical innovation and expand our model of evidence-based medical and behavioral services for addiction and recovery to the lasting benefit of individuals, families and healthcare providers.


Hear What Our Patients Say

It’s worth noting that the practice also treats mental health disorders which is why I use Carma. I have been to other doctors in town and have never received the level of compassion and care for my health that I do here.

Bryna Hoang
Dr. Powell is amazing, as well as the staff. I would highly recommend this place to anyone.
Kate Penshorn
Excellent mental health professionals in Austin!!! They truly care about their patients by offering first-class services!!
David B. Hutts

CARMAhealth took over our daughter’s care and now we have…a doc who truly understands psychiatry, MAT and recovery! Grateful and relieved. Bravo, CARMAhealth!

Dr. Lori Holleran-Steiker

Make An Appointment Today

All CARMAhealth staff are experienced in addiction healthcare.  From the telephone to your provider to checkout you’ll be met with compassionate care.  Call or click to make an appointment.

Click To Make An Appointment Today