Clinical Psychiatrist

Dr. Guina is board-certified in psychiatry by both the American Board of Psychiatry and Neurology and the National Board of Physicians & Surgeons, addiction medicine by the American Board of Preventive Medicine, and community and public psychiatry by the American Association of Community Psychiatrists. He is also a Fellow of the American Psychiatric Association. Dr. Guina has provided mental healthcare to individuals in inpatient, outpatient, emergency, crisis, consultation & liaison, forensic, and military settings. He has received training, education and has experience with the diagnosis and treatment of a variety of mental disorders, including:

  • Trauma-and Stressor-Related Disorders (e.g., PTSD, Acute Stress Disorder, Adjustment Disorder)
  • Substance Use and Addictive Disorders (e.g., Alcohol, Drugs)
  • Neurodevelopmental Disorders (e.g., Intellectual Disability, Autism)
  • Personality Disorders
  • Psychotic Disorders (e.g., Schizophrenia, Schizoaffective Disorder, Brief Psychotic Disorder)
  • Bipolar and Related Disorders
  • Depressive Disorders
  • Anxiety Disorders
  • Neurocognitive Disorders (e.g., Dementia, Delirium)
  • Sleep-Wake Disorders
  • Obsessive-Compulsive and Related Disorders
  • Dissociative Disorders
  • Somatic Symptom Disorders
  • Disruptive, Impulse Control and Conduct Disorders
  • Eating Disorders
  • Elimination Disorders
  • Sexual Dysfunctions
  • Gender Dysphoria
  • Paraphilic Disorders

Dr. Guina has provided psychiatric services in several hospitals, mental health clinics, and alcohol and drug programs. Dr. Guina has been involved in psychopharmacological, psychotherapeutic and behavioral risk management for various populations. In his career, he has had training and experience with several medical and psychosocial treatments, including:

  • Anti-depressants
  • Anti-psychotics
  • Mood stabilizers
  • Anxiolytics
  • Sedative-hypnotics
  • Stimulants
  • Anti-adrenergics
  • Anti-histamines
  • Medication-Assisted Treatment (MAT) for Substance Use Disorders (SUD)
  • Electro-Convulsive Therapy (ECT)
  • Telepsychiatry
  • Supportive Psychotherapy
  • Psychodynamic Psychotherapy
  • Cognitive Behavior Therapy (CBT)
  • Motivational Interviewing/Enhancement
  • Cognitive Processing Therapy (CPT)
  • Prolonged Exposure (PE)
  • Eye Movement Desensitization and Reprocessing (EMDR) Therapy
  • Dialectic Behavioral Therapy (DBT)

Dr. Guina has been the recipient of several awards for his clinical work, including the Excellence in Contributions to Intellectual Disability Psychiatry award from Wright State University. During his military career, he served as Medical Director of the 88th Mental Health Flight at Wright-Patterson Air Force Base, where he led clinical operations for over 120 staff and trainees, and provided psychiatric consultation for 23 military bases. During his time as Medical Director, he was recognized as the Company Grade Officer of the Year in his squadron, contributing to his mental health unit winning the Large Team of the Year in his squadron and his medical center winning the Best Hospital of the Year and the Best Commitment to Service awards for the entire U.S. Air Force.