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ketamine video by Dura Medical medication management near me FL

About Us

Dura Medical is a premiere behavioral health practice led by Stephen Durand, CRNA, APRN, Kathryn Hart, APRN, PMHNP-BC, CPNP-PC, and their expert team in Naples, Florida. They specialize in caring for patients 12 and older with mental health disorders classified as treatment-resistant.

Patients with depression, anxiety, post-traumatic stress disorder (PTSD), attention-deficit/hyperactivity disorder (ADHD), eating disorders, obsessive-compulsive disorder (OCD), and more can rely on Dura Medical experts for symptom relief with the most cutting-edge treatments available.

Dura Medical uses traditional medications; psychotherapy; and novel approaches like ketamine infusion therapy, MagVenture transcranial magnetic stimulation (TMS), and Spravato® nasal spray to treat depression and other mental health struggles.

With Fast Track to Wellness, the Dura Medical team sees patients who express interest in ketamine infusion therapy or TMS the next business day to achieve fast, highly effective results.

To get relief from symptoms of a mental health disorder and maximize your quality of life, call the Dura Medical office or book an appointment online today.

Dura Medical by Dura Medical medication management near me FL

Meet the Team

Richard J. Capiola, MD
Medical Director
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Stephen Durand, CRNA, APRN
TMS and Ketamine Specialist
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Kathryn Hart, APRN, PMHNP-BC, CPNP-PC
Psychiatric Mental Health Nurse Practitioner & TMS and Ketamine Specialist
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Cara Nixon, Psy. D
Licensed Clinical Psychologist
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Liz Durand, RN
Registered Nurse
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Janice Barnebee
Office Manager
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Angela M. Sterious, PMH-NP, APRN-FNP
Board Certified Nurse Practitioner
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James Trinnaman, MBA, LMHC
Licensed Mental Health Counselor
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Rose Balyeat, LMHC
Licensed Mental Health Counselor
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Brooke Jenkins, LMHC
Licensed Mental Health Counselor
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Sarah McGregor DNP, APRN, FNP-BC, PMHNP-BC
Psychiatric Nurse Practitioner
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Joe Fleschner, APRN, PMHNP-BC
Psychiatric Mental Health Nurse
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Kylee Dalton, APRN, PMHNP-BC
Psychiatric Mental Health Nurse
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Dura Medical is a premiere behavioral health practice led by Richard Capiola, MD, Board certified psychiatrist and founder Stephen Durand, CRNA and their expert team in Naples, Florida. Their team specializes in caring for patients 6 years old and older who struggle with mental health disorders.

Patients with depression, anxiety, post-traumatic stress disorder (PTSD), attention-deficit/hyperactivity disorder (ADHD), eating disorders, obsessive-compulsive disorder (OCD), and more can rely on Dura Medical experts for symptom relief with the most cutting-edge treatments available.

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Richard J. Capiola, MD

Medical Director
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Dr. Capiola graduated from Tulane Medical School and UCLA and earned triple board certification in general psychiatry, addiction psychiatry and forensic psychiatry. He has been a practicing psychiatrist for more than 30 years. Dr. Capiola’s experience with patients who are considered treatment resistant prepared him for his role as Medical Director of Dura Medical, whose model includes interventional psychiatry treatments such as Transcranial Magnetic Stimulation, Spravato® (nasal esketamine) and Ketamine Infusion Therapy.

Stephen Durand, CRNA, APRN

TMS and Ketamine Specialist

Stephen Durand, CRNA, APRN, offers behavioral health services to patients at Dura Medical in Naples, Florida. Stephen moved to Naples in 2004 to attend Wolford College, where he received his training as a certified registered nurse anesthetist (CRNA) and simultaneously earned a master’s degree from Florida Gulf Coast University.

During his training, Stephen developed a love for obstetric (OB) anesthesia and decided to specialize in it. He has also trained hundreds of anesthesia students as a clinical instructor.

During this time of working in OB, Stephen became very familiar with using ketamine as a pharmacological agent for surgical pain. When he discovered it was being used to treat mood and pain disorders in outpatient settings, he sought out a former colleague using ketamine to successfully treat people who were once thought to have been treatment-resistant.

Stephen took an extensive training course and became certified in ketamine to treat patients suffering from depression, suicidal ideation, anxiety, PTSD, OCD, and many pain disorders. At that time, no clinics in Naples offered ketamine infusion therapy, and Stephen was convinced that Naples needed one. He and his wife Liz, a registered nurse (RN), started Dura Medical, LLC in 2018 to help as many people as possible experience healing from mood disorders and chronic pain.

Kathryn Hart, APRN, PMHNP-BC, CPNP-PC

Psychiatric Mental Health Nurse Practitioner & TMS and Ketamine Specialist
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Katie Hart, DNP, ARPN, PMHNP-BC, CPNP-PC, is a board-certified psychiatric nurse practitioner at Dura Medical, a behavioral health practice located in Naples, Florida.

She received her Bachelor of Science in health sciences & health promotion with a minor in public health from The Ohio State University in 2011. She then completed a Master’s of Nursing at Ohio State and became certified as a primary care pediatric nurse practitioner in 2015. She obtained additional certification in psychiatry and her Doctorate of Nursing Practice in August 2018 from the University of North Florida.

Katie has held various positions in the mental health field for the last decade, providing invaluable lessons that have helped solidify her passion for psychiatry. While completing her undergraduate degree, she worked as an applied behavioral analysis (ABA) therapist providing in-home behavioral therapy to children and adolescents with autism spectrum disorder. After becoming a registered nurse, she began working at an adult inpatient psychiatric hospital outside Columbus, Ohio. Her experience working as a psychiatric nurse taught her a great deal about mood disorders, including but not limited to anxiety disorders, major depression, and substance abuse disorders.

When she’s not caring for patients, Katie enjoys spending time with friends, family, and her three rescue dogs. She also enjoys reading, spending time by the pool or beach, and cheering on The Ohio State Buckeyes in the fall!

Cara Nixon, Psy. D

Licensed Clinical Psychologist
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Cara Nixon is a licensed clinical psychologist providing psychotherapy to patients at Dura Medical of Naples.

She graduated from the Illinois School of Professional Psychology and moved to Florida to complete her internship at Park Place Behavioral Health in Kissimmee. After completing her residency at Blue Horizon Eating Disorder Treatment in Winter Park, she relocated to Southwest Florida. She has been in private practice since 2014 and completed training in Eye Movement Desensitization and Reprocessing therapy (EMDR) in 2016.

As a family member of first responders, this population has a special place in her heart. Dr. Nixon believes in the importance of helping people who help people. Her specialty in Eye Movement Desensitization and Reprocessing therapy (EMDR) enables her to provide comprehensive care to first responders and anyone seeking treatment for post-traumatic stress disorder (PTSD).

In addition to first responders, Dr. Nixon has extensive experience working with those with an eating disorder. Her residency and years in private practice have brought unparalleled care to southwest Florida for those seeking recovery from an eating disorder and related traumas.

“I’m excited to be a part of the Dura Medical family,” says Dr. Nixon. “Being able to work in conjunction with patients going through ketamine infusion therapy is something I’m eager to be involved in.”

Outside of the office, Dr. Nixon enjoys spending time outdoors, yoga, and watching Friends. She is also dedicated to local animal rescue and has one rescue cat of her own.

Liz Durand, RN

Registered Nurse

From a young age, Liz knew she wanted to be a nurse to serve others and impact their lives. She is originally from Narberth, PA, where she earned her nursing degree at Chester County Hospital School of Nursing. After finishing school, Liz moved to Boston and worked in a long-term care facility for three years. She then returned to PA and switched her emphasis on Labor and Delivery. Liz worked as an L&D travel nurse for the next seven years, leading her to Colorado, Washington, California, Oregon, and New York City.

In 2005, Liz moved to Florida, where she decided to try something new and trained to work in the Operating Room at NCH Healthcare System in Naples. During this time, Liz met her husband, Stephen. In April 2022, they will celebrate their 15th year of marriage. They have three boys, ages 13, 11, and 9.

In 2018 Liz co-founded Dura Medical along with Stephen. Liz will be the enthusiastic voice you hear on the other end of the phone, collecting background histories, completing prior authorization, and assisting with medication refills. When she’s not on the phone, she works alongside her husband, Stephen, to help manage infusions. Liz enjoys spending time with Stephen lounging in the pool or watching their three boys play basketball during her time off.

Liz Durand is a registered nurse who earned her nursing degree at Chester County Hospital School of Nursing, with a work history in Labor and Delivery, and the Operating Room, and most recently, she is proud to add Mental Health to her field of expertise! You most likely will meet her over the phone, collecting background histories, completing prior authorizations, assisting with medication refills, or work alongside her husband, Stephen Durand, during infusions. Liz enjoys spending downtime with her husband by the pool or watching their three boys play basketball during her time off.

Liz is passionate about helping patients, their families, and the community with new treatments that help them regain their hope and assist them on their path to healing.

Janice Barnebee

Office Manager

When you walk into Dura Medical of Naples, you’ll be greeted warmly by Janice Barnebee, the Office Manager. Janice is happy to be part of a team that is kind and passionate about patient care. Her previous experience includes work in customer service, sales, and administration. Before starting at Dura Medical, Janice was the Medical Office Supervisor for a local psychiatric clinic, giving her the tools she needs to make Dura Medical a successful and efficient clinic.

“I am excited to be part of a clinic that will have a tremendous positive impact on the community,” says Janice. “I look forward to working with and getting to know the patients. My goal as the office manager is to ensure a friendly and comfortable environment from the moment the patient walks in the doors. Dura Medical is a rewarding and life-changing place for both the patients and myself as they reach their health goals that can change their lives forever.”

Janice works tirelessly both at Dura Medical and at home. She has been married for 27 years and has four grown children. “Raising my four amazing children has been the most rewarding experience of my life,” Janice acknowledges. She was born in New York but has lived in Naples since 1990, enjoying the beaches and beautiful sunsets with her husband.

Angela M. Sterious, PMH-NP, APRN-FNP

Board Certified Nurse Practitioner
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Bio Coming Soon

James Trinnaman, MBA, LMHC

Licensed Mental Health Counselor
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Experienced treating PTSD, c-PTSD, chemical addictions, process addictions in both individual and group therapy settings. Trained in Dialectical Behavior Therapy (DBT), Eye Movement Desensitization and Reprocessing (EMDR), Traumatic Incident Reduction (TIR), Eye Movement Integration (EMI), and other evidence-based therapeutic approaches in an integrated treatment environment.

Rose Balyeat, LMHC

Licensed Mental Health Counselor
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Rose Balyeat is a Licensed Mental Health Counselor at Dura Medical. She attended Indiana University where she received a bachelor’s degree in public health in 2016, majoring in Human Development and Family Studies and double minoring in Counseling and Psychology. From there, she spent two years working with adults and youth in an inpatient behavioral health hospital in her hometown of Fort Wayne, Indiana. While there, she worked with doctors and nurses to aid in the treatment of patients struggling with depression, anxiety, eating disorders, personality disorders, bipolar disorder, schizophrenia and more. She also has experience working with substance abuse and has held Assistant Clinical Director and Director roles in private practice.

Rose obtained her master’s degree in Clinical Mental Health Counseling in May of 2020 and became a fully licensed clinician in April 2022. She is formally trained in various modalities including CBT and Level 1 Gottman Method Couples Therapy and is passionate about working with youth, young adults, adults and couples.

When she isn’t counseling her clients, Rose enjoys reading, cooking, and spending time with her husband and their 2 children.

Brooke Jenkins, LMHC

Licensed Mental Health Counselor
Telemedicine Link

Graduated from The University of Georgia with a BA in Psychology Master’s Degree from Clemson University in Counseling Psychology Licensed Mental Health Counselor in Florida and Licensed Professional Counselor in South Carolina.

I have been practicing for over twenty years. My primary specialties are substance use disorders and trauma- certified in Trauma Incident Reduction. I also have very extensive experience with ADHD and executive functioning coaching, bipolar disorder, depression, anxiety, and all psychotic disorders. I will see couples, children thirteen or over. I have a long history of dealing with children with RAD.

Sarah McGregor DNP, APRN, FNP-BC, PMHNP-BC

Psychiatric Nurse Practitioner
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She received her Bachelor’s in the Science of Nursing from Florida Gulf Coast University in 2008. She completed her Master’s in Nursing Family Nurse Practitioner degree from Florida Gulf Coast University in December 2013. She graduated in 2018 from Chatham University in Pittsburgh, Pennsylvania with her Doctorate in Nursing Practice. She received her Primary Mental Health Nurse Practitioner Degree from Wilkes University in 2022.

Sarah has various experience from dealing with acute mental health crisis in the emergency room settings to management of chronic mental health conditions. She enjoys spending time with friends and family in her spare time, as well as enjoying the beauty of the SWFL backdrop.

Joe Fleschner, APRN, PMHNP-BC

Psychiatric Mental Health Nurse Practitioner
Telemedicine Link

I believe in developing a partnership with patients to move toward improving their whole health and quality of life. Each patient requires an individualized treatment plan that meets their goals, values, and needs. Using an integrative and holistic approach, I incorporate a variety of evidence-based interventions that enrich the mind, body, and spirit; moving clients toward the peace and stability they deserve. I treat patients across the lifespan, with a specialized clinical focus on the child and adolescent, veteran, civil service, and trauma populations.

Kylee Dalton, APRN, PMHNP-BC

Psychiatric Mental Health Nurse
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Kylee Dalton, APRN, PMHNP-BC, is a board-certified Psychiatric Nurse Practitioner at Dura Medical, an outpatient behavioral health practice in Fort Myers, Florida. She received her Associate in Science in Nursing in 2014 from Pensacola State College in Pensacola, Florida. She received her Bachelor of Science in Nursing in 2018 from Chamberlain College of Nursing in Downers Grove, Illinois. She received her Master of Science in Nursing Education in 2020 from Chamberlain College of Nursing in Downers Grove, Illinois. She received her Post Masters Certificate in Psychiatric Mental Health Nurse Practitioner in 2022 from Herzing University in Milwaukee, Wisconsin. She is qualified to practice in psychiatry to diagnose, treat, and prescribe medication for patients 18 years of age and older. Some of her practice specialties include (but are not limited to) ADHD, Depression, Anxiety, Panic Attacks, Trichotillomania, Bipolar I and II, PTSD, Insomnia and Alcohol Abuse.