About REFRESH Psychiatry

Providing you with the best doctors for the best care

The mission of our practice is to provide Person-Centered Care and empower our clients with the knowledge and skills to achieve their desirable goals. We strive to provide the highest quality evidence-based, compassionate care through a combination of medication management and customized psychotherapy to help patients/families overcome their most difficult challenges and achieve their greatest goals to lead their most joyful, fulfilling lives.

Dr. Nepa and Dr. Vora are Board Certified by the American Board of Psychiatry and Neurology. 

We have over a decade of experience in treating patients in crises, depression, bipolar disorder, ADHD / ADD, generalized anxiety, social anxiety, panic disorder, OCD, PTSD, Borderline Personality Disorder, Insomnia, and Substance Abuse. At present they are credentialed with Aetna insurance and also accept private pay.

Dr. Justin Nepa DO

Medical Director

Board Certified in Psychiatry

I'm Dr. Justin Nepa, a board-certified psychiatrist located in Davie / Fort Lauderdale Area, specializing in a combination of medication management and Dialectical Behavioral Therapy based psycho-therapeutic approaches for adults and adolescents suffering from mental health ailments.

I take a holistic approach to psychiatric treatment, recognizing the many factors that contribute to symptoms. I take the time with each client to discuss their goals and unique strengths and challenges. I believe that the practice of Psychiatry should go beyond just the relief of symptoms and should include approaches that help each client reach their full potential. I also have experience with helping patient get off of medications that they have been experiencing unwanted side effects. 

Born and raised in Memphis, Tennessee and graduated  University of Tennessee - Knoxville with a degrees in Psychology and Biochemistry & Molecular Biology. I went to medical school at Lincoln Memorial University - DeBusk College of Osteopathic Medicine and then completed psychiatry residency training at University Hospital and Medical Center in Tarmac, Florida. I work currently as teaching faculty with Palm Beach Consortium Graduate Medical Education and help with supervision of psychiatric residents and service as medical director of Refresh Psychiatry and Therapy.


"I use a 'less is more' approach to medication management and you will never feel judged."


Dr. Aditya "A.D." Vora DO

Board Certified in Psychiatry

I’m Dr. Aditya Vora. I am originally from Long Island NY,  ventured to Florida for medical school, have stayed for residency and now am board certified  in psychiatry by the American Board of Psychiatry and Neurology.  I specialize in the treatment of ADHD, anxiety, panic disorders,  OCD,  depression, bipolar disorders and schizophrenia.  I derive meaning in my own life through seeing my patients do better.  I strive to promote a sense of purpose and belonging, to assist patients to improve their quality of life,  and  to respect cultural, racial, religious, gender and other diversities in a judgment free environment. I like to provide care with respect to an individuals treatment preferences whether it consists of the traditional psychiatric approach, integrative and complementary medicines,  or a combination of modalities. I completed Medical School at Nova South Eastern University. When I am not seeing patients I also enjoy working with medical students as an Affiliated Assistant Professor for the Department of Psychiatry  and Behavioral Sciences, at the University of Miami Miller School of Medicine. 

“As an osteopathic trained physician , I like to look at the person as a whole and use an integrative approach to treatment. I believe in a strong symbiotic connection between the mind and body and  am a proponent of diet, exercise , therapy and conservative usage of medication to address mental health  needs.”

Dr. Christy Vadakkan DO

Resident Psychiatrist

Hey there, my name is Dr. Christy Vadakkan. I completed my undergraduate degree at the University of Miami (“Go Canes”) and medical school at Nova Southeastern University, Psychiatry residency training at Palm Beach Consortium of Graduate Medical Education and have worked with a wide variety of patients with depression, anxiety, and ADHD. The hands-on care, education, and service needed behind treating the emotional, physical, and mental states of my patients have fueled my passion for psychiatry.

Through an encompassing holistic approach, I have the qualities needed to be a versatile, efficient care provider, compassionate doctor, and advocate for my patients. Some of my interests outside of medicine include being a foodie, and an avid NBA and BravoTV fan.  


Adrienne Apple, MS

Registered Clinical Mental Health Counseling Intern

I completed my Master of Science in Clinical Mental Health Counseling at Lynn University and earned my Bachelor’s in Communication Studies and Global Health from Rollins College.

I have first-hand experience working with co-occurring psychiatric and substance abuse disorders primarily within in-patient treatment centers.  I believe in an integrative, dynamic, and holistic therapeutic approach. I utilize a variety of techniques and skills drawn from therapeutic modalities such as Person-Centered, Dialectical Behavioral Therapy, Cognitive Behavioral Therapy, and psychoeducation. I aim to work collaboratively with my patients and believe that they are the experts on themselves. My assessment and treatment plans are comprehensive, individualized, and developed collaboratively in an effort to treat my patients as effectively as possible.

Juliana Sanint

Mental Health Coach

My name is Juliana Sanint and I received my Bachelor’s and Master’s degree of Psychology from the Pontificia Universidad Javeriana in Bogotá, Colombia. I am experienced in working with patients of all ages who come from different backgrounds and present diverse needs. I am bilingual and fluent in English and Spanish. 

A mental health coach is a type of wellness professional who helps people make progress in their lives in order to attain greater fulfillment. Mental health coaches help their clients in improving their interpersonal relationships, careers,  day-to-day lives and overall well being.

I am compassionate, empathic and committed to helping my clients identify their particular needs, set goals and develop the skills needed to reach them. I have excellent listening and critical thinking skills which allow me to connect to the people provide a new perspective on the different challenges they face in their life.

Carla Eliza Amarillo

Administrative Assistance / Insurance Director

Carla assists Refresh Psychiatry with helping patients with all virtual needs. She assists with scheduling and helping patients make sense of their insurance benefits before the appointment so everyone is on the same page. Carla collaborates with office provider allowing for quick communication and response to your needs. 

Carla joined Refresh Psychiatry in 2020, helping with insurance benefits and verification. She quickly showed her merit by taking on additional tasks. Carla manages and supports her team with hands on approach to ensure all clients have a solid understanding of their insurance plans; assist with billing issues. 

Before joining Refresh Psychiatry, Carla, in her younger days, worked for a large food chains including Yellow Cab Pizza and in time found her way into the insurance world, working for many years in the Humana Contact Center as a Claims Specialist.

When not immersed in the world of insurance payers, Carla can be found singing her heart out in karaoke, playing her guitar, and enjoying time with her son. 

Abigail Santos

Administrative Assistance

Abby worked as a Technical Support Representative before being introduced to the medical field. She has quickly shown her enjoyment in the insurance world after years of experience with benefits verification and billing. She joined Refresh Psychiatry and Therapy to welcome, register, and make appointments for patients determining their needs. During time off, she enjoys traveling to the beach, watching Korean dramas on Netflix and eating in Korean restaurants together with her family.