What Is a Codependent Relationship? Meaning, Signs, and How to Find Balance

A codependent relationship is one where a person’s sense of worth, mood, and daily choices revolve around meeting another person’s needs, often at the cost of their own. One partner usually takes on a caretaking or rescuing role, while the other leans on that support. Codependency is not a formal diagnosis, but it is a well known pattern that can be changed with awareness and support.

Dr. Roland Segal, M.D., Board-Certified Psychiatrist at Synergy Mental Health and Wellness Integrated
Medically Reviewed By
Board-Certified Psychiatrist · Synergy Mental Health and Wellness Integrated
Last updated: October 23, 2026
Couple sitting apart on a couch, representing the imbalance in a codependent relationship

For adults and families in Tempe, Scottsdale, Glendale, Rockwall, and the communities around them, questions about codependent relationships often come up long before anyone books a visit. This guide keeps the answers plain and practical, and it is meant to support, not replace, a conversation with a licensed clinician.

Feeling like your needs always come last? Call Synergy Mental Health & Wellness Integrated at (623) 288-2628 to talk with a provider. You can also start through our secure patient portal.

Key Takeaways
  • Codependent relationship meaning: a pattern where one person’s identity and wellbeing become tied to caring for, rescuing, or controlling another person.
  • Common signs include trouble saying no, fear of abandonment, people pleasing, taking responsibility for others’ feelings, and neglecting your own needs.
  • Codependency is not in the DSM 5 TR. “Codependent personality disorder” is not a real diagnosis, although dependent personality disorder is.
  • It often has roots in childhood, such as growing up with a parent who had a substance use disorder, mental illness, or unpredictable behavior.
  • Change is possible. Boundaries, self awareness, and therapy can help people build relationships that feel more balanced.

What Is Codependency in a Relationship?

Codependency in relationships describes a pattern of over focusing on another person in ways that harm you over time. You may feel responsible for your partner’s happiness and put their needs ahead of yours almost every time. You may also feel anxious or guilty when you try to take care of yourself.

Researchers who studied many published definitions found four core features that come up again and again:

  • Focusing on others more than yourself
  • Sacrificing your own needs
  • Trying to control other people or outcomes
  • Holding back your own emotions

Most codependency symptoms fit into one of these four themes.

Where the Term Came From

The word codependency first gained attention in the 1970s and 1980s in addiction treatment. Clinicians noticed that partners and family members of people with alcohol use disorder often developed their own patterns. These included caretaking, covering up, and losing themselves in the relationship. Over time, the term broadened to describe similar patterns in many kinds of relationships, even when no substance use is involved.

Is Codependency a Mental Health Diagnosis?

No. Codependency is not listed in the DSM 5 TR, the manual clinicians use to diagnose mental health conditions. Researchers still debate how best to define and measure it. Even so, the patterns it describes are real, and they often show up alongside anxiety, depression, low self esteem, or trauma. A qualified mental health provider can help you understand what is going on beneath the surface.

Signs of a Codependent Relationship

Signs of codependency in a relationship can be subtle, especially when caretaking feels like love. You do not need every sign below for a pattern to be worth exploring. These are prompts for reflection, not a diagnosis.

Emotional Signs

  • You feel responsible for your partner’s moods and try hard to keep them happy.
  • Your self worth depends on being needed or approved of.
  • You fear rejection or abandonment, even in a stable relationship.
  • You feel guilty or anxious when you put your own needs first.
  • You often feel resentful but find it hard to say why.

Behavioral Signs

  • You have a hard time saying no, even when you are exhausted.
  • You cover for your partner’s mistakes, lateness, drinking, or promises they did not keep.
  • You give advice or try to solve problems that are not yours to solve.
  • You stay quiet to avoid conflict, even when something bothers you.
  • You have let go of friends, hobbies, or goals to focus on the relationship.

Relationship Signs

  • One person gives far more than the other, and the balance rarely shifts.
  • Decisions center on one partner’s needs, moods, or problems.
  • You feel lost or anxious when you are not taking care of someone.
  • The relationship feels intense and draining at the same time.

What Does a Codependent Relationship Look Like? Real World Examples

Codependent relationship examples can be easier to recognize than lists of traits. These composite examples show common patterns. They do not describe real people.

The constant rescuer. One partner regularly pays the other’s bills, makes excuses to their boss, and cleans up after their choices. They feel exhausted, but stepping back feels like abandoning someone they love.

The peacekeeper. A spouse changes plans, opinions, and even their appearance to avoid any sign of their partner’s disapproval. Over time, they no longer know what they actually want.

The caretaker in addiction. A partner of someone with a substance use disorder hides drinking from family, calls in sick for them, and organizes life around preventing the next crisis.

The over involved parent. A parent manages an adult child’s schedule, finances, and relationships. They feel hurt or anxious when the child makes independent choices.

The codependent friendship. One friend is always available for the other’s crises, drops personal plans to help, and feels guilty setting limits, while the support rarely flows back.

Codependent vs. Dependent vs. Interdependent

People often confuse codependency with healthy closeness or with dependent personality disorder. The table below shows the key differences in plain language.

PatternWhat It Looks LikeSelf WorthBoundaries
CodependentOne person organizes life around caring for or controlling anotherTied to being neededBlurred or ignored
DependentA person relies heavily on others to make decisions and feel safeTied to being cared forWeak, with fear of being alone
InterdependentBoth partners support each other and keep their own identitiesStable and sharedClear and respected

Dependent personality disorder is a formal diagnosis in the DSM 5 TR. It involves a pervasive need to be taken care of that leads to submissive and clinging behavior. Codependency often looks like the opposite role, the caretaker, though both can show up in the same relationship.

Is There Such a Thing as Healthy Codependency?

People sometimes search for “healthy codependency,” but what they usually mean is interdependence. Healthy relationships involve relying on each other, offering care, and making sacrifices at times. The difference is balance and choice. In interdependent relationships, both people keep their own interests, voices, and limits, and support flows both ways.

Enmeshed vs. Codependent

Enmeshment is a term from family systems therapy. It describes relationships, often within families, where boundaries between people are so blurred that individual feelings and identities are hard to separate. Codependency and enmeshment often overlap. Enmeshment tends to describe the whole family or relationship system. Codependency usually describes one person’s pattern of over caring and over functioning.

Why Codependency Develops

There is no single cause. Many people learn codependent patterns early in life as a way to stay safe, keep peace, or earn love.

Some homes are affected by substance use, mental illness, chronic illness, or emotional neglect. Growing up in them can teach children that their needs come second. Some children take on adult roles, such as caring for a parent or siblings. Others learn that love depends on being helpful or perfect. These lessons can carry into adult relationships, where caretaking feels normal and setting limits feels dangerous.

Attachment patterns, cultural and gender expectations, and past relationship trauma can also play a role. Research on codependency is still developing, and much of it is small or correlational. These factors are best understood as common influences rather than direct causes.

Codependency in Marriage

Codependency in marriage can be especially hard to see because commitment naturally involves sacrifice. Signs of a codependent marriage include:

  • One spouse handling nearly all emotional and practical labor
  • Constant worry about the other spouse’s reactions
  • Avoiding conflict at all costs
  • Feeling unable to make decisions without approval

Over time, the caretaking spouse may feel burned out, resentful, and invisible. The other spouse may feel smothered or may come to rely on the caretaking without noticing the imbalance. Couples therapy can help both partners see the pattern and share responsibility more evenly.

Codependency in Men

Codependency is often discussed as a women’s issue, but codependent men and codependent husbands are common too. Men may show it through over working to provide, taking on every problem as theirs to solve, avoiding emotional needs, or staying silent to keep the peace. Social expectations can make it harder for men to recognize or talk about these patterns, which is one reason seeking support matters.

When Two Codependents Are in a Relationship

Sometimes both partners have codependent tendencies. Each may try to please the other, avoid conflict, and hide their true needs. The relationship can feel close, but neither person feels fully known. A few skills can help: learning to speak up, tolerating small disagreements, and letting each other be responsible for their own feelings.

How to Be Less Codependent: Practical Steps

Learning how to not be codependent in relationships is a gradual process. These steps can help you start shifting the pattern.

  1. Notice your patterns. Pay attention to moments when you feel the urge to rescue, solve, or please. Write them down without judgment.
  2. Name your own needs. Ask yourself, “What do I want or need right now?” Even small answers matter.
  3. Practice saying no. Start with low stakes situations. A simple “I cannot do that this time” is enough.
  4. Let others own their feelings. You can care about someone’s emotions without being responsible for solving them.
  5. Reconnect with your own life. Make time for friends, hobbies, rest, and goals that are just yours.
  6. Set boundaries clearly and kindly. Say what you will and will not do, then follow through.
  7. Expect discomfort. Guilt and anxiety are common when you change long standing patterns. They usually ease with practice.
  8. Seek support. Therapy, support groups such as Co Dependents Anonymous (CoDA), and trusted friends can make change feel less lonely.

How to Deal With a Codependent Partner or Spouse

If you think your partner is codependent, approach the topic with care. Choose a calm moment and focus on how you both feel rather than labels. You might say, “I notice you always put my needs first, and I want to make sure your needs matter too.”

Encourage your partner to keep their own friendships and interests. Take responsibility for your own tasks and emotions so they do not feel they must step in. If your relationship involves substance use or other serious concerns, consider individual support for both of you, as well as couples therapy.

How Therapy Helps With Codependency

Therapy can help you understand where codependent patterns came from and build new ways of relating. Cognitive behavioral therapy (CBT) helps people notice and change beliefs such as “I am only worthy if I am needed.” Dialectical behavior therapy (DBT) skills support emotional regulation and assertive communication. Trauma focused approaches such as EMDR may help when codependency is tied to past trauma.

Group therapy and support groups can be powerful, because hearing others describe similar patterns reduces shame. Couples or family therapy can help everyone in a relationship share responsibility more fairly. When codependency comes with anxiety, depression, or substance use, a psychiatrist can evaluate whether additional treatment would help.

When to Seek Professional Support

Consider talking with a qualified mental health provider if any of the following apply.

  • You feel exhausted, resentful, or empty in your relationships most of the time.
  • You have lost touch with your own goals, friends, or interests.
  • You stay in a relationship that harms you because leaving feels impossible.
  • Your partner’s substance use, mental health, or behavior controls much of your life.
  • You notice signs of anxiety or depression, such as trouble sleeping, constant worry, or low mood.

If you feel unsafe in your relationship, contact the National Domestic Violence Hotline at 1 (800) 799 7233 or text START to 88788. If you are in crisis, call or text 988 (Suicide and Crisis Lifeline) or call 911. Help is available 24/7.

How Synergy Mental Health & Wellness Integrated Can Help

Breaking long standing relationship patterns is easier with support. Synergy Mental Health & Wellness Integrated is a psychiatry driven practice where psychiatrists, therapists, and clinical staff work as one coordinated care team. Services include individual and group therapy using approaches such as CBT, DBT, and EMDR. They also include psychiatric evaluation and medication management.

Synergy has clinics in Scottsdale, Tempe, and Glendale, Arizona, and in Rockwall, Texas, with virtual care across Arizona and Texas. Most major insurance plans are accepted, and the team handles benefits verification at no cost. Many new patients are seen within a few days of first contact.

References and Further Reading

You Deserve a Relationship Where Your Needs Matter Too

Synergy Mental Health & Wellness Integrated offers therapy, psychiatric care, and medication management in Scottsdale, Tempe, Glendale, and Rockwall, plus virtual visits across Arizona and Texas. If caring for others has left little room for you, let our coordinated care team help you build relationships that feel more balanced and mutual.

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Frequently Asked Questions About Codependent Relationships

What is a codependent relationship?
A codependent relationship is one where a person’s worth and daily choices revolve around meeting another person’s needs, often at the cost of their own. One partner usually caretakes or rescues, while the other relies on that support. It is a common pattern, not a diagnosis, and it can change with support.
What are the signs of codependency in a relationship?
Common signs include trouble saying no, feeling responsible for your partner’s moods, fear of abandonment, covering for their mistakes, and neglecting your own needs. You may feel anxious when not caretaking. These are prompts for reflection, and a qualified provider can help you understand them better.
Is codependent personality disorder a real diagnosis?
No. Codependent personality disorder is not a diagnosis in the DSM 5 TR. Dependent personality disorder is a recognized formal diagnosis, but it describes a different pattern centered on a strong need to be cared for. A qualified mental health provider can help you sort out what may fit your own experience.
What is the difference between codependent and dependent?
A codependent person often over gives and organizes life around caring for someone else. A dependent person relies heavily on others to make decisions and feel safe. Both can appear in the same relationship. Healthy interdependence, by contrast, involves mutual support with clear and respected boundaries.
Can a codependent relationship change?
Many couples can build a healthier balance with effort from both people. Change often involves setting boundaries, sharing responsibilities more evenly, and learning to express needs. Individual and couples therapy can help. In some cases, especially if there is harm, ending the relationship may be safer.
What causes codependency?
Codependency often develops in childhood, especially in homes affected by substance use, mental illness, or emotional neglect, where children learn their needs come second. Attachment patterns, cultural expectations, and past trauma may also play a role. Research is still developing on exact causes.
How do I stop being codependent?
Start by noticing when you feel the urge to rescue or please. Name your own needs, practice saying no in small ways, and let others take responsibility for their feelings. Reconnect with friends and interests. Therapy and support groups can help you change long standing patterns with less guilt and fear.
What does a codependent friendship look like?
In a codependent friendship, one person is always available for the other’s problems, drops plans to help, and feels guilty setting limits, while support rarely flows back. Over time, the giving friend may feel drained. Healthy friendships offer care in both directions and respect each person’s limits.
Roseanne Charles, DNP, PMHNP-BC

Rosanne Charles,
DNP, PMHNP-BC

My name is Dr. Rosanne Charles, DNP, PMHNP-BC, and I am a Psychiatric Mental Health Nurse Practitioner at Synergy Mental Health & Wellness Integrated. I graduated from Florida International University and have dedicated more than two decades to a career in nursing and mental health care.

I specialize in psychiatric medication management for anxiety disorders, depression and other mood disorders, bipolar disorder, ADHD, and substance use concerns. I work with teens ages 14–17, adults, and older adults, and I have experience caring for diverse populations, including LGBTQ+ individuals, military members and veterans, and first responders.

My approach to care is compassionate, thoughtful, collaborative, and evidence-based. I believe effective mental health treatment should be both clinically sound and practical for everyday life. I take time to listen carefully, understand each patient’s unique circumstances, establish accurate diagnoses, and develop individualized treatment plans that support stability, clarity, and improved quality of life. In addition to medication management, I incorporate Cognitive Behavioral Therapy (CBT), mindfulness-based strategies, and principles of Acceptance and Commitment Therapy (ACT) to support long-term mental wellness.

I chose this profession because I have always wanted to make a difference in the lives of others. After beginning my nursing career more than two decades ago, I have found it deeply rewarding to support people through some of their most challenging moments and help them move forward with greater confidence and stability. What I find most rewarding about my work is helping others and knowing that the care I provide can make a meaningful difference in their lives.

Outside of work, I enjoy spending time with family, cooking, traveling, sightseeing, painting, dancing, and listening to music. I also enjoy staying active through biking, bowling, and mini golf. These interests allow me to maintain balance, creativity, and connection in my own life.

Arianna Saenz-Ochoa, MS, LPC

Arianna Saenz-Ochoa, MS, LPC

Hi! I am Arianna Saenz-Ochoa, a licensed professional counselor, and my journey towards helping others started when I earned my Bachelor’s degree in Elementary Education & Special Education from Arizona State University and Master’s degree in Clinical Mental Health Counseling from Grand Canyon University. I am a EMDRIA Certified EMDR Therapist and have completed advanced trainings and continue consultation in the application of EMDR with a focus on parts work, dissociation, and complex-attachment trauma.

My experience in providing therapy is mainly based in aiding others to find post-traumatic growth from childhood trauma and neglect, sexual abuse, and recovery from relationships with unhealthy dynamics of power / control. This also includes symptoms such as anxiety, depression, and self-harming behaviors. Most of my experience has been working in the outpatient individual setting with adults and teens.

I utilize a combination of skill developing approaches such as CBT, DBT, Parts Work, psychoeducation, and mindfulness training. As a result of client’s gaining enhanced self-awareness and lifestyle shifts, I encourage them when ready to process past negative experiences, utilizing the evidence-based therapy of EMDR, for sustained treatment progress.

I chose this profession due my own personal journey of post-traumatic growth from childhood trauma and negative cycles of behaviors. With lived experience, I find it an honor to create a meeting space where my clients can feel less judgement, be asked the tough questions, and release what pains them to find resolution.

Being born and raised in Arizona, you can find me escaping the heat with an iced coffee in hand, A/C blasting, and getting lost in a good book. You can also find me at community events supporting marginalized and oppressed folks, or on sniff-walking adventures with my pug mix, Lulu. These moments keep me balanced and energized to support my clients.

 

Lamia Abdouni, PMHNP

Lamia Abdouni,
PMHNP-BC

My name is Lamia Abdouni, and I am a board certified Psychiatric Mental Health Nurse Practitioner with a background in both family and psychiatric nursing. I became a Registered Nurse in 2007 after earning my nursing degree from Mercy College of Northwest Ohio. In 2016, I obtained my Family Nurse Practitioner degree from Walden University, and in 2019, I earned my Psychiatric Mental Health Nurse Practitioner degree from Binghamton University. I have been working in the field of mental health since 2014.

I specialize in the evaluation and treatment of a wide range of psychiatric disorders, with a particular focus on depression, anxiety disorders, and trauma-related conditions. I consider myself an interventional healthcare provider and believe in utilizing comprehensive treatment approaches tailored to each individual’s needs. My areas of focus include higher levels of care such as Partial Hospitalization Programs (PHP), Intensive Outpatient Programs (IOP), and residential treatment. I also have a strong interest and focus in innovative psychiatric treatments, including Transcranial Magnetic Stimulation (TMS) and ketamine therapy.

I chose this profession because I have always been passionate about helping people navigate some of the most challenging periods of their lives. I believe that mental health care requires compassion, understanding, and a commitment to finding effective, individualized solutions. The most rewarding part of my work is witnessing patients regain hope, improve their quality of life, and achieve meaningful progress in their mental health journey.

Outside of work, I enjoy swimming, roller skating, and strength training. These activities help me maintain balance, resilience, and energy, allowing me to continue providing thoughtful and compassionate care to my clients.

Danielle Siragusa, LSCW

Danielle Siragusa,
VP of Behavioral Health, LCSW

Danielle Siragusa, LCSW, is a behavioral health leader with a strong track record of building and scaling high-impact clinical programs. As Vice President of Behavioral Health, she brings a unique blend of clinical expertise, operational strategy, and people-centered leadership to her work, with a focus on delivering accessible, high-quality care.

Danielle began her career as a clinician, which continues to shape her leadership approach today. As a Licensed Clinical Social Worker, she has extensive experience working with individuals and families across a range of behavioral health needs. Her clinical foundation allows her to design programs that are not only evidence-based, but also practical, compassionate, and responsive to the real-world needs of clients and providers.

Throughout her career, Danielle has held progressive leadership roles, where she has led multidisciplinary teams, developed integrated care models, and overseen complex behavioral health operations. She is known for her ability to translate vision into execution, whether that’s launching new service lines, optimizing clinical workflows, or driving system-wide improvements in quality, access, and outcomes. Her operational strengths include program development, financial and performance management, regulatory compliance, and building scalable infrastructure to support growth.

A collaborative and mission-driven leader, Danielle is passionate about developing high-performing teams and fostering a culture of accountability, innovation, and continuous improvement. She values strong partnerships, both internally and across communities, and is committed to advancing behavioral health solutions that are sustainable, impactful, and person-centered.

Jeremy Edwards

Jeremy Edwards, DNP, PMHNP-BC

My name is Jeremy Edwards, I am board-certified Psychiatric Mental Health Nurse Practitioner with over 15 years of experience in the behavioral health field, working across a wide range of settings including schools, group homes, residential treatment centers, outpatient clinics, and inpatient hospitals. I earned my Bachelor’s degree in Psychology from the University of Colorado, followed by a Bachelor of Science in Nursing and a Doctorate of Nursing Practice degree from Creighton University.
 
My passion for mental health care is deeply rooted in my own life experiences. Having overcome significant adversity, I was inspired to become part of the solution and to support others on their healing journeys. I take great pride and joy in helping individuals discover their strengths and reach their full potential. I strongly believe that each patient’s journey is unique, and I am committed to meeting patients where they are. Through collaboration, empathy, and patient-centered care, I work with each individual to develop a personalized treatment plan that supports growth, resilience, and long-term well-being.
Barbara Reed

Barbara Reed,
MSN, RN, PMHNP-BC

My name is Barbara Reed, MSN, RN, PMHNP-BC, and I am a Psychiatric Mental Health Nurse Practitioner at Synergy Mental Health & Wellness in Rockwall, Texas. I earned my Master of Science in Nursing from Saint Louis University in 2014, building upon earlier years of service as a Hospital Corpsman in the United States Naval Reserve.

I specialize in anxiety, depression, trauma, OCD, and mood disorders, working primarily with adults, and veterans. My approach to care is collaborative, holistic, and strengths-focused, and I often use medication management, CBT-informed strategies, motivational interviewing, and supportive therapy to support my clients.

I chose this profession because I believe every person deserves compassionate, dignified, and scientifically grounded mental health care, and I find it most rewarding to partner with clients in their healing journey—helping them rediscover stability, confidence, and the ability to thrive in their daily lives.

Outside of work, I enjoy cooking, learning new things, staying active with my family, staying current with psychiatric research, and attending AANP Health Policy Conferences, and I believe these activities help me stay balanced and energized to support my clients.

Ngozi Theresa Onyia

Theresa Ngozi Onyia,
MSN, APRN, PMHNP-BC

My name is Theresa Ngozi Onyia, and I am a Family and Psychiatric Nurse Practitioner at Synergy Mental Health & Wellness Integrated in Rockwall, Texas. I earned my Master’s and post-master’s degrees from Walden University and hold certifications in Family/Psychiatric Nurse Practitioner with AANP and ANCC.

I specialize in anxiety, depression, trauma, adolescent care, working primarily with adults, teens, families, veterans. My approach to care is patient-centered, collaborative, evidence-based, and strengths-focused, and I often use CBT, DBT, mindfulness-based interventions to support my clients.

I chose this profession because I believe in the uniqueness of every patient and, thus, the importance of individualized patient needs and care. My goal is to apply the uniqueness of each patient to their treatment recommendations to address their health issues best for a greater outcome. Each patient deserves the most optimal mental well-being.

Alejandra Vasquez

Alejandra Vasquez, PMHNP-BC

Meet Alejandra Vasquez, a dedicated board-certified Psychiatric-Mental Health Nurse Practitioner passionate about providing holistic and trauma-informed care to individuals across the lifespan. She earned her Master of Science in Nursing from Northern Arizona University and brings years of experience in psychiatric nursing, including crisis stabilization, detox and recovery, inpatient, and outpatient community mental health.

Alejandra has a special interest in supporting young adults as they navigate life transitions and mental health challenges. Her integrative and collaborative approach blends evidence-based psychopharmacology, psychotherapy, and lifestyle interventions to promote emotional balance, recovery, and wellness. Guided by compassion, empowerment, and education, Alejandra strives to create a safe and supportive environment where patients feel heard, valued, and actively involved in their care, helping them build resilience and achieve lasting wellness.

Outside of her clinical work, Alejandra values mindfulness, connection, and balance in her own life. She believes that healing is a journey best supported by compassion, self-awareness, and collaboration. Her passion for mental health stems from witnessing the profound impact of empathy and strength of resilience, inspiring her to walk alongside patients as they build meaningful, fulfilling lives.

Dr. Andrea Raby,

Dr. Andrea Raby, M.D.,

Dr. Andrea Raby is a diplomate of the American Board of Psychiatry and Neurology in General Psychiatry, holding additional certifications in Tele-Mental Health and Medication Assisted Treatment (MAT). Her educational journey commenced with a Psychology and Chemistry Undergraduate degree at Arizona State University, where she was a distinguished member of the Honors College. Dr. Raby furthered her medical training at the University of North Texas Health Science Center and completed her residency at Maricopa Integrated Health/County Hospital.

With over fifteen years of clinical experience in both community and hospital-based psychiatry, Dr. Raby brings a wealth of expertise to our team. Her commitment to the field is demonstrated through her provision of forensic evaluations and court testimonies. Currently serving as an Inpatient Attending at Valley Hospital, she showcases her broad proficiency in both inpatient and outpatient settings.

Beyond her professional endeavors, Dr. Raby’s life is enriched by her love for family, including her five children, and her dedication to endurance running. Her commitment to excellence and passion for improving lives make her an integral part of our exceptional team of psychiatrists at Synergy Mental Health and Wellness Integrated. We eagerly anticipate the privilege of serving you and guiding you on your journey to mental well-being. Your path to healing and hope begins with us.

Dr. Fariba Pfitzner, M.D.,

Dr. Fariba Pfitzner, M.D.,

Dr. Fariba Pfitzner is a distinguished board-certified psychiatrist specializing in adult, child, and adolescent psychiatry. Her illustrious career began with medical training at Ludwig-Maximillian University School of Medicine in Munich, Germany, laying the foundation for her impressive expertise. Driven by a commitment to continuous learning, she pursued a residency in adult psychiatry and a two-year subspecialty fellowship program in Child and Adolescent Psychiatry at the University of Rochester in Rochester, NY.

Dr. Pfitzner’s professional journey includes a pivotal role as the Director of the Adolescent Inpatient Unit at the Arizona State Hospital. With extensive experience in community mental health clinics, she provided psychiatric services within a multidisciplinary team, fostering collaborative and comprehensive care. Dr. Pfitzner’s treatment approach emphasizes teamwork, involving patients, families, and other healthcare providers in the decision-making process.

Fluent in several languages, Dr. Pfitzner has earned a strong reputation in the Valley, where her contributions significantly support the Adolescent Intensive Outpatient Program at Synergy Mental Health and Wellness Integrated. Her dedication to teamwork and collaborative care reflects her commitment to providing exceptional psychiatric services and enhancing the well-being of her patients.

Dr. Bahar Altaha, M.D.,

Dr. Bahar Altaha, M.D.,

Dr. Bahar Altaha is an esteemed member of the Synergy Mental Health and Wellness Integrated team, bringing with her a triple board certification in General Psychiatry, Child and Adolescent Psychiatry, and Psychosomatic Medicine. With a diverse medical background that encompasses training at the University of Hamburg School of Medicine in Germany, she has refined her expertise in Internal Medicine at Johns Hopkins Hospital and in General Adult and Child-Adolescent Psychiatry at West Virginia University.

Dr. Altaha’s accomplishments are noteworthy, including the receipt of the Community Service Award for Outstanding Leadership from the WVU Department of Behavioral Medicine and Psychiatry. Her influence extends to both national and international psychiatric spheres, contributing to publications such as the Sage Encyclopedia of Abnormal and Clinical Psychology and Current Psychology. Dr. Altaha’s multilingual abilities, encompassing English, German, Farsi, and French, significantly enhance her capacity to provide exceptional care to our patients. Her wealth of experience and dedication underscores our commitment to delivering comprehensive and outstanding mental health care at Synergy Mental Health and Wellness Integrated.

Victoria Emanuelson, MPAS, PA-C,

Victoria Emanuelson, MPAS, PA-C,

Meet Victoria Emanuelson, a nationally certified Physician Assistant, whose expertise enriches our team. Victoria’s professional journey took her from Stephens College in Columbia, Missouri, to the vibrant Phoenix area. Throughout her training, she acquired invaluable experience working with diverse patient populations across various clinical and geographic settings.

Passionate about patient care, Victoria specializes in serving individuals aged 17 and older. Her comprehensive services encompass psychiatric assessments, diagnoses, treatment plans, and medication management. Proudly affiliated with the American Academy of Physician Assistants and the Arizona State Association of Physician Assistants, Victoria is recognized for her empathy and collaborative approach to patient care. She places a special emphasis on patient education and strives to enhance the overall quality of life for those under her care. Welcome to the compassionate and dedicated support provided by Victoria Emanuelson, where your well-being is at the forefront of her commitment.

Jose A. Rodriguez, PMHNP-BC,

Jose A. Rodriguez, PMHNP-BC,

Meet Jose A. Rodriguez, a dedicated board-certified Psychiatric Mental Health Nurse Practitioner. Jose earned his Bachelor of Science in Nursing from Oregon Health & Science University in 2013, followed by a Master of Science in Nursing with a specialization in Psychiatric Mental Health in 2021 from Frontier Nursing University.

Specializing in treating patients across their lifespan, Jose is particularly passionate about supporting military veterans dealing with PTSD, depression, anxiety, and substance abuse. With 9 years of experience as a critical care nurse and crisis nurse in Boise, Idaho, and a total of 20 years in the United States Army Infantry, including six years in active duty, Jose brings a unique and comprehensive perspective to his practice.

Jose is an Army Infantry Combat Veteran and retired Honorably as a Sergeant First Class from the United States Army after 20 years of faithful service.  He spent time in the Middle East, Korea, and numerous places in the United States.

Not only does Jose provide evidence based pharmacological therapies to help patients struggling with their mental health, but he also utilizes a patient centered approach which individualizes the plan of care to the patient.

Samantha Willen, DNP, PMHNP-BC,

Samantha Willen, DNP, PMHNP-BC,

My name is Samantha Willen, and I am a Psychiatric Nurse Practitioner at SMHWI. I earned my Doctor of Nursing Practice from the University of Arizona and am board certified in Psychiatric-Mental Health.

I specialize in anxiety, depression, and substance use disorders, working primarily with adults with co-occurring disorders. My approach to care is collaborative and strengths-focused, emphasizing each client’s unique resilience and capacity for growth. I often use cognitive-behavioral therapy (CBT), and mindfulness-based interventions to help clients build insight and develop practical coping skills.

I chose this profession because I have a family member who struggled with mental health challenges, and that experience showed me how important compassion and understanding are in the healing process. I find it most rewarding to build meaningful relationships with my clients and help them feel better and more hopeful about their lives.

Outside of work, I enjoy spending time with my husband and two daughters, and indulging in my guilty pleasure of watching Bravo shows.

Angela Ross, MS, LPC,

Angela Ross, MS, LPC,

Angela Ross, MS, LPC, is a Licensed Professional Counselor and a proud Arizona native. She earned her Master’s degree in Professional Counseling from Grand Canyon University in 2020. Angela has extensive experience working with individuals facing mental health challenges in both outpatient and inpatient settings. She specializes in working with adolescents, adults, and families, utilizing a variety of therapeutic approaches, including CBT, DBT, EMDR, motivational interviewing, and solution-focused therapy.

With a robust background in both individual and group counseling, Angela creates a supportive, collaborative space where clients feel safe to engage in meaningful self-exploration and growth. Her authentic and non-judgmental approach fosters strong therapeutic relationships, empowering clients to reach their full potential.

Outside of her professional work, Angela enjoys spending time outdoors, embracing the serenity and beauty of nature. She is deeply committed to helping individuals enhance their well-being, guiding them toward greater clarity, fulfillment, and overall quality of life.

Dafna Oz, LCSW,

Dafna Oz, LCSW,

My name is Dafna Oz and I am a Licensed Clinical Social Worker at Synergy Mental Health & Wellness Integrated. I earned my Master of Social Work from the University of New England and hold certifications EMDR and couple’s counseling.

I specialize in anxiety, depression, trauma and working primarily with adults. My approach to care is working together as a team to navigate challenges and achieve a healthier life, and I often use CBT, DBT, motivational interviewing interventions to support my clients.

I chose this profession because of my deep belief in compassion, resilience and the power of human connection, and I find it most rewarding to witness my client’s growth and healing, seeing them gain insight, strength and hope as they create positive changes in their lives.

Outside of work, I enjoy music, exploring new places and spending time with my family. and I believe these activities help me stay balanced and energized to support my clients.

Dr. Roland Segal, M.D., Managing Partner, Scottsdale Psychiatrist

Dr. Roland Segal, a distinguished psychiatrist, holds the role of Managing Partner and MD Psychiatrist at Synergy Mental Health and Wellness Integrated. Graduating from the University of Arizona, College of Medicine, he pursued his general psychiatry training at Banner Good Samaritan Medical Center in Phoenix, Arizona. Dr. Segal further refined his skills through a forensic psychiatry fellowship at the University of Southern California, Keck School of Medicine.

Dr. Segal has more than 10 years of clinical, administrative, executive and forensic experience. With double board certification in General and Forensic Psychiatry, Dr. Segal brings a wealth of knowledge and experience to our team. He served as the Chief Medical Officer at Valley Hospital in Phoenix, Arizona, president of the Arizona Psychiatric Society, chair of the legislative committee and a member of multiple state and national boards, committees and organizations. Dr. Segal is a clinical assistant professor of psychiatry at the University of Arizona, College of Medicine, where he regularly teaches medical students and residents.

Dr. Segal serves as a psychiatry expert consultant for a number of superior and regional courts including Salt River, Maricopa and Yuma County; city governments including Phoenix, Lake Havasu and Mesa; and organizations including the United Postal Service, Social Security Administration, Immigration Health Services, US Department of Justice and the Department of Homeland Security.
Dr. Segal values objectivity, morality, ethics, mindfulness, and cultural awareness in a diverse society.

Dr. Segal’s unwavering commitment to comprehensive psychiatric care serves as a testament to his dedication to enhancing the lives of his patients across the state of Arizona and beyond.

Dr. Ehab Abdallah, M.D., psychiatric physician profile

Dr. Ehab Abdallah, M.D., Managing Partner, Psychiatrist

Dr. Ehab Abdallah serves as the Managing Partner and MD Psychiatrist at Synergy Mental Health and Wellness Integrated. A distinguished professional, he earned his medical degree from Alexandria University in Alexandria, Egypt, and completed his psychiatry residency training at West Virginia University. Dr. Abdallah holds triple board certifications in General Psychiatry, Consultation-Liaison (Psychosomatic) Psychiatry, and Addiction Psychiatry and Medicine.

An expert in addiction medicine, Dr. Abdallah is experienced in treating psychiatric illness for those with complex medical and psychiatric conditions. Dr. Abdallah is an invaluable asset to our team with a commitment to providing quality care that is reflected in his unwavering dedication to the well-being of his patients.

Dr. Abdallah is also fellow of the American Psychiatric Association and a clinical assistant professor of psychiatry with the University of Arizona where he teaches medical students and residents.