Meet the Resilience Psychiatry Team
At Resilience Psychiatry, our team brings together psychiatrists and psychotherapists who share one goal: careful, evidence-based care for every patient. We combine rigorous clinical evaluation with genuine warmth, so every patient feels understood as a whole person, not a diagnosis.
Whether you are seeking care for yourself, your teen, or your child, you will work with a credentialed, experienced clinician. Learn more about each provider below.
Our Providers
Get to know the psychiatrists and psychotherapists who care for our patients.

Dr. Ricardo Cáceda, MD, PhD
Board-Certified Psychiatrist & Neuroscientist
Dr. Ricardo Cáceda is a board-certified adult psychiatrist and neuroscientist with extensive experience treating mood, anxiety, and trauma-related disorders. His approach integrates clinical psychiatry with neuroscience and evidence-based medicine to help patients understand the biological, emotional, and behavioral factors influencing mental health.
At Stony Brook University he served as Associate Professor of Psychiatry, Director of the Suicide Research Program, and Director of the Adult Inpatient Service, where he mentored and trained psychiatry residents and medical students.
At Resilience Psychiatry, he combines scientific precision with compassion, helping patients achieve emotional stability, personal insight, and long-term well-being.

Dr. Jessica Carbajal Cáceda, MD
Board-Certified Child & Adolescent Psychiatrist
Dr. Jessica Carbajal Cáceda is a board-certified psychiatrist specializing in the care of children, adolescents, teenagers, and adults. Her approach emphasizes collaboration, education, and trust, empowering patients and families to better understand mental health challenges and develop lifelong coping skills.
She is also a certified administrator of the ADOS-2 (Autism Diagnostic Observation Schedule, Second Edition), which she pairs with thorough psychiatric evaluation and comprehensive treatment planning for children and adolescents.
Read Dr. Jessica Carbajal Caceda’s bio Learn about autism diagnostic evaluations

Dr. Rachel Spector, MD
Board-Eligible Psychiatrist
Dr. Rachel Spector is a psychiatrist serving patients age 15 and older with a focus on compassionate, evidence-based care. Her clinical approach integrates medication management with therapeutic support, helping each patient build a personalized path toward meaningful and lasting improvement.
A Long Island native, Dr. Spector completed her psychiatry residency at Stony Brook University Hospital, where she served as Chief Resident, leading resident education and mentoring medical students and junior trainees.

Ariel Breidenbach, LMSW
Licensed Master Social Worker, Psychotherapist
Ariel Breidenbach is a licensed master social worker and psychotherapist providing individual psychotherapy for adolescents and adults. She works collaboratively with patients to build insight, practical coping skills, and lasting change.
Her training includes cognitive behavioral therapy (CBT), cognitive processing therapy (CPT), and Advanced Safety Planning.

Alyssa Wolfe, LMSW
Licensed Master Social Worker, Psychotherapist
Alyssa Wolfe is a licensed master social worker with ten years of experience in mental health care, including specialized crisis work. She provides individual psychotherapy through telehealth in New York for clients age 13 and older, drawing on evidence-based approaches including motivational interviewing, cognitive behavioral therapy (CBT), and acceptance and commitment therapy (ACT).
Her work is coordinated with the Resilience Psychiatry psychiatric team when indicated.
Our Approach to Care
We practice integrated psychiatry: every treatment plan begins with a careful, holistic evaluation of the biological, psychological, and social factors shaping a patient’s experience. We do not rush to prescribe, and we do not rely on medication alone. Instead, we look at sleep, stressors, relationships, medical history, and personal goals, then build a plan that fits the person in front of us.
Depending on what will be most helpful, care may include medication management, psychotherapy, or a combination of both. When more than one clinician is involved in a patient’s care, our team coordinates closely so treatment stays consistent.
Getting Started
Choose your clinician
Browse the profiles above and pick the provider who fits your needs, or contact us and we will help you decide.
Request an appointment
Book online through Zocdoc or call (631) 371-4844.
Start with a clear first visit
Your first visit is a comprehensive evaluation so care can be tailored from the beginning.
Insurance and Fees
Resilience Psychiatry is an out-of-network practice. We do not participate in insurance panels, and we provide superbills so you can seek reimbursement through your plan’s out-of-network benefits. Good Faith Estimates are available for self-pay or uninsured patients.
Frequently Asked Questions
Which provider should I see?
It depends on your needs and age. Our psychiatrists evaluate and treat mental health conditions and can prescribe medication when appropriate; our therapists provide psychotherapy. If you are unsure, contact us and we will help match you with the right clinician.
Do you treat both adults and children?
Yes. Dr. Ricardo Cáceda sees adults, Dr. Jessica Carbajal Cáceda is a board-certified child and adolescent psychiatrist who also sees adults, and Dr. Rachel Spector sees patients age 15 and older. Our therapists provide individual psychotherapy for adolescents and adults.
Do you offer telepsychiatry?
Yes. Drs. Ricardo and Jessica Cáceda offer telepsychiatry across New York and Florida, and Dr. Rachel Spector and Alyssa Wolfe, LMSW offer telehealth in New York.
Do your clinicians work together?
Yes. When coordinated care is helpful, our psychiatrists and therapists work as a team, with your consent, so your treatment stays consistent.
Are you in-network with insurance?
We are an out-of-network practice. We provide superbills for possible out-of-network reimbursement and Good Faith Estimates for self-pay or uninsured patients.
How do I book an appointment?
Book online through Zocdoc, call (631) 371-4844, or contact us to request a confidential consultation.
Request a Confidential Consultation
You do not have to navigate this alone. Whether you are seeking care for yourself, your teen, or your child, the team at Resilience Psychiatry is ready to help.
Visit Resilience Psychiatry in East Setauket: 46 NY-25A, Suite 4, East Setauket, NY 11733.
If you are in crisis, call or text 988.
This content is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Speak with a qualified provider about your situation.