Karen Gennaro, MD, MBA

Medical Director and Psychiatrist

Dr. Gennaro serves as Opengate's medical director and psychiatrist. Bringing deep experience in the medical and psychiatric fields to her role, she has provided care to the people supported at Opengate since 2009. Dr. Gennaro has been working with developmentally disabled people continuously for over two decades, since 2000. In addition to her extensive medical credentials, she brings a spirit of perseverance, dedication, and commitment to her support of the people at Opengate.

As Opengate’s psychiatrist, she draws on her training and experience in psychiatry, psychoanalysis, and cognitive therapies to tailor a unique blend of treatments to help people maximize their strengths and shore up their vulnerabilities. As Opengate’s medical director, she works closely with staff to ensure those supported receive the highest level of medical and psychiatric care. She regularly communicates with families regarding the care of their loved ones. 

Before joining Opengate, she spent 10 years at St. Vincent’s Hospital Westchester, a psychiatric hospital, where she specialized in working with patients in two programs, one for developmentally disabled people and one for people with borderline personality disorder.

Her leadership roles include serving as past president of the Psychiatric Society of Westchester and the Westchester Academy of Medicine. She is a Senior Fellow of the Group for the Advancement of Psychiatry, a Distinguished Fellow of the American Psychiatric Association, and a recipient of an American Medical Association Foundation Leadership Award. Dr. Gennaro comes from a multigenerational family of medical professionals. 

Outside of her work at Opengate, she teaches, supervises, and treats people training as psychoanalytical therapists in China via Zoom with the China American Psychoanalytic Alliance (CAPA).


Leadership Roles

  • Senior Fellow, Group for the Advancement of Psychiatry

  • Distinguished Fellow, American Psychiatric Association 

  • Clinical Fellow, International Neuropsychoanalysis Society

  • Past President, Psychiatric Society of Westchester

  • Past President, Westchester Academy of Medicine

  • Director of two international Online Intensive Psychodynamic Psychotherapy Programs and Supervisor of Psychotherapy at the William Alanson White Institute

  • Supervisor of Training, National Institute for the Psychotherapies

  • Research Psychopharmacologist, Otto Kernberg's Comparative Personality Disorder Psychotherapies Project

  • Director of the Supervision Training Program, Faculty, Supervisor, and Treating Analyst with the China American Psychoanalytic Alliance (CAPA)

Board Certification: Diplomate, American Board of Psychiatry and Neurology

License: New York / 210027

Education and Training
Psychiatric Residency, Weill Cornell Medical Center, White Plains, NY
MD, Case Western Reserve University
MBA, University of Chicago
BA, Economics, Kalamazoo College

Additional Credentials
Certified Psychoanalyst, William Alanson White Institute
DBT Team Management Training by Marsha Linehan

Additional Memberships

  • American Medical Association

  • American Psychiatric Association

  • American Psychoanalytical Association

  • American Psychological Association Division 2 (Children and Adolescents) and Division 39 (Psychoanalytic Psychotherapy)

  • International Association for Relational Psychology and Psychiatry

  • American Academy of Psychodynamic Psychotherapy and Psychoanalysis

  • International Neuropsychoanalysis Society

  • Chinese-American Psychoanalytic Alliance

  • Group for the Advancement of Psychiatry