About Us
Welcome to CMH Clinic – the Caribbean’s pioneering online mental health and hormone health clinic.
Our mission is to improve access to specialist care across the region by providing secure online consultations for adults.
Living in the Caribbean, many people face challenges accessing specialist mental health services locally. Through telehealth, it is now possible to connect with experienced clinicians from the comfort of your own space, reducing geographical barriers to care. CMH Clinic offers a holistic approach that recognises the connection between mental health, neurodevelopmental conditions and hormone health, with specialist services including Adult ADHD, Autism and Hormone Health consultations


Our Team
The Caribbean Mind & Hormone Clinic brings together professionals committed to improving access to thoughtful, evidence-based care for adults across Barbados and the wider Caribbean. Our team combines clinical expertise with practical support to help individuals better understand and manage their mental health, neurodevelopmental conditions and hormone-related concerns.

Dr. Ayana Gibbs, MBChB, PhD, MRCPsych
Consultant Psychiatrist & Medical Director
Dr Ayana Gibbs is a medical doctor and Consultant Psychiatrist with over 20 years’ experience in mental health care alongside more recent experience in hormone health. Born in Guyana and raised in Barbados, she later moved to the UK to attend medical school. She trained in general and forensic psychiatry at The Maudsley Hospital, completed her PhD at the Institute of Psychiatry, Psychology and Neuroscience, King’s College London. Alongside her clinical work, she has holds academic and research roles, including an Assistant Professorship at the University of Sussex.
Dr Gibbs now divides her time between the UK and Barbados and is committed to improving access to specialist mental health care across the Caribbean. She has a specialist clinical focus on the diagnosis and treatment of adult Attention Deficit Hyperactivity Disorder (ADHD).
Her clinical approach is holistic, collaborative, and evidence-based. She takes time to understand each individual’s history and context, with a focus on providing clear, personalised recommendations. This may include medication where appropriate, alongside psychological and lifestyle-based strategies.

Brittany Singh Williams, ACC, CALC
ADHD Coach
Brittany is an Associate Certified Coach (ACC) with the International Coaching Federation and a Certified ADHD Life Coach (CALC) who supports individuals in developing practical strategies for managing attention, organisation and daily routines. She is passionate about helping people rediscover confidence in their learning, work and personal lives.
Brittany holds certification from the International ADHD Training Institute, making her one of the few certified ADHD coaches in the Caribbean. She is also the founder of Spark Education, where she combines her expertise in education consultancy, academic coaching, curriculum development, and leadership development to support individuals with ADHD.
Her academic background includes a Bachelor's degree in Elementary and Special Education and a Master of Science in Global & International Education from Drexel University.

Mpho Mabale
Practice Coordinator
Mpho supports the day-to-day running of the Caribbean Mind & Hormone Clinic and helps ensure that patients have a smooth experience when booking appointments, completing forms and accessing information.
She is currently completing an undergraduate degree in Psychology at Nelson Mandela University in South Africa and has a strong interest in mental health and neurodevelopmental conditions. She hopes to pursue a future clinical career in clinical psychology or psychiatry.
Through her role with the clinic, she enjoys supporting individuals as they take steps toward understanding and improving their mental wellbeing.
Dr. Gibbs was patient, thorough, and asked thoughtful questions. The structure and clear rationale helped me feel seen and understood.
I really appreciated receiving the notes after appointments and having all documents in the portal. The 5–7 day check-ins made me feel genuinely supported and clear on next steps.
Dr. Gibbs explained everything very clearly, gave plenty of time for questions, explained all options and supported me with working out which was best for what was important for my individual concerns. I'm always very happy with the support and advice given by Dr. Gibbs.
I felt listened to and understood by Dr Ayana Gibbs. She has been extremely helpful and is very knowledgeable. She has given me back some hope I had lost.
Absolutely brilliant. I was listened to, and action plan was made, and options given. Thank you.
Dr Gibbs focused on wellbeing and mitigating downsides, and proactively called pharmacies in Barbados to ensure availability/dispensing. Everything was resolved within ~12 hours, with clear updates. Her local relationships really help.

