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Leonardo Alexandre, MD
Dr. Alexandre is a board-certified psychiatrist who completed his psychiatry training both in Brazil and in the United States, where he served as Chief Resident in both programs. He is fluent in both English and Portuguese and is especially attuned to the unique challenges faced by international and immigrant populations. Dr. Alexandre is passionate about helping patients achieve meaningful and sustained improvements in their mental health.
He brings over a decade of experience in mental health care and has a strong foundation in evidence-based treatment. His clinical interests include mood and anxiety disorders, ADHD, and cross-cultural psychiatry.
Dr. Alexandre incorporates a collaborative and compassionate approach to care, combining medication management with elements of cognitive behavioral therapy, behavioral activation, and interpersonal strategies when appropriate.
Micah Turpeau, MD
Dr. Micah Turpeau, is a board-certified psychiatrist with experience in both outpatient and inpatient settings. She earned her medical degree from Meharry Medical College and completed her psychiatry residency and child & adolescent psychiatry fellowship at the University of Florida College of Medicine – Jacksonville. Her training and practice reflect a commitment to supporting patients across the lifespan with individualized, evidence-based care.
Dr. Turpeau strives to create a safe, judgment-free space where patients can share their experiences openly. She encourages honest dialogue so patients feel supported, understood, and fully involved in every decision. Her approach emphasizes evidence-based medication management to reduce symptoms and improve functioning, while maintaining flexibility to adapt strategies as needs and goals evolve.
Dr. Turpeau begins with a collaborative exploration of symptoms, personal history, and goals to establish a clear treatment direction. She tailors care to each individual, balancing medication management with supportive therapy when appropriate. Through shared decision-making, She ensures patients remain active participants in their treatment. By closely monitoring progress and adjusting as needed, She provides care that is both responsive and effective.
Rhea Kisling, LPC
Rhea Kisling, LPC, LCMHC, LMHC, CPCS, brings more than 20 years of experience to her work as a therapist. She has served in inpatient, outpatient, emergency, hospital, and community mental health settings, as well as leadership roles such as managing the social services department at a crisis stabilization facility. Rhea earned her MS in Clinical/Counseling Psychology and Ed.S. in School Psychology from Valdosta State University, and a BA in Psychology and Sociology from Loyola University in New Orleans. Licensed in Georgia, North Carolina, Florida, and South Carolina, she is also trained in Trauma-Focused Cognitive Behavioral Therapy (TF-CBT).
Rhea understands that beginning counseling can feel intimidating and strives to create a safe, welcoming environment where therapy moves at the patient’s pace. She primarily uses Cognitive Behavioral Therapy while incorporating elements of Behavioral Therapy, Solution-Focused approaches, Strength-Based methods, Motivational Interviewing, and Dialectical Behavior Therapy. Drawing on her multicultural background, she respects and honors each individual’s unique experiences and cultures. She believes no concern is too large or too small to address in therapy and emphasizes collaboration at every stage.
Rhea views the first appointment as a chance to build trust, explore how she and the patient can work together, and establish goals for therapy. She provides a clear framework for what to expect, welcomes questions, and encourages open communication throughout the process. Understanding that sharing personal history can be difficult, she is committed to moving at a pace that feels comfortable and supportive for each patient.
Michael Lukowski, MD
Dr. Michael Lukowski is an adult psychiatrist who holds board certification with the American Board of Psychiatry and Neurology. He has been practicing medicine for over 12 years. Dr. Lukowski focuses on medication management combined with supportive therapy during initial and follow-up visits. He practices whole-person medicine, caring for the wellness of your mind, body, and spirit and helping you enjoy your relationships with those around you.
Dr. Lukowski received his medical degree from the University of Nevada School of Medicine in Reno, NV, before moving to southern California to complete his residency at Loma Linda University. After completing training, Dr. Lukowski began working with the Southern California Permanente Medical Group in Riverside, CA, where he treated a variety of psychiatric disorders in an outpatient setting.
In March of 2020, as the pandemic changed life and medicine forever, Dr. Lukowski adopted a strictly telepsychiatry role at his clinic. He has also held a staff psychiatrist position as an adult inpatient psychiatrist in Tennessee. Dr. Lukowski treats a wide variety of psychiatric disorders within the adult demographic.
Shaily Desai, MD
Dr. Shaily C. Desai, MD is a board-certified psychiatrist who treats adults. She graduated Magna Cum Laude and with General Honors from University of Miami. She completed medical school at the University of Miami Miller School of Medicine in the prestigious Honors Program in Medicine. She continued her medical education at Jackson Memorial Hospital & University of Miami Hospital for her 4-year psychiatry residency training program. After completing her training, Dr. Desai held an academic appointment at the University of Miami while working at the Miami Veterans Affairs Hospital initially as a behavioral health consultant in the Primary Care Mental Health Integration (PCMHI) model and later as a Behavioral Health Interdisciplinary Program (BHIP) psychiatrist in the Mental Health Treatment Coordinator (MHTC) role.
Dr. Desai’s background spans clinical care, academic research, and community service, giving a comprehensive understanding of mental healthcare delivery across different settings. Dr. Desai developed expertise in quickly building rapport with patients, conducting medication management assessments, and implementing effective interventions. These experiences taught Dr. Desai how to maintain clinical excellence while showing patience and respect for each patient's unique circumstances. She understands the delicate balance of providing thorough care within the constraints of virtual sessions and she has developed strategies to ensure patients feel supported and understood, even though a screen.
By combining clinical expertise with genuine empathy and persistence, Dr. Desai helps her patients navigate their treatment journey with confidence and hope. Dr. Desai’s practice focuses on medication management and supportive psychotherapy in typically 30-minute follow up visits. At times, additional psychotherapy is needed, and a therapist may be added to provide the best outcome.
Fatemeh Safian Esfahani, MD
Dr. Fatemeh Safian is a board-certified psychiatrist with experience in outpatient, inpatient, and telepsychiatry settings. She completed her residency at Larkin Community Hospital, caring for a diverse range of patients. Dr. Safian diagnoses and treats a wide variety of conditions, including depression, anxiety, OCD, PTSD, trauma-related disorders, phobias, personality disorders, ADHD, bipolar disorder, postpartum depression, and concerns across all age groups. She is dedicated to creating a safe, supportive space where people feel truly heard—believing good psychiatry starts with listening.
Dr. Safian fosters a warm, respectful, and judgment-free environment where patients can share openly. She takes time to understand each person’s symptoms, story, values, and goals. Medication is just one option; she also considers therapy, lifestyle changes, and other supports. Collaboration and trust are central to her approach, with patients guiding the care decisions.
During the first appointment, Dr. Safian conducts an in-depth, unhurried conversation to explore the patient’s history and goals. Together, they develop a personalized treatment plan that may include medication, therapy referrals, and practical strategies. Ongoing follow-ups provide space to track progress, make adjustments, and ensure the patient feels comfortable and empowered.
Jessica Matthews, MD
Background and credentials
Dr. Jessica Matthews is a board-certified general psychiatrist. She earned her medical degree from the University of Texas Health Science Center at San Antonio and completed her psychiatry residency at Tripler Army Medical Center in Honolulu, HI. After her training, she was stationed at Fort Hood, TX, where she worked as a staff physician in the inpatient unit at Carl R. Darnall Army Medical Center and later became the inpatient medical director. She subsequently transitioned to outpatient care, serving as a staff physician and later as clinic chief in the outpatient embedded behavioral health clinics. She continued working as a staff physician after leaving the military.
Treatment approach
Dr. Matthews specializes in medication management, often incorporating supportive and cognitive-behavioral-focused therapy into treatment. Follow-up visits typically last 30 minutes, during which she evaluates progress and adjusts treatment as needed. She takes a collaborative approach and may recommend additional therapy when she believes it will optimize patient outcomes. Her primary areas of focus include treating adults with depression, anxiety, and stress/trauma-related disorders.
What you can expect in a first visit
During the first visit, patients can expect a comprehensive evaluation where Dr. Matthews takes the time to understand their symptoms, history, and treatment goals. She prioritizes a structured yet patient-centered approach, discussing medication management options while considering therapeutic interventions tailored to individual needs. If necessary, she may recommend additional therapy as part of a well-rounded treatment plan.
Why Talkiatry?
We’re a virtual mental health practice that makes it easy to find great care. We combine quality and convenience to help you thrive—faster. Our providers, like this one, are highly trained experts who specialize in medication management and collaborate with you on a treatment plan that fits your needs and comfort level.
Xiomara Nieves-Alvarado, MD
Dr. Nieves-Alvarado is a Board-certified psychiatrist who completed medical training at Duke University Psychiatry Program. Originally from Puerto Rico, she is fluent in both English and Spanish, which allows her to connect deeply with a diverse patient population.
Her practice combines medication management with insight-oriented therapy during every visit, promoting a comprehensive approach to mental health care. She advocates for her patients to engage in therapy alongside medication management, as she believes this integrated approach leads to better outcomes and sustained improvement. Dr. Nieves-Alvarado's practice is rooted in a collaborative, team-based approach, working closely with her patients to achieve long-term mental wellness.
Dr. Nieves-Alvarado earned her medical degree from the Universidad Central del Caribe School of Medicine in Bayamon, PR. Afterward, she moved to North Carolina, where she completed her residency at Duke University Hospital. During her training, she was nominated for a fellowship in psychodynamic practice by the Psychoanalytic Center of the Carolinas, showcasing her expertise in this area. She is also a dedicated advocate against childhood sexual trauma.
Her diverse training includes significant experience in jail and forensic psychiatry, as well as the treatment of military veterans under the veteran affairs health care system. She has experience in medically assisted treatments (MAT) for substance use disorders, Electroconvulsive therapy (ECT), and family therapy, enabling her to care for patients with complex needs.
Dr. Nieves-Alvarado treats patients across a wide age range, from young adults to the elderly. Passionate about improving access to mental health care, she joined Talkiatry to help patients facing time or transportation challenges receive the care they need.
In addition to her clinical practice, Dr. Nieves-Alvarado remains involved with her alma mater’s Behavioral Health Department, contributing to academic education and maintaining a connection with the next generation of medical professionals. She continues to seek ongoing improvement in her field, remaining engaged with medical associations including North Carolina Psychiatric Association, American Psychiatric Association, and Alpha Omega Alpha national medical honor society. Dr. Nieves-Alvarado is committed to working hand-in-hand with her patients to achieve mental wellness.”
Maria Carvajal Ramirez, MD
Dr. Maria Teresa Carvajal is an adult, child, and adolescent psychiatrist. She is originally from Guayaquil, Ecuador, and is bilingual in Spanish and English. Dr. Carvajal earned her medical degree from Universidad de Guayaquil in Ecuador. She then participated in a medical program at The William J. Harrington Training Program for Latin America and the Caribbean, at Jackson Memorial Hospital, an affiliate of the University of Miami in Florida. Afterwards, she completed her adult psychiatry residency at Icahn School of Medicine at Mount Sinai, Bronx Care Health System, and her fellowship in child and adolescent psychiatry at Northwell Health in New York. She has experience working in various settings, including inpatient, outpatient, and emergency departments. Dr. Carvajal has submitted and presented work to the American Psychiatric Association and has also collaborated on a book publication. Dr. Carvajal has experience treating children and adults with anxiety, depression, OCD, PTSD, ADHD, dementia, etc. She utilizes medication management in conjunction with emotional and supportive therapy in 30-minute follow-up visits. She is passionate about her work and understands the impact of mental illnesses in daily life activities and in the family system. She will work with each patient in an individualized manner and will tailor personalized treatment plans that may include pharmacological treatment. In addition, Dr. Carvajal may recommend including a therapist in your care team to provide the best outcome.
Prit Patel, MD
Dr. Prit Patel is a board-certified adult psychiatrist. He obtained his medical degree from the University of South Florida and subsequently completed his residency training at the University of Texas at Austin and Northwell Health’s Zucker Hillside Hospital. During his training, Dr. Patel also served as chief resident of Zucker’s Hillside Hospital’s outpatient psychiatric department.
Following his training, Dr. Patel has previously worked at New York Presbyterian’s Gracie Square Hospital, where he served as an inpatient psychiatrist treating a variety of mental health conditions, utilizing a combination of medication management and therapeutic techniques in helping those experiencing distress due to their conditions.
Throughout his training and career thus far, Dr. Patel has received several awards for his clinical care and contribution to medical and psychiatric education, such as Zucker Hillside’s Psychiatric Educator award. Dr. Patel has also contributed to medical research in the domains of psychiatry as well as LGBTQ+ healthcare.
Dr. Patel has an interest in not only treating disorders but also helping patients improve their overall well-being. He treats a variety of conditions including depression, bipolar disorder, anxiety disorders, obsessive-compulsive disorders, and trauma-related disorders, through the use of medication and therapy. He has particular experience and interest in treating LGBTQ+ patients as well as young professionals and young adults.
Gira Borad, MD
Dr. Borad is a Board Certified Psychiatrist and has specialized in Addiction Psychiatry. She finished her residency at the WVU campus of Charleston, WV, and finished the Addiction Psychiatry Fellowship at UPMC/Western Psychiatry Institute in Pittsburgh, PA. She has previously worked as an Assistant Professor at WVU of Charleston, where she was involved in working with residents in inpatient and outpatient settings, provided psychiatric consult services to hospitalized patients, and was part of the Outpatient Comprehensive Opioid treatment program where she provided Medication Assisted Treatment for patients with substance use disorders. She has an interest in treating patients with mood, anxiety, and psychotic disorders. Dr. Borad has a special interest in treating individuals having a substance use history and struggling to quit, and has expertise in treating patients with a dual diagnosis of substance use with other psychiatric conditions. She primarily does medication management, in addition to providing some supportive therapy and motivational interviewing to her patients in her 30-minute follow-up appointments. In addition, she may suggest bringing in a therapist to add to your care if clinically necessary.
Jessica Healey, MD
Dr. Jessica Healey is a board-certified adult psychiatrist. She obtained her medical degree from Cooper Medical School of Rowan University and completed her residency training in psychiatry at the University of Miami Miller School of Medicine and Jackson Memorial Hospital. During her training, Dr. Healey gained extensive experience providing psychiatric care to various patient populations in multiple patient care settings, including in the outpatient clinic, inpatient unit, and emergency department. Following her training, Dr. Healey worked as an outpatient psychiatrist for the Veterans Health Administration. During her tenure with the VA, she worked closely with staff psychologists, social workers and nurses to provide multidisciplinary, collaborative care to the veteran population suffering from a variety of mental health conditions.
Dr. Healey has experience and interest in treating adults suffering from trauma-related disorders and anxiety disorders but provides treatment for a variety of psychiatric conditions including depression, bipolar disorder, and obsessive-compulsive disorder.
Dr. Healey focuses on medication management and supportive psychotherapy, but has training in utilizing various therapy modalities, including cognitive behavioral therapy, interpersonal therapy, and psychodynamic psychotherapy. When appropriate, Dr. Healey will refer for more extensive psychotherapy and/or collaborate with your established psychotherapist for comprehensive care.
Amareen Dhaliwal, MD
Dr. Dhaliwal is an integrative psychiatrist with an MPH, a 1-year fellowship through Psychiatry Redefined, as well in intensive inpatient and outpatient training. A Boston University School of Medicine graduate and former Chief Resident at FAU, she blends research-based care, emotional insight, and life optimization. She treats depression, bipolar, anxiety, ADHD, PTSD, substance use, and psychotic-spectrum disorders with a holistic, results-driven approach.
Dr. Dhaliwal works with individuals who feel stuck—functioning on the outside but "not like myself" inside. Her warm, structured, and research-driven approach combines medication when needed with integrative tools such as CBT, lifestyle changes, "24-hour approach", and a bio-psycho-social-spiritual lens. She focuses on root causes and helps individuals gain clarity, momentum, and purpose to function at their highest level across home, career, and life.
Dr. Dhaliwal begins with a 360-degree assessment exploring emotional patterns, routine, physical health, neurobiology, and values. Her 24-hour optimization model supports intentional living, clarity, and structure. She fine-tunes medications and augments with an integrative tools to enhance mood, resilience, and wellbeing. Her care is shaped by years in psychiatry and over a decade of coaching future physicians, researchers, and life coaches to reach their highest academic and career potential.
LaTonya Washington, LCSW
LaTonya Washington, LICSW-S, PIP, is a trauma and couples' therapist with a Master of Social Work from the University of Alabama and advanced training in Brain spotting, Acceptance and Commitment Therapy (ACT), Cognitive Behavioral Therapy (CBT), and the Gottman Method for couples therapy. With over 15 years of experience, she provides compassionate, evidence-based care to individuals and couples navigating trauma, relationship challenges, and major life transitions.
She specializes in helping couples rebuild trust after infidelity, strengthen emotional connection, and improve communication. She also supports individuals facing anxiety, burnout, and the emotional impact of chronic illness, guiding them toward healing and resilience
New clients can expect a warm, supportive space where they feel heard and understood. LaTonya takes a collaborative approach, tailoring therapy to each client’s needs while integrating practical strategies for healing and growth. Her sessions are focused on fostering insight, building emotional resilience, and equipping clients with tools to create lasting change. Whether working with individuals or couples, her goal is to help clients navigate life’s challenges with greater clarity, connection, and confidence.
Jonathan Myrtil, MD
Background and credentials
Dr. Jonathan Myrtil is a board-certified adult psychiatrist. He earned his medical degree from Ross University School of Medicine and completed his residency in Adult Psychiatry at the University of Central Florida, affiliated with North Florida Regional Medical Center. After completing his training, he remained at North Florida Regional as an adult psychiatrist and supervising physician, gaining experience treating patients in inpatient, outpatient, partial hospitalization, and intensive outpatient program (IOP) settings.
Treatment approach
Dr. Myrtil takes a collaborative approach to psychiatric care, integrating medication management with supportive therapy to provide well-rounded treatment. His primary focus is on treating adults with mood and anxiety disorders, PTSD, and ADHD. He prioritizes patient involvement in treatment decisions, ensuring that care plans align with individual needs and goals.
What you can expect in a first visit
Patients meeting Dr. Myrtil for the first time can expect a thorough evaluation where he assesses their symptoms, treatment history, and personal goals. He fosters a supportive and collaborative environment, working closely with patients to create a personalized treatment plan that incorporates medication management and therapeutic interventions tailored to their specific needs.
Why Talkiatry?
We’re a virtual mental health practice that makes it easy to find great care. We combine quality and convenience to help you thrive—faster. Our providers, like this one, are highly trained experts who specialize in medication management and collaborate with you on a treatment plan that fits your needs and comfort level.
Sarah Mennella, MD
Dr. Mennella is a board-certified adult psychiatrist. Her practice focuses on medication management and supportive therapy. Treatment emphasizes patient education and autonomy. Dr. Mennella is a proponent of shared decision-making and believes this facilitates a strong therapeutic relationship, greater satisfaction with care, and improved clinical outcomes. She completed an undergraduate degree in Information Technology from Purdue University and a master's degree in information systems from DePaul University. She received her medical degree from the University of Toledo College of Medicine and then completed her psychiatry residency at Loyola University Medical Center. Areas of interest include depression, bipolar, anxiety, and PTSD.
Find the right fit fast
Our process was built to help you get the care you’re looking for quickly, with personalized matches and easy online booking.
What psychiatry shouldn’t be
What you get with Talkiatry
Go from searching to scheduled in minutes
Tell us about you
Enter your location, insurance details, and what kind of care you’re looking for.
Get in-network matches
We’ll show you clinicians who take your insurance, specialize in your concerns, and have availability.
Get seen quickly
Great care shouldn’t mean a long wait. Our average time to a first visit is 6 days, not weeks or months.
FAQs
How does Talkiatry work?
Is there a cost to my health system?
Talkiatry is an online psychiatry practice designed to make high-quality mental health care more accessible. We’re 100% virtual, in-network with major insurance plans, and first appointments are typically available in days.
To get started, you’ll complete a quick online assessment to tell us what you’re looking for. We’ll match you with psychiatrists who are licensed in your state, in-network with your insurance, and experienced in treating your concerns. You’ll choose the clinician you’d like to work with.
Your first visit is an in-depth evaluation where your psychiatrist will listen, provide a diagnosis, and work with you to create a treatment plan tailored to your goals and preferences. You’ll continue seeing the same clinician over time, adjusting your plan as your needs evolve. Our team is always here to help with scheduling, insurance, and questions about your care.
Do you provide therapy?
Is there a cost to my health system?
Care at Talkiatry starts with psychiatry. If you already have a Talkiatry psychiatrist, they can refer you to one of our therapists if you’ve decided together that therapy is the right next step. However, you can’t see a Talkiatry therapist if you aren’t already seeing one of our psychiatrists.
What should I do if I’m having an emergency?
Is there a cost to my health system?
Talkiatry does not provide emergency care. If you or someone you know is in crisis, please visit your nearest emergency room, call 911, or call or text the Suicide and Crisis Lifeline at 988.
How much will my visit cost?
Is there a cost to my health system?
The majority of our visits cost patients $25 or less after insurance*, but your exact out-of-pocket cost depends on your plan. The best way to get a clear estimate is to contact your insurance provider directly. Here’s what to ask them:
- Do I have mental health benefits that include outpatient psychiatry?
- Is Talkiatry in-network for my plan?
- What’s my copay or coinsurance for outpatient psychiatry visits?
- Do I have a deductible? If so, how close am I to meeting it?
- Do I have an out-of-pocket maximum? If so, how close am I to reaching it?
- Are virtual or telehealth psychiatry visits covered the same as in-person care?
- Is prior authorization required for outpatient psychiatry?
- Can you provide a cost estimate for an in-network psychiatry visit using CPT code 99204?
- Can you provide a cost estimate for an in-network psychotherapy visit using CPT code 90833?
*Includes all patient costs from 9/24-9/25: copayment, deductible, coinsurance, and $0 payments. Excludes missed appt. fees. Your medical visit costs can vary depending on insurance coverage.
What if I don’t want to take medication?
Is there a cost to my health system?
Psychiatrists are medical doctors, and medication is often part of how they treat mental health conditions. At Talkiatry, your psychiatrist will start by listening and discussing your options with you. Medication is always your choice, but if it’s not something you’re open to considering, we may not be the best fit for ongoing care at this time.
How do I know if Talkiatry can help me?
Is there a cost to my health system?
Talkiatry provides virtual, in-network psychiatric care for people struggling with mild to moderate mental health issues. Here’s what we can help with:
- Anxiety
- ADHD (attention-deficit/hyperactivity disorder)
- Bipolar disorder
- Child & adolescent care
- Depression
- OCD (obsessive-compulsive disorder)
- Pregnancy & postpartum care
- PTSD (post-traumatic stress disorder)
- Substance use disorder
Our goal is to connect you with the best possible care for you. At your first visit, your doctor will confirm whether Talkiatry is the right fit. If they recommend in-person or higher-level care, they’ll guide you to the appropriate resources.
What if my insurance changes from Cigna?
Is there a cost to my health system?
Insurance changes are common, and we’re here to help. Talkiatry is in-network with thousands of plans. If your insurance changes, reach out to a Care Coordinator to update your information and confirm your coverage by calling 833-351-TALK (8255).
Do I still take the assessment if I’m already diagnosed with PTSD?
Is there a cost to my health system?
Yes. Our online assessment is an important part of how we match you with the right psychiatrist. Your first visit will include a thorough evaluation so your psychiatrist can confirm your diagnosis and tailor your treatment plan to your current needs.
