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Michael Escamilla, MD
Background and credentials
Dr. Escamilla is a board-certified psychiatrist with over 20 years of experience in treating mental health conditions. He is a graduate of Harvard College and earned his medical degree from the University of Texas Southwestern Medical School. He completed his psychiatry training at the University of California at San Francisco and further specialized through a research fellowship with the American Psychiatric Association. In addition to his clinical work, he is a Jungian Analyst and holds academic positions as an adjunct professor at Rutgers University Department of Psychiatry and as the Frank McMillan Jr. Scholar at the Jung Center of Houston.
Treatment approach
Dr. Escamilla brings a deeply analytical and research-driven approach to psychiatry, integrating traditional psychiatric treatment with Jungian analysis. He has a strong background in academic research and clinical psychiatry, contributing extensively to the field through research publications. His expertise spans a wide range of mental health challenges, and he is committed to understanding the complexities of each patient’s experience to tailor a treatment plan that best suits their needs.
What you can expect in a first visit
During the first visit, patients can expect a comprehensive psychiatric evaluation that takes into account their personal history, psychological patterns, and treatment goals. Dr. Escamilla’s approach emphasizes thoughtful analysis and evidence-based care, ensuring that each patient receives a personalized and insightful treatment plan. His sessions may incorporate medication management, psychotherapy, and Jungian analytical techniques to provide a holistic and individualized treatment experience.
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.
George Ellis, MD
Dr. Ellis is a graduate of Robert Wood Johnson Medical School in Piscataway, NJ. He completed his psychiatric residency at Cooper Hospital/University Medical Center in Camden, NJ, where he served as Chief Resident his senior year. Dr. Ellis has served as Assistant Medical Director of the community mental health center of Gloucester County for 28 years, providing care to a diverse population. Additionally, Dr. Ellis maintained a private practice for 15 years, treating individuals and their families with ongoing collaboration with therapists and other health care providers
James Lee Jr., MD
Dr. Lee is a board-certified psychiatrist who specializes in adult psychiatry and minority mental health. He is a graduate of Morehouse College and later received his medical degree from Meharry Medical College in Nashville, TN. After graduating from Meharry, he completed his psychiatry residency at the University of South Carolina/ Palmetto Health in Columbia, SC and a forensic psychiatry fellowship at Tulane University. After completing his training, he entered private practice in Rock Hill, SC and served the community for 11+ years. During that time, he also served as Staff Psychiatrist at Winthrop University. Prior to joining Talkiatry, Dr. Lee served as an Attending Psychiatrist and Medical Director of an inpatient psychiatric unit. Throughout his professional career, he has remained passionate about educating individuals about sustaining better mental health and eradicating the stigma of mental illness. Dr. Lee brings a vast array of knowledge to Talkiatry. He has experience treating various psychiatric disorders including depression, anxiety, bipolar disorder and ADHD. His approach focuses on evidence-based medication management and incorporates supportive therapy techniques as well as psychoeducation to address the presenting issues in a compassionate and competent manner. If additional therapy is needed, Dr. Lee may recommend that a therapist is part of the treatment team.
Xavier Diao, MD
Xavier Diao, MD (he/him) is a board-certified psychiatrist. He earned his undergraduate degrees in Psychology and Biological Sciences at the University of Maryland, where he also obtained his medical degree. Dr. Diao completed his psychiatry residency at the Icahn School of Medicine at Mount Sinai, received additional training in child and adolescent psychiatry at Columbia and Cornell, and finished a psychoanalytic fellowship at the New York Psychoanalytic Society & Institute. Prior to joining Talkiatry, he was an Assistant Professor of Clinical Psychiatry at the University of Pennsylvania, where he provided clinical care and teaching along the undergraduate-graduate medical education continuum.
Dr. Diao's therapeutic orientation is informed by psychodynamic, cognitive behavioral, and dialectical behavior modalities. He has expertise in the treatment of a diverse range of mental health conditions, including depression, anxiety, OCD, and PTSD. Dr. Diao uses a developmentally informed and LGBTQ-affirmative approach in his practice, with the aim of enriching meaning and alleviating suffering in the domains of work, play, and love.
Dr. Diao begins each encounter with gentle curiosity, inviting patients to share their stories without fear of judgment. Together, he crafts an individualized treatment plan with the patient that may include medication, psychotherapy, and/or referrals to subspecialty care, always in close collaboration with other members on the treatment team.
Alexandra Dodd, MD
Dr. Dodd, a Board-Certified psychiatrist, graduated from the University of Georgia Honors Program with a B.S. in Chemistry, and earned her M.D. from the Medical College of Georgia. During her psychiatry residency in Greenville, SC, she was chief resident and gained extensive experience through moonlighting. She joined the faculty of Gateway’s Savannah residency program in 2021, where she served as Assistant Program Director, and continues to teach residents and students as an Assistant Professor at Mercer University and the Medical College of Georgia. In her community psychiatry practice, she specialized in Assertive Community Treatment, worked with First Episode Psychosis programs, a forensic Diversion-Reentry clinic, telehealth, and outpatient psychiatry, particularly serving graduate students, professionals, and their families in the Savannah area.
Dr. Dodd fosters a comfortable environment for patients at any stage of treatment. As a passionate educator, she enjoys providing psychoeducation and supportive therapy to help patients understand themselves, their relationships, and their motivations.
Dr. Dodd tailors treatment to each individual’s goals, preferences, and strengths. She uses her expertise in diagnosis and pharmacology to optimize care, monitor treatment success, and maintain progress, with the ultimate goal of helping patients feel and function at their best.
Jessie Bangs, MD
Dr. Bangs earned a Bachelor of Science in Biology from Nicholls State University and a Master of Science in Acupuncture from Texas Health and Science University. She completed both her MD and General Psychiatry training at Texas Tech Paul Foster School of Medicine, which was followed by specialized training in Child and Adolescent Psychiatry at the University of Texas School of Medicine. Her clinical approach is grounded in psychodynamic psychotherapy, and she continually expands her knowledge by incorporating tools from a variety of therapeutic modalities.
Dr. Bangs is warm, open-minded, and introspective and is fascinated with the connectedness of the conscious and subconscious mind, body, and spirit. She approaches treatment through the lens of growth-mindset. She is prioritizes creating a safe space where patients can strengthen their courage to be vulnerable and authentic. She views therapy as a journey of helping patients explore their inner world, where she acts as a mirror in order for patients to gain insight into their motivations, patterns, values, and higher purpose.
Dr. Bangs prefers knowing her patients on deep level, and highly values the therapeutic process, which requires patience over speed. She acknowledges that it takes many sessions before even a preliminary understanding of the human being in front of her can be formulated. She honors the truth that her patients are the experts of themselves, and prefers empowering them over micromanagement. As subconscious patterns emerge, Dr. Bangs will highlight these, as they are often blind spots to the patient. Dr. Bangs understands that when it comes to mental health, quick fixes are not the most appropriate or effective means to healing. However, she respects the use of medications when indicated in addition to talk therapy.
Rajesh Gaddam, MD
Dr. Rajesh Gaddam is a Board Certified Psychiatrist who provides compassionate and empathic care. Prior to his formal training, he worked in clinical psychiatric research at Northwell, gaining experience in evidence-based medicine. He completed his adult psychiatry residency at Bergen New Bridge Medical Center, followed by Child & Adolescent Psychiatry Fellowship at The University of Chicago, where he served as Chief Fellow. Dr. Gaddam treats children, adolescents, and adults for a range of conditions including anxiety, depression, bipolar disorder, trauma, OCD, ADHD, and substance use disorders. Dr. Gaddam emphasizes a collaborative and comprehensive approach to understand a person's life, their circumstances, and what has contributed to their symptoms. He recommends including a family member or close friend in at least one session to get a sense of challenges from a different perspective. Besides using elements of supportive and psychodynamic psychotherapy, Dr. Gaddam will refer and work with your psychotherapist to foster self-reflection and growth. He also greatly values a holistic approach to treatment, emphasizing the importance of nutrition, physical activity, sleep hygiene, mindfulness, and a support system to well-being. He wishes to provide a safe space to promote healing and wellness, so individuals can prosper in their lives.
Michele Wiener, MD
Dr. Michele Wiener is a psychiatrist with over 35 years of experience treating patients with mental health issues. Dr. Wiener's practice has historically focused on treating patients with varying mood disorders, anxiety disorders, psychotic disorders, and post-traumatic stress disorder, often complicated by substance use disorders. Dr. Wiener enjoys working with patients of all ages. She is skilled in both psychotherapy and medication management. While the emphasis will generally be on medication management, Dr Wiener will utilize insight-oriented, cognitive behavioral, and supportive psychotherapy skills to help her patients reach their treatment goals. She completed her internship at Bronx Lebanon Hospital, her residency at Montefiore Medical Center and a two-year fellowship in biological psychiatry, psychopharmacology and geriatric psychiatry at Albert Einstein College of Medicine. She served for over 20 years as Chief of Psychiatric Services for Behavioral Health Services at St John's Riverside Hospital Park Care Pavilion formerly Yonkers General Hospital. Here she was also able to enjoy teaching medical students from The Lake Erie College of Osteopathic Medicine in their psychiatric rotation. She has been Assistant Medical Director for Arms Acres, in Carmel, NY for over five years.
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.
Mary Poupon, PMHNP
Mary Poupon is an experienced board certified psychiatric APRN/psychiatric nurse practitioner with over 30 years' experience in her field. She completed her graduate work at Columbia University and is published in her field. Her practice sites have included inpatient hospital treatment, partial hospital programs, in-home programs, outpatient clinics and alternative therapy including equine assisted therapy. She was the program director and clinician with the Ryan White Mental Health Program in New York providing innovative mental health treatment for adolescents and adults living with HIV/AIDS in the boroughs of Manhattan, Queens, Brooklyn and the Bronx. In 2013 she became certified as an equine assisted psychotherapist and served as the Director of Mental Health at Embrace Hope in Sandy Hook, CT. She was appointed as the Executive Director of Embrace Hope in 2017. Embrace Hope provided treatment to children, adolescents and adults who were victims of trauma related to the shooting at the Sandy Hook Elementary School. She presented a TED x talk in 2018 regarding her work with victims of trauma. She has provided treatment in the outpatient setting for children, teens, and adults. She has provided treatment to young adults at the Covenant House New York shelter program for homeless young adults.
Mary believes the human spirit is resilient. There are many challenges in the lifespan and self-care is paramount to success.
Mary provides psychiatric consultation and assessment and provides a pathway to change. Treatment may include medication management, therapy, and coping skills to assist with life challenges. Mary believes treatment is a partnership and believes in establishing mutually agreed upon goals.
Mary's process for working with patients begins with active listening. The assessment begins with the patient describing why they are seeking engagement in behavioral health treatment at this time. She will complete a psychiatric assessment and evaluation and establish mutually agreed upon goals for treatment. She offers medication management in conjunction with supportive therapy in 30-minute follow-up visits. Mary believes therapy and medication management if indicated together provides the best treatment outcomes.
Deborah Edelman, DO
Background and credentials
Dr. Edelman is Board Certified in Psychiatry and Board Eligible in Child and Adolescent Psychiatry. She completed her psychiatry residency training at the Medical College of Georgia and SUNY Downstate, followed by a fellowship in Child and Adolescent Psychiatry at SUNY Downstate. Throughout her career, Dr. Edelman has practiced in various clinical environments, including inpatient child and adolescent psychiatric units, academic outpatient treatment clinics for adults and children, emergency psychiatric settings, and community psychiatry. She has over seven years of experience.
Treatment approach
Dr. Edelman utilizes a collaborative, supportive, and patient-centered approach, combining pharmacotherapy with therapeutic modalities such as cognitive-behavioral therapy (CBT), psychodynamic therapy, supportive therapy, and interpersonal therapies. She treats a wide variety of conditions, including depression, anxiety, OCD, bipolar disorder, ADHD, learning disorders, substance use disorders, PTSD, and schizophrenia. Her goal is to partner closely with patients to meet their specific needs, achieve their personal goals, and enhance their overall quality of life.
What you can expect in a first visit
Patients can expect their initial visit with Dr. Edelman to include a comprehensive psychiatric evaluation, during which she takes the time to understand each patient's individual concerns, goals, and history. She emphasizes collaborative planning of treatment, carefully integrating medications and tailored therapeutic interventions. Patients will experience a compassionate and supportive atmosphere designed to set clear expectations and foster progress toward their personal mental health goals.
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.
Mark Sundahl, MD
Dr. Mark Sundahl is a board-certified adult psychiatrist. He was born and raised in the suburbs of Kansas City, Kansas. He has always been fascinated by the natural world and received a bachelor’s degree in biology at Kansas State University where he was active in a research lab investigating protein function in the human body. He completed medical school training and residency at the University of Kansas School of Medicine in Kansas City, Kansas along with Wichita, Kansas. Dr. Sundahl has experience working with a broad range of mental health symptoms and a diverse patient population
Dr. Mark Sundahl is a board-certified adult psychiatrist. He was born and raised in the suburbs of Kansas City, Kansas. He has always been fascinated by the natural world and received a bachelor’s degree in biology at Kansas State University where he was active in a research lab investigating protein function in the human body. He completed medical school training and residency at the University of Kansas School of Medicine in Kansas City, Kansas along with Wichita, Kansas. Dr. Sundahl has experience working with a broad range of mental health symptoms and a diverse patient population
Dr. Sundahl understands the importance of collaboration and the therapeutic alliance when working with patients. He will clearly explain his findings and discuss treatment options he feels are reasonable. Dr. Sundahl thinks it is important for patients to have all the necessary information to make informed decisions when it comes to their psychiatric treatment.
Pressley Warrick, MD
Dr. Pressley Warrick is a double board-certified psychiatrist specializing in general psychiatry and child and adolescent psychiatry. Dr. Warrick currently practices full-time, offering comprehensive psychiatric care to children, adolescents, and adults. She previously established and led a Behavioral Health Clinic integrated within a Family Medicine Practice. Prior to this role, Dr. Warrick provided dedicated psychiatric care at a private psychiatry practice for over a decade.
Dr. Warrick earned her medical degree from the Medical University of South Carolina, completed residency training at Baylor College of Medicine's Menninger Department of Psychiatry and Behavioral Sciences, and pursued additional specialization through a Child and Adolescent Psychiatry fellowship at Palmetto Health/USC School of Medicine.
Known for a collaborative and holistic treatment approach, Dr. Warrick emphasizes individualized care and evidence-based practices to support patients’ mental wellness. Her professional excellence has earned recognition as Sumter’s Best Psychiatrist for consecutive years.
Dr. Warrick’s preferred treatment modalities include medication management, psychodynamic psychotherapy, and supportive psychotherapy. She specializes in treating depression, anxiety, ADHD, autism, OCD, bipolar disorder, and PTSD. Her typical approach for new patients involves taking a detailed patient history, establishing rapport, and setting clear treatment goals in partnership with her patients.
Mary Gutierrez, MD
Dr. Mary Lou Gutierrez is board-certified in both Child & Adolescent Psychiatry and General Psychiatry, with over 20 years of clinical experience. She earned her M.D. from Loyola University Medical Center, where she also completed her residency in Adult Psychiatry. She pursued fellowship training in Child and Adolescent Psychiatry at Northwestern University’s Children’s Memorial Hospital. Her past roles include Medical Director for Compass Health Center’s Under 18 Program and Attending Psychiatrist at Loyola. She has been recognized as a “Top Doctor” in Child and Adolescent Psychiatry by US News and World Report and Negocios Now.
Dr. Gutierrez fosters a warm, collaborative environment where patients and families feel supported and understood. She emphasizes open communication and works closely with patients to define meaningful, realistic treatment goals. Her holistic, family-centered approach integrates medication management, therapy, and psychoeducation with a deep commitment to cultural sensitivity and compassionate care.
Dr. Gutierrez begins by learning each patient’s personal story, clinical history, and goals through a comprehensive evaluation. She creates individualized, evidence-based treatment plans tailored to each child’s unique needs and family context. She continuously collaborates with patients, families, and care teams to ensure treatment remains effective, combining psychotherapy, medication management, and coordination with other providers and resources.
Maria Abramov Mann, MD
Dr. Mann is a double board-certified psychiatrist specializing in the care of adults, with additional expertise in the care of older adults. Her practice focuses on medication management for a wide range of psychiatric conditions. It incorporates various therapeutic modalities in order to optimize symptomatic improvement and enhance quality of life. Dr. Mann received her medical degree from St. George's University School of Medicine. She completed her residency training in psychiatry at Maimonides Medical Center, and fellowship training in geriatric psychiatry at Columbia University Irving Medical Center. Dr. Mann's approach is rooted in empathy. She believes in the importance of a strong therapeutic relationship in facilitating the healing process. She strives to empower patients on their journey to recovery by partnering with them in their care.
Nicholas Sahagian, MD
Dr. Nicholas Sahagian is a Psychiatrist in Colorado who has been practicing since 2023. He completed his MD and Adult Psychiatry Residency at the Chicago Medical School at Rosalind Franklin University and earned his BA in Neuroscience at Skidmore College. Dr. Sahagian has experience managing a broad array of complex psychiatric diagnoses in patients of diverse socioeconomic, cultural, and clinical backgrounds. Outside of work, he enjoys hiking, biking, skiing, playing guitar, reading, and collecting board games.
Dr. Sahagian offers psychiatric medication management while also incorporating elements of cognitive behavioral therapy, motivational interviewing, internal family systems, and lifestyle interventions. He believes that every patient is unique, and he works to create a supportive environment where individuals feel heard and empowered in their care.
Grounded in the biopsychosocial model, Dr. Sahagian takes a collaborative, patient-centered approach. He partners with patients to develop personalized treatment plans that integrate biological, psychological, and social factors, with the goal of guiding them along their path to improved wellness.
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 ADHD?
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.