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Luna Sanchez Rivera, MD
Dr. Luna Sanchez Rivera holds the position of Staff Psychiatrist at Talkiatry. After completing residency in 2016 at the Ponce Medical School Psychiatry Residency in Puerto Rico, she then moved to North Carolina to complete a subspecialty in Child and Adolescent Psychiatry at Duke University Health System. There, she transitioned into an assistant professor position, focused on structuring pediatric emergency psychiatric services, and helped support the consult and liaison pediatric service. Her years of experience have included working as an integrated care child psychiatrist within outpatient clinics at Duke University Health System, and she trained and worked as a staff psychiatrist at the Inpatient State Facility in North Carolina. She also served in the Dayton Children's Hospital outpatient clinics in Dayton, Ohio, the Appalachian Health System outpatient clinics in Linville, North Carolina, and more recently has been serving the Child and Adolescent inpatient population in Bangor, Maine. Dr. Sanchez Rivera has an approachable style aimed at providing a comprehensive evaluation for all age ranges and is comfortable managing various levels of diagnostic complexities. She provides supportive psychotherapy while using psychodynamic therapy skills to clarify her patient's constellation of symptoms, identify unifying themes and provide thorough psychoeducation throughout the process to drive positive outcomes. She integrates psychodynamic medication management approaches and is adept at family therapy interventions.
Candice Webb, DO
Background and credentials
Dr. Webb is board-certified by the American Board of Psychiatry and Neurology. She earned a Bachelor of Science in Biological Sciences from the University of Miami in Coral Gables, Florida, and obtained her medical degree in Osteopathic Medicine from the West Virginia School of Osteopathic Medicine. Dr. Webb completed her psychiatry residency training at Palm Beach Consortium for Graduate Medical Education in Tamarac, Florida. After her training, she served as an attending psychiatrist with the Department of Veterans Affairs in Miami, Florida, and as an attending psychiatrist and mentor for psychiatry residents in training at the University of Miami, Florida International University, and University Hospital and Medical Center in Tamarac.
Treatment approach
Dr. Webb believes in building strong therapeutic relationships with her patients, integrating conservative psychological treatments and lifestyle modifications to enhance overall well-being and quality of life. She primarily provides medication management combined with supportive or emotionally focused therapy. Dr. Webb emphasizes creating individualized care plans tailored to each patient’s unique needs. While medication and supportive therapy are central to her approach, she occasionally recommends involving an additional therapist to optimize treatment outcomes. Dr. Webb specializes in managing a broad range of psychiatric conditions, including depression, anxiety, bipolar disorder, postpartum depression, OCD, and PTSD.
What you can expect in a first visit
Patients meeting Dr. Webb for the first time can expect a thoughtful and comprehensive assessment focused on building rapport and understanding their personal and clinical needs. Dr. Webb emphasizes creating a strong therapeutic relationship, developing an individualized care plan designed specifically to address each patient's symptoms and lifestyle. Follow-up appointments typically last around 30 minutes, during which medication management and supportive therapy are provided. Depending on patient needs, Dr. Webb might suggest incorporating additional therapeutic support to achieve the best possible results.
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.
Irene Pastis, MD
Dr. Irene Pastis is a board-certified psychiatrist who specializes in adult psychiatry. She completed residency training at East Carolina University in both internal medicine and psychiatry. After residency, she pursued her passion in psychiatry and stayed on as a clinical assistant professor in the department of psychiatry at East Carolina University. In this role she specialized in treating adults with mental illness in both the inpatient and outpatient settings. She has spent a considerable amount of time teaching residents and medical students and has published several papers focusing on the neuroscience pathways of mental health conditions. In her daily practice, Dr. Pastis focuses on evidence-based treatments utilizing the latest clinical guidelines and current approved treatments. In addition to medication management, she also incorporates psychotherapy in the treatment of mental health conditions. Dr. Pastis is passionate about taking a collaborative approach with her patients to help them reach their potential.
Holly Clark, MD
Dr. Clark is a board-certified adult psychiatrist. She is fellowship-trained in Child and Adolescent Psychiatry and has been in practice for 11 years. She received her medical degree from the Medical University of South Carolina. Dr. Clark then completed her residency training and continued her training in child and adolescent fellowship at the Medical College of Georgia. Dr. Clark works with patients to create an environment where they feel comfortable and supported. She focuses on medication management along with supportive therapy. Normally visits are 30-minute follow-ups that allow time to focus on areas of support needed. If additional therapy is recommended, she will request a therapist be added to your care team to meet all your needs. Dr. Clark has worked in both inpatient and outpatient settings with adult, child, and adolescent populations. She has worked in private practice as well as community mental health, where she worked with reaching under-served communities. Dr Clark has a passion for treating both adult and child and adolescent patients with anxiety and depression.
Luke Romanow, MD
Dr. Romanow is double board-certified in Adult Psychiatry and Forensic Psychiatry. He graduated summa cum laude from the University of Pittsburgh with a Bachelor of Science degree in Sports Medicine/Athletic Training and then attended Drexel University College of Medicine. After medical school, he completed his residency in Adult Psychiatry at the University of Virginia, where he obtained a certificate in additional psychotherapy training. After residency, Dr. Romanow completed a fellowship in Forensic Psychiatry at the University of Virginia. During his fellowship, he trained at the prestigious Institute of Law, Psychiatry, and Public Policy (ILPPP) and Western State Psychiatric Hospital where he performed criminal and civil forensic evaluations. He also provided clinical care at a maximum security prison. Prior to joining Talkiatry, Dr. Romanow worked at a healthcare system in Montana providing inpatient and outpatient psychiatric care involving medication management and psychotherapy. Additionally, he operates a private forensic psychiatry practice that conducts mental health evaluations for the legal system. Dr. Romanow has extensive experience treating various mental health disorders including depression, bipolar disorder, anxiety and obsessive-compulsive disorders, post-traumatic stress disorder, and ADHD. His clinical work includes assisting patients who experience mental health disorders with co-occurring substance use problems. He has training in various schools of psychotherapy including cognitive behavioral therapy (CBT), CBT for insomnia, motivational interviewing and supportive psychotherapy. Dr. Romanow incorporates treatment focusing on the importance of exercise, diet, and good sleep habits as a part of comprehensive mental health care.
Sharon Kahler, MD
Dr. Sharon Kahler is Board Certified in Adult and Child & Adolescent Psychiatry and treats patients of all ages. She has over a decade of experience in both community mental health centers and private practice, working with individuals from diverse backgrounds. She earned her medical degree from New York Medical College, completed Adult Psychiatry Residency at New York-Presbyterian/Weill Cornell, and completed Child and Adolescent Fellowship training at NYU Langone and Bellevue Hospital. Her clinical interests include mood and anxiety disorders, PTSD, and childhood psychiatric disorders.
Dr. Kahler is committed to providing compassionate, high-quality mental health care. She fosters a therapeutic, nonjudgmental environment where patients can openly share their concerns and values. Viewing treatment as a partnership, she encourages patients to play an active role in their care and takes a whole-person approach, considering lifestyle, environmental, and social factors that contribute to healing.
Dr. Kahler begins with a comprehensive assessment to understand each patient’s history, background, and treatment priorities. She develops individualized treatment plans using evidence-based approaches, supporting patients in navigating life’s challenges and finding a path to mental wellness.
Meghan Hebishi, DO
Dr. Meghan Fahy Hebishi is double-board certified in General Psychiatry and Child and Adolescent Psychiatry. Originally from Delaware, Dr. Hebishi earned her medical degree from the Philadelphia College of Osteopathic Medicine in 2017. She also obtained a Master of Science in Biological Sciences from Drexel University and a Bachelor of Science in Biology from Juniata College. In 2017, Dr. Hebishi moved south and is happy to call North Carolina her home. She completed her internship at Campbell University/Harnett Health in 2018. She went on to complete a General Psychiatry Residency followed by a Fellowship in Child and Adolescent Psychiatry at East Carolina University Brody School of Medicine. Prior to joining Talkiatry in 2025, Dr. Hebishi was in private practice at North Raleigh Psychiatry in Raleigh, NC.
Dr. Hebishi is experienced in treating children, adolescents and adults. She utilizes medication management and psychotherapy in her clinical practice. Her areas of interest include ADHD across the lifespan, anxiety disorders, mood disorders (depression and bipolar disorder) and OCD. She is dedicated to building a collaborative relationship with patients and their families where shared-decision making is respected and encouraged. She is passionate about providing continuity of care to her patients as they navigate life's changes and challenges.
Kimberly Ford, MD
Dr. Kimberly Ford completed her psychiatry residency training at Harvard University in Boston, Massachusetts. She has enjoyed treating patients for over 25 years in a variety of settings such as inpatient, outpatient mental health clinics, emergency room, and multidisciplinary clinics. She is talented in her ability to connect, understand, and empathize with her patients.She has expertise in treating patients with mood disorders, anxiety, PTSD, and incorporates psychopharmacology when needed, psychodynamic and supportive psychotherapy. She wholeheartedly believes that treating her patients holistically is of high importance, with a focus on their physical, emotional, mental, and spiritual well-being.
Jessica Grimes, DO
Dr. Jessica Grimes is a board-eligible child and adolescent and adult psychiatrist. She is originally from Sylva, NC. She earned a bachelor's degree in religion and minored in biology at The University of the South in Sewanee, TN. She graduated cum laude and was inducted into the order of the gownsmen, an honor society. She earned her doctorate from the West Virginia School of Osteopathic Medicine in Lewisburg, WV. Dr. Grimes completed a traditional rotating internship through WVSOM at Our Lady of Bellefonte Hospital in Ashland, KY and completed residency training in psychiatry at Lake Erie College of Osteopathic Medicine in Erie, Pennsylvania. While in residency, she earned a master's degree in medical education from LECOM. She completed a fellowship in child and adolescent psychiatry at the University of South Carolina School of Medicine, Greenville. During her second year of fellowship at USC-Greenville, she received the "Child & Adolescent Psychiatry Fellow of the Year� award.
Siera Kirkland, MD
Dr. Siera Kirkland is an adult general psychiatrist. She is a diplomate of the American Board of Psychiatry and Neurology. She has been practicing for 8 years. Dr. Kirkland focuses on collaborative and evidence-based care. She believes it is imperative to form a therapeutic relationship with each individual and work together as a team to formulate the best treatment plan. Her passion is to educate, empower, and support. She specializes in medication management and brief psychotherapy .Dr. Kirkland received her medical degree from Ross University School of Medicine. She completed her residency at The Cleveland Clinic Akron General and Summa HealthSystem in her hometown of Akron, OH. Upon completion of residency, she relocated to Charlotte, NC to start her career as the Lead Psychiatrist at Novant Health Psychiatric Associates- Matthews. Dr. Kirkland has experience in treating various patient populations. Her areas of focus have been perinatal and postpartum depression and anxiety. She has also worked with adults with co-occurring substance use disorders. Special interests include women's health and minority mental health disparities.For established patients of Dr. Kirkland, call 917-634-5311 to schedule an appointment and let the care coordinator know you are an established patient.
Elena Perea, MD
Dr. Elena Perea is a board-certified psychiatrist. She completed her undergraduate training at Wake Forest University followed by medical school and residency training at The University of North Carolina at Chapel Hill (UNC).
Dr. Perea holds an adjunct academic appointment at UNC and has been involved in medical education for her entire career. She most recently served as Residency Program Director for the Mountain Area Health Education Center (MAHEC) psychiatry residency in Asheville, NC. She remains involved in didactic education there for both residents and medical students.
She has a genuine interest in treating a vast array of psychiatric disorders including depression, anxiety, bipolar disorders, post-traumatic stress disorders and obsessive compulsive and related disorders. She is a skilled psychopharmacologist and interested in the mind-body connection. She believes physical health greatly affects mental health and vice versa and loves helping patients with medical comorbidities to feel well.
Patients looking for a psychiatrist will find that Dr. Perea has a comprehensive approach to diagnosis and management of her patients. She believes in the principle that body and mind are interconnected and utilizes psychoeducation and psychotherapeutic approaches in addition to medications for total wellness.
Caitlin Meyer, MD
Dr. Caitlin Meyer is a board-certified in adult psychiatry with experience in a wide variety of psychiatric disorders including depression, anxiety, women's mental health, and ADHD. Dr. Meyer's practice is focused on medication management with supportive therapy offered in 30-minute follow-up visits. Dr. Meyer received her medical degree from the University of Texas Southwestern Medical Center in Dallas, Texas, where she received the North Texas Society of Psychiatric Physicians' Award for outstanding medical student in Psychiatry. She pursued her residency in adult psychiatry at Brown University in Providence, Rhode Island, with particular interest and training in child, adolescent, and young adult Psychiatry. After completing training, Dr. Meyer worked with children and adults in a variety of treatment settings including Community Mental Health Centers and hospitals, providing inpatient, residential and outpatient services. Prior to joining the Talkiatry team, Dr. Meyer participated in psychiatric research developing new treatment methods for complex psychiatric disorders. Dr. Meyer enjoys treating patients across the lifespan from young adulthood through senior care. She sees each patient as a unique individual and works together with her patients to develop a treatment plan specific to their needs and goals.
Megan Freeman, MD
Dr. Megan Freeman is board certified by the American Board of Psychiatry and Neurology in Adult Psychiatry. She completed her residency training at Vidant Medical Center at East Carolina University in Greenville, North Carolina in 2021 where she was the chief resident. Since then, she has worked as an attending physician at an inpatient adult psychiatric unit in Burlington, North Carolina. As a resident and attending she has treated adults of all ages and in all areas of mental health. Dr. Freeman's talkiatry practice will mostly focus on medication management in conjunction with support or acceptance-based therapy during 30-minute follow-up visits. During this time, Dr. Freeman hopes to collaborate with her patients to help set treatment goals and ways to track progress in between appointments. Dr. Freeman is board certified in adult psychiatry. She enjoys seeing patients with a wide variety of diagnoses including, but not limited to, major depressive disorder, bipolar disorder, post-traumatic stress disorder, obsessive-compulsive disorder, and generalized anxiety disorder. She enjoys combining medication management with various therapy techniques.
Cristina Seicarescu, MD
Background and credentials
Dr. Seicarescu is a board-certified adult psychiatrist with over 12 years of experience. She received her medical degree from Carol Davila University of Medicine in Romania and completed her psychiatry residency at Wayne State University in Detroit. Following residency, she gained extensive clinical experience practicing psychiatry in diverse outpatient settings, including a multi-specialty center in North Dakota and community mental health centers in Ohio and Michigan. Dr. Seicarescu has also served as an assistant professor at the University of North Dakota and Michigan State University, where she taught and supervised medical students and residents.</p>
Treatment approach
Dr. Seicarescu employs a collaborative, supportive, and patient-centered approach to psychiatric care, integrating medication management with therapy tailored specifically to each patient. She utilizes supportive therapy along with cognitive behavioral therapy (CBT), adjusted according to individual patient needs. Her specialty areas include the treatment of depression, bipolar disorder, psychotic disorders, PTSD, and a broad range of mental health conditions.</p>
What you can expect in a first visit
Patients can expect an initial appointment with Dr. Seicarescu to include a thorough evaluation focusing on their unique psychiatric symptoms, personal experiences, and treatment goals. She offers a supportive and compassionate atmosphere, carefully combining medication management with individualized therapy recommendations. Her patient-centered approach ensures the creation of a personalized treatment plan to effectively address each patient’s specific needs.</p>
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.</p>
Michele Kerbow, MD
Dr. Michele Kerbow is a board certified psychiatrist with more than 20 years of clinical experience. She completed her undergraduate training at Clemson University before continuing to the University of South Carolina School of Medicine in Columbia, SC. From there, she completed her General Psychiatry Internship and General Adult Psychiatry Residency through the University of Virginia in Roanoke. Though she has a wide array of experience in psychiatric care and psychological assessment, Dr. Kerbow has a particular interest in the treatment of Veterans' issues and trauma. Her most recent work saw her caring for both Veterans and Active Duty military through the Fayetteville VA Medical Center in Jacksonville, NC and the Naval Hospital Jacksonville in Florida. She believes strongly in the interconnectivity of mental and physical health, especially as it relates to trauma. Patients seeking psychiatric assistance will find Dr. Kerbow to be an empathetic and approachable provider. She places an emphasis on the importance of both therapy and medication management in the treatment of mental health, and has a strong history of collaboration with therapists and counselors in order to enact the best treatment plan possible.
Stephanie Price, DO
Dr. Stephanie Price is a board-certified psychiatrist. Her practice focuses on medication management and supportive therapy. She believes in a collaborative approach to treatment planning because shared decision-making helps provide the best outcome for patients. She went to college at the University of Rochester in Rochester, NY and received her degree in Microbiology. She completed her medical education at Edward Via College of Osteopathic Medicine in Spartanburg, SC, and completed her residency training at Creighton University School of Medicine-Valleywise Health in Phoenix, AZ. She served as vice chief resident during her residency training. She has additional post-residency experience working in the outpatient setting treating multiple conditions such as depression, anxiety, PTSD, bipolar disorder, insomnia, OCD and psychotic disorders. Areas of interest include depression, anxiety, bipolar disorder, and ADHD.
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 United Healthcare?
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 Postpartum Depression?
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.
