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Dr. Krista Alexander is a board-certified psychiatrist who loves equipping her fellow human beings to feel and function better. She studied medicine at the University of Texas Southwestern Medical School and completed her residency at Duke University. She has worked in both private practice and integrated primary care/behavioral health care settings. She is a member of the American Psychiatric Association and the North Carolina Psychiatric Association.
Krista offers medication management and supportive psychotherapy for mood disorders, anxiety disorders, trauma, ADHD, substance use disorders, and other mental health issues. She strives to embody “relational prescribing” and believes that med management is most effective in the context of a relationship of mutual trust, emotional safety, and shared decision-making between provider and patient. She has trained in psychodynamic psychotherapy and various forms of cognitive behavioral therapy, and tailors her approach to each patient’s individual strengths and needs.
Krista understands that the needs of the whole person must be addressed in order to facilitate growth and healing. She enjoys collaborating with fellow medical/mental health providers to address a patient’s complex needs as an integrated team.
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 to 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 and 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.
Dr. Charli Ellis is a board-certified psychiatrist. She has practiced in myriad settings including psychiatric emergency departments, inpatient hospitals, medical hospitals, and outpatient clinics. Due to her love of teaching, she has also worked as an Assistant Professor of Psychiatry at Atrium Health Wake Forest Medical School. She has been a practicing attending physician since 2014.
Dr. Ellis’ practice focuses on medication management. Typically, she offers this along with supportive psychotherapy in 30-minute follow-up visits. However, if indicated Dr. Ellis may believe that additional therapy is also needed and ask that you bring a therapist into your care team to provide the best outcome.
Training for general psychiatry prepared Dr. Ellis for treating people with a wide breadth of mental health concerns including but not limited to depression, anxiety, and bipolar disorder. Dr. Ellis’ philosophy is that patient-centered care is paramount to ensuring the treatment plan aligns with the patient’s values and treatment goals. Dr. Ellis weaves together evidence-based treatment with complementary and alternative medicine for the best outcome for her patients.
Dr. Joyln Ferrell is a board-certified psychiatrist who specializes in providing patient-centered care to treat depression and anxiety disorders. She enjoys working with patients to improve their quality of life and helping them reach their specific treatment goals. She received her medical degree from Howard University College of Medicine, and also holds a doctorate in pharmacy from the University of Georgia. She completed her residency training in psychiatry at VA Boston/Harvard Medical School with significant training experiences at McLean Hospital. She additionally completed a fellowship in psychoanalytic psychotherapy at Columbia University Center for Psychoanalytic Training and Research.
Dr. Ferrell provides medication management in conjunction with supportive therapy. A typical followup visit will average 20-30 minutes. In some cases, additional therapy support may be needed and a separate individual therapist may be brought into your care team to help you achieve the best treatment outcome.
Dr. Ferrell looks forward to meeting you and helping you on your journey to achieving a greater level of self-awareness and overall wellness. Note that Talkiatry takes medication management seriously. Limited and cautious use of controlled medications will be applied.
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 in 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.
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 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.
Dr. Jubert is a board-certified staff psychiatrist at Talkiatry. He has been practicing for 5 years. Dr. Jubert's practice focuses predominately on medication management, often in conjunction with supportive therapy, during 30-minute follow-up visits. He approaches medicine holistically with an emphasis on understanding how a patient’s socioeconomic status, spirituality, social connection and physical health affect their overall mental health and well-being. Dr. Jubert received his undergraduate degree from Louisiana State University in Baton Rouge, LA.
He served as an officer in the Army prior to his medical school training. He received his medical degree from Campbell University School of Osteopathic Medicine in Raleigh, NC. He completed his psychiatry residency at Louisiana State University in Baton Rouge, LA. Following residency, he worked in community mental health in Alaska, treating the underserved Alaska Native population. While having experience treating a wide range of mental health disorders, his primary clinical focus has been in treating adult patients with PTSD, depression, bipolar disorder and anxiety disorders.
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 Health
System 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
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.
Dr. Jonathan Myrtil is a board-certified adult psychiatrist. He received 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. Prior to joining Talkiatry, Dr. Myrtil stayed on at North Florida Regional as an Adult Psychiatrist and supervising physician where he treated patients from diverse settings including inpatient, outpatient, partial hospitalization and IOP.
Dr Myrtil believes in a collaborative approach and utilizes supportive therapy along with medication management. His primary focus has been on treating adults with mood and anxiety disorders, PTSD and ADHD.
Dr. Nieves-Alvarado is a recent psychiatry graduate from Duke Psychiatry Residency program. She is board-certified and has experience with psychodynamic and supportive therapy. Dr. Nieves-Alvarado is originally from Puerto Rico and practices psychiatry in both English and Spanish.
Dr. Nieves-Alvarado practice focuses on medication management with adjunct insight oriented therapy on all of her visits. She works on a team-based approach and advocates for most of her patients to engage in some type of therapy for better outcomes and sustained symptom improvement. She received her medical degree from the Universidad Central del Caribe School of Medicine in Bayamon, PR, before moving to North Carolina to complete her residency at Duke University Hospital. During training, she was nominated for a fellowship in psychodynamic practice by the Psychoanalytic Center of the Carolinas. She was also an advocate against childhood sexual trauma. Her training was well rounded including experience at the jail and forensics psychiatry. She also worked with patients on substance use disorders treatment centers and holds experience with medically assisted treatment.
Dr. Nieves-Alvarado treats a wide age range from young adults to elderly. After completing training, she joined Talkiatry to improve mental health access to patients who are time constricted or have transportation issues. She continues to seek for constant improvement and working hand on hand with her patients to achieve mental wellness.
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.
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.
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 conducting 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.
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 and focused on structuring the Pediatric Emergency Psychiatric Services and helped to 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, trained and worked as 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.
Dr. Schaefer is board certified in adult psychiatry and has been practicing for over 16 years.
Dr. Schaefer's practice focuses on medication management, offered in conjunction with supportive therapy and elements of cognitive-behavioral therapy. Most follow-up visits are 30 minutes, and if additional therapy is needed, a therapist may be brought into the care team to provide the best outcome.
She received her medical degree from the University of Nebraska Medical Center in Omaha, NE, and completed her adult psychiatry residency at the Oregon Health and Science University in Portland, OR. She then moved to New Haven, CT to complete a forensic psychiatry fellowship at Yale University. She worked as a staff psychiatrist at the Atrium Health system for over 16 years.
While Dr. Schaefer has treated a wide variety of patients, her primary focus is treating depression, anxiety disorders and OCD.
Dr. Seicarescu is a board-certified adult psychiatrist. She received her medical degree from the Carol Davila University of Medicine in Romania and completed her psychiatry residency at Wayne State University in Detroit.
Dr. Seicarescu's approach is collaborative, supportive, and patient-centered. Her practice focuses on medication management along with elements of therapy from different modalities, such as supportive and cognitive behavioral therapy that are patient-taylored.
Post-residency, Dr. Seicarescu has more than 12 years of experience practicing psychiatry in various outpatient settings including a multi-specialty center in North Dakota and community mental health centers in Ohio and Michigan, reaching underserved communities. She has experience treating a wide scope of mental health-related symptomatology among diverse populations. She has also worked as an assistant professor at the University of North Dakota and Michigan State University where she provides teaching and supervision to medical students and residents.
Dr. Seicarescu has experience treating a wide range of various conditions including depression, bipolar disorder, psychotic disorders, and PTSD.
Dr. Shari Sengupta attended the University of OK as a National Merit Scholar and went on to graduate with her MD from Eastern Virginia Medical School. She specialized in Adult Psychiatry at the University of NC Hospitals where she was a chief resident. She received psychotherapy training in insight-oriented and cognitive-behavioral approaches and trained at the Psychoanalytic Institute of the Carolinas.
She has 18 years of experience providing medication management and psychotherapy in both private practice and community mental health settings and over 10 years of experience in telepsychiatry providing care to underserved communities. Dr. Sengupta has experience treating a variety of mental health concerns but has particular interest in depression, anxiety, and mental health in the perinatal period.
Her practice focuses on medication management from a holistic perspective. She believes that mental health is the cornerstone of overall well-being and that treatment is a collaborative journey toward improved health and function in life, work, and relationships. She offers culturally sensitive treatment to people from all backgrounds and sexual orientations. As a staff psychiatrist at Talkiatry, her treatment approach focuses on medication management informed by a background in psychotherapy.
Dr. Webb received a Bachelor of Science in Biological Sciences from University of Miami in Coral Gables, FL. She obtained her medical degree in Osteopathic Medicine from West Virginia School of Osteopathic Medicine and completed residency at Palm Beach Consortium for Graduate Medical Education in Tamarac, Florida. Dr. Webb is currently board-certified under the American Board of Psychiatry and Neurology. After completing training, Dr. Webb worked as an Attending psychiatrist with the Department of Veteran Affairs in Miami, FL. She also served as an attending psychiatrist and mentor for residents in training with the University of Miami, Florida International University and University Hospital and Medical Center in Tamarac, FL.
By building a therapeutic relationship with her patients and incorporating conservative psychological treatments with lifestyle modification, Dr. Webb aims to enhance her patient’s quality of life and overall well-being. Typically, she offers medication management in conjunction with supportive or emotionally focused therapy in 30-minute follow-up visits. However, occasionally Dr. Webb may believe that additional therapy is also needed and ask that you bring a therapist into your care team to provide the best outcome.
Dr. Webb specializes in treating patients with a variety of psychiatric conditions including depression, anxiety, bipolar disorder, postpartum depression, OCD, and PTSD. She believes in cultivating a strong rapport with her patients in order to create a care plan that is unique to an individual’s needs. By building a therapeutic relationship with her patients and incorporating conservative psychological treatments with lifestyle modification, Dr. Webb aims to enhance her patient’s quality of life and overall well-being. She specializes in treating patients with a variety of psychiatric conditions.
Why people in
100% online care
Doctors who listen
How it works
The majority of our visits cost patients $30 or less.*
Mental health care that cares
Frequently asked questions
Psychiatrists are medical doctors who specialize in diagnosing and treating mental health conditions through medication management and supportive therapy. Think of a psychiatrist as a doctor for your mind. If you’re struggling with your mental health and aren’t sure where to start, a psychiatrist can help.
Take our 10-minute assessment to see if Talkiatry is right for you and get matched with a psychiatrist in
who meets your needs.
You may not need to choose between a psychologist and a psychiatrist—although there are differences in the types of treatment and expertise mental health professionals can provide, they often collaborate on your care.
That said, here’s a quick guide to help you decide if a psychologist or psychiatrist is the best starting place.
See a psychiatrist if:
- You’re experiencing symptoms of a mental health condition that are making it hard to go about your day-to-day life.
- You’re experiencing symptoms of a mental health condition and/or have a family history of mental health issues.
- You’re interested in exploring psychiatric medications, such as antidepressants, for mental health treatment.
See a psychologist if:
- You’re looking for a psychotherapy outlet to help address behavioral or emotional challenges.
- The concern you’re hoping to address is specific to relationship challenges, stress, grieving, or a life transition.
Not sure if your symptoms are severe enough to warrant medication? We always recommend consulting with a psychiatrist first to discuss your options. Also, keep in mind that if you’re looking for virtual care, you need to be sure your doctor or psychologist is registered to practice in
(or for non-
residents, the state where you live).
The term “therapist” can apply to a range of professionals including social workers, mental health counselors,psychologists, professional counselors, marriage and family therapists, and psychoanalysts. Working with a therapist generally involves regular talk therapy sessions where you discuss your feelings, problem-solving strategies,and coping mechanisms to help with your condition.
Psychiatrists are doctors who have specialized training in diagnosing and treating complex mental health conditions through medication management. If you are experiencing symptoms of a mental health condition such as depression, anxiety, bipolar disorder, PTSD, or similar, a psychiatrist may be a good place to start. Other signs that you should see a psychiatrist include:
- Your primary care doctor or another doctor thinks you may benefit from the services of a psychiatrist and provides a referral
- You are interested in taking medication to treat a mental health condition
- Your symptoms are severe enough to regularly interfere with your everyday life
While both therapy and psychiatry are both available online, you'll still need to be sure that the therapist or clinician is licensed to practice in
(or for non-
residents, the state where you live).
It’s ok to be a little nervous about your first visit with your psychiatrist. But remember, they’re there to help you feel better.Psychiatrists have years of experience working with new patients and will help you feel comfortable during your sessions.
Here’s what to expect in your first visit at Talkiatry:
Evaluation: During your first visit with a Talkiatry psychiatrist, you’ll get to meet each other and answer questions about your current symptoms, personal history,medical history, and mental health goals.
Diagnosis: Based on the information you’ve shared, your psychiatrist will be able to provide a diagnosis of your condition, if you have one. Getting a diagnosis can feel scary, but it can also feel validating to finally put a name to what you've been experiencing. Your psychiatrist will help you navigate any emotions that come up and work with you on a path to move forward.
Treatment plan: You’ll collaborate with your psychiatrist on the best way to manage your symptoms. If medication is appropriate, you’ll discuss your options, including the benefits and potential side effects of each medication. Your psychiatrist will provide supportive therapy throughout your session and may also recommend working with one of our therapists. Our therapists partner with our psychiatrists in a collaborative model to provide holistic care.
To get started,take our free online assessment, to see if Talkiatry is right for you and get matched with a psychiatrist.
Medication can be an effective part of your treatment plan but medication is not right for everyone. Your psychiatrist will work with you to determine if medication is right for you.
Ready to talk with a psychiatrist? Take our 10-minute online assessment to see if Talkiatry is right for you and get matched with a psychiatrist who serves in
Also note that prescribing laws can vary from state to state. During yourfirst visit, your doctor will be able to talk you through how it works in
(or for non-
residents, the state where you live).
The main factor that determines the cost of your visit is your insurance coverage. The majority of our patients pay $25 or less per visit.* If you have a deductible plan and haven’t met your deductible yet, the average cost is between $325 and $414. The best way to get an estimate of your total cost is to contact your insurance company and ask about their coverage for outpatient psychiatric services.
*Includes all types of patient costs: copayment, deductible, and coinsurance. Excludes no-shows and includes $0 payments.
Medication and talk therapy (also called psychotherapy) are the gold standard for treating mental health conditions but treatment is highly personalized. A treatment that works for you may not work for someone else. Luckily, psychiatrists are experts in treating mental health conditions and can guide you through different treatment options and help you find one that’s right for you.
At Talkiatry, we make it easy to find a psychiatrist in
who matches your needs. Take our 10-minute online assessment to see if Talkiatry is right for you.
Our goal is to help you find the best treatment option for your needs and there may be some cases where virtual care isn't the right fit. If this is the case, your psychiatrist will be able to recommend other treatment options within your first visit. Our 10-minute online assessment will also help you determine whether or not Talkiatry is the right fit for your care.
What we can’t treat: Schizophrenia or schizoaffective disorders: This is a complex condition that responds best to treatments that aren’t safe to provide in an online-only setting. Since we’re a virtual practice, we aren’t able to treat patients with schizophrenia or schizoaffective disorders.
Certain personality disorders, like borderline personality disorder: Generally,borderline personality disorder doesn’t respond well to medication. As a psychiatry practice, one of our main focuses is medication management. One of the most effective treatments for borderline personality disorder is dialectical behavioral therapy, which is something our clinicians aren’t specialized in.
Patients who have been hospitalized or required to stay overnight in a clinic or in-patient setting for a mental health condition in the last 6 months: Our goal is to provide safe, effective care. For patients who have been required to stay overnight for a condition, a virtual practice can’t provide the right level of care.
Patients looking for therapy only: Our psychiatrists specialize in medication management. While we do have some therapists on staff to support patients who’d benefit from both medication and dedicated therapy, we don’t treat patients looking for talk therapy only.