Akif Khawaja, 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 Veterans 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.

Dr. Sophia Monsour holds the position of Chief Psychiatrist for Pennsylvania at Talkiatry. After completing residency in 2013 at Albany Medical Center, she has spent the past 9 years fulfilling her passion for integrated and specialty care for adults suffering from mental illness. Her years of experience have included working as an integrated care Psychiatrist at a community health center, a medical director of a Partial Hospital and Intensive Outpatient Program (PHP/IOP), and also working for an Assertive Community Treatment Team (ACT) specializing in the Serious Mentally Ill (SMI) population. Most recently, she has been serving our veterans as the Outpatient Section Chief, Primary/Mental Health Integration Medical Director and Resident/Medical Student Coordinator at VA Pittsburgh. Dr. Monsour has an approachable style when treating individuals who suffer from various diagnoses, especially those with prior trauma. She provides supportive psychotherapy and at times uses psychodynamic therapy skills to address her patient's current stressors and to identify the root cause of their ailment. She believes in a holistic approach and utilizes mindfulness as a technique along with medication management.

Tamara McKlveen is a licensed mental health counselor and national certified counselor who has worked in the mental health field for the past seven years. Tamara is a compassionate mental health advocate who focuses on client-centered, strength-based techniques to support positive life changes. She has an eclectic style driven by client interest. She received her MA in Mental Health Counseling from South University in West Palm Beach, Florida. She has worked as a counselor, Social Service Coordinator and Social Service Manager for a Florida non-profit agency servicing adolescents and their families, helping to overcome barriers to communication, education and future success. Tamara has focused her work on clients struggling with trauma, depression, anxiety, and mood disorder. She has also worked with teens struggling with eating disorders and issues specific to the LBGTQ population. She has a special interest in families coping with Autism and other special needs. ‍

Background and credentials

Dr. Munoz is a board-eligible adult psychiatrist. He earned his medical degree from Rutgers, New Jersey Medical School and completed his psychiatric residency at Mount Sinai Beth Israel. Throughout his training, he gained experience in a variety of clinical settings, including outpatient and inpatient care, as well as psychiatric emergency services.

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Treatment approach

Dr. Munoz provides compassionate psychiatric care through a combination of pharmacotherapy and supportive therapy. He specializes in treating depression, anxiety, bipolar disorder, and psychotic disorders. He has extensive experience working with LGBTQ+ and Spanish-speaking communities. His treatment philosophy is holistic, viewing patients as whole individuals and addressing their specific needs at different stages of life. He also emphasizes the importance of exercise, relationships, and overall well-being in his approach to mental health care.

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What you can expect in a first visit

During the first visit, patients can expect a comprehensive and patient-centered evaluation. Dr. Munoz takes the time to understand each patient’s symptoms, background, and personal goals. He collaborates with patients to develop an individualized treatment plan that may include medication management, supportive therapy, and lifestyle modifications to support their overall well-being.

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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.

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Dr. McGowan is a board-certified adult psychiatrist with over 14 years of experience, during which time he primarily treated active-duty US Navy sailors, their family members, and military retirees in the outpatient setting. His practice focuses on medication management in addition to supportive and cognitive-behavioral therapy in 30-minute follow-up visits. He is a strong advocate of multiple treatment modalities and, in certain situations, may suggest that therapy and/or regular physical exercise be included in your treatment plan to provide the best outcome. He received his B.S. in Physics from the United States Naval Academy. After serving as an Intelligence Officer in the Navy for eight years, he transitioned to medicine and earned his medical degree from the Uniformed Services University of the Health Sciences in Bethesda, MD. After completing an intern year in Family Medicine, Dr. McGowan completed residency training in Psychiatry at Naval Medical Center Portsmouth, VA, where he remained on staff for the next ten years and was primarily involved in resident training and education. He held academic appointments at the Uniformed Services University and Eastern Virginia Medical School and served as the Psychiatry Residency Program Director for six years. He served his final four years in uniform running the behavioral health department at Naval Air Station Whidbey Island, WA. He recently retired from the Navy after a 30-year career. Dr. McGowan has extensive experience in outpatient psychiatric care. In addition to the full spectrum of mood and anxiety disorders, he has treated a very large number of patients with PTSD stemming from combat, natural disasters, and sexual trauma. He believes that, like his service to the country, working alongside others in their journey to better mental health is an incredible privilege.

*THIS PROVIDER CANNOT PRESCRIBE CONTROLLED SUBSTANCES FOR NH PATIENTS* Dr. Kevin DiCesare is a board-certified psychiatrist who treats adults. He received his undergraduate degree at Harvard University, his medical degree at the University of Massachusetts Medical School, and then went on to train at Maine Medical Center for his psychiatric residency. He has 22 years of expertise in diagnosing and treating psychiatric conditions, including depression, anxiety, Bipolar spectrum disorders, adjustment problems, and other disorders. He is well versed in psychopharmacological interventions, but is a proponent of patients also seeing a therapist whenever appropriate. He prides himself on collaboratively arriving at treatment decisions with his patients and taking the time to listen to their concerns and answer their questions. Dr. DiCesare has worked in various settings, including community mental health centers and large hospital systems, with experience in inpatient, outpatient, and consultative roles. Prior to joining Talkiatry, he most recently served as an attending psychiatrist on the staff of Southern New Hampshire Health System, where he provided consultative care to referrals made from primary care providers and various specialists.