Alejandra Cattan, MD

Dr. Michael Gravenstein earned his medical degree from the University of Florida College of Medicine, where he also completed his psychiatry residency. During training, he was recognized with multiple awards, including the Malcom Randall VA Resident of the Year Award, the Ross A. McElroy Psychotherapy Award, and the John “J.D.” Dorian Award for best sense of humor. He has worked across outpatient, inpatient, and consult liaison settings, and has experience treating a wide range of conditions including depression, anxiety, ADHD, OCD, personality disorders, and transitional age concerns. He also has expertise working with LGBTQIA+ patients and provides psychodynamic, CBT, and supportive therapies.

Dr. Gravenstein believes in a comprehensive approach to treatment that integrates medications, therapy, and lifestyle interventions. While medications can be very effective, he views them as just one part of a broader treatment plan tailored to each patient’s needs. He emphasizes individualized care and sees treatment as a team effort, meeting patients where they are and progressing at a pace they feel ready for.

Dr. Gravenstein strives to create a warm, collaborative environment that fosters open communication and genuine connection. He may challenge patients therapeutically but always with careful attention to their readiness and comfort. His goal is to build trust so that meaningful conversations and progress can occur. For him, success is always shared—when patients succeed, they succeed together; when challenges arise, they regroup and move forward together.

Asmita Neupane is a board-certified Post Mental Health Nurse Practitioner (PMHNP). She received her bachelor’s in nursing degree from Metropolitan state university, master’s in nursing degree from Texas Women’s University which specializes in Adult Geriatric Nurse Practitioner and completed her post-master’s degree as PMHNP from Wilkes University. Asmita Neupane has 20 plus years of experience as a Registered Nurse and almost 10 years of experience as Nurse Practitioner. Asmita Neupane is licensed to practice in Maryland and District of Columbia.

Asmita Neupane has professional interests in treating a wide range of psychiatry conditions including depression, anxiety, OCD, ADHD, PTSD, bipolar disorder, schizophrenia and eating disorders. She provides psychiatric assessments and medication management along with brief supportive psychotherapy. She focuses on holistic approaches to treatment and believes in keeping her patients healthy rather than only addressing illness. Asmita Neupane is fluent in Nepali, Hindi and English.

Dr. Cedric Skillon is a board-certified adult psychiatrist with over 20 years of experience. Dr. Skillon’s clinical expertise includes treating adults with depressive disorders, bipolar disorders, anxiety disorders, substance -related and addictive disorders, and trauma related disorders. Dr. Skillon has worked in a variety of mental health care settings including academia, community mental health centers, and a substance use treatment center.

Dr. Skillon grew up in Detroit, Michigan. He obtained his Bachelor of Science from the University of Michigan. He received his medical degree from Wayne State University. He completed a General Psychiatry Residency at University Health Center of Pittsburgh, Western Psychiatric Institute and Clinic

Dr. Skillon combines a wealth of knowledge and experience with a compassion for meeting the patient “where they are” in their healing process. He believes in allowing the patient to feel heard in every session. He fully explains the risk and benefits of each treatment option. Then in collaboration, he and his patient agree on the next step to take towards the patient’s treatment goals.

Dr. Skillon is dedicated to providing hope and healing in a trusting environment. He combines empathy with a patient centered, and evidence-based approach in helping patients reach their treatment goals.

Dr Ibrahim joined Talkiatry as a general adult psychiatrist.

Dr Ibrahim earned his medical degree from faculty of medicine, University of Cairo, Egypt.

He completed residency in general psychiatry at Case Western Reserve university and MetroHealth medical center in Cleveland, Ohio.

He practiced psychiatry for 30 years. working in different settings:

Hospitals. inpatient and consultation liaison to other medical services.

Private practice, outpatients treating adults, geriatric and adolescents.

Provided geropsychiatric consultations to long term care facilities and assisted living.

Areas of interest:

Mood and anxiety disorders

cognitive, neuropsychiatric disorders

PTSD , bipolar, OCD

Psychopharmacology and treatment resistant conditions (depression)

Psychoeducation to improve treatment compliance

Dr Ibrahim likes to work with patients on customized treatment plan with active patient participation.

Treatment goals are defined and updated as needed in follow up visits.

Dr Ibrahim encourage his patients to ask questions and learn more about their condition, communication and education are essential for treatment success.

Dr Ibrahim will have an initial evaluation. Providing treatment records can be helpful.

He will share with patient treatment options and create a custom treatment plan.

Follow up appointments are scheduled every 2 weeks at the beginning of treatment.

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Dr. Jennifer Snowden completed medical school at the University of Arkansas for Medical Sciences in Little Rock, Arkansas in 1995. She then completed a residency in general psychiatry at Emory University in Atlanta, Georgia, followed by a fellowship in forensic psychiatry also at Emory University in Atlanta, Georgia from 1995-2000. She spent ten years practicing forensic psychiatry at a state hospital in Atlanta. She then decided that she wanted to travel and spent eighteen months as a locum tenens psychiatrist primarily practicing in New England. During this time, she met her future husband and they decided together that they eventually wanted to live in the New England area. In 2013, she officially became a telepsychiatrist, which eventually provided her with the opportunity to move to Rhode Island and practice out of the home she and her husband bought there. She initially saw patients via telepsychiatry at a community mental health center in rural Georgia and later took a position as a remote consultant telepsychiatrist at Acadia Hospital in Bangor, Maine. Dr. Snowden uses a practical and realistic approach with patients to assist them in identifying small, attainable goals and then motivating them to achieve those goals. She prefers to work with adults and relishes the opportunity to work with patients who are highly motivated for change.

Dr. Earl De Guzman is a psychiatrist who values therapeutic partnership, working with patients to balance symptom relief with meaningful self-exploration. He earned his BS in Psychology from the University of California, Davis, and his MD from Ross University School of Medicine. He completed his psychiatry residency at Los Angeles County + University of Southern California Medical Center and a consultation-liaison psychiatry fellowship at Stanford University Medical Center. He is triple-board-certified in psychiatry, consultation-liaison psychiatry, and addiction medicine, and holds psychoanalytic psychotherapy training certification from the Psychoanalytic Center of California. Currently, he is a psychoanalyst-in-training at the New Center for Psychoanalysis. His expertise spans medication management, supportive therapy, and psychodynamic therapy.

Dr. De Guzman takes a collaborative, patient-centered approach, creating a warm and nonjudgmental environment. He listens deeply, asks thoughtful questions, and encourages honest exploration of symptoms and underlying patterns. He values authenticity, curiosity, and respect for each patient’s unique experiences. While symptom relief is important, his goal is to foster self-understanding and long-term growth. He works best with patients open to collaboration and motivated for change, whether through medication management, therapy, or both.

Dr. De Guzman begins with a consultation phase to ensure a good fit, listening carefully to understand each patient’s challenges and goals. Together, he and his patients build a working alliance by clarifying difficulties, identifying realistic changes, and exploring deeper patterns. When appropriate, he prescribes medication thoughtfully, aiming to support therapy rather than replace it. Each session integrates supportive and psychodynamic elements, combining medication review with therapeutic dialogue. Treatment plans are regularly revisited, allowing flexibility and growth, with the ultimate aim of empowering patients toward lasting change.