Alejandra Cattan, MD

Dr. Harmeeta Singh was born and raised in St. Louis, MO and is board certified with ABPN (American Board of Psychiatry & Neurology). Dr. Singh has been in practice for 15 years and focuses on an individualized treatment plan, not only using pharmacotherapy when needed, but also implementing insight-oriented, supportive, motivational, and brief psychotherapy. Dr. Singh is a firm believer in combining psychotherapy with medication management when warranted to manage and treat a wide variety of mental health conditions including, but not limited to - Depressive Disorders, Bipolar Disorders, Psychotic Disorders, Anxiety Disorders, Trauma related disorders, Substance use disorders, Personality disorders, Sleep Disorders and Eating Disorders. Her dynamic approach is client focused, involving the client throughout their treatment and care plan, taking careful consideration to the individual's needs and goals. ‍Upon completion of her residency through St. Louis University, St.Louis, Dr. Singh joined her parents' Internal Medicine practice. She learned firsthand that implementing mental health awareness, screening, and education into a primary medically focused practice led to more favorable outcomes. Many mental health conditions can manifest as and/or exacerbate a variety of medical/physical conditions and thereby go undiagnosed and untreated. Dr. Singh has worked closely and coordinated care within the medical field and with other specialists in treating and diagnosing comorbid mental health conditions. While in private practice for over 10 years, she was also an attending and consultant for inpatient mental health care and provided mental health services for residents in various residential care facilities, group homes, and skilled nursing facilities. Over the past 5 years she has consolidated her practice and presently is employed with Compass Health Network in Missouri helping bridge the gap in mental health care by coordinating and providing care to the underserved community.

Background and credentials

Dr. Sinner is board-certified in Psychiatry. He completed his psychiatry residency training at Dartmouth-Hitchcock Medical Center. With over 14 years of experience, he has worked in a variety of settings, including five years in inpatient psychiatry in Vermont, where he served as Medical Director for a state hospital psychiatric unit and taught medical students. He then spent five years working in an outpatient community mental health center in Pennsylvania before transitioning to telepsychiatry, providing care to individuals in Pennsylvania, Florida, and New York.

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Treatment approach

Dr. Sinner employs a collaborative, patient-centered approach, tailoring treatment plans to meet each individual's specific needs. His practice integrates pharmacotherapy with cognitive behavioral therapy (CBT) and supportive therapy as needed. He specializes in treating a wide range of psychiatric conditions, including depression, bipolar disorder, anxiety, ADHD, neuropsychiatric disorders, developmental disorders, and personality disorders. His philosophy is to provide personalized care that makes a meaningful impact at different stages of a patient’s life.

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What you can expect in a first visit

During the first visit, patients can expect a comprehensive evaluation focused on understanding their mental health concerns, history, and treatment goals. Dr. Sinner takes a compassionate and collaborative approach, working closely with patients to create individualized treatment plans. He ensures that each patient receives a balanced and effective combination of medication management and therapeutic interventions suited to their unique needs.

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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. Bianca Fleming is a double board-certified psychiatrist in Adult and Child and Adolescent Psychiatry. She completed her undergraduate studies at the University of Georgia, earned her MD from Morehouse School of Medicine, completed psychiatry residency at the University of North Carolina at Chapel Hill, and a child and adolescent fellowship at Emory University School of Medicine. She has experience across inpatient, outpatient, and integrative community health settings.

Dr. Fleming values gathering thorough information through a warm, conversational interview style. She strives to create a supportive therapeutic space while maintaining a balanced sense of patient accountability to promote meaningful progress.

Her approach emphasizes shared agenda setting at every visit to ensure both patient and provider needs are met. Dr. Fleming takes a detailed history to guide clinical decisions, prioritizes patient education, and delivers evidence-based, patient-centered care. She integrates psychotherapy into all medication management appointments to support holistic treatment.

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Background  and credentials    

Dr. Christa DeFries is a board-certified Adult Psychiatrist. She earned her  medical degree from UT Southwestern Medical School in Dallas, Texas, and  completed her residency in Adult Psychiatry at Baylor Scott & White in  Temple, Texas. Following residency, Dr. DeFries gained additional experience  treating homeless and formerly homeless populations in New York City,  particularly focusing on individuals with histories of trauma and substance  addiction, prior to joining Talkiatry.    

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Treatment approach    

Dr. DeFries practices Adult Psychiatry, employing an integrative treatment  approach combining medication management, psychotherapeutic methods, and  lifestyle modifications. She recognizes that each patient benefits from a  personalized mix of these three aspects of care. Dr. DeFries specializes in  treating diverse psychiatric conditions, including those related to trauma,  substance addictions, and various mental health disorders.    

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What you can expect in a first visit    

In a first visit with Dr. DeFries, patients can expect a comprehensive  evaluation aimed at understanding their individual mental health history,  specific concerns, and overall treatment goals. Dr. DeFries emphasizes an  individualized approach, carefully exploring the best combination of  medication, therapy, and lifestyle adjustments tailored specifically to each  patient's needs. Patients can anticipate an empathetic and collaborative  environment focused on their personal experiences and goals.    

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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.

Dr. Pilar Bare is an adult psychiatrist who completed her psychiatry residency at TriStar Centennial Medical Center in Nashville, Tennessee, where she served as Chief Resident. She earned her medical degree from Western University of Health Sciences College of Osteopathic Medicine of the Pacific Northwest in Oregon, where she studied osteopathic medicine which shaped her holistic view of health. She completed an intern year in Family Medicine at the University of Arkansas for Medical Sciences West. She holds a bachelor's degree in chemistry and biology from the University of Arkansas, where she graduated with honors.

Outside of work, she enjoys hiking, backpacking, visiting national parks, and spending time with her senior dog.

Dr. Bare believes that each individual's background plays a significant role in their mental health, and understanding a patient's personal story is critical to their healing journey. She believes in a respectful, collaborative relationship built on trust and open communication. While Dr. Bare integrates evidence-based medication management when clinically appropriate, she also emphasizes the therapeutic benefit of addressing lifestyle, relationships, and internal narratives.

Dr. Bare begins care with a thorough evaluation, exploring developmental history, impactful life events, and emotional patterns. From there, she develops a comprehensive treatment plan that may include medications, wellness strategies, and therapist collaboration. She considers each patient's strengths and challenges to guide care that promotes long-term recovery and personal growth.

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Dr. Martha James is board-certified in general adult psychiatry and has more than twenty years of experience working with adults in a variety of mental health care settings including academia, inpatient psychiatric hospitals, outpatient clinics, university medical centers, VA medical centers, and community mental health settings. Dr. James received her medical degree from Duke University School of Medicine. She completed her psychiatric residency at the University of California, Los Angeles Neuropsychiatric Institute. Dr. James has experience treating adults with a variety of mental health problems including anxiety, mood disorders, trauma related disorders and psychotic disorders.

Dr. James is an experienced, open-minded psychiatrist who prioritizes empathy and understanding in her work. She recognizes that each individual's path to wellness is unique and strives to meet patients where they are in this process. Dr. James believes that while some individuals may benefit from treatment with medication management alone, psychotherapy is often important for treatment success. She encourages patients to participate in psychotherapy and believes a therapist can be a crucial part of the treatment team.

Dr. James uses a collaborative, patient-centered treatment approach with the goal of reducing mental pain and improving wellness so that patients are better able to pursue their unique personal and professional goals. She utilizes psychopharmacology, psychoeducation, and supportive and psychodynamic psychotherapy skills when working with patients.

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