Alejandra Cattan, MD

Dr. Stephanie Jarvie is a board-certified psychiatrist and has been practicing for over eight years. Stephanie completed her Bachelor's degree at the University of Bristol in her native United Kingdom. She attended Saint George's University school of medicine in Grenada and completed her residency training in psychiatry at New York Medical College Metropolitan Hospital in NYC, New York. As chief resident, Dr. Jarvie learned to balance her clinical experience with organizational duties and scholarly activities. She has played a crucial role, both clinically, and has been a part of multi-disciplinary treatment teams. More recently, she has been an inpatient clinical psychiatrist at Banner University medical center in Arizona and has served as an assistant professor of psychiatry at the University of Arizona for four years. Stephanie is from Edinburgh, Scotland. Her studies and training have taken her on a journey from the United Kingdom and the Caribbean to New York City and Arizona. She uses her exposure to diverse patient populations from around the world to help with her clinical skills and treatment plans. Dr. Jarvie has a wealth of knowledge and experience in treating a diverse range of psychiatric disorders such as major depression disorder, anxiety, bipolar spectrum disorder, and post-traumatic stress disorders. Dr. Jarvie's practice focuses on medication management. She offers this in conjunction with supportive therapy in 30-minute follow-up. She works collaboratively with patients to develop individualized treatment plans to help them achieve their goal, which may include medication management, lifestyle interventions, and stress reduction techniques. Dr. Jarvie believes that additional therapy may be necessary and asks that you bring a therapist into your care team to provide the best outcome.

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 veteran 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. Agnes Tolentino is a board-certified adult psychiatrist with over 20 years of practice experience.  She obtained her undergraduate degree at the University of the Philippines and completed medical school at the University of the East.  She finished her psychiatry residency at the Harvard South Shore program as chief resident in her final year.  She has a strong background in psychotherapy as an adjunct to medication management.  She has extensive experience in treating PTSD, medically ill patients, elderly patients and those with terminal illnesses. She spent the last 15 years treating the geriatric population and those adjusting to co-morbid medical problems.  

She is an empathic listener and collaborative clinician, focused on treating the whole person.  She emphasizes the need to use healthy coping mechanisms as well as lifestyle changes to complement medication management.  In keeping with the “whole person” focus, the role of physical well-being is important. A thorough medical history will be obtained on your initial appointment.  

Gathering a thorough psychiatric and medical history is paramount in a successful therapeutic relationship.  And with time, a trusting therapeutic environment should be fostered.

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Dr. Kristen Clark earned her medical degree from Jefferson Medical College and completed her psychiatry residency at Rutgers Robert Wood Johnson. She has extensive experience practicing primarily in outpatient settings, along with additional experience in inpatient, consultation, and emergency psychiatry. Dr. Clark has also served in academic roles, teaching and mentoring trainees in both medical school and residency. She is board-certified in Psychiatry and in Addiction Medicine.

Dr. Clark prioritizes creating a welcoming environment where patients feel comfortable sharing their experiences. She values building strong rapport and approaches care holistically, recognizing that each patient is unique and deserves an individualized treatment plan. She appreciates the ongoing nature of outpatient care and adapts her approach as patients’ goals and priorities evolve over time.

Dr. Clark takes a collaborative approach to treatment, working closely with patients to ensure their understanding of all available options. She empowers patients to make informed choices and partners with them to develop plans that best align with their needs, values, and goals for treatment.

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Dr. Michael Locher completed Adult Psychiatry Residency Training at Los Angeles County, University of Southern California in which he focused two years of training in conducting Mindfulness Based Cognitive Therapy. Dr. Locher received his Bachelor of Science Undergraduate degree in 3 years with Phi Beta Kappa honors at University of Miami, Florida. In medical school at Stony Brook School of Medicine in New York, Dr. Locher was inducted into the Gold Humanism Honor Society while earning his Doctor of Medicine (MD) degree. Dr. Locher has held academic appointments at University of Southern California Keck School of Medicine, College of Osteopathic Medicine of the Pacific Western University of Health Sciences, and Ventura Community Memorial Health System Psychiatric Residency Training Program. He has an in interest working with immigrants and LGBTQ+ communities.  

Dr. Locher’s approach to medication management is that it is one tool to be used in the broader context of a multi-modal evidence-based treatment approach that draws upon psychotherapy, mindfulness skills, Buddhist psychology, psychedelic AKA “mind manifesting” studies, yoga philosophy, and other integrative practices. He understands that healing is an individualized process that cannot unfold without a safe space. Dr. Locher is dedicated to holding an approachable, empathic space where you can feel empowered to write the next chapter of your life.  

Dr. Locher is well versed in treating the full spectrum of mental illness. Having worked on multidisciplinary teams in acute inpatient psychiatric hospital settings, psychiatric emergency rooms, and mental health urgent cares for the better part of 10 years, he is comfortable helping with not just mild to moderate illness, but also the most severe cases of mental illness. Dr. Locher is especially motivated to work with you to maintain stability, avoid hospitalization, and more broadly, to achieve wellness.

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Roel Sepulveda is a board-certified psychiatric mental health nurse practitioner (PMHNP-BC) with a Master of Science in Nursing from the University of Alabama at Birmingham. Certified by the American Nurses Credentialing Center (ANCC), he has over 10 years of experience providing mental health care in psychiatric emergency rooms, outpatient psychiatry, and telehealth settings. Roel is committed to delivering comprehensive and accessible care that supports patients across diverse needs and backgrounds.

As a provider, Roel values creating a compassionate and collaborative environment where patients feel comfortable sharing their experiences. He takes a patient-centered approach, meeting individuals where they are and working together to identify treatment goals. Patients can expect a nonjudgmental space where their concerns are heard, respected, and addressed with empathy and understanding.

When working with patients, Roel begins by taking time to understand their history, symptoms, and current challenges. He develops individualized treatment plans that may include a combination of medication management, lifestyle strategies, and coordination with therapy or other supports. His goal is to provide evidence-based care while empowering patients to actively participate in their mental health journey and achieve lasting well-being.