Alexandra Baluna, MD

Staff Psychiatrist
Languages
English
Conditions Treated
ADHD
Anxiety
Bipolar Disorder
Depression
Obsessive-compulsive disorder (OCD)
PTSD/Trauma
Postpartum Depression

Education and training

  • Indiana University Bloomington, BS
  • Louisiana State University Health Science Center– Shreveport, MD
  • Montefiore Medical Center, Residency and Fellowship

Get to know

Alexandra Baluna, MD

Background and credentials  

Dr. Alexandra Baluna, MD, is board-certified by the American Board of  Psychiatry and Neurology. She received her medical degree from  LSUHC-Shreveport and completed her psychiatry residency training at  Montefiore/Albert-Einstein College of Medicine, where she served as chief of  the Consultation-Liaison (C/L) service. Following residency, Dr. Baluna  served as Senior Chief, during which she was honored with the Leo M. Davidoff  Award for Outstanding Achievement in the Teaching of Medical Students. Her  professional experiences include roles at Fordham University, Albert Einstein  Student Mental Health Counseling Center, and most recently, as an outpatient  psychiatrist at Maimonides Medical Center, where she enjoyed teaching and  supervising residents.  

 

Treatment approach  

Dr. Baluna emphasizes creating a warm, empathic, and nonjudgmental  therapeutic environment. She collaborates closely with patients to develop  personalized treatment plans that consider cultural, biological,  psychological, and social factors. With a strong interest in psychotherapy,  she frequently employs ego-supportive and insight-oriented therapy techniques  during follow-up sessions.  

 

What you can expect in a first visit    

During an initial visit, patients can expect a welcoming and supportive  atmosphere where Dr. Baluna conducts a comprehensive assessment. This  involves exploring the patient's history, current challenges, and individual  circumstances. The goal of the first session is to collaboratively build an  individualized treatment plan tailored specifically to the patient's unique  needs.  

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 speciualize in  medication management and collaborate with you on a treatment plan that fits  your needs and comfort level.

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Brittney Colf, LMHC

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Brittney is a Licensed Mental Health Counselor in the State of New York. She attended SUNY Buffalo where she obtained a Bachelor's in Psychology and a Master's in Education with a Certificate of Advanced Study in School Counseling and a Certificate of Advanced Study in Mental Health Counseling. Brittney started her career as a School Counselor before transitioning full-time to Mental Health Counselor. Brittney is an empathetic and open-minded clinician, striving to meet her clients where they are, build trust, and maintain a safe, non-judgmental environment. She is experienced and passionate about working with teens and adults with various forms of trauma. Additionally, Brittney utilizes SPACE (Supportive Parenting for Anxious Childhood Emotions) for families impacted by anxiety and OCD to help them understand the impact these experiences have on their lives, ultimately finding the resolutions and outcomes they hope for. While EMDR therapy is her primary treatment approach for individuals, or SPACE for families, she also utilizes ACT, Parts Work, Motivational Interviewing, CBT, and others.

Tyler Josephs, DO

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Dr. Tyler Josephs is a staff psychiatrist at Talkiatry. He earned his medical degree from Kansas City University in 2017 and completed his psychiatric residency at the University of Kansas Medical Center in 2021. During his residency, he served as Chief Resident at both the University of Kansas Medical Center and the Kansas City VA Medical Center. Most recently, Dr. Josephs worked at the Kansas City VA Medical Center, where he was the psychiatric director of the outpatient mental health clinic and served as Psychiatry Executive for behavioral health services.

Treatment approach

Dr. Josephs believes in a holistic approach to mental health treatment, integrating medication management, supportive psychotherapy, and collaboration with therapists and support staff. He tailors treatment to each patient's unique needs, ensuring a comprehensive and individualized approach to care. His expertise includes treating a variety of psychiatric diagnoses, such as depression, anxiety disorders (including OCD), ADHD, and PTSD.

What you can expect in a first visit

In a first visit, patients can expect a thorough evaluation, where Dr. Josephs takes the time to understand their medical history, symptoms, and treatment goals. He emphasizes open communication and collaborative decision-making, ensuring that patients feel heard and supported. Based on this initial assessment, he will develop a personalized treatment plan, which may include medication management and referrals to therapy or other supportive services as needed.

Why Talkiatry?

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Treatment approach

Dr. Harneja specializes in medication management and supportive psychotherapy, with a strong emphasis on promoting well-being, resilience, and mindfulness. She works closely with patients to develop individualized treatment plans, ensuring that care is collaborative and patient-centered. Follow-up visits typically last 30 minutes, during which she evaluates treatment progress and adjusts care as needed. If additional therapy is beneficial, she may recommend working with a therapist as part of a comprehensive treatment approach.

What you can expect in a first visit

During the first visit, patients can expect a thorough psychiatric evaluation, where Dr. Harneja takes time to understand their symptoms, medical history, and treatment goals. She prioritizes open communication and trust, working collaboratively to create a personalized care plan that aligns with the patient’s mental health needs. Whether through medication management, therapy, or mindfulness techniques, she aims to foster long-term well-being and emotional resilience.

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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.

Sarita Sharma, MD

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Dr. Sarita Sharma is a board-certified adult psychiatrist dedicated to providing personalized psychiatric treatment that addresses the mind, body, and spirit for optimized health and healing. Born and raised in Toronto, Ontario, she earned her medical degree from Avalon University School of Medicine in Curacao and completed her residency at Southern Illinois University in Springfield, Illinois. Dr. Sharma has extensive experience working with underserved patients from diverse backgrounds and with varying severities of psychiatric disorders. She has a genuine interest in treating mood and anxiety disorders like depression and anxiety. She views medication as one of many tools to aid patients, emphasizing the importance of therapy and lifestyle changes aligned with each patient's goals. Believing in a holistic approach, she incorporates mindfulness techniques, lifestyle optimization (sleep, diet, movement), Dialectical Behavioral Therapy (DBT), Cognitive Behavioral Therapy (CBT), and Acceptance and Commitment Therapy (ACT) to target the root causes of unease. She enjoys helping patients navigate meaning and purpose, relationship dynamics, and self-image. With a sincere, direct, and practical approach, Dr. Sharma values empathy and understanding as vital components of effective care. In her free time, she enjoys spontaneous adventures, connecting with fellow human beings, and just being in nature. She is committed to helping you achieve a balanced, fulfilling life.

Namrata Shah, MD

Staff Psychiatrist

Dr. Namrata Shah is a board-certified adult psychiatrist who completed her undergraduate training at the University of Wisconsin-Madison and earned her medical degree at the American University of Antigua. She completed her psychiatry residency at Creedmoor Psychiatric Center, where she trained at New York-Presbyterian/Columbia University Irving Medical Center. In addition to experience providing inpatient and outpatient care, Dr. Shah has worked with a wide variety of patient populations. The conditions she treats include depression, bipolar disorder, anxiety disorders, panic disorder, OCD, and ADHD. In addition, Dr. Shah is particularly interested in issues related to women's mental health, including perinatal mental health issues. Dr. Shah emphasizes the importance of a strong doctor-patient therapeutic alliance and a patient-centered approach. To provide the best care, she believes in compassion, open communication, and collaboration. As a primary treatment method, she combines psychopharmacological medication and supportive therapy.

Phillip Azouz, MD

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Background and credentials

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Treatment approach

Dr. Azouz provides a relaxed, conversational, and non-judgmental space for patients to reflect on and integrate all aspects of their lives. He believes that vulnerability is key to healing and growth and works with individuals seeking to improve mood, reduce anxiety, enhance sleep, boost attention, or heal from trauma. His approach blends the latest research in medical treatment with insights from psychotherapy and coaching. He specializes in treating major depression, anxiety disorders, ADHD, bipolar disorder, PTSD, OCD, addiction, and personality disorders.

What you can expect in a first visit

During the first visit, patients can expect a comprehensive and collaborative evaluation where Dr. Azouz takes the time to understand their symptoms, challenges, and goals. He fosters an open and supportive environment, ensuring that treatment plans are personalized and aligned with each patient’s unique needs. His approach integrates evidence-based medication management, psychotherapy techniques, and coaching strategies to help patients achieve their full potential.

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.

Harmeeta Singh, MD

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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.

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Dr. Anne Rohs is board certified in both adult and geriatric psychiatry and has practiced psychiatry for over 10 years. She has extensive experience treating critically ill patients in hospital settings. This experience allowed her to hone skills necessary to care for individuals with complex psychiatric illnesses complicated by medical conditions. Dr. Rohs' approach to care involves providing a consistent, empathic, non-judgmental space to develop and attain shared treatment goals. She is committed to developing a partnership that is always respectful of patients' points of view, and she utilizes this knowledge to inform treatment plans that are safe, effective, and agreeable to patients. At the same time, she is sensitive to financial or insurance coverage factors that may impact treatment. After completing residency training at Montefiore Medical Center, Dr. Rohs was invited to serve an additional year as Senior Chief Resident for its adult psychiatry residency training program. She spent the next year as a fellow in Geriatric Psychiatry before her appointment as an attending physician on Montefiore's acute psychiatric inpatient unit. During her training years, Dr. Rohs made several trips to Uganda to serve as an attending physician with the Doctors for Global Health Project. Dr. Rohs subsequently transferred to Bronx Psychiatric Center (BPC), where she treated inpatients and outpatients suffering from severe mental disorders. At BPC, she expanded her knowledge base and became an expert in advanced psychopharmacology. Dr. Rohs also spent time prior to joining Talkiatry as an attending physician at NYU Langone Hospital. Dr. Rohs specializes in treating a variety of psychiatric conditions including mood disorders, psychotic disorders, anxiety disorders, PTSD, and dementia. She is attuned to the direct and indirect mental health impact of the pandemic and its aftermath on patients of all ages. Dr. Rohs does not usually treat ADHD patients. For the small number of patients she treats who have ADHD, Dr. Rohs requires comprehensive testing, multiple follow ups, and a full medical workup before confirming a diagnosis to ensure appropriateness and safety of chosen treatment.

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Your mental health journey is unique, and Cassandra is here to listen with compassion and without judgment. Our conversations are confidential, and Cassandra's goal is to create a space where you feel comfortable sharing your thoughts and concerns. During our first appointment, Cassandra will go over your mental health history, current symptoms, lifestyle factors, and any previous treatments to get a full picture of your needs. We will develop a treatment plan that may include therapy, medication, or other supportive strategies. Cassandra believes in shared decision-making, meaning your input is important in every process step. If medication is part of your treatment, Cassandra will provide clear information about its benefits and potential side effects and how we will monitor your progress. Adjustments can be made as needed to ensure the best possible outcome. Healing takes time, and Cassandra will support you throughout the process. Follow-up appointments help us track progress, make any necessary adjustments, and ensure you receive the care you need.

Your mental health journey is unique, and Cassandra is here to listen with compassion and without judgment. Our conversations are confidential, and Cassandra's goal is to create a space where you feel comfortable sharing your thoughts and concerns. During our first appointment, Cassandra will go over your mental health history, current symptoms, lifestyle factors, and any previous treatments to get a full picture of your needs. We will develop a treatment plan that may include therapy, medication, or other supportive strategies. Cassandra believes in shared decision-making, meaning your input is important in every process step. If medication is part of your treatment, Cassandra will provide clear information about its benefits and potential side effects and how we will monitor your progress. Adjustments can be made as needed to ensure the best possible outcome.
Healing takes time, and Cassandra will support you throughout the process. Follow-up appointments help us track progress, make any necessary adjustments, and ensure you receive the care you need.

Nicole Martinez, LCPC

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Dr. Nicole Martinez received her Master's and Doctorate from the Illinois School of Professional Psychology and completed her pre-doctoral and post-doctoral fellowship at Gateway Foundation in Lake Villa, Illinois. She earned a double major in Psychology and Therapeutic Recreation at the University of St. Francis. Dr. Martinez has extensive experience working with children, adolescents, and adults in individual, family, and group treatment. Her therapeutic approach is integrative, combining Cognitive Behavioral Psychotherapy (CBT) with holistic methods, emphasizing Solution Focused Therapy, Reality Therapy, and Positive Psychology. She believes in the mind-body connection and that exploring various areas of an individual's functioning is essential for optimum physical and emotional health. Dr. Martinez emphasizes a collaborative therapist-client relationship, where both act as partners in designing treatment goals. She values identifying ineffective past modalities to avoid frustration and ensure personalized care. Recognizing that each person is unique, she adapts to the patient's evolving needs, ensuring they feel heard and supported for positive outcomes. Her areas of expertise include health psychology, complex trauma, PTSD, depression, anxiety, social anxiety, bipolar disorder, ADHD, autism spectrum disorders, LGBTQIA populations, bereavement, forensics, substance abuse, couples work, MISA, co-occurring disorders, domestic violence, sex offenders, special needs populations, and chronic medical issues and rare diseases. She is skilled in the evaluation and assessment of these populations.

Kirk Ramsey, MD

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Dr. Ramsey is board certified in general and child and adolescent psychiatry. His practice primarily focuses on medication management. He sees himself as a collaborator with therapists and counselors in caring for their shared patients and their families. He received his medical degree from the University of Tennessee Health Science Center in Memphis, TN. He completed his residency at West Virginia University Hospitals and WVU School of Medicine and a fellowship in child and adolescent psychiatry at the Yale Child Study Center, Yale University School of Medicine, and Yale-New Haven Hospital in New Haven and Middletown, CT. He completed his undergraduate studies at the University of Memphis. Dr. Ramsey remained in CT for two additional years, working in the Department of Children and Families, serving the state's at-risk youth and adolescents at a psychiatric residential treatment facility. He then returned to West Virginia University as clinical faculty in its School of Medicine. During the 12-year academic appointment, he had active roles in educating, training, and supervising medical students, general psychiatry residents, child and adolescent psychiatry fellows, and trainees from various disciplines. He worked for many years with adolescent males at both the Dually Diagnosed and Specialized Residential Treatment Centers within West Virginia University Healthcare. He provided outpatient and acute inpatient care, as well as hospital-based consultation services. Within the community, he provided medication evaluation and management services to residential treatment facilities and university student health. He has been seeing patients and collaborating with providers through telemedicine since 2016. While Dr. Ramsey specializes in working with patients with anxiety, he does not prescribe benzodiazepines.‍

Patricia Grendell, PMHNP

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Patricia Grendell is a board-certified Psychiatric-Mental Health Nurse Practitioner who provides mental health care using a personalized, holistic approach. Patricia specializes in psychiatric evaluation and medication management along with psychotherapy and integrative interventions. Prior to receiving education and training in Nursing at New York University and Case Western Reserve University, Patricia earned a Master of Social Work from Boston College with a focus on health and mental health.  

Patricia specializes in working with adults experiencing a wide range of acute and chronic stressors and mental health symptoms. Patricia tailors' treatment to the goals, needs, and comfort level of each individual at her or his own pace. Patricia builds connections with patients so that they feel heard and understood, and partners with each individual to determine the most appropriate treatment strategies that maximize comfort, safety, and positive results.  

Over the past ten years as a Nurse Practitioner in outpatient and inpatient environments, Patricia has helped patients improve and overcome conditions including depression, anxiety, OCD, PTSD, ADHD, and insomnia. Using a combination of medication management, individual therapy, and psychoeducation, Patricia develops individualized treatment plans centered around patients’ priorities and safety to achieve improvements in health and quality of life.

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