Alexandra Baluna, MD

Matthew is a board-certified psychiatric mental health nurse practitioner and received his education in this specialty at Maryville University of St. Louis, Missouri.  He has been working in the mental health field for over 20 years and has provided care to patients in diverse care settings including psychiatric hospitals, outpatient mental health centers, psychiatric home health, and telepsychiatry.  Matthew is passionate about expanding access to high quality mental health care to all in need and greatly enjoys collaborating with patients from diverse backgrounds.  In his free time, he enjoys hiking, camping, reading, traveling, and searching for the best Mexican food around.  

Patients working with Matthew should know that he utilizes a very collaborative approach to patient care.  He does not assume that he knows what's best for patients but works closely with them to find the most appropriate and effective treatment plan for the unique individuals that he treats.  For Matthew, safety is always the first priority, but he does not believe in a "one size fits all" approach to mental health care and is focused on tailoring the treatment to the patient.  Matthew utilizes an empathic approach to mental health treatment and patients will feel heard and valued.  

Matthew's process for working with patients includes a thorough psychiatric evaluation at the initial appointment to make sure we are getting to the right diagnosis and remaining on track to improve the patient's mental health. Follow-up appointments are focused on monitoring for progress or regression and working collaboratively to meet mutually agreed upon goals. Collaboration is key!

‍

Dr. Thomas Spina is an adult psychiatrist who began his practice at Talkiatry after completing his psychiatry residency at the Eastern Long Island branch of Stony Brook University, where he treated a diverse patient population. Dr. Spina received his undergraduate degree from St. John's University in Queens where he studied Philosophy. Initially interested in a career in law, Dr. Spina decided to change gears and pursue a career in medicine after watching a relative struggle with her diagnosis of Diabetes Mellitus. Dr. Spina then completed medical school at Tel Aviv University in Israel, where he fell in love with psychiatry during his clerkship at Ichilov medical center. During that rotation, he came to appreciate how each patient has his or her own unique story, regardless of their diagnosis. Dr. Spina favors a holistic and integrative approach to psychiatry, combining medication management with supportive therapy, elements of cognitive behavioral therapy, while remaining open to other treatment modalities depending on the needs of his patients. When more focused therapy is indicated, Dr. Spina may recommend that his patient work with a provider specializing in a particular modality of therapy as part of their treatment. Dr. Spina treats adult patients with mood disorders including major depressive disorder and bipolar disorder, anxiety spectrum disorders, OCD, PTSD and specific phobias. In his spare time, Dr. Spina enjoys a variety of hobbies, including Brazilian Jiu-Jitsu, running, baseball, and exploring new eateries and shops.

Dr. Melody Santos is dual-trained in Internal Medicine and Psychiatry, with experience in both outpatient and inpatient settings. She served as Chief Resident and Deputy Chief Resident in East Carolina University’s combined residency program, where she led academic and clinical initiatives. Dr. Santos has published research on topics including adult ADHD and metabolic psychiatry, with presentations at national conferences. She earned her MD from the American University of the Caribbean and a BS in Biology with a minor in Jazz Piano from the University of Tampa. A native Spanish speaker, she is active in community service and church-based outreach.

Dr. Santos values open and clear communication, creating a safe, non-judgmental space where patients feel heard and respected. She blends traditional and innovative approaches, including metabolic psychiatry and dietary strategies, to support wellness. Her care is culturally sensitive and patient-centered, always tailored to each individual’s needs and values. Through empathy and education, she empowers patients and fosters resilience.

Dr. Santos begins with a thorough assessment of each patient’s medical, psychiatric, and lifestyle history. She collaborates with patients to build personalized, evidence-based treatment plans that reflect their goals and preferences. Her holistic care model considers social, cultural, and environmental influences, and she ensures consistent follow-up to adjust care as needed, promoting informed, long-term wellness.

Edmund Clark, MD, serves as Chief Psychiatrist at Talkiatry with over 17 years of board-certified experience, including more than 5 years delivering tele-psychiatric care to underserved areas. His career spans 23 years in public service, including leadership roles as Chief of the VA Mental Health Clinics in Jacksonville, FL, and program manager for the University of Florida’s Psychiatry Residency Training Program. A former U.S. Navy psychiatrist, he deployed multiple times, including to Iraq in support of an Army Combat Stress Control clinic, gaining expertise in evidence-based PTSD treatments. Dr. Clark earned his medical degree from the University of Florida and completed his psychiatry residency at the National Naval Medical Center and Walter Reed, serving as chief resident for over 50 military trainees. Before medicine, he served in the U.S. Peace Corps in Kenya.

Dr. Clark values a collaborative approach built on honesty, rapport, and ensuring patients feel heard. He helps patients identify and address multiple factors influencing their mental health, aiming for positive, lasting changes that improve function across life domains. He encourages evidence-based therapies and, when needed, involves other providers to support comprehensive care.

Dr. Clark uses measurement-based tools to assess medication efficacy and guide treatment decisions. He integrates supportive psychotherapy to strengthen coping skills and reduce negative thinking, while incorporating motivational interviewing techniques to promote recovery and self-improvement.

Dr. Aidin Ashoori brings clinical experience from diverse settings including outpatient clinics, inpatient units, and emergency departments. He earned his medical degree from Columbia University College of Physicians & Surgeons and completed his psychiatry training at The University of North Carolina at Chapel Hill.

Dr. Ashoori works with individuals of all ages and cultural backgrounds. He has treated a wide range of conditions including depression, anxiety/OCD, bipolar disorder, trauma-related disorders, ADHD, and other psychiatric concerns. Outside of clinical practice, he is also a passionate musician who plays piano and composes music for media. Learn more at www.aidinashoori.com.

Dr. Ashoori uses a holistic, biopsychosocial approach tailored to each patient's unique background and needs. He integrates evidence-based pharmacotherapy with insight-oriented psychotherapy, aiming to foster self-awareness and long-term change. His patient-centered philosophy emphasizes a collaborative, respectful therapeutic alliance.

Dr. Sierra-Cintron is board-certified in adult psychiatry by the American Board of Psychiatry and Neurology and has been in practice for 12 years. Dr. Sierra-Cintron focuses her practice on medication management. She also engages in supportive therapy in a comprehensive way, focusing on the patient as a whole and not just the symptoms. Dr. Sierra-Cintron has a broad understanding of vitamin support as an adjunctive treatment to traditional medication. She has broadened her understanding of second-line treatment, having been certified in Electroconvulsive Therapy (ECT), conducting clinics in Clozapine and Long-Acting Antipsychotics (LOA), and even conducting assessments for patients interested in weight loss surgery. Dr. Sierra-Cintron has a comprehensive approach to treatment, and might consider the addition of therapy, either by referral or collaborating with an existing therapist for a more rounded approach and improved outcome. Dr. Sierra-Cintron received her medical degree from the Universidad Central del Caribe located in Bayamon, Puerto Rico. Upon graduation, she relocated to Philadelphia, where she started her residency program at Einstein Medical Center. After completing her training, she worked for 8 years in a community mental health clinic, treating an underserved population in all modalities of psychiatric care. In her 12-year career, Dr. Sierra-Cintron has treated both adult males and females, including seniors. This has led to varied and wide-ranging diagnoses during the length of her career. After leaving the community clinic setting, she started working for an outpatient clinic in a suburb of Philadelphia. Dr. Sierra-Cintron's current areas of focus are adults with Mood Disorders, Anxiety Co-Occurring Substance disorders, as well as patients with varied concomitant medical problems.‍