Alexandre Cupler, MD

Dr. Rachel Sherhart is a board-certified adult psychiatrist who has been in practice for over 4 years. She specializes in medication management with 30-minute follow-up visits. This may be accompanied by elements of supportive therapy, Acceptance and Commitment Therapy (ACT), Dialectical Behavior Therapy (DBT), and psychodynamic therapy. If more in-depth work is needed, she may refer patients to a collaborating psychotherapist. ‍Dr. Sherhart received her medical degree from Texas A&M Health Science Center and completed her psychiatry residency training at the University of Texas Southwestern in Dallas, Texas. She has served as faculty at Texas A&M University College of Medicine, providing education and supervision for psychiatry residents and medical students. ‍She has experience treating adult patients from many walks of life with a broad range of diagnoses, including depression, anxiety, bipolar disorder, ADHD, and trauma-related disorders. Dr. Sherhart has a passion for providing excellent patient care and education. Her goal is for patients to feel heard and find a safe place to discuss their concerns. She is motivated to work collaboratively with patients to find a solution that best fits their treatment goals and improves their overall quality of life.‍

Dr. Ismail is double board-certified by the American Board of Psychiatry and Neurology in both Adult Psychiatry and Child and Adolescent Psychiatry. She earned her medical degree from Cairo University, where she also completed her neurology residency at Cairo University Hospitals. Following this, she pursued psychiatric training at New York Medical College at St. Vincent’s Hospitals, where she was appointed Chief Resident and recognized as Resident of the Year.

Dr. Ismail further specialized with a fellowship in Child and Adolescent Psychiatry at UMDNJ/Rutgers Robert Wood Johnson Medical School. Her career includes multiple leadership roles, notably serving as Chief of the Child and Adolescent Partial Hospital Programs (PHP) at Rutgers University in Newark, NJ, where she provided direct care to young patients. She has also held Medical Director positions across various clinical settings, including child and adolescent inpatient units, outpatient programs, and intensive outpatient services for both adolescents and adults with mental health and co-occurring substance use disorders.

An active educator, Dr. Ismail has been a teaching faculty member, delivering lectures and providing supervision and evaluations for medical residents and child and adolescent psychiatry fellows. Her academic contributions extend to research, where she has served as a principal investigator on multiple studies.

Throughout her career in leadership and teaching, Dr. Ismail maintained an integrative private practice in New Jersey, serving residents of the NJ and NY metropolitan areas before relocating to North Carolina.

Dr. Ismail is passionate about integrative medicine, which combines evidence-based alternative therapies with conventional treatments to optimize outcomes. Her approach focuses on promoting overall wellness, keeping both the body and mind in harmony.

During the diagnostic evaluation, Dr. Ismail will review your medical history and past treatments to develop a comprehensive, personalized treatment plan that prioritizes your overall wellness. In addition to medication management, she incorporates supportive, cognitive, or psychodynamic psychotherapy during follow-up visits, as time allows. When appropriate, she may also recommend referrals to specialized psychotherapists to address your individual needs as part of a holistic treatment approach.

Dr. Kat Atadjanova is a board-certified psychiatrist dedicated to providing holistic and compassionate care for individuals navigating mental health challenges. She earned her MD from Tulane University School of Medicine and completed a combined residency in Internal Medicine and Psychiatry at Tulane. With experience in both fields, she is especially comfortable caring for patients with medical comorbidities and takes an integrative approach to treatment.

Dr. Atadjanova values collaboration and believes that treatment works best when patients are active participants in their own care. She is committed to creating a safe, supportive environment where patients feel heard and respected. Her approach combines evidence-based medication management with psychotherapy and lifestyle guidance, tailoring each treatment plan to the unique needs and goals of the individual.

In her work, Dr. Atadjanova begins by taking time to understand a patient’s history, strengths, and challenges. From there, she develops a personalized plan that may include medication, therapy, or supportive interventions. She emphasizes shared decision-making, patient education, and holistic strategies—such as nutrition, exercise, and sleep hygiene—to help patients achieve sustainable improvements in their mental health and overall well-being.

Dr. Morales is a board-certified psychiatrist who is dedicated to the bio-psycho-sociocultural model. This has been reflected in Dr. Morales' pursuit of treating patients suffering from diverse medical and psychiatric conditions, respective psychological mindedness, and varied socio-economic and cultural backgrounds. As an individual, Dr. Morales is fascinated by the human mind, its mechanisms to pursue goals, and the cyclical patterns seen in maladaptation and suffering. He believes in understanding patients' experiences and developing comprehensive treatment plans towards reconciliation. After completing his medical education at the East Carolina Brody School of Medicine, as a Brody Scholar, he subsequently completed psychiatry residency at Jackson Health System/University of Miami. Dr. Morales has had the opportunity to work with a diverse array of patients including high-functioning patients, veterans, trafficking victims, the severely mentally ill of low socio-economic status, and cancer patients across three distinct hospital systems via telemedicine and face-to-face interactions. His experience includes working with patients suffering from post-traumatic stress disorder, adjustment disorder, mood disorders, generalized anxiety disorder, panic disorder, and more. He honors active listening, analytic understanding, supportive psychotherapy techniques, and evidence-based and methodological treatment for patient care and actualization. His goal is to assist patients in navigating short- and long-term goals as well as improved quality of life. As a result, Dr. Morales focuses on medication management, which is offered in conjunction with supportive therapy, which is offered in 1-hour initial and 30-minute follow-up visits. Dr. Morales believes that appropriate patients can benefit from additional exploratory and self-actualizing therapy from other valued and specialized therapists to support targeted goals. He will not hesitate to recommend and promote consultations with therapists for such patients who are ready to pursue. Ultimately, Dr. Morales seeks to understand, validate, and treat patients in a collaborative therapeutic alliance.

Dr. Fatemeh Safian is a psychiatrist with experience in outpatient, inpatient, and telepsychiatry settings. She completed her residency at Larkin Community Hospital, caring for a diverse range of patients. Dr. Safian diagnoses and treats a wide variety of conditions, including depression, anxiety, OCD, PTSD, trauma-related disorders, phobias, personality disorders, ADHD, bipolar disorder, postpartum depression, and concerns across all age groups. She is dedicated to creating a safe, supportive space where people feel truly heard—believing good psychiatry starts with listening.

Dr. Safian fosters a warm, respectful, and judgment-free environment where patients can share openly. She takes time to understand each person’s symptoms, story, values, and goals. Medication is just one option; she also considers therapy, lifestyle changes, and other supports. Collaboration and trust are central to her approach, with patients guiding the care decisions.

During the first appointment, Dr. Safian conducts an in-depth, unhurried conversation to explore the patient’s history and goals. Together, they develop a personalized treatment plan that may include medication, therapy referrals, and practical strategies. Ongoing follow-ups provide space to track progress, make adjustments, and ensure the patient feels comfortable and empowered.

***Provider does not prescribe controlled substances*** Dr. David Eiler is a staff psychiatrist at Talkiatry. He is board certified in adult psychiatry. Before joining Talkiatry, Dr. Eiler was a staff psychiatrist at Dartmouth-Hitchcock Medical Center (DHMC), where he had an academic appointment and served as clinical director of transcranial magnetic stimulation (TMS) and intranasal esketamine services. In his practice, Dr. Eiler has focused on medication management and interventional techniques, including TMS, for the treatment of depression and other disorders. Dr. Eiler received his MD from the University of Wisconsin School of Medicine and Public Health and completed his residency at DHMC.