Allison Holt, MD

Robynn Cavaliere, PMHNP-BC, is a nationally board-certified Psychiatric Mental Health Nurse Practitioner. She earned her nursing practice degree from the University of San Diego (USD). Her passion for helping others began at the age of 16 when she became an EMT and volunteered with a local emergency unit. Inspired by a strong belief in service to country and a desire to follow in her brothers’ footsteps, she proudly served in the United States Marine Corps.

Robynn’s nursing journey began over two decades ago, driven by a deep calling to care for others. She started her career as an LVN on medical/surgical/telemetry floors, advanced to an RN in the emergency room, and eventually became a psychiatric nurse practitioner.

Her extensive nursing experience spans a wide range of clinical settings and patient populations, shaping her approach to interviewing, assessment, and intervention. Robynn applies the Biopsychosocial Model in every patient encounter, believing that a comprehensive understanding of the whole person leads to more effective treatment recommendations, improved outcomes, and better prognoses.

She is deeply committed to making a positive impact in her patients’ lives and giving back to the nursing profession. Robynn precepts student nurse practitioners in her practice and serves as a Clinical Assistant Professor at USD, where she helps educate the next generation of healthcare providers.

Robynn emphasizes the importance of comprehensive assessments, active listening, and building therapeutic alliances that foster trust and create a safe space for patients to share their thoughts and concerns. She collaborates closely with patients to ensure they feel heard, encourages active participation in their treatment, and provides education to enhance insight and promote behavioral change. Her approach includes supportive psychotherapy and incorporates techniques from Cognitive Behavioral Therapy (CBT), Interpersonal Therapy, Reality Therapy, and Solution-Focused Therapy during medication management visits.

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Dr. Kirk Carruthers is a board-certified psychiatrist with experience in both outpatient and inpatient psychiatry, as well as addiction medicine. He completed his medical degree at Morehouse School of Medicine and trained at University Hospitals – Case Medical Center, where he completed general psychiatry residency and fellowships in addiction and community psychiatry. His experience includes roles in community mental health, academic teaching, and the VA system. Outside of work, he enjoys music production, soccer, spending time with loved ones, and all dogs.

Dr. Carruthers brings a casual, easygoing communication style to create a comfortable space where patients feel at ease. He emphasizes forming strong therapeutic bonds based on trust, and combines supportive therapy with medication management. He encourages collaboration with therapists and uses evidence-based treatment approaches tailored to each individual’s needs.

Dr. Carruthers begins with a thorough understanding of each patient's concerns, history, and goals. He then creates a personalized treatment plan and works collaboratively with the patient to reach their goals, adjusting care as needed for ongoing progress.

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Dr. Ani Maria Tejada is a double board-certified child, adolescent, and adult psychiatrist who provides holistic, comprehensive outpatient psychiatric care at Talkiatry via telehealth. She is fully bilingual in English and Spanish and works with patients of all ages. Dr. Tejada has a special interest in caring for individuals with developmental disabilities, including Autism and Asperger’s, and treats a wide range of conditions such as ADHD, anxiety disorders, OCD, trauma-related disorders, mood disorders, postpartum depression, personality disorders, and other mental health conditions that affect daily functioning.

Dr. Tejada takes a warm, compassionate, and collaborative approach to care. She deeply respects each patient’s dignity, autonomy, and personal values, and believes informed patients are empowered patients. She provides clear education on treatment options, benefits, and risks based on current national guidelines, creating a judgment-free space where patients feel heard, understood, and supported as active partners in their care.

During the initial visit, Dr. Tejada takes time to understand the patient’s full personal history and current circumstances to better see the world through their perspective. Ongoing visits use measurement-based tools to guide treatment decisions, including medication adjustments when appropriate. She supports patients in building coping skills, reducing negative thought patterns, and developing healthy habits that promote long-term emotional well-being and improved quality of life.

Serena Mirchandani is a board-certified psychiatric nurse practitioner with extensive experience treating serious mental illnesses such as bipolar disorder and schizophrenia spectrum disorders. She also provides care for individuals with depression, anxiety, PTSD, OCD, autism spectrum disorder, and substance use disorders. Serena earned both a Master of Science in Nursing and a Doctorate in Nursing Practice in psychiatry from Columbia University. She completed a Nurse Practitioner Fellowship at Community Healthcare Network and worked at Bellevue Hospital for 2.5 years, providing care on an inpatient psychiatric unit for a diverse, underserved population.

Serena’s approach is grounded in open communication, evidence-based care, and deep respect for each patient’s lived experience. She prioritizes a collaborative, safe space where individuals feel heard, respected, and empowered. Her holistic style supports honest conversation, transparency in treatment options, and patient-centered goals.

Serena begins with a comprehensive assessment to understand each patient's full story—biological, psychological, and social. She then partners with patients to develop personalized, evidence-based treatment plans that align with their values and goals. She emphasizes education, transparency, and regular follow-up to support ongoing progress and informed decision-making.

Dr. Gregory Arthmann recently passed the ABPM Addiction Medicine board exam. Dr. Arthmann is an ABPN board‑certified psychiatrist who received his medical degree from the University of Sint Eustatius. He completed two years of Internal Medicine residency at WellSpan York Hospital in Pennsylvania prior to completing his Psychiatry residency training at East Carolina University in North Carolina.

Dr. Arthmann has over 10 years of experience practicing psychiatry and has treated a broad spectrum of acute and chronic psychiatric disorders. He utilizes a patient-centered, biopsychosocial approach to psychiatry, primarily focusing on psychopharmacological interventions that align with each patient’s unique treatment goals and clinical needs. His practice style centers around medication management with adjunctive supportive therapy tailored to individual needs. Depending on each patient’s circumstances, he may recommend additional support from individual, family, or group counselors and therapists to achieve optimal outcomes.

During an initial visit, patients can expect a thorough and collaborative discussion focused on their symptoms, treatment goals, and clinical needs. Dr. Arthmann will evaluate the patient’s condition to determine appropriate medication interventions and discuss personalized treatment recommendations. Typical follow-up visits are approximately 20–30 minutes in length. Depending on the severity and complexity of a patient’s situation, referral for additional counseling or therapy may be suggested.

Dr. Sallie Jo Hadley holds the position of Staff Psychiatrist at Talkiatry. She is board-certified in psychiatry and pediatrics and is board-eligible in child and adolescent psychiatry. She has been practicing for 22 years. Dr. Hadley's practice is focused on medication management with supportive therapy in follow-up sessions of 15 or 30 minutes. Dr. Hadley is experienced with collaborative treatment and encourages adding a therapist to your care team in those situations where additional therapy might be helpful. Dr. Hadley is a graduate of the Mount Sinai School of Medicine's triple-board program (psychiatry, pediatrics, and child and adolescent psychiatry). She completed post-doctoral research fellowships at Mount Sinai's Seaver Center for Autism Research/Compulsive-Impulsive Anxiety Disorders and at Columbia University's New York State Psychiatric Institute, the latter focusing on metabolic and weight issues in children and adolescents with psychiatric disorders. Dr. Hadley had an early background as a nurse, receiving her B.S. in Nursing from the University of North Carolina-Chapel Hill. Her experience in neonatal, psychiatric, and hospice nursing led her to pursue her degree in medicine. Dr. Hadley has worked in pharmacologic research in both academic and industry settings. Prior to joining Talkiatry, she practiced in a multi-specialty clinic for individuals and families dealing with autism or intellectual disabilities and complex medical co-morbidities. Dr. Hadley enjoys working with motivated individuals of all ages who are seeking to better their life or better cope with life circumstances. She has particular expertise in working with individuals and their families suffering from anxiety, depression, and obsessive-compulsive disorders.