Allison Holt, MD

Gabrielle Delarose is a dually boarded Psychiatric Mental Health and Family nurse practitioner with over ten years of clinical experience. Gabrielle is dedicated to providing culturally competent and evidence-based medication management and psychotherapy to assist individuals in achieving their goals to live their best life. I believe in holistic treatment of individuals, and focus on the individual’s overall well-being, including how they are functioning socially and professionally. In addition to medication and psychotherapy, she is a proponent of incorporating research-supported alternative modalities, including dietary changes, exercise, social interaction, and yoga. She also advocates of forest bathing (“shinrin-yoku”), a practice of spending time in nature that yields both medical and mental health benefits as discovered in research trials from around the world. As a professionally trained cellist, she also frequently incorporates art and music into appointments and treatment plans with patients. Her goal for all her patients is to improve all facets of a person’s life with treatment. Gabrielle is an LGBTQ+ affirming provider and has extensive experience working with diverse populations.

New patients should know that the initial appointment will consist of obtaining their social history in addition to their medical history. This is an important part of establishing a therapeutic relationship in addition to obtaining health information to use in formulating treatment plans. A person’s identity and life experiences are a significant influence on a person’s health and well-being, and Gabrielle believes in discussing these experiences in order to best understand a patient’s background and incorporate that into their care. Patients are encouraged to write down any questions they may have prior to the appointment, as well as any significant points they want to discuss. This is encouraged because, as patients, we may forget to address these points without a prompt from the provider. Gabrielle also encourages patients to actively participate in their care and firmly believes in a patient’s right to autonomy and agency. This patient-centered approach empowers patients to help guide treatment plans that best fit the patient’s needs and abilities at any given time. Patients are also encouraged to discuss any concerns about medications or treatment, particularly if there are concerns about side effects.

Gabrielle works collaboratively with patients to determine appropriate and preferred treatment plans, including medication and therapy. She uses cognitive behavioral therapy (CBT) as the primary therapy modality, in conjunction with existential therapy, depending on the patient’s needs and preferences. She prefers to allow patients flexibility in their treatment, so the process may look less structured depending on the immediate needs of the patient. Other times, particularly while working through a specific problem in therapy, appointment agendas may be planned out for several weeks. If at any time, however, a need arises to deviate from preplanned appointment agenda, patients are encouraged to discuss this at the beginning of the appointment. Above all, patients’ needs will guide the agenda.

Dr. Ioana Horotan-Enescu is a board-certified Psychiatrist. Before joining Talkiatry, she was an Active-Duty staff psychiatrist at Blanchfield Army Community Hospital, Fort Campbell, KY. Her military service also included roles such as Medical Director of Behavioral Health and Interim Clinic Chief for Embedded Behavioral Health Clinic. She completed her internship and residency at Walter Reed National Military Medical Center and earned her Doctor of Osteopathy Degree from the University of New England College of Osteopathic Medicine. Her clinical experience spanned from the inpatient to the outpatient setting and afforded her the opportunity to develop comprehensive skills in the treatment of PTSD, mood disorders, thought disorders, addiction and perinatal mood disorders. Her teaching experience spanned multiple institutions, where she has served as a preceptor and mentor for medical students, nurse practitioner and physician assistant students. In addition to medication management, she augments her practice by implementing mindfulness, psychodynamic and supportive therapy techniques in her everyday practice to enhance treatment and improve treatment response. Dr. Horotan-Enescu holds several certifications, including in Cognitive Behavioral Health Therapy for Suicide Prevention, Motivational Interviewing and Battlefield Acupuncture. She has delivered presentations at national and international conferences on various topics, reinforcing her commitment to advancing the field of psychiatry.

Education and training

Stony Brook University (Bachelor of Science)

American University of Integrative Sciences (MD)

Davenport University (MBA)

Bergen New Bridge Medical Center (residency)

University Hospitals Cleveland Medical Center/Case Western Reserve University (fellowship)

Dr. Mohammed Islam is board certified in both General Psychiatry and Child and Adolescent Psychiatry. He completed his undergraduate studies at Stony Brook University and attended medical school at the American University of Integrative Sciences. He completed his psychiatry residency training at Bergen New Bridge Medical Center followed by completion of a fellowship in Child and Adolescent Psychiatry at University Hospitals/Case Western Reserve University where he served as Chief Fellow. Prior to joining Talkiatry, he has trained/worked in a combination of various healthcare systems across New York, New Jersey, Ohio and Kentucky.

Dr. Islam treats patients of various ages- in addition to medication management he is a strong proponent of therapy in various forms. His approach to the treatment of adults and children/adolescents incorporates the impact of various things such as family history of mental health/medical conditions as well as any adverse childhood experiences/trauma. In addition to screening for common conditions such as bipolar disorder, anxiety and depression in all patients, he also emphasizes the importance of screening for conditions that can manifest in childhood (such as ADHD, Autism) as well as first-episode psychosis in young adults.

From the initial visit and onward, Dr. Islam prioritizes a collaborative effort with his patients (and at times their families). In addition to medication adjustments, he emphasizes the importance of optimizing additional tools such as therapy while making appropriate lifestyle changes. During every follow up visit, he takes care to ensure that the current treatment is not hindering his patient’s progress in any way.

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Dr. Nicholas Sahagian is a Psychiatrist in Colorado who has been practicing since 2023. He completed his MD and Adult Psychiatry Residency at the Chicago Medical School at Rosalind Franklin University and earned his BA in Neuroscience at Skidmore College. Dr. Sahagian has experience managing a broad array of complex psychiatric diagnoses in patients of diverse socioeconomic, cultural, and clinical backgrounds. Outside of work, he enjoys hiking, biking, skiing, playing guitar, reading, and collecting board games.

Dr. Sahagian offers psychiatric medication management while also incorporating elements of cognitive behavioral therapy, motivational interviewing, internal family systems, and lifestyle interventions. He believes that every patient is unique, and he works to create a supportive environment where individuals feel heard and empowered in their care.

Grounded in the biopsychosocial model, Dr. Sahagian takes a collaborative, patient-centered approach. He partners with patients to develop personalized treatment plans that integrate biological, psychological, and social factors, with the goal of guiding them along their path to improved wellness.

Avi Adri is a board-certified psychiatric nurse practitioner with a passion for helping others achieve their goals through medication management and psychotherapy. He is trained in cognitive behavioral therapy, psychodynamic therapy, and supportive therapy. Avi has experience supporting individuals with depression, anxiety, OCD, bipolar disorder, PTSD, and ADHD. He is an LGBTQIA+ affirming provider who believes in empowering individuals in their lives.

He earned his Master of Science in Nursing with a specialty in psychiatry from Stony Brook University and a nursing practice degree from Chatham University. Avi is committed to providing evidence-based, compassionate treatment for mental health conditions to enhance quality of life. His previous experience includes two years at Columbia University Medical Center on an inpatient psychiatric unit and four years on the medical consultation-liaison psychiatric team, where he treated patients with a range of acute and chronic medical conditions while providing medication management and psychotherapy. His work at Columbia involved treating a wide spectrum of psychiatric conditions with the goal of achieving symptom remission.

Additionally, Avi has practiced at a private clinic in New York City, focusing on interventional techniques such as TMS and ketamine therapy, alongside medication management and psychotherapy.

Through mindful techniques and compassionate care, Avi is dedicated to the well-being of his clients. He views each person as more than a diagnosis and approaches care through a client-centered, holistic lens.

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Dr. Melody Stupey is a board-certified psychiatrist with over 26 years of experience treating adults in both inpatient and outpatient settings. She earned her medical degree from Oregon Health Sciences University and completed her residency at the University of Texas at San Antonio. Dr. Stupey is certified by the American Board of Psychiatry and Neurology.

Dr. Stupey believes in a collaborative approach to treatment, emphasizing active listening, compassion, and respect. She strives to create a warm, supportive environment where patients feel safe and empowered to speak openly without fear of judgment.

Her treatment process is holistic, considering physical, emotional, and lifestyle factors. She evaluates diet, physical activity, sleep habits, and thought patterns alongside medication needs. Dr. Stupey prioritizes using the lowest effective dose of medication to meet treatment goals while supporting the patient’s overall well-being.