Amrish Pipalia, MD

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Biography

Dr. Pipalia is board-certified in both adult psychiatry and internal medicine. Since graduation from residency, he gained specialized experience in treating veterans with terminal illness, specifically Amyotrophic Lateral Sclerosis (aka Lou Gehrig's Disease), at the VA Medical Center in Portland, OR. He combines both psychotherapy and medication treatment to provide holistic care that addresses not only your mental health but also the parts of your life that surround and are deeply intertwined with your mental health. When more intensive psychotherapy is warranted, he collaborates with an experienced psychotherapist to serve you better. With his experience of internal medicine, he is also comfortable with navigating complex medical issues that may interact with your mental health. Dr. Pipalia is a graduate of St. George's University School of Medicine. He completed a combined Psychiatry & Internal Medicine residency training program at East Carolina University. He went on to complete a fellowship in Clinical Informatics at Oregon Health & Science University, learning how to use modern digital technologies and patient data to improve patient care. His academic activities include a presentation he has given multiple times on Illness Identity, teaching other clinicians how having an illness can change how we perceive our place in the world and how to help patients manage their relationship with illness.

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Expertise and specialties

ADHD

Anxiety

Bipolar Disorder

Depression

LGBTQIA+

Obsessive-compulsive disorder (OCD)

PTSD/Trauma

Education and training

St George's University School of Medicine Doctor of Medicine (MD)
East Carolina University School Of Medicine (Residency)
Oregon Health & Science University School of Medicine (Fellowship)

Location

Timezone

Pacific

Licensed in

North Carolina

Oregon

Languages spoken

English

In-network insurance

Aetna

Blue Cross Blue Shield

Cigna

ComPsych

Elevance Health

Humana

Magnacare

Medicare

Provider Network of America

Quest

UnitedHealthcare

Velocity

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Michael Fruchter, MD

Dr. Michael S. Fruchter is a psychiatrist with over 40 years of experience across private practice, telemedicine, and national behavioral health leadership. He has served in medical director roles within commercial, Medicare, and Medicaid systems, as well as in the U.S. Navy. A graduate of Ross University School of Medicine, he is licensed in multiple states, board-certified in forensic medicine, and fluent in English and Spanish.

Dr. Fruchter emphasizes respectful, collaborative care grounded in safety and quality. He values clear communication and culturally responsive treatment, working closely with patients to understand their goals. His approach integrates clinical expertise with practical strategies, ensuring care plans are individualized, evidence-based, and aligned with each patient’s needs.

Dr. Fruchter begins with a comprehensive evaluation, reviewing psychiatric, medical, and psychosocial factors. He partners with patients to develop a thoughtful treatment plan that may include medication management, supportive therapy, and coordination of care when needed. Ongoing follow-up focuses on progress monitoring, education, and adjustments to optimize outcomes.

Dr. Chin begins by listening to the patient’s full story to understand them as a whole. He explores their past, present, and future to create a comprehensive treatment plan designed to empower patients to move forward and improve their mental health.

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Ian Sanders, LCMHC

Ian Sanders is a Licensed Clinical Mental Health Counselor (LCMHC) with 13 years of experience working with teens, adults, and couples. He is passionate about helping people navigate anxiety, depression, trauma, and major life transitions. Ian values a collaborative, strengths-based approach and strives to create a supportive, affirming, and nonjudgmental space for all clients, including LGBTQ+ individuals and those exploring identity or relationship concerns.

Clients working with Ian can expect an active, collaborative experience focused on practical growth. He blends evidence-based therapies with clear, actionable skills so clients leave sessions with tools they can apply in everyday life. Ian believes therapy should feel empowering and approachable, and he prioritizes open communication, emotional safety, and individualized care for each person or couple he supports.

Ian begins by gaining a clear understanding of each client’s goals, challenges, and strengths. Together, they develop a straightforward treatment plan tailored to the client’s needs. Sessions focus on building insight, strengthening coping skills, and tracking progress over time. Ian also incorporates psychoeducation for families and caregivers when appropriate and works with couples to improve communication and address relationship challenges.

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Rhea Kisling, LPC

Rhea Kisling, LPC, LCMHC, LMHC, CPCS, brings more than 20 years of experience to her work as a therapist. She has served in inpatient, outpatient, emergency, hospital, and community mental health settings, as well as leadership roles such as managing the social services department at a crisis stabilization facility. Rhea earned her MS in Clinical/Counseling Psychology and Ed.S. in School Psychology from Valdosta State University, and a BA in Psychology and Sociology from Loyola University in New Orleans. Licensed in Georgia, North Carolina, Florida, and South Carolina, she is also trained in Trauma-Focused Cognitive Behavioral Therapy (TF-CBT).

Rhea understands that beginning counseling can feel intimidating and strives to create a safe, welcoming environment where therapy moves at the patient’s pace. She primarily uses Cognitive Behavioral Therapy while incorporating elements of Behavioral Therapy, Solution-Focused approaches, Strength-Based methods, Motivational Interviewing, and Dialectical Behavior Therapy. Drawing on her multicultural background, she respects and honors each individual’s unique experiences and cultures. She believes no concern is too large or too small to address in therapy and emphasizes collaboration at every stage.

Rhea views the first appointment as a chance to build trust, explore how she and the patient can work together, and establish goals for therapy. She provides a clear framework for what to expect, welcomes questions, and encourages open communication throughout the process. Understanding that sharing personal history can be difficult, she is committed to moving at a pace that feels comfortable and supportive for each patient.

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Julia Trice, MD

Dr. Julia Trice, MD, has experience across outpatient, intensive outpatient, residential, and inpatient settings. She earned her medical degree and completed psychiatry residency and child and adolescent fellowship training at accredited institutions, developing expertise in comprehensive, evidence-based care. She is double board-certified in adult psychiatry and child and adolescent psychiatry.

Dr. Trice values openness, collaboration, and clear communication. She builds strong therapeutic rapport by creating a warm, supportive space where patients feel heard and respected. When working with children and adolescents, she ensures they understand that their voice and perspective are essential to shaping treatment and understanding their symptoms.

Dr. Trice begins by thoroughly understanding each patient’s history, concerns, and goals. She uses this foundation to guide treatment from the first session onward. Throughout care, she develops individualized, goal-aligned treatment plans that integrate evidence-based approaches tailored to each patient’s unique needs.

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Linda Jan Boothe, LCSW

Linda Boothe, LCSW, brings over three decades of experience across outpatient, inpatient, and teletherapy settings. She earned her Master’s Degree in Social Welfare from UCLA and is licensed in NC, FL, and CA. Since becoming an LCSW in 2006, she has served in acute medical care, veteran outpatient services, hospice, and inpatient behavioral health. She is trained in CBT and integrates DBT, ACT, expressive arts therapy, and Art4Healing into her work.

Bryce practiced family medicine for 18 years before transitioning to psychiatric mental health in 2022. His background in both physical and mental health gives him a holistic perspective on care. Since shifting his focus, he has helped individuals improve their quality of life through medication management for mood disorders, PTSD, anxiety, ADHD, and other mental health conditions. He continues to live in a rural community with his family and remains committed to helping people become their best selves.

Bryce believes that each person’s “best self” is unique and that mental health care should meet individuals where they are. He emphasizes a collaborative, client-centered approach, always keeping the individual’s goals at the heart of care. He is dedicated to helping clients identify and overcome the symptoms and stressors that interfere with their well-being, and he works to dismantle limiting beliefs or labels that may have been placed on them.

By taking the time to understand each person’s challenges and aspirations, Bryce helps clients find sustainable, holistic paths to wellness. His care is grounded in empathy, respect, and a deep commitment to supporting each person’s journey toward a fulfilling and balanced life.

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LaTonya Washington, LCSW

LaTonya Washington, LICSW-S, PIP, is a trauma and couples' therapist with a Master of Social Work from the University of Alabama and advanced training in Brain spotting, Acceptance and Commitment Therapy (ACT), Cognitive Behavioral Therapy (CBT), and the Gottman Method for couples therapy. With over 15 years of experience, she provides compassionate, evidence-based care to individuals and couples navigating trauma, relationship challenges, and major life transitions.

She specializes in helping couples rebuild trust after infidelity, strengthen emotional connection, and improve communication. She also supports individuals facing anxiety, burnout, and the emotional impact of chronic illness, guiding them toward healing and resilience

New clients can expect a warm, supportive space where they feel heard and understood. LaTonya takes a collaborative approach, tailoring therapy to each client’s needs while integrating practical strategies for healing and growth. Her sessions are focused on fostering insight, building emotional resilience, and equipping clients with tools to create lasting change. Whether working with individuals or couples, her goal is to help clients navigate life’s challenges with greater clarity, connection, and confidence.

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Robynn Cavaliere, PMHNP

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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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.

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Elena Perea, MD

Dr. Elena Perea is a board-certified psychiatrist. She completed her undergraduate training at Wake Forest University followed by medical school and residency training at The University of North Carolina at Chapel Hill (UNC).

Dr. Perea holds an adjunct academic appointment at UNC and has been involved in medical education for her entire career. She most recently served as Residency Program Director for the Mountain Area Health Education Center (MAHEC) psychiatry residency in Asheville, NC. She remains involved in didactic education there for both residents and medical students.

She has a genuine interest in treating a vast array of psychiatric disorders including depression, anxiety, bipolar disorders, post-traumatic stress disorders and obsessive compulsive and related disorders. She is a skilled psychopharmacologist and interested in the mind-body connection. She believes physical health greatly affects mental health and vice versa and loves helping patients with medical comorbidities to feel well.

Patients looking for a psychiatrist will find that Dr. Perea has a comprehensive approach to diagnosis and management of her patients. She believes in the principle that body and mind are interconnected and utilizes psychoeducation and psychotherapeutic approaches in addition to medications for total wellness.

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Suzann Gordon, PMHNP

Suzann Gordon, DNP is a board certified psychiatric mental health nurse practitioner who graduated with her Doctor in Nursing Practice from the University of Nevada Reno. Her years of experience in the mental health field began when she became a behavioral health counselor working with adolescents, then as a psychiatric nurse working with patients across the life span. She's worked in various healthcare settings including pediatric and adolescent residential treatment, acute inpatient care and outpatient as a nurse case manager on the Assertive Community Treatment (ACT) Team for the state hospital.

Since Suzann has become a psychiatric mental health nurse practitioner, she has worked in community health clinics providing both psychiatric medication management and medication-assisted treatment to patients. She has treated patients with various diagnoses including anxiety, depression, post-traumatic stress disorders, obsessive compulsive disorders, bipolar disorders, schizoaffective disorders, schizophrenias, alcohol abuse disorder and substance use disorders.

As a nurse practitioner, she believes in focusing on patient-centered care, providing a holistic approach to patient management and having a collaborative approach to mental health treatment. She uses supportive psychotherapy and at times cognitive behavioral therapy to help her patients change their thoughts and behaviors in managing their stressors.

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Deborah Ford, PMHNP

Deborah Ford PMHNP, FNP is a dually certified board certified Psychiatric Mental Health Nurse Practitioner. She is also qualified as a family nurse practitioner. She completed her education at the University of Cincinnati in Ohio and the University of Kennesaw in Ga. Ms. Ford has 10 years of treating patients with mental health issues. Working in various settings such as outpatient, inpatient, private practice and telepsychiatry.

Whether you’re struggling with Schizophrenia, ADD, Anxiety, Depression, PTSD, Bipolar, Panic, or other mental health disorders. Together we can work to help equip you with the necessary tools to help you face and overcome challenges. Please understand you are the priority! Deborah Ford offers encouragement, empathy, hope and understanding by providing compassion and promoting self-care. In her free time, she enjoys exercise and travel. Believing that self-love is an essential part of mental wellness. She believes in continuous learning and is a patient advocate. As a team, support is provided with the help of psychotherapy such as cognitive behavioral therapy, mindfulness, psychodynamic therapy using motivational interviewing. Deborah Ford’s Core Values surround Integrity, accountability, diversity, collaboration, inclusion & respect.

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Meghan Hebishi, DO

Dr. Meghan Fahy Hebishi is double-board certified in General Psychiatry and Child and Adolescent Psychiatry. Originally from Delaware, Dr. Hebishi earned her medical degree from the Philadelphia College of Osteopathic Medicine in 2017. She also obtained a Master of Science in Biological Sciences from Drexel University and a Bachelor of Science in Biology from Juniata College. In 2017, Dr. Hebishi moved south and is happy to call North Carolina her home. She completed her internship at Campbell University/Harnett Health in 2018. She went on to complete a General Psychiatry Residency followed by a Fellowship in Child and Adolescent Psychiatry at East Carolina University Brody School of Medicine. Prior to joining Talkiatry in 2025, Dr. Hebishi was in private practice at North Raleigh Psychiatry in Raleigh, NC.

Dr. Hebishi is experienced in treating children, adolescents and adults. She utilizes medication management and psychotherapy in her clinical practice. Her areas of interest include ADHD across the lifespan, anxiety disorders, mood disorders (depression and bipolar disorder) and OCD. She is dedicated to building a collaborative relationship with patients and their families where shared-decision making is respected and encouraged. She is passionate about providing continuity of care to her patients as they navigate life's changes and challenges.

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Lisha Jones, LCSW

Lisha Jones is a licensed clinical social worker with over 23 years of extensive experience working in the mental health field. Lisha has worked with clients facing a variety of life's challenges such as anxiety, depression, trauma, as well as perinatal and postpartum mental health. She attended undergraduate school in Albany, GA, and graduate school in Valdosta, GA. Lisha is deeply committed to creating a safe, non-judgmental space where clients can express their thoughts and feelings freely. Lisha's approach to therapy involves engaging each client with warmth and enthusiasm. She encourages them to be active participants on their journey of emotional growth, healing, and empowerment. Lisha uses therapeutic expertise and various inner-healing approaches to teach clients restorative self-care practices, exercises that cultivate emotional awareness, strategies to manage unhealthy thoughts, and methods to change undesirable behaviors. Working with Lisha, clients can expect to take away from each session a plan of action with detailed steps, easy to apply skills and practical strategies to help them manage stress, heal from hurtful experiences, improve their communication skills and strengthen boundaries in their relationships. They will gain a better understanding about how and why they feel uncomfortable emotions and why they experience strong reactions in response to those associated thoughts.

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Kimberly Williams, LPC

Dr. Kimberly Williams is a Licensed Clinical Mental Health Counselor, with more than 17 years of experience in the mental health field. She holds a master's degree in mental health counseling and a doctoral degree in mental health supervision and education. Her professional experience includes working with populations of diverse demographics, varying circumstances, an array of mental health conditions and challenges, and many other unique living experiences of individuals, families, and couples. Dr. Williams has worked extensively with many presenting issues including diagnoses related to mood disorders, bipolar disorders, anxiety disorders, psychoses, spectrum disorders, trauma and other challenging life changes. In order to provide culturally informed care and meet clients where they are, Dr. Williams has worked with people in many environments, including but not limited to personal homes or shelters, community settings, medical facilities, outpatient settings, and inpatient settings. Dr. Williams embraces humanistic and psychodynamic approaches to help clients acclimate to the counseling space and find the courage to explore, integrate and nurture one's true self throughout the counseling process. Additionally, Dr. Williams utilizes elements of Cognitive and Behavioral Therapies, Solution Focused Brief Therapy, and Systemic and Multicultural Therapies, to help clients further their growth and achieve success toward therapeutic goals.

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Zaccaheaus Adams, LMHC

Zaccaheaus (Zacc) Adams is a licensed clinical counselor in both Maryland and North Carolina. Zacc graduated from the University of North Carolina at Pembroke with his master's in clinical mental health counseling. He has been effective in providing therapy for many presenting concerns such as depression, anxiety, self-esteem/confidence, trauma, career conflicts, and relationship issues. Zacc has extensive experience working with adolescents, adults, couples, friends, and families. He aims to create a warm and inviting environment that will allow clients to further develop growth and empowerment within themselves. Zacc uses an integrative therapeutic approach to meet each client where they are in each session.

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Meagan Blews is a Licensed Clinical Mental Health Counselor (LCMHC) in North Carolina. She graduated with her MA in Professional Counseling in 2011, and after being a stay at home mom for six years, ventured into community mental health. Meagan has served as both a lead clinician and Interim Center Director over the years and is passionate about providing quality assessment and treatment options. With extensive training in Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), and Trauma-Focused Cognitive Behavioral Therapy (TF-CBT), Meagan provides comprehensive and empathetic care to her clients.

Meagan's approach to therapy is deeply rooted in trauma-informed principles, ensuring that clients feel safe, seen, and supported throughout their healing journey. Her passion lies in empowering individuals with the skills necessary for emotion regulation, helping them navigate life's challenges with resilience and confidence. Meagan utilizes a mindfulness-based approach, guiding clients toward acceptance and self awareness in order to help clients overcome obstacles that prevent them from reaching their full potential. Through a collaborative and non-judgmental environment, she fosters a safe space for exploration and self-discovery.

Background and credentials

Dr. Jonathan Myrtil is a board-certified adult psychiatrist. He earned his medical degree from Ross University School of Medicine and completed his residency in Adult Psychiatry at the University of Central Florida, affiliated with North Florida Regional Medical Center. After completing his training, he remained at North Florida Regional as an adult psychiatrist and supervising physician, gaining experience treating patients in inpatient, outpatient, partial hospitalization, and intensive outpatient program (IOP) settings.

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Treatment approach

Dr. Myrtil takes a collaborative approach to psychiatric care, integrating medication management with supportive therapy to provide well-rounded treatment. His primary focus is on treating adults with mood and anxiety disorders, PTSD, and ADHD. He prioritizes patient involvement in treatment decisions, ensuring that care plans align with individual needs and goals.

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What you can expect in a first visit

Patients meeting Dr. Myrtil for the first time can expect a thorough evaluation where he assesses their symptoms, treatment history, and personal goals. He fosters a supportive and collaborative environment, working closely with patients to create a personalized treatment plan that incorporates medication management and therapeutic interventions tailored to their specific needs.

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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.

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Stephanie Negrey, MD

Dr. Stephanie Negrey is a board certified psychiatrist. She completed her undergraduate degree in Biology and History at Fordham University in the Bronx and then attended medical school at the Renaissance School of Medicine at Stony Brook University. She completed her residency at Wright State University in Dayton, Ohio as a member of the United States Air Force. Dr. Negrey served as an active duty psychiatrist; her duties included medical director of the mental health clinic at a special operations base as well as a program manager for the Air Force substance use program.

Dr. Negrey has experience treating a wide range of ages and diagnoses, with particular emphasis on personality disorders, depression, anxiety, and post traumatic stress disorder. She integrates supportive and psychodynamic therapies into her medication management appointments with a goal of achieving improvement through a holistic approach. Dr. Negrey will work with patients to reach their goals for their mental health care while also providing a compassionate and collaborative environment.

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Xiomara Nieves-Alvarado, MD

Dr. Nieves-Alvarado is a Board-certified psychiatrist who completed medical training at Duke University Psychiatry Program. Originally from Puerto Rico, she is fluent in both English and Spanish, which allows her to connect deeply with a diverse patient population.

Her practice combines medication management with insight-oriented therapy during every visit, promoting a comprehensive approach to mental health care. She advocates for her patients to engage in therapy alongside medication management, as she believes this integrated approach leads to better outcomes and sustained improvement. Dr. Nieves-Alvarado's practice is rooted in a collaborative, team-based approach, working closely with her patients to achieve long-term mental wellness.

Dr. Nieves-Alvarado earned her medical degree from the Universidad Central del Caribe School of Medicine in Bayamon, PR. Afterward, she moved to North Carolina, where she completed her residency at Duke University Hospital. During her training, she was nominated for a fellowship in psychodynamic practice by the Psychoanalytic Center of the Carolinas, showcasing her expertise in this area. She is also a dedicated advocate against childhood sexual trauma.

Her diverse training includes significant experience in jail and forensic psychiatry, as well as the treatment of military veterans under the veteran affairs health care system. She has experience in medically assisted treatments (MAT) for substance use disorders, Electroconvulsive therapy (ECT), and family therapy, enabling her to care for patients with complex needs.

Dr. Nieves-Alvarado treats patients across a wide age range, from young adults to the elderly. Passionate about improving access to mental health care, she joined Talkiatry to help patients facing time or transportation challenges receive the care they need.

In addition to her clinical practice, Dr. Nieves-Alvarado remains involved with her alma mater’s Behavioral Health Department, contributing to academic education and maintaining a connection with the next generation of medical professionals. She continues to seek ongoing improvement in her field, remaining engaged with medical associations including North Carolina Psychiatric Association, American Psychiatric Association, and Alpha Omega Alpha national medical honor society. Dr. Nieves-Alvarado is committed to working hand-in-hand with her patients to achieve mental wellness.”

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Shari Sengupta, MD

Dr. Shari Sengupta attended the University of OK as a National Merit Scholar and went on to graduate with her MD from Eastern Virginia Medical School. She specialized in Adult Psychiatry at the University of NC Hospitals where she was a chief resident. She received psychotherapy training in insight-oriented and cognitive-behavioral approaches and trained at the Psychoanalytic Institute of the Carolinas. She has 18 years of experience providing medication management and psychotherapy in both private practice and community mental health settings and over 10 years of experience in telepsychiatry providing care to underserved communities. Dr. Sengupta has experience treating a variety of mental health concerns but has a particular interest in depression, anxiety, and mental health in the perinatal period. Her practice focuses on medication management from a holistic perspective. She believes that mental health is the cornerstone of overall well-being and that treatment is a collaborative journey toward improved health and function in life, work, and relationships. She offers culturally sensitive treatment to people from all backgrounds and sexual orientations. As a staff psychiatrist at Talkiatry, her treatment approach focuses on medication management informed by a background in psychotherapy.‍

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Stephanie Price, DO

Dr. Stephanie Price is a board-certified psychiatrist. Her practice focuses on medication management and supportive therapy. She believes in a collaborative approach to treatment planning because shared decision-making helps provide the best outcome for patients. She went to college at the University of Rochester in Rochester, NY and received her degree in Microbiology. She completed her medical education at Edward Via College of Osteopathic Medicine in Spartanburg, SC, and completed her residency training at Creighton University School of Medicine-Valleywise Health in Phoenix, AZ. She served as vice chief resident during her residency training. She has additional post-residency experience working in the outpatient setting treating multiple conditions such as depression, anxiety, PTSD, bipolar disorder, insomnia, OCD and psychotic disorders. Areas of interest include depression, anxiety, bipolar disorder, and ADHD.‍

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Candice Webb, DO

Background and credentials

Dr. Webb is board-certified by the American Board of Psychiatry and Neurology. She earned a Bachelor of Science in Biological Sciences from the University of Miami in Coral Gables, Florida, and obtained her medical degree in Osteopathic Medicine from the West Virginia School of Osteopathic Medicine. Dr. Webb completed her psychiatry residency training at Palm Beach Consortium for Graduate Medical Education in Tamarac, Florida. After her training, she served as an attending psychiatrist with the Department of Veterans Affairs in Miami, Florida, and as an attending psychiatrist and mentor for psychiatry residents in training at the University of Miami, Florida International University, and University Hospital and Medical Center in Tamarac.

Treatment approach

Dr. Webb believes in building strong therapeutic relationships with her patients, integrating conservative psychological treatments and lifestyle modifications to enhance overall well-being and quality of life. She primarily provides medication management combined with supportive or emotionally focused therapy. Dr. Webb emphasizes creating individualized care plans tailored to each patient’s unique needs. While medication and supportive therapy are central to her approach, she occasionally recommends involving an additional therapist to optimize treatment outcomes. Dr. Webb specializes in managing a broad range of psychiatric conditions, including depression, anxiety, bipolar disorder, postpartum depression, OCD, and PTSD.

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What you can expect in a first visit

Patients meeting Dr. Webb for the first time can expect a thoughtful and comprehensive assessment focused on building rapport and understanding their personal and clinical needs. Dr. Webb emphasizes creating a strong therapeutic relationship, developing an individualized care plan designed specifically to address each patient's symptoms and lifestyle. Follow-up appointments typically last around 30 minutes, during which medication management and supportive therapy are provided. Depending on patient needs, Dr. Webb might suggest incorporating additional therapeutic support to achieve the best possible results.

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Why Talkiatry?

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Megan Freeman, MD

Dr. Megan Freeman is board certified by the American Board of Psychiatry and Neurology in Adult Psychiatry. She completed her residency training at Vidant Medical Center at East Carolina University in Greenville, North Carolina in 2021 where she was the chief resident. Since then, she has worked as an attending physician at an inpatient adult psychiatric unit in Burlington, North Carolina. As a resident and attending she has treated adults of all ages and in all areas of mental health. Dr. Freeman's talkiatry practice will mostly focus on medication management in conjunction with support or acceptance-based therapy during 30-minute follow-up visits. During this time, Dr. Freeman hopes to collaborate with her patients to help set treatment goals and ways to track progress in between appointments. Dr. Freeman is board certified in adult psychiatry. She enjoys seeing patients with a wide variety of diagnoses including, but not limited to, major depressive disorder, bipolar disorder, post-traumatic stress disorder, obsessive-compulsive disorder, and generalized anxiety disorder. She enjoys combining medication management with various therapy techniques.‍

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Luke Romanow, MD

Dr. Romanow is double board-certified in Adult Psychiatry and Forensic Psychiatry. He graduated summa cum laude from the University of Pittsburgh with a Bachelor of Science degree in Sports Medicine/Athletic Training and then attended Drexel University College of Medicine. After medical school, he completed his residency in Adult Psychiatry at the University of Virginia, where he obtained a certificate in additional psychotherapy training. After residency, Dr. Romanow completed a fellowship in Forensic Psychiatry at the University of Virginia. During his fellowship, he trained at the prestigious Institute of Law, Psychiatry, and Public Policy (ILPPP) and Western State Psychiatric Hospital where he performed criminal and civil forensic evaluations. He also provided clinical care at a maximum security prison. Prior to joining Talkiatry, Dr. Romanow worked at a healthcare system in Montana providing inpatient and outpatient psychiatric care involving medication management and psychotherapy. Additionally, he operates a private forensic psychiatry practice that conducts mental health evaluations for the legal system. Dr. Romanow has extensive experience treating various mental health disorders including depression, bipolar disorder, anxiety and obsessive-compulsive disorders, post-traumatic stress disorder, and ADHD. His clinical work includes assisting patients who experience mental health disorders with co-occurring substance use problems. He has training in various schools of psychotherapy including cognitive behavioral therapy (CBT), CBT for insomnia, motivational interviewing and supportive psychotherapy. Dr. Romanow incorporates treatment focusing on the importance of exercise, diet, and good sleep habits as a part of comprehensive mental health care.‍

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Jessica Grimes, DO

Dr. Jessica Grimes is a board-eligible child and adolescent and adult psychiatrist. She is originally from Sylva, NC. She earned a bachelor's degree in religion and minored in biology at The University of the South in Sewanee, TN. She graduated cum laude and was inducted into the order of the gownsmen, an honor society. She earned her doctorate from the West Virginia School of Osteopathic Medicine in Lewisburg, WV. Dr. Grimes completed a traditional rotating internship through WVSOM at Our Lady of Bellefonte Hospital in Ashland, KY and completed residency training in psychiatry at Lake Erie College of Osteopathic Medicine in Erie, Pennsylvania. While in residency, she earned a master's degree in medical education from LECOM. She completed a fellowship in child and adolescent psychiatry at the University of South Carolina School of Medicine, Greenville. During her second year of fellowship at USC-Greenville, she received the "Child & Adolescent Psychiatry Fellow of the Year� award.

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Joyln Ferrell, MD

Background and credentials

Dr. Joyln Ferrell is a board-certified psychiatrist with specialized training in treating depression and anxiety disorders. She earned her medical degree from Howard University College of Medicine and also holds a doctorate in pharmacy from the University of Georgia. She completed her residency training in psychiatry at VA Boston/Harvard Medical School and gained significant clinical experience at McLean Hospital. Additionally, she completed a fellowship in psychoanalytic psychotherapy at Columbia University Center for Psychoanalytic Training and Research.

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Treatment approach

Dr. Ferrell focuses on providing patient-centered care, emphasizing improving quality of life and helping patients reach their specific treatment goals. Her approach integrates medication management with supportive therapy. She believes in a collaborative treatment process and may recommend additional therapy support when necessary to optimize outcomes. She takes a cautious and limited approach to the use of controlled medications, ensuring responsible medication management.

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What you can expect in a first visit

During the first visit, patients can expect a comprehensive assessment of their symptoms, medical history, and treatment goals. Dr. Ferrell takes a thoughtful and individualized approach to care, working with patients to develop a treatment plan that incorporates medication management and supportive therapy. Follow-up visits typically last 20-30 minutes and focus on monitoring progress and adjusting treatment as needed. In some cases, she may recommend involving an additional therapist to further enhance the effectiveness of the treatment plan.

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Why Talkiatry?

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Michele Schaefer, MD

Background and credentials

Dr. Schaefer is a board-certified adult psychiatrist with over 16 years of experience. She earned her medical degree from the University of Nebraska Medical Center in Omaha, NE, and completed her adult psychiatry residency at Oregon Health and Science University in Portland, OR. She then specialized further by completing a forensic psychiatry fellowship at Yale University. She has worked as a staff psychiatrist at Atrium Health System for over 16 years.

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Treatment approach

Dr. Schaefer’s practice primarily focuses on medication management, which she offers in conjunction with supportive therapy and elements of cognitive-behavioral therapy (CBT). She takes a patient-centered and collaborative approach, ensuring that treatment is tailored to each individual’s needs. If additional therapy is required, she may recommend working with a therapist as part of a comprehensive care plan. Her primary focus areas include depression, anxiety disorders, and obsessive-compulsive disorder (OCD).

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What you can expect in a first visit

During the first visit, patients can expect a thorough psychiatric evaluation, where Dr. Schaefer carefully assesses their symptoms, treatment history, and mental health goals. She works collaboratively with patients to develop a personalized treatment plan, which may include medication management and therapy recommendations. Follow-up visits are typically 30 minutes and focus on monitoring progress, adjusting treatment as needed, and ensuring the best possible patient outcomes.

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Why Talkiatry?

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Holly Clark, MD

Dr. Clark is a board-certified adult psychiatrist. She is fellowship-trained in Child and Adolescent Psychiatry and has been in practice for 11 years. She received her medical degree from the Medical University of South Carolina. Dr. Clark then completed her residency training and continued her training in child and adolescent fellowship at the Medical College of Georgia. Dr. Clark works with patients to create an environment where they feel comfortable and supported. She focuses on medication management along with supportive therapy. Normally visits are 30-minute follow-ups that allow time to focus on areas of support needed. If additional therapy is recommended, she will request a therapist be added to your care team to meet all your needs. Dr. Clark has worked in both inpatient and outpatient settings with adult, child, and adolescent populations. She has worked in private practice as well as community mental health, where she worked with reaching under-served communities. Dr Clark has a passion for treating both adult and child and adolescent patients with anxiety and depression.

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Siera Kirkland, MD

Dr. Siera Kirkland is an adult general psychiatrist. She is a diplomate of the American Board of Psychiatry and Neurology. She has been practicing for 8 years. Dr. Kirkland focuses on collaborative and evidence-based care. She believes it is imperative to form a therapeutic relationship with each individual and work together as a team to formulate the best treatment plan. Her passion is to educate, empower, and support. She specializes in medication management and brief psychotherapy .Dr. Kirkland received her medical degree from Ross University School of Medicine. She completed her residency at The Cleveland Clinic Akron General and Summa HealthSystem in her hometown of Akron, OH. Upon completion of residency, she relocated to Charlotte, NC to start her career as the Lead Psychiatrist at Novant Health Psychiatric Associates- Matthews. Dr. Kirkland has experience in treating various patient populations. Her areas of focus have been perinatal and postpartum depression and anxiety. She has also worked with adults with co-occurring substance use disorders. Special interests include women's health and minority mental health disparities.‍For established patients of Dr. Kirkland, call 917-634-5311 to schedule an appointment and let the care coordinator know you are an established patient.

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Anisha Gulati, MD

Dr. Gulati is a board-certified adult psychiatrist who has been in practice for over 10 years. She has worked in inpatient units, private practice, and community mental health, as well as served as Chief Medical Officer of a large psychiatric hospital. In 2018 she was awarded the Charleston Choice Award for Best Psychiatrist in Charleston, South Carolina. She currently resides in South Florida. Dr. Gulati's practice centers around treating the whole patient: mind, body, and spirit. She believes the judicious use of psychiatric medications, coupled with psychotherapy and alternative treatments such as meditation and yoga, can bring about transformative changes in the lives of those suffering from depression, anxiety, and other mental conditions and life issues. Dr. Gulati graduated with Honors in Psychology from The University of Florida, received her medical degree from The University of South Alabama School of Medicine, completed a clinical postdoctoral research fellowship at Boston University School of Medicine, and completed her Psychiatry residency training at The University of North Carolina. She is currently obtaining her MBA. After residency, she worked as a psychiatric hospitalist at Trident Medical Center in Charleston and has also worked in private practice. Most recently she served as Chief Medical Officer for an 80-bed psychiatric hospital, Coral Shores Behavioral Hospital in Stuart, FL. In addition to general adult psychiatry, Dr. Gulati received extensive training in one of the nation's largest women's mood disorder programs at The University of North Carolina Chapel Hill and enjoys treating peripartum and postpartum mood and anxiety disorders. She is also well trained in addiction medicine and received additional training in buprenorphine use for opioid addiction.

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Cristina Seicarescu, MD

Background and credentials

Dr. Seicarescu is a board-certified adult psychiatrist with over 12 years of experience. She received her medical degree from Carol Davila University of Medicine in Romania and completed her psychiatry residency at Wayne State University in Detroit. Following residency, she gained extensive clinical experience practicing psychiatry in diverse outpatient settings, including a multi-specialty center in North Dakota and community mental health centers in Ohio and Michigan. Dr. Seicarescu has also served as an assistant professor at the University of North Dakota and Michigan State University, where she taught and supervised medical students and residents.</p>

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Treatment approach

Dr. Seicarescu employs a collaborative, supportive, and patient-centered approach to psychiatric care, integrating medication management with therapy tailored specifically to each patient. She utilizes supportive therapy along with cognitive behavioral therapy (CBT), adjusted according to individual patient needs. Her specialty areas include the treatment of depression, bipolar disorder, psychotic disorders, PTSD, and a broad range of mental health conditions.</p>

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What you can expect in a first visit

Patients can expect an initial appointment with Dr. Seicarescu to include a thorough evaluation focusing on their unique psychiatric symptoms, personal experiences, and treatment goals. She offers a supportive and compassionate atmosphere, carefully combining medication management with individualized therapy recommendations. Her patient-centered approach ensures the creation of a personalized treatment plan to effectively address each patient’s specific needs.</p>

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Why Talkiatry?

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Thayanne Delima-Tokarz, DO

Dr. Delima-Tokarz is double Board Certified in Psychiatry and Lifestyle medicine. She completed her psychiatry residency training at the University of Maryland/Sheppard Pratt, where she served as the chief resident. She has practiced in various settings over her career, including working for the Department of Defense, private practice, and community mental health. Dr. Delima-Tokarz is fluent in Portuguese, English, and Spanish. Dr. Delima-Tokarz has more than five years of experience treating patients with anxiety, depression, PTSD, Bipolar, OCD, ADHD, and other mental health issues. She employs pharmacotherapy along with supportive therapy and integrative approaches. Dr. Delima-Tokarz is currently working on completing her Ph.D. in Integrative Medicine and is passionate about a holistic and integrative approach to mental health. Her philosophy includes a healing-oriented approach that considers the whole person, including all lifestyle aspects. Dr. Delima-Tokarz aims to provide collaborative and comprehensive care, which may include medication management, lifestyle interventions, stress reduction techniques, and other integrative approaches. She believes building a strong therapeutic relationship where the patient feels empowered is the key to healing.‍

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Georgia Gaveras, DO

Dr. Georgia Gaveras holds the position of Co-Founder and Chief Medical Officer at Talkiatry. She is triple board-certified in child and adolescent psychiatry, adult psychiatry, and addiction medicine. She has been practicing for over 18 years. Dr. Gaveras's practice focuses on medication management. Typically, she offers this in conjunction with supportive or emotionally focused therapy in 30-minute follow-up visits. However, occasionally Dr. Gaveras may believe that additional therapy is also needed and ask that you bring a therapist into your care team to provide the best outcome. She received her medical degree from the University of New England College of Osteopathic Medicine in Biddeford, ME, before moving back to NY to complete her residency at the SUNY Downstate Medical Center and a fellowship in child and adolescent psychiatry at St. Luke's-Roosevelt Hospital. After completing training, she remained and worked with dually-diagnosed adolescents at the Comprehensive Rehabilitation and Education Service (CARES) before becoming the Director of Training and Education for the Mount Sinai St. Luke's and Roosevelt Hospitals. She was then the associate director of child and adolescent emergency psychiatry at Cohen Children's Medical Center before becoming the Director of the Comprehensive Psychiatric Emergency Program (CPEP) at Kings County Hospital in Brooklyn. Dr. Gaveras has held academic appointments at Columbia University College of Physicians and Surgeons, Mount Sinai Icahn School of Medicine, Touro College of Osteopathic Medicine, Zucker School of Medicine, and SUNY Downstate Medical College. In addition, she has appeared in numerous professional publications and authored several research papers. In addition to general, child, and adolescent psychiatry, Dr. Gaveras is also board-certified in addiction medicine and trained in the Eating Disorders, Compulsions and Addictions Service (EDCAS) program at the William Alanson White Institute. She completed her undergraduate studies at New York University. While having treated a wide variety of patients, her primary clinical focus has been in treating adolescents and young adults with co-occurring substance use disorders.

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Amrish Pipalia, MD

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