Amrish Pipalia, MD

Dr. Sabrina Ghim is a board-certified physician specializing in adult psychiatry and practices adult psychiatric medication management. She focuses on building a strong therapeutic and collaborative environment with patients. She works with individuals struggling with depression, ADHD, obsessive compulsive disorder, anxiety disorders, including generalized anxiety, and social anxiety. Dr. Ghim usually meets with patients monthly for psychiatric follow up appointments. She provides psychiatric medication management in a comprehensive manner, paying careful attention to each patient's unique biological, psychological, and cultural make-up. She is diligent about keeping up-to-date on the research and expanding frontiers of psychiatry and psychopharmacology. She strongly believes in tailoring treatment in an integrative and collaborative manner to provide the best outcome for each unique patient. In some instances, Dr. Ghim may recommend the addition of a separate therapist in order to help facilitate the best care possible. Dr. Ghim experienced various cultures growing up in different countries and environments, shaping her open-minded demeanor and views, and eventually her interest in the human mind and psychiatry. She earned her bachelor's degree in Molecular Biology with honors, and a Doctor of Medicine (M.D.) degree from the University of Central Florida College of Medicine. She completed her Adult Psychiatric Internship and Residency training in New York City, at the Mount Sinai Morningside and West Hospitals, where she treated a diverse patient population with psychiatric illnesses in emergency, inpatient, and outpatient settings. Dr. Ghim is currently licensed in and seeing patients located in the states of New York, Florida, and Texas for medication management.

Dr. Luna Sanchez Rivera holds the position of Staff Psychiatrist at Talkiatry. After completing residency in 2016 at the Ponce Medical School Psychiatry Residency in Puerto Rico, she then moved to North Carolina to complete a subspecialty in Child and Adolescent Psychiatry at Duke University Health System. There, she transitioned into an assistant professor position, focused on structuring pediatric emergency psychiatric services, and helped support the consult and liaison pediatric service. Her years of experience have included working as an integrated care child psychiatrist within outpatient clinics at Duke University Health System, and she trained and worked as a staff psychiatrist at the Inpatient State Facility in North Carolina. She also served in the Dayton Children's Hospital outpatient clinics in Dayton, Ohio, the Appalachian Health System outpatient clinics in Linville, North Carolina, and more recently has been serving the Child and Adolescent inpatient population in Bangor, Maine. Dr. Sanchez Rivera has an approachable style aimed at providing a comprehensive evaluation for all age ranges and is comfortable managing various levels of diagnostic complexities. She provides supportive psychotherapy while using psychodynamic therapy skills to clarify her patient's constellation of symptoms, identify unifying themes and provide thorough psychoeducation throughout the process to drive positive outcomes. She integrates psychodynamic medication management approaches and is adept at family therapy interventions.

Dr. Avjola Hoxha, MD, has experience practicing in both outpatient and inpatient settings. She earned her medical degree from the University of South Carolina School of Medicine and completed her psychiatry residency and Child and Adolescent fellowship at the University of Florida. She is board-certified and passionate about providing comprehensive, patient-centered care.

Dr. Hoxha values open communication and works collaboratively with patients to set individualized treatment goals. She creates a warm, supportive environment where patients feel heard, respected, and empowered throughout their care.

During the initial session, Dr. Hoxha thoroughly explores each patient’s history, concerns, and goals. She ensures patients fully understand treatment options and develops individualized plans aligned with their goals, always respecting patient autonomy and fostering a collaborative approach to care.

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Dr. Bianca Fleming is a double board-certified psychiatrist in Adult and Child and Adolescent Psychiatry. She completed her undergraduate studies at the University of Georgia, earned her MD from Morehouse School of Medicine, completed psychiatry residency at the University of North Carolina at Chapel Hill, and a child and adolescent fellowship at Emory University School of Medicine. She has experience across inpatient, outpatient, and integrative community health settings.

Dr. Fleming values gathering thorough information through a warm, conversational interview style. She strives to create a supportive therapeutic space while maintaining a balanced sense of patient accountability to promote meaningful progress.

Her approach emphasizes shared agenda setting at every visit to ensure both patient and provider needs are met. Dr. Fleming takes a detailed history to guide clinical decisions, prioritizes patient education, and delivers evidence-based, patient-centered care. She integrates psychotherapy into all medication management appointments to support holistic treatment.

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Dr. Pressley Warrick is a double board-certified psychiatrist specializing in general psychiatry and child and adolescent psychiatry. Dr. Warrick currently practices full-time, offering comprehensive psychiatric care to children, adolescents, and adults. She previously established and led a Behavioral Health Clinic integrated within a Family Medicine Practice. Prior to this role, Dr. Warrick provided dedicated psychiatric care at a private psychiatry practice for over a decade.

Dr. Warrick earned her medical degree from the Medical University of South Carolina, completed residency training at Baylor College of Medicine's Menninger Department of Psychiatry and Behavioral Sciences, and pursued additional specialization through a Child and Adolescent Psychiatry fellowship at Palmetto Health/USC School of Medicine.

Known for a collaborative and holistic treatment approach, Dr. Warrick emphasizes individualized care and evidence-based practices to support patients’ mental wellness. Her professional excellence has earned recognition as Sumter’s Best Psychiatrist for consecutive years.

Dr. Warrick’s preferred treatment modalities include medication management, psychodynamic psychotherapy, and supportive psychotherapy. She specializes in treating depression, anxiety, ADHD, autism, OCD, bipolar disorder, and PTSD. Her typical approach for new patients involves taking a detailed patient history, establishing rapport, and setting clear treatment goals in partnership with her patients.

Ekta Rathee, DNP, PMHNP-C, is an experienced psychiatric and mental health nurse practitioner with an extensive clinical background in a variety of patient care settings. Rathee's diverse clinical background has strengthened her belief in a holistic approach for optimal patient outcomes. Though her primary focus remains medication management of anxiety, depression, bipolar disorder, OCD, PTSD, ADHD, she equally supports and incorporates the principles of cognitive behavioral therapy, acceptance and commitment therapy, motivational interviewing and enhancement therapy, and supportive therapy in her daily patient care practice. Rathee truly believes in an individualized and holistic patient care approach, which requires a wealth of knowledge, experience, and a commitment to stay abreast of the latest in the field. Her favorite learning modality is to learn from unique patient care scenarios, which often requires a deep dive into the existing body of evidence-based knowledge. Her most important advice for her patients is to never lose hope.