Amrish Pipalia, MD

Michelle Scott is a dual board certified Psychiatric, Family, and Emergency Nurse Practitioner with 16 years experience. Michelle Scott has extensive experience working in Psychiatry across the lifespan, Emergency Medicine, and Internal Medicine. Psychiatric experience specifically includes a focus on adult outpatient and inpatient psychiatry. Michelle Scott has additionally provided care as an acute care hospitalist and as an Assistant Medical Director, in multiple acute care psychiatric facilities. Michelle has additional experience in addiction treatment, CBT, motivational, and problem focused therapy. She provides holistic care, addressing the needs of mood disorders, anxiety disorders, autism, genetic disabilities, and adult mood, anxiety, and adult addiction issues. With 16 years of experience treating all ages in the areas of acute and chronic medical conditions and psychiatry, I have seen the difference the right provider can make in the lives of patients. Her goal is positive and sustainable outcomes, with an emphasis on combined treatment modalities, treating the whole person, and concurrent issues.

Dr. Thomas Spina is an adult psychiatrist who began his practice at Talkiatry after completing his psychiatry residency at the Eastern Long Island branch of Stony Brook University, where he treated a diverse patient population. Dr. Spina received his undergraduate degree from St. John's University in Queens where he studied Philosophy. Initially interested in a career in law, Dr. Spina decided to change gears and pursue a career in medicine after watching a relative struggle with her diagnosis of Diabetes Mellitus. Dr. Spina then completed medical school at Tel Aviv University in Israel, where he fell in love with psychiatry during his clerkship at Ichilov medical center. During that rotation, he came to appreciate how each patient has his or her own unique story, regardless of their diagnosis. Dr. Spina favors a holistic and integrative approach to psychiatry, combining medication management with supportive therapy, elements of cognitive behavioral therapy, while remaining open to other treatment modalities depending on the needs of his patients. When more focused therapy is indicated, Dr. Spina may recommend that his patient work with a provider specializing in a particular modality of therapy as part of their treatment. Dr. Spina treats adult patients with mood disorders including major depressive disorder and bipolar disorder, anxiety spectrum disorders, OCD, PTSD and specific phobias. In his spare time, Dr. Spina enjoys a variety of hobbies, including Brazilian Jiu-Jitsu, running, baseball, and exploring new eateries and shops.

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.

Kierra is a licensed mental health therapist and received her BS in Criminal Justice Leadership from Urbana University and M.Ed in Clinical Mental Health Counseling from the University of Dayton. Kierra has 20 years of experience working in the field of social services, and 7 years of experience as a licensed clinician.

Kierra has maintained positions in a wide array of environments including corrections, juvenile detention, CPS, psychiatric hospitals, schools, and in-home/community-based settings. Kierra has experience servicing adolescents, adults, and the elderly populations.

Kierra understands how intimidating therapy can be and commends you for taking the first step towards enhancing your life. Kierra asks that you are patient with yourself as you are embarking down a new path and reward yourself with gratitude as you reach new milestones in your life.

Kierra utilizes a holistic approach and provides talk therapy through the use of multiple treatment modalities including but not limited to, CBT, Solution Focused Therapy, Supportive therapy, and DBT techniques. Kierra is a Christian and may apply Christianity based principles to support your preferences and unique circumstances.

Your success in therapy is contingent upon your progress and commitment to attend and participate in sessions, as well as being open minded and willing to facilitate change from your past behaviors. In working together, Kierra will initiate the best treatment regimen designed for you and provide ongoing support for all your treatment needs.

Thank you for investing in your happiness, and Congratulations on taking the first steps to create a better you!!

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Sarah Flatin is a licensed clinical social worker in Massachusetts and Pennsylvania. She received her Master of Social Work degree from Simmons University. Sarah has over three years of experience providing client-centered individual and family therapy services to a wide variety of clients. Sarah has worked in a variety of settings including community mental health, an outpatient clinic, and in-home therapy services. Sarah has experience working with clients who are experiencing anxiety, depression, Attention-Deficit Hyperactivity Disorder, Autism Spectrum Disorder, grief, family and relationship issues, Post Traumatic Stress Disorder, and other mental health concerns. As a clinical social worker, she believes that the best approach to therapy is a collaborative process with the client to achieve their goals. Sarah has experience with modalities including psychodynamic, tri-phasic trauma therapy, cognitive behavioral therapy, and motivational interviewing.

Dr. Rebecca Crosbie is a board-certified adult psychiatrist and has been practicing in outpatient psychiatry for nearly 7 years. Her practice focuses on medication management, and she typically offers medication management combined with supportive therapy or Cognitive Behavioral Therapy (CBT) in 30 minute follow-up visits. If Dr. Crosbie feels you would benefit from working with a dedicated talk therapist, she may encourage you to pursue this or refer you in order to achieve the best outcome. Dr. Crosbie is a graduate of Michigan State College of Human Medicine. She completed her psychiatry residency at Pine Rest/Michigan State University in Grand Rapids, MI. She has previously worked as an outpatient psychiatrist and in tele-psychiatry. She has a lot of experience treating patients with a broad array of mental health conditions, including: anxiety disorders, depression, OCD, bipolar disorder, and ADHD. She also treats combined mental health diagnoses such as ADHD plus another diagnosis. She also has a lot of experience working with patients who identify as LGBTQI+. Her approach is always to meet the patient where they are and educate and enable patients to make good choices about treatment that are in line with their personal preferences and values.