Andrew Li, MD

Dr. Paul has worked in outpatient private practice psychiatry for nearly 20 years. Throughout her career, she has combined medication management with talk therapy, to provide comprehensive care tailored to each patient's needs. Dr. Paul received her MD from The University of Iowa. She completed an intern year in Obstetrics and Gynecology at The University of Illinois, Chicago, and went on to psychiatry residency at Lutheran General Hospital in Park Ridge, IL. Dr. Janeen Paul is board certified in Adult Psychiatry. She specializes in Women's Issues, including pregnancy, postpartum and menopause, and has extensive experience treating depression, bipolar disorder and anxiety disorders, including OCD and PTSD. The mind/body connection is at the forefront of her care, with attention paid to diet and exercise as well as breathing and meditation. She often collaborates with primary care physicians and therapists to provide a team approach to treatment. She treats patients over age 18.‍

Dr. O'Brien is a board-certified adult psychiatrist who completed his medical education at Northeast Ohio Medical University. Following his graduation from NEOMED, he completed a residency in Psychiatry and Behavioral Medicine at West Virginia University/Charleston Area Medical Center. Throughout his training, he has enjoyed working in both outpatient and hospital settings and has a great passion for medical education and teaching the next generation of mental healthcare providers. Dr. O'Brien's practice focuses on medication management for a wide variety of mental health diagnoses, including anxiety disorders, depression, Bipolar Disorders, Obsessive Compulsive Disorder, Tic Disorders, and Post Traumatic Stress Disorder. In addition to medication, he offers a mixture of Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, and Psychodynamic Therapy during 30 minute follow up appointments. Dr. O'Brien believes in a truly collaborative and holistic approach to mental healthcare, striving to involve patients and all members of the healthcare team in every aspect of care.‍

Dr. Zeynep Altun is board-certified in Psychiatry and holds a Ph.D. in Neuroscience. Dr. Altun graduated cum laude from Istanbul University, Istanbul Medical School. She completed her residency training in Neurology and is Turkish board-certified in clinical Neurology. Subsequently, she moved to the U.S. and finished her Ph.D. in cellular Neuroscience at Cornell University Graduate School of Medical Sciences. Dr. Altun completed her psychiatry residency training at Albert Einstein College of Medicine, Department of Psychiatry and after, her clinical fellowship in Comprehensive Psychiatric Emergency Program at Columbia University Medical College, New York Presbyterian Hospital. Dr. Altun has practiced in various settings including Bellevue Hospital, New York Presbyterian Hospital, Columbia Doctors Faculty Practice Office, Mount Sinai West and Mount Sinai Morningside Hospitals. Dr. Altun has held various academic appointments at New York University School of Medicine Department of Psychiatry; New York Presbyterian Hospital-Columbia University Medical College Department of Psychiatry; New York State Psychiatric Institute and Mount Sinai School of Medicine Department of Psychiatry. She spent most of her professional career supervising and teaching medical students, psychiatry residents and nurse practitioners. As an adult psychiatrist, Dr. Altun has extensive theoretical knowledge of the nervous system and its disorders and more than 10 years of experience in treating various mental illnesses including mood disorders, anxiety disorders, psychotic disorders, autism-spectrum and neuropsychiatric disorders, psychiatric emergencies and crisis management as well as cognitive behavioral and supportive psychotherapy. In Columbia Doctors, she collaborated closely with the Lieber Recovery Clinic, treating young adults with various mental illnesses. The philosophy of her practice is to collaborate with patients and work together with them so that they can lead symptom-free, productive, and stable lives.

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.”

Dr. Shaughnessy is boarded in adult psychiatry and has over 30 years of experience. Dr. Shaughnessy practices medication management in a supportive collaborative environment. Treatment recommendations may include psychotherapy with another professional in addition to medication management .Dr. Shaughnessy has worked with individuals having the spectrum of psychiatric disorders but is particularly interested in working with those with mood and anxiety disorders.

Background and credentials

Dr. Lillian Cole is a board-certified adult psychiatrist. She completed her undergraduate education at the University of North Carolina Wilmington and went on to earn both a master’s in biomedical sciences and a medical degree from Texas Tech University. She completed her psychiatry residency training at the University of Texas Southwestern Medical Center, where she gained experience working with a diverse range of patient populations across different ethnic, socioeconomic, and clinical backgrounds.

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Treatment approach

Dr. Cole emphasizes a holistic, patient-centered approach that integrates evidence-based medicine, psychotherapeutic techniques, lifestyle interventions, and psychoeducation. She believes that listening, collaboration, and compassion are essential to guiding patients toward recovery. Her practice primarily focuses on psychiatric medication management, and she has extensive experience treating mood disorders, anxiety, trauma-related disorders, and substance use disorders. When additional therapy is necessary for the best outcome, she may recommend integrating a therapist into the treatment plan.

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What you can expect in a first visit

Patients can expect a thorough and compassionate initial evaluation, where Dr. Cole takes the time to understand their symptoms, medical history, and treatment goals. She focuses on fostering a strong doctor-patient relationship and collaborates with each patient to create a personalized treatment plan that may include medication management, therapy, and lifestyle interventions. If additional therapy is indicated, she will coordinate with other providers to ensure comprehensive care tailored to the patient’s 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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