Anil Kulangara, MD

Dr. Niles Drake is a board certified psychiatrist skilled in prescribing medications and working in psychotherapy. He combines a warm demeanor with excellent clinical skills, and has over 15 years' experience working with adult patients of all ages and many walks of life. He has special expertise combining medication and psychotherapy to help patients reduce symptoms and grow as individuals. Dr. Drake's additional training and experience in psychological modes of treatment enhance the quality of care he provides to all his patients, to meet them where they are and prioritize their individual needs and goals. He also provides medication management-only treatments for people who aren't looking for psychotherapy or who already have therapists. Dr. Drake completed his psychiatric residency at Columbia University Medical Center in New York. He also completed psychoanalytic training at the Columbia Center for Psychoanalytic Training and Research. He went on to teach classes at the Center, educating candidates about the nuances of combining psychotherapy with other treatment modalities. In addition to providing outpatient psychiatric treatment for over 10 years in private practice, he has worked extensively in psychiatric emergency settings, supervising residents as attending physician at Columbia-New York Presbyterian Hospital and Long Island Jewish Hospital psychiatric emergency rooms. He also has special expertise treating college-aged and young adult patients, having served as staff psychiatrist at Barnard College's Furman Counseling Center and worked with many students from Barnard and Columbia in his private practice. Dr. Drake offers treatment for many psychiatric conditions, including but not limited to depression, anxiety disorders, bipolar disorder, ADHD, and personality disorders. He identifies helping people ease and overcome their psychiatric conditions as his calling, and approaches each patient with humility, diligence, and a collaborative spirit.

Debbie is a licensed therapist specializing in trauma, anxiety, and bipolar disorder. With a background in mental health, Debbie helps clients understand the mind-body connection to achieve lasting healing. She has 20 years of experience working with healthcare providers and individuals seeking to overcome trauma, fatigue, emotional distress, and negative thought patterns.

Using a compassionate, evidence-based approach, Debbie integrates cognitive-behavioral therapy (CBT), mindfulness, and trauma-informed care to guide clients toward self-awareness and resilience. She believes in tailoring treatment to each person’s needs, emphasizing sustainable lifestyle changes and self-compassion with the concept of developing healthy sleep, nutrition, exercise, and stress management patterns.

New clients can expect a collaborative, judgment-free space where they will explore thoughts, emotions, and behaviors while learning practical tools for healing. Debbie encourages active participation through journaling, self-reflection, and skill-building exercises. Her goal is to help clients reframe negative beliefs, build confidence, and create a balanced, fulfilling life.

Dr. Julie Rodriguez is an ABPN boarded adult psychiatrist with over 15 years of clinical experience. Dr. Rodriguez's practice focuses on medication management, which is offered in conjunction with supportive therapy. Dr. Rodriguez obtained her medical degree from the Universidad Cat�lica Madre y Maestra Dominican Republic. She then completed her residency in adult psychiatry at the University of Florida, in Gainesville. After completing training, Dr. Rodriguez became a Clinical Assistant Professor for the University of Florida Department of Psychiatry. In this role she served students at UF Student Mental Health at the Counseling and Wellness Center. She also provided treatment to adults in inpatient services and other settings. While doctor Dr. Rodriguez treats a variety of age ranges and diagnoses, she is most passionate about college student mental health with a clinical expertise in the area of mood and anxiety disorders.

Dr. Kira Posteraro is double board-certified in Adult and Addiction Psychiatry and has over 10 years of clinical experience. She completed her General Adult Psychiatry Residency at Allegheny General Hospital in Pittsburgh, PA, followed by a fellowship in Addiction Psychiatry at Beth Israel Medical Center in New York, NY.

Dr. Posteraro’s career has included serving as Director of Psychiatric Services at an addiction treatment center in Pittsburgh, PA, where she provided care across the full continuum of substance use disorder treatment—including residential, acute PHP, IOP, outpatient, and aftercare services. She later held the role of Section Chief Psychiatrist for the Center for Treatment of Addictive Disorders at VA Pittsburgh Healthcare System, offering both residential and outpatient services and acting as Medical Director for the SAMHSA-certified Opioid Treatment Program. Most recently, she served as Chief of Psychiatry for the Behavioral Health Service Line at VA Pittsburgh, where she had the honor of caring for our nation’s Veterans.

While her clinical expertise centers on the diagnosis and treatment of substance use disorders, Dr. Posteraro also has extensive experience treating a wide range of psychiatric conditions, including depressive and bipolar spectrum disorders, anxiety disorders, and trauma-related disorders.

Dr. Posteraro uses a collaborative, supportive approach to care, incorporating motivational interviewing to help guide patients on their journey to wellness. She integrates holistic strategies alongside medication management and is dedicated to meeting patients where they are in treatment to build individualized, effective recovery plans.

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Dr. Michael Padua is a graduate from the University of Nevada, Reno School of Medicine and completed his psychiatry residency training at Loyola University Medical Center at Maywood, IL. He is trained and experienced in diagnosing and treating various psychiatric disorders including depression, anxiety, psychosis, and bipolar disorder with a focus on posttraumatic stress disorder, women's mental health, and cultural psychiatry. He combines his clinical expertise with a passion for working with underserved populations and the LGBTQIA+ population to address mental health needs across various communities. Dr. Padua has experience working in a variety of settings, which includes working as an outpatient psychiatrist at a federally qualified health center (FQHC), and as a correctional psychiatrist at the Washoe County Sherriff's Office in Reno, NV. In addition to his clinical work, Dr. Padua has also participated in research and education, and has co-authored peer-reviewed articles in the fields of psychiatry and biology.

Background and credentials

Dr. Vansickle is a board-certified adult psychiatrist with over 25 years of clinical experience. She earned her medical degree from the University of Texas Health Sciences Center San Antonio and completed her internship at UAB. She then completed her psychiatry residency at the University of Louisville Hospital, where she served as chief resident and received a national award in community psychiatry. Throughout her career, she has worked in both inpatient and outpatient settings as a staff psychiatrist, primarily in Texas and Alabama.

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Treatment approach

Dr. Vansickle places a strong emphasis on establishing trust and building therapeutic relationships to help patients achieve their goals. Her practice focuses on medication management, often combined with supportive or emotionally focused therapy during 30-minute follow-up visits. If she believes additional therapy would be beneficial, she may recommend that patients work with a therapist as part of their care team. She has extensive experience treating patients in various settings, including community mental health centers, VAMC-affiliated clinics, and hospital-based psychiatric units. She also has expertise in psychiatric consultations for medically ill patients, as well as guardianship and competency evaluations.

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What you can expect in a first visit

Patients can expect a thorough initial evaluation, where Dr. Vansickle takes the time to understand their symptoms, history, and treatment goals. She provides a structured yet compassionate approach to care, ensuring that each patient feels heard and supported. Follow-up visits typically last 30 minutes, during which she monitors progress and adjusts treatment as necessary. If additional therapy is needed, she collaborates with therapists to ensure comprehensive care tailored to each 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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