Ann Landowne, 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.”

Dr. Sallie Jo Hadley holds the position of Staff Psychiatrist at Talkiatry. She is board-certified in psychiatry and pediatrics and is board-eligible in child and adolescent psychiatry. She has been practicing for 22 years. Dr. Hadley's practice is focused on medication management with supportive therapy in follow-up sessions of 15 or 30 minutes. Dr. Hadley is experienced with collaborative treatment and encourages adding a therapist to your care team in those situations where additional therapy might be helpful. Dr. Hadley is a graduate of the Mount Sinai School of Medicine's triple-board program (psychiatry, pediatrics, and child and adolescent psychiatry). She completed post-doctoral research fellowships at Mount Sinai's Seaver Center for Autism Research/Compulsive-Impulsive Anxiety Disorders and at Columbia University's New York State Psychiatric Institute, the latter focusing on metabolic and weight issues in children and adolescents with psychiatric disorders. Dr. Hadley had an early background as a nurse, receiving her B.S. in Nursing from the University of North Carolina-Chapel Hill. Her experience in neonatal, psychiatric, and hospice nursing led her to pursue her degree in medicine. Dr. Hadley has worked in pharmacologic research in both academic and industry settings. Prior to joining Talkiatry, she practiced in a multi-specialty clinic for individuals and families dealing with autism or intellectual disabilities and complex medical co-morbidities. Dr. Hadley enjoys working with motivated individuals of all ages who are seeking to better their life or better cope with life circumstances. She has particular expertise in working with individuals and their families suffering from anxiety, depression, and obsessive-compulsive disorders.

Dr. Angela Durham is a licensed psychiatrist with over 15 years of experience providing compassionate care in both outpatient and telehealth settings. She has a strong background in treating a wide range of mental health conditions, including mood disorders, anxiety disorders, and ADHD. Dr. Durham earned her medical degree from the University of Louisville and completed her psychiatry residency at the University of Kentucky. She maintains an active medical license and DEA registration.

Dr. Durham creates a supportive, nonjudgmental environment where patients feel comfortable sharing their experiences. She values collaboration and open communication throughout the treatment process, focusing on empowering individuals with education and tools to better manage their mental health. Her approach emphasizes tailoring care to each person’s unique needs and goals to promote long-term wellness.

Dr. Durham begins each therapeutic relationship with a thorough assessment of the patient’s history, symptoms, and goals. She works collaboratively to develop an individualized treatment plan that may include medication management, lifestyle strategies, and coordination with therapists or other healthcare providers. Dr. Durham regularly reviews progress, adjusts treatment plans as needed, and encourages patients to take an active role in their care and decision-making.

Cassandra Thomas-Jingles is a dedicated, board-certified Psychiatric Nurse Practitioner with dual certification as a Family Nurse Practitioner. She is deeply passionate about helping others and takes a holistic, evidence-based approach to mental healthcare, empowering patients to live life to their fullest potential.

Her practice focuses on medication management and supportive therapy, offering 30-minute follow-up sessions. When additional therapy is needed, she recommends including a therapist in the care team to ensure the best possible outcomes. With extensive experience in both outpatient and inpatient settings, Cassandra has worked with adults and children facing a wide range of mental health conditions, including ADHD, anxiety, depression, and psychotic disorders. She strongly believes in prioritizing client involvement and fostering interprofessional collaboration.

Your mental health journey is unique, and Cassandra is here to listen with compassion and without judgment. All conversations are confidential, and her goal is to create a safe, welcoming space where you feel comfortable sharing your thoughts and concerns.

During your initial appointment, Cassandra will review your mental health history, current symptoms, lifestyle factors, and any previous treatments to gain a comprehensive understanding of your needs. Together, you will develop a personalized treatment plan that may include therapy, medication, or other supportive strategies. She values shared decision-making, ensuring your input is considered at every step of the process.

If medication is part of your treatment, Cassandra will clearly explain its benefits, potential side effects, and how your progress will be monitored. Adjustments can be made as needed to achieve the best possible outcome.

Healing takes time, and Cassandra is committed to supporting you throughout the process. Follow-up appointments are essential for tracking progress, making necessary adjustments, and ensuring you receive the care you need.

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Dr. Triston Wong is a board-certified adult psychiatrist who emphasizes a collaborative approach and strong therapeutic alliance in the treatment of psychiatric conditions. Though his practice focuses on medication management, Dr. Wong advocates for a holistic approach to treatment. He may incorporate elements of various psychotherapies, including supportive, cognitive-behavioral (CBT), and insight-oriented therapy. At times, Dr. Wong may believe that additional therapy is needed for the best outcome and recommend that you bring a dedicated therapist into your care team. Dr. Wong completed his undergraduate studies at Tulane University. He received his medical degree from Louisiana State University New Orleans School of Medicine, then completed his residency training in general psychiatry at Thomas Jefferson University Hospital in Philadelphia, PA. Dr. Wong has experience working with patients of widely varying backgrounds and socioeconomic statuses. He works primarily with adult patients struggling with depression, anxiety, trauma, and grief. ‍

Kelvin is an experienced Licensed Independent Social Worker who has worked in a variety of clinical and non-clinical settings. Kelvin's years of experience include work as a case manager, mental health therapist, substance use and mental health group facilitator, a lead clinician for a school-based services program and coordinator for adventure-based programming. This experience has allowed Kelvin to serve in a variety of settings, including: schools, homes, hospitals, and outpatient clinics, as well as working with individuals from nearly every age range; anywhere from kindergarten-aged school children to adults in a nursing home and almost everywhere in between. ‍Kelvin places great importance on making treatment a unique experience for every individual, strongly believing that there is no single uniform answer to an individual's problems and solutions should be tailored to that person's specific life circumstances. Kelvin has a foundation in Cognitive Behavioral Therapy, but utilizes practices as appropriate from a variety of treatment styles, including Dialectical Behavioral Therapy, Trauma-Informed Care, Behavioral Activation, Play Therapy and many more.