Anna Ostrovskaya, MD

Dr. Caitlin Tillberg (she/her) is a board-certified psychiatrist. She has a BA in musicology and cognitive science from Oberlin College, an MD from Quinnipiac University in Connecticut, and completed general adult psychiatry residency at Duke University. Dr. Tillberg practices patient-centered and trauma-informed care, valuing patient autonomy and collaborative decision-making, acknowledging the burden many people carry from intersecting oppressions. She believes therapy is important � often equally important as medication, or more � and will work together with you to make a realistic treatment plan that will fit into your life. Dr. Tillberg also has a niche working with people with complicated relationships with their bodies, whether due to disordered eating, gender dysphoria, chronic illness/disability, or trauma. She welcomes LGBTQ+ patients, including trans and non-binary adults. She also enjoys working with patients with OCD, as well as autistic/neurodivergent adults (including those seeking adult autism evaluation). Please note Talkiatry is most appropriate for autistic patients with Level 1 (or case-by-case Level 2) support needs and who are verbal. Regarding eating disorders: Please note that for patient safety, per Talkiatry policy, Dr. Tillberg is unable to work with patients with current active anorexia nervosa or bulimia nervosa (or significant relapse in the last 6 months), or with patients requiring current regular medical or lab monitoring for complications of binge-eating disorder or ARFID. Bariatric surgery patients are welcome if medically stable. Patients with current disordered eating that does not rise to the level of a formal diagnosis of anorexia or bulimia, or with a past history of anorexia or bulimia in sustained remission, will be evaluated on a case-by-case basis at the first appointment. Dr. Tillberg looks forward to meeting you.

Dr. Shalin Shah earned his undergraduate degree from Northwestern University, his medical degree from Texas A&M University College of Medicine, and completed psychiatry residency at the University of Colorado Anschutz School of Medicine. He is ABPN certified in Psychiatry and completed a rigorous 3-year psychotherapy scholars track, gaining experience across multiple therapeutic modalities. During residency, he served as outpatient chief resident and was recognized with a selective service excellence and leadership award. Before medical school, he worked as a project manager for a large electronic health corporation.

Dr. Shah believes trust is the foundation of meaningful treatment. He aims to create a space where patients feel seen and supported yet thoughtfully challenged, using genuine curiosity, warm humor, humility, and a direct style. He collaborates with each patient to develop holistic, realistic treatment plans that may or may not include medication. His therapeutic work blends psychodynamic and humanistic approaches, with availability for a limited number of weekly psychotherapy patients.

In the first appointment, Dr. Shah explores each patient’s life story, asking detailed questions to understand them as a whole person. He then focuses on their immediate concerns and works collaboratively over time to refine a treatment plan that balances symptom relief with deeper, long-term healing. He thinks integrative and holistically, considering medical and mental health history, lifestyle, self-narrative, psychological structure, cultural and spiritual background, and broader societal influences.

Sonya R. Isler, PMHNP-BC, began her nursing journey over 30 years ago in a state psychiatric hospital in Goldsboro, NC, inspired by the poised nurse she admired at church as a child. Her path includes roles as LPN, RN, BSN, and multiple advanced practice degrees. Sonya has worked in inpatient and outpatient settings, VA clinics, and private practices. She also serves as a preceptor for PMHNP students at her alma mater, the University of North Carolina at Chapel Hill.

Sonya creates a welcoming, respectful space where patients feel safe to communicate openly. She practices active listening and values patient input when setting therapy goals. Her approach is holistic—treating the whole person—and she encourages collaboration, helping patients feel seen, heard, and empowered in their care.

Sonya reviews a patient's history before each session and begins with clear introductions and goal setting. She invites open discussion of concerns and tailors' treatment plans with patient input. She often incorporates CBT, motivational interviewing, and solution-focused therapy into care, promoting growth through supportive, personalized strategies.

Dr. Cyndia Choi has been board certified in psychiatry since 1991. She has 30 years of experience treating a diverse population of cultures, LGBTQ issues, and different age groups from young adults to seniors. After attending Johns Hopkins University in Baltimore for her bachelor's degree, Dr. Choi received her medical degree from The University of Medicine and Dentistry of New Jersey at Rutgers Medical School. She went on to complete a general medical internship at Hahnemann University Hospital in Philadelphia and then her Psychiatric residency at the University of Pennsylvania .Dr. Choi has treated patients who have had a broad spectrum of diagnoses including major depressive disorder, post-traumatic stress, bipolar disorder, OCD, panic and anxiety, and addiction. Although the majority of her work has been in outpatient care, Dr. Choi has worked in emergency settings, inpatient units, and as a consultation-liaison to medical units. She has also enjoyed the honor of working with US military veterans. Dr. Choi's specialty is medication management, however, she believes that a therapeutic relationship is crucial to treatment. Dr. Choi values the privilege of getting to know each patient personally to develop a patient-centered plan of care.‍Typical follow-up appointments with Dr. Choi are 30 minutes in length to check on medication effects and for supportive therapy. If she believes that you may benefit from more in-depth therapy, she may recommend adding a therapist to your treatment team. Dr. Choi also believes in a holistic approach toward helping you achieve a healthy and fulfilling quality of life.

Megan is a Board-Certified Psychiatric Mental Health Nurse Practitioner specializing in medication management and various therapeutic techniques. She earned a Master of Science in Nursing as a Psychiatric Nurse Practitioner from Regis College and has board certification from the American Nurses Credentialing Center (ANCC).

Megan has extensive experience in psychiatric settings, including private practice, inpatient facilities, and substance use treatment programs. She has worked on community initiatives, such as the Mobile Suboxone Van program, which provides treatment to individuals in high-need areas.

She utilizes evidence-based practices in treating clients with mood and anxiety disorders, ADHD, trauma, and substance use disorders, among other mental health disorders.

The first priority is establishing a therapeutic relationship and providing adequate support, which can substantially impact outcomes. The combination of medication management and therapy can effectively reduce symptoms and contribute to the remission of mental health symptoms.

The first session will involve a 60-minute psychiatric evaluation to gather history and discuss current symptoms and goals. Clients starting medication will need more frequent 30-minute follow-up appointments for medication management and therapy, ensuring a positive response to treatment.

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Dominika is a Licensed Clinical Social Worker (LCSW) who has been in the field for ~20 years performing individual, group, and family service. During her education, Dominika focused on various forms of treatment modalities including DBT, ACT, CBT, trauma informed, family systems, motivational interviewing, and substance abuse treatment. Dominika has been an active remote, mental health therapist for the past several years, and has experience with working with diverse populations providing services to adults and children in mixed settings.

Dominika has an extensive background working with survivors of trauma, depression/bipolar disorder, anxiety, ADD/ADHD, grief, PTSD, schizophrenia and other forms of psychosis, gender/sexual identity difficulties, eating disorders, substance abuse, domestic violence, life transitions, as well as combinations of multiple problems. Dominika is a firm believer meeting people at their own pace to accomplish their objectives at their own speed.

Dominika’s initial appointment is an assessment, gathering the client’s background information and reason for seeking treatment, focusing on the client's own specific goals/desires for therapy and helping ct envision what this would look like for them in order to establish a general roadmap on moving towards their aspirations. After the first session, Dominika concentrates on what complications exist to ct’s objectives and how ct can utilize supportive tools/resources to help overcome these barriers. Dominika then helps cts establish weekly, smaller goals that can lead cts to their larger scale aspirations.