Ashley Arora, PMHNP

Dr. Sophia Mikityanskiy is a board-certified psychiatrist with extensive experience in outpatient and psychiatric emergency settings in Brooklyn, where she served a diverse patient population. She earned her medical degree from the New York Institute of Technology College of Osteopathic Medicine and completed her adult psychiatry residency at Maimonides Medical Center, where she was Chief of Outpatient Psychiatry. Dr. Mikityanskiy spent six years as Associate Program Director and Director of Medical Student Education, mentoring future clinicians and leading initiatives to support mental health professionals.

Dr. Mikityanskiy creates a warm, supportive environment where patients feel heard and understood. She is collaborative, culturally sensitive, and integrates talk therapy with lifestyle interventions to address mental health holistically. She is thoughtful, detail-oriented, and values open communication to develop clear, personalized treatment plans with each patient.

Dr. Mikityanskiy begins with a comprehensive initial evaluation, listening closely to patient concerns, medical and psychiatric history, and treatment goals. She then develops an individualized plan, incorporating lifestyle modifications and shared decision-making. Throughout care, she remains actively involved, continuously adjusting plans to ensure patients feel informed and empowered.

For the past 20 years, Dr. Lavin has worked at the University of Denver Health and Counseling Center, where she has treated undergraduate and graduate students. She also worked at a training clinic for students pursuing their PsyD degree. She has supervised and taught psychiatry residents. She taught a psychopharmacology and differential diagnosis course to psychology trainees. Dr. Lavin has a strong interest in functional medicine and alternative therapies. Dr. Lavin has been in practice for 35 years. She is board certified in adult psychiatry. Dr. Lavin focuses on a comprehensive medical assessment, medication management, psychoeducation, wellness, and alternative therapies. She enjoys treating young adults. Dr. Lavin did her undergraduate work at the University of Rochester. She earned her MD from Cornell University Medical College in New York City. Her psychiatry residency was at the University of Boston Medical Center. After training, Dr. Lavin held administrative and clinical positions at Kaiser Permanente in Denver, CO and at the Harvard Community Health Plan in Braintree, Massachusetts. She has written clinical triaging guidelines and patient information pamphlets.‍

Background and credentials

Dr. Sabera Saklayen is a board-certified psychiatrist licensed in Adult Psychiatry. She earned her bachelor’s degree from Ohio State University and her medical degree from Wright State University Boonshoft School of Medicine. She completed her psychiatry training at Stony Brook University Hospital, where she served as chief resident and was awarded the William Turner Award for outstanding performance in psychiatry residency. She has extensive experience treating diverse populations, including vulnerable and underserved communities, having worked as an outpatient psychiatrist at Bellevue Hospital for two years.

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Treatment approach

Dr. Saklayen specializes in medication management but takes a holistic, patient-centered approach that integrates supportive therapy, cognitive-behavioral therapy (CBT), and motivational interviewing (MI). She has extensive experience treating depression, bipolar disorder, generalized anxiety, panic disorder, social anxiety, OCD, insomnia, and substance use disorders. She is particularly skilled in treating college students and individuals navigating difficult life transitions. If more in-depth therapy is needed, she may refer patients to a therapist as part of a comprehensive care plan.

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What you can expect in a first visit

During the first visit, patients can expect a thorough and compassionate evaluation, where Dr. Saklayen carefully assesses symptoms, history, and treatment goals. She prioritizes collaboration and individualized treatment planning, ensuring that patients feel comfortable and supported in their mental health care. Follow-up visits are typically 30 minutes and focus on medication management and therapy integration, with referrals to additional therapy when needed for the best possible outcome.

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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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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.

Brenda Keirns, LPC, NCC, is a Licensed Professional Counselor recognized by the National Board for Certified Counselors. She earned her Master’s degree in Clinical Counseling from Bellevue University and has extensive experience across inpatient, outpatient, and telehealth settings. Brenda is trained in EMDR through an EMDRIA-approved program and brings over six years of licensure experience. With a multicultural upbringing and more than 18 years as a military spouse, including Command Team involvement, she has a deep understanding of the unique challenges faced by diverse individuals and families. Brenda also serves as a Committee Member for Integratus, the academic journal of the Catholic Psychotherapy Association.

Brenda values open communication and creates a warm, non-judgmental environment where patients feel respected and supported. She tailors treatment to each patient’s unique needs and utilizes an eclectic, evidence-based approach drawing on CBT, EMDR, SFBT, REBT, DBT, attachment-based theory, trauma-informed care, and faith-based therapy rooted in Thomistic Psychology. Brenda helps patients address depression, anxiety, trauma, substance use, relational challenges, personality disorders, and life transitions.

Brenda partners with patients to develop practical coping tools while building on strengths and resilience. She emphasizes collaboration to ensure that patients actively shape their therapeutic goals. With a balance of compassion and clinical expertise, Brenda integrates evidence-based practices with individualized strategies to promote emotional well-being, personal growth, and improved daily functioning.

Dr. Zezetko completed her medical training at the University of Georgia/August University Medical Partnership. While in medical school, she received a Master of Business Administration at the University of Georgia. She then moved to North Carolina to complete her psychiatric residency training at the Brody School of Medicine/ECU Health Medical Center. During her training, she gained extensive clinical experience in working with adults and veterans in psychiatric inpatient, outpatient, and emergency settings. She also served as a chief resident of the psychiatry program and published several case studies.

Dr. Zezetko relies on evidence-based treatments to guide pharmacotherapy decisions. In addition to medication management, she also incorporates supportive psychotherapy and psychodynamic psychotherapy techniques in her visits with her patients. When appropriate, Dr. Zezetko will refer patients for further psychotherapy and collaborate with therapists to provide more comprehensive care. Dr. Zezetko takes great pride in forming meaningful connections with her patients and listening to their concerns.

Dr. Zezetko will conduct a comprehensive psychiatric evaluation and take time to understand patients’ individual concerns, mental health goals, and history. Dr. Zezetko believes in building a strong therapeutic relationship that empowers patients to join in a collaborative discussion for optimizing their individual treatment plans and reaching their defined goals.

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