Aurianna Santos, MD

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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Dr. Mirica Sanders is a board-certified adult psychiatrist. She graduated from Tennessee State University and earned her medical degree from Ohio University College of Medicine. She completed her Psychiatry Residency as Chief Resident at The Cleveland Clinic and pursued advanced training in community and public psychiatry at Case Western Reserve University. Dr. Sanders has experience practicing in both outpatient and inpatient settings and holds a special interest in women’s mental health.

Dr. Sanders values creating a warm and inviting atmosphere where patients feel comfortable and heard. She encourages openness and authenticity, aiming for each patient to leave with a clear understanding of their treatment plan. She also welcomes questions to ensure patients feel fully informed and supported throughout their care.

Patients can expect a conversational interview in which Dr. Sanders gathers medical, social, family, and psychiatric history to inform a personalized treatment plan. Each session involves collaboration, with patients actively participating in shaping their care. Following appointments, patients receive an after-visit summary and instructions to guide them between sessions.

Dr Jennifer Twing is a board-certified physician in Psychiatry. She completed her undergraduate studies in Neuroscience and Behavior at Vassar College in New York, medical education at Trinity College in Dublin, Ireland and Psychiatry Residency at the University of North Dakota in Fargo, ND. She has experience working in a variety of settings treating psychiatric conditions across the lifespan. She is also currently training to be certified in Psychedelic Assisted Psychotherapy.

Dr Twing has a warm approach to patient care, is easy to talk to and aims to cultivate a safe and comfortable atmosphere. She is empathetic and understanding, ensuring that her patients feel heard and are supported.

Her main focus is in treating anxiety, depressive disorders and trauma through medication management. She also integrates a holistic approach encompassing lifestyle, spiritual and nature-based healing practices to help reduce stress, improve mood, and enhance overall quality of life. She recommends that you work with a therapist or counselor as well to optimize treatment outcomes.

Dr. Anna Ostrovskaya is a board-certified psychiatrist with over 20 years of experience working with adults of all ages. She earned a bachelor’s degree in psychology from NYU, a medical degree from Rush Medical College, and completed her psychiatry training at Yale. Dr. Ostrovskaya has practiced in inpatient, consultation-liaison, and emergency psychiatry settings, though her primary passion is outpatient care, where she builds long-term therapeutic relationships. She has worked in private practice and clinic settings and serves on the faculty at Yale’s Psychiatry Department, teaching and supervising trainees. She treats a wide range of conditions, including anxiety, OCD, ADHD, PTSD, depression, bipolar disorder, and more, with experience across diverse populations.

Dr. Ostrovskaya emphasizes integrating therapy and medication management. She creates a warm, safe, and respectful space where patients feel understood and supported in their journey to recovery. Her approach focuses on treating the whole person, recognizing that everyone’s story is unique and informs the best path forward.

She conducts thorough evaluations and uses evidence-based prescribing while incorporating psychotherapeutic modalities such as CBT, executive skills training, insight-oriented approaches, and motivational interviewing. Understanding a patient’s history, current symptoms, and treatment goals is central to developing an effective plan and building a strong therapeutic relationship.

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Dr. Mendez obtained his medical degree from the University of Texas Medical School in Houston. He subsequently completed his Psychiatry residency training at the same institution, UT Medical School in Houston. Dr. Mendez has extensive training in the field and is board certified in Adult Psychiatry by the American Board of Psychiatry and Neurology. After professional training, Dr. Mendez has had vast experience of 15 years primarily in the outpatient setting including ample experience with telemedicine services to patients. He has extensive experience in diagnosing and treating adult patients dealing with attention deficit disorders and a wide spectrum of adjustment and anxiety disorders. Dr. Mendez has a special interest in the treatment of mood disorders from Major Depression to Bipolar spectrum disorders. Dr. Mendez prioritizes the development of great communication, mutual understanding and trust with his patients as he finds these elements to be key to a successful treatment. He establishes his treatment plans upon evidence-based guidelines and encourages a holistic approach for optimal well-being. Through effective medication management and supportive psychotherapy, Dr. Mendez leads his patients to optimal mental health. He encourages patients to strive to develop fulfillment and optimal functionality in their life's roles.

Shelah Radke, MD, JD, is a double board-certified Child and Adolescent and Adult Psychiatrist with over a decade of extensive experience in mental health care, specializing in the well-being of children, adolescents, and young adults. She currently serves in St. Louis, MO, where she is known for her dynamic leadership as a Medical Director and her robust clinical practice. Throughout her career, Dr. Radke has held pivotal roles, including Medical Director of Crisis Psychiatry Services at Mercy Hospital and key positions in several reputable outpatient clinics across the U.S. Her clinical acumen spans a diverse range of settings, from private practice and crisis care to specialized programs in residential and educational institutions.

A staunch advocate for evidence-based approaches, Dr. Radke integrates lifestyle and pharmacological interventions to foster mental health resilience among her patients. She is particularly passionate about the shared decision-making model, which enhances patient empowerment and satisfaction by actively involving them in their treatment plans. Dr. Radke's academic contributions are equally notable. She has developed educational curriculums that significantly improve health outcomes and has shared her expertise through numerous media appearances and professional talks. Her commitment to medical education is reflected in her mentorship of nurse practitioners and her involvement in creating community psychiatry programs.

Complementing her medical expertise, Dr. Radke holds a Juris Doctorate, with a focus on public health and social policy, which enriches her understanding of the legal and systemic aspects of healthcare. Her approach is deeply holistic, informed by her training in integrative medicine and her personal commitment to wellness, which she practices through nutrition, exercise, and travel with her family. Dr. Radke's professional journey is driven by a commitment to optimizing mental health outcomes and enhancing the quality of life for her patients and their families.

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