Austin Bailey, DO

Dr. Debrey is board-certified in adult psychiatry. Her approach is client-centered, individualized, and collaborative. She focuses on building a strong therapeutic alliance with each client to work towards achieving enhanced functioning and meaning in their lives. She works with individuals experiencing a wide range of mental health concerns, including depression and other mood concerns, bipolar spectrum illnesses, OCD, PTSD, anxiety disorders, and substance use disorders. Though she specializes in medication management, she believes in an integrative and comprehensive treatment program that incorporates multiple aspects of an individual's health and wellness. Along with discussing physical health concerns, diet, exercise, personal connection, and stress management, she incorporates various therapeutic modalities, including CBT, DBT, ACT, and mindfulness, into her work. In some instances, Dr. Debrey may recommend more intensive psychotherapy with a collaborating therapist in order to help facilitate the best care possible. Dr. Debrey received her medical degree from Rush Medical College. She also holds a graduate degree in epidemiology from the Johns Hopkins Bloomberg School of Public Health. Following medical school, she completed her residency in psychiatry at Emory University School of Medicine. During her final year of residency, she served as chief resident at Grady Memorial Hospital. Prior to joining Talkiatry, Dr. Debrey was an assistant professor at Emory University Department of Psychiatry, where she worked as an attending psychiatrist at Grady Behavioral Health. While at Grady, Dr. Debrey worked primarily as a community psychiatrist with a focus on working with individuals experiencing psychosis. She also frequently worked on the inpatient psychiatry service at Grady. As an Emory faculty member, teaching and mentorship were an especially meaningful part of her work.‍

Dr. Jon-Kar Zubieta is a board-certified psychiatrist and nuclear medicine physician whose work bridges neuroscience and clinical care. He focuses on understanding how the brain regulates motivation and stress, applying this knowledge to mood disorders, pain, and substance use. With extensive experience in functional imaging, Dr. Zubieta explores how neurobiological mechanisms shape emotional and physical well-being.

Dr. Zubieta takes a collaborative and evidence-based approach to care. He values patient perspectives and prioritizes creating a supportive environment where patients feel heard. His goal is to tailor treatment plans that address both the psychological and biological aspects of mental health conditions.

Dr. Zubieta begins with a thorough assessment of each patient’s history, symptoms, and goals. He integrates clinical evaluation with insights from neuroscience and imaging research when relevant. Together with patients, he develops a personalized treatment plan that may include therapy, medication, or combined approaches, continually adjusting strategies to optimize outcomes.

Dr. Perington is a Staff Psychiatrist with Talkiatry. She previously served in the US Air Force, where she completed her residency training in psychiatry (Lackland AFB) and was the medical director for a small-sized mental health clinic (Hill AFB). Dr. Perington uses a person-centered approach to tailor treatment to the individual, with an emphasis on shared decision making. She prefers to focus on psychotherapy and behavioral interventions as a primary part of the treatment plan, in addition to any indicated medication.

Motivation for change is a large part of the healing process, and for many people recovery doesn't happen with medication alone. Dr. Perington asks all her patients to play an active role in their treatment.

A thorough diagnostic assessment with discussion of the best treatment setting and modality, then regular follow up visits with emphasis on psychotherapy in addition to medication management (if indicated).

Dr. Mary O'Malley is board certified in Adult Psychiatry and Sleep Medicine. She received her medical degree from Weill Cornell Medical School and PhD in Neurobiology from The Rockefeller University. She completed her Psychiatry residency and Sleep Medicine Fellowship training at the New York University Medical Center. In her psychiatric practice, Dr. O'Malley uses an integrative approach to health, combining evidence-based concepts in neurobiology with psychological, social and spiritual/existential worldviews to understand and treat every patient. Her primary practice is medication management. She also integrates elements of psychotherapy into her work, typically within 30-minute follow-up visits. In addition to medication and psychotherapy, she incorporates wellness tools into visits, such as mindfulness exercises and sleep management strategies. If she believes that additional psychotherapy is needed, she will recommend that you add a therapist to your care team. Dr. O'Malley has extensive experience working with people from many stages of life, with diverse world views and cultural backgrounds. She has always had an inclusive practice and welcomes people who identify as LBGTQIA+. As part of her own life path she became an Interfaith Minister and enjoys including spirituality and the supportive role it can play in healing for her patients. Her primary focus is working with adults with mood and anxiety disorders, trauma symptoms, ADHD, and problems with sleep. She enjoys working with people facing life transitions, especially older adults and women who are struggling with mental health challenges related to pregnancy and post-partum health. Prior to joining Talkiatry, Dr. O'Malley was working at Hartford Healthcare with adults in intensive outpatient programs and at Hackensack Meridian Health outpatient clinics. She was the medical director of the Consultation Liaison Service at Berkshire Medical Center in Pittsfield, Massachusetts, and an assistant professor at UMass Medical School. She has published and presented widely on topics related to Wellness in Psychiatry, Ethics and Sleep Medicine. She is an advocate for finding your voice in medical decision-making and enjoys using sound healing for relaxation and stress management.

Dr. Thomas Spina is an adult psychiatrist who began his practice at Talkiatry after completing his psychiatry residency at the Eastern Long Island branch of Stony Brook University, where he treated a diverse patient population. Dr. Spina received his undergraduate degree from St. John's University in Queens where he studied Philosophy. Initially interested in a career in law, Dr. Spina decided to change gears and pursue a career in medicine after watching a relative struggle with her diagnosis of Diabetes Mellitus. Dr. Spina then completed medical school at Tel Aviv University in Israel, where he fell in love with psychiatry during his clerkship at Ichilov medical center. During that rotation, he came to appreciate how each patient has his or her own unique story, regardless of their diagnosis. Dr. Spina favors a holistic and integrative approach to psychiatry, combining medication management with supportive therapy, elements of cognitive behavioral therapy, while remaining open to other treatment modalities depending on the needs of his patients. When more focused therapy is indicated, Dr. Spina may recommend that his patient work with a provider specializing in a particular modality of therapy as part of their treatment. Dr. Spina treats adult patients with mood disorders including major depressive disorder and bipolar disorder, anxiety spectrum disorders, OCD, PTSD and specific phobias. In his spare time, Dr. Spina enjoys a variety of hobbies, including Brazilian Jiu-Jitsu, running, baseball, and exploring new eateries and shops.

Dr. Alexis Kropf is a board-certified adult psychiatrist beginning her practice at Talkiatry after four years of clinical experience in residency. Dr. Kropf primarily focuses on providing medication management during 30-minute follow-up visits, weaving in elements of supportive therapy according to the needs of her clients. When additional therapy is indicated to promote recovery, Dr. Kropf may recommend that her clients work with a therapist as part of the treatment team. Dr. Kropf credits her undergraduate education at Southwestern University, a small liberal arts college, for strengthening her curiosity about and dedication to serving others. She received her medical degree from the University of Texas Southwestern Medical Center in Dallas, Texas, where she also completed her psychiatry residency training. During residency, she was involved in medical student education and resident leadership, serving as a chief resident during her final year of training. She also utilized her fluency in Spanish and medical Spanish interpreter training to serve Spanish-speaking patients and to lead Spanish-language group therapy sessions. In addition to psychopharmacology, Dr. Kropf studied psychotherapeutic interventions, including psychodynamic and cognitive behavioral therapies. She has experience working with clients experiencing many different mental health challenges, with a primary clinical focus including the treatment of anxiety, depression, and PTSD.