Austin Lin, MD

Dr. Mandel received his Bachelor of Arts and Doctor of Medicine degrees from the University of Pennsylvania. He completed his Residency in Psychiatry at Mount Sinai Medical Center in Manhattan. He has been board certified in psychiatry since 2001 and is a Life Fellow of the American Psychiatric Association. He has held numerous clinical and academic appointments including serving as Chairperson of Psychiatry at Huntington Hospital in Huntington, New York, and Assistant Professor of Psychiatry at Hofstra North Shore-LIJ School of Medicine.

Dr. Mandel has over 25 years of clinical experience treating all mental health conditions. He has a strong interest in mood and anxiety disorders, including work-related anxiety. He authored a section on the pharmacology of social anxiety in the book Work Makes Me Nervous. Dr. Mandel also has expertise working with clients diagnosed with borderline personality disorder. He has lectured on the pharmacologic management of this condition, including a presentation at the NIMH International Think Tank for the More Effective Treatment of Borderline Personality Disorder.

Dr. Mandel continually seeks to streamline complex medication regimens. He has completed a fellowship in integrative psychiatry and carefully considers the potential contributions of lifestyle and nutrition to overall mental health and well-being. By taking an eclectic approach, Dr. Mandel is able to achieve the best possible outcome for all whom he is privileged to serve.

Denise White, PMHNP, has worked in the mental health field for over 30 years following the completion of her Bachelor’s degree in Psychology from Suffolk University in Boston. She began her career as a mental health technician in a geriatric residential program and later pursued additional education in nursing, earning an Associate Degree in Nursing from Quincy College, a Bachelor’s Degree in Nursing from South University, and a Master’s in Nursing from Eastern Kentucky University. Over the years, she has held diverse roles in adult and children’s case management, residential and intensive outpatient programs, inpatient psychiatric care, and crisis stabilization. Denise has provided care in both inpatient and outpatient settings as well as through hospital consult services across the country.

Denise prides herself on her ability to empathize with her patients and meet them exactly where they are in their journey. She believes that trust is the foundation of the therapeutic relationship and works diligently to create a supportive, nonjudgmental environment where patients feel safe, heard, and respected.

In the initial evaluation, Denise focuses on gathering comprehensive information to form a complete understanding of each patient’s unique background and needs. From there, she develops an individualized treatment plan that aligns with the patient’s prioritized goals. Each session begins from that foundation, allowing her to support patients at their own pace as trust deepens and progress unfolds.

Dr. Jacob T. Kannarkat is an adult psychiatrist. Dr. Kannarkat's practice focuses on medication management. In his visits, he uses an integrative approach, blending an empathic, problem-solving orientation with an understanding that the reasons for an individual's condition can be complex. He has experience dealing with many forms of mental illness and works collaboratively with his patients and their other treatment providers in making a plan for recovery. Dr. Kannarkat completed undergraduate studies at the University of Florida. After receiving his medical degree at the University of Miami Miller School of Medicine, Dr. Kannarkat continued for residency at the University of Miami/Jackson Health System. He ultimately completed his training as Chief of Psychiatric Emergency Services at Yale School of Medicine. Dr. Kannarkat has experience working with adults of all ages who are dealing with depression, anxiety, bipolar disorder, PTSD, substance use disorders, and many other conditions.‍

Dr. Erlach is a board certified adult psychiatrist who has previously worked for the United States Air Force and the Department of Veterans Affairs. He attended medical school at the Uniformed Services University of Health Sciences, graduating in 2009, followed by active duty military service in the United States Air Force until 2024. He completed residency training at the combined military-civilian Wright State University/Wright Patterson AFB training program in Dayton, Ohio.

Dr. Erlach enjoys working with all types of patients. He takes a collaborative approach to patient care and develops a treatment plan alongside the patient so that both are fully invested in the plan. He generally has weekend and evening appointments only.

Dr. Erlach incorporates therapy into medication management appointments. Dr. Erlach feels that addressing psychosocial stressors and developing coping mechanisms are a vital component to treatment.

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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.

Dr. Desir is a Board-Certified Psychiatrist who completed her undergraduate training at The University of Scranton followed by medical school at the New York Institute of Technology College of Osteopathic Medicine. She completed psychiatry residency at Nassau University Medical Center where she served as the Administrative Chief Resident in her final year. Dr. Desir has been in practice for 4 years and has provided patients with compassionate psychiatric care. She has worked in community mental health settings throughout her career, in which she served a wide variety of patient populations. Dr. Desir is experienced in treating various psychiatric illnesses including mood disorders, anxiety disorders, OCD, PTSD, and ADHD. At the heart of Dr. Desir's clinical approach is a strong emphasis on establishing trust and building a therapeutic relationship. She also provides psychoeducation to help patients make informed decisions regarding their care. She works collaboratively with patients to develop individualized treatment plans to help them achieve their goals. Dr. Desir's practice focuses on medication management. Typically, she offers this in conjunction with supportive or emotionally focused therapy in 30-minute follow-up visits. Occasionally, Dr. Desir may believe that additional therapy is also needed and ask that you bring a therapist into your care team to provide the best outcome. Talkiatry takes medication management seriously. All state-controlled substance databases are reviewed and taken into consideration during your initial evaluation.