Avishay Adri, PMHNP

Dr. Koster is board certified in psychiatry and forensic psychiatry. After completing her medical education, residency, and fellowship, she started working on a Forensic Assertive Community Treatment (FACT) team, followed by working at a community hospital. She then transitioned to a clinic serving patients who were determined severely mentally ill (SMI). Dr. Koster has been involved with teaching residents and working within an academic institution. Dr. Koster is a Fellow of the American Psychiatric Association, a member of the American Academy of Psychiatry and the Law and the American Osteopathic Association. Dr. Koster enjoys working with people of diverse backgrounds and experiences. She uses a culturally sensitive and holistic approach in the evaluation and treatment of brain health conditions. She believes in a team approach and her patients' active participation in treatment planning. She incorporates a variety of modalities in her treatment that can include medications, personal medicine, psychotherapy, mindfulness, and lifestyle changes. Dr. Koster specializes in psychopharmacology and believes in using medications when indicated at the lowest effective dose to minimize the risk of side effects. She is experienced in treating depression, bipolar disorder, anxiety disorders, OCD, PTSD and schizophrenia. If Dr. Koster believes you would benefit from additional therapy, she will collaborate with your therapist to achieve the best outcome.

Dr. Holly Shiao is a psychiatrist who has worked extensively with medically complex patients, including a special focus in psycho-oncology with cancer patients. She is double board-certified in Consultation-Liaison Psychiatry and Adult Psychiatry. She has been practicing for over 7 years. Before Talkiatry, Dr. Shiao worked as an Assistant Professor at the University of Washington and Fred Hutchinson Cancer Center. She also worked as an Assistant Professor and was Director of Emergency Psychiatry at the University of Chicago. She has presented nationally at the Academy of Consultation-Liaison Psychiatry and written a book chapter about psycho-oncology. Dr. Shiao attended medical school at John P. and Kathrine G. McGovern Medical School at the University of Texas Health Science Center at Houston. She then completed an Adult Psychiatry residency at the University of Texas Medical Branch at Galveston, followed by a Consultation-Liaison fellowship at Dell Medical School at the University of Texas at Austin. Dr. Shiao is interested in the mind-body connection in overall emotional and mental well-being. She likes to integrate therapy modalities, such as cognitive behavioral therapy, supportive therapy, mindfulness and meditation with medication management to optimize a patient's mental health.

Dr. Stephen Cox earned his medical degree and completed his residency at the University of Toledo Medical College. He is a board-certified psychiatrist with over 20 years of experience providing care in outpatient, inpatient, university health, nursing home, and correctional settings. He has developed treatment relationships with patients from diverse backgrounds, enriching his clinical knowledge and informing his decision-making. Outside of work, he enjoys spending time with his family, hiking, and listening to music.

Patients working with Dr. Cox can expect a relationship grounded in respect, empathy, and collaboration. He prioritizes listening carefully, creating a safe space to share thoughts and history without judgment.

Early sessions involve a thorough assessment of symptoms, life circumstances, medical history, and personal goals. Dr. Cox collaborates with patients to balance therapy, lifestyle adjustments, and medication. He regularly reviews progress and adjusts care based on feedback, ensuring patients feel understood as whole individuals. The treatment relationship is a partnership that promotes healing, growth, and well-being.

Deora Johnson, PMHNP, is a board-certified adult psychiatric nurse practitioner with 24 years of experience. He is passionate about providing clients with a holistic approach to mental health care, incorporating both pharmacologic and non-pharmacologic interventions. Deora works with adult and senior populations, focusing on the assessment, diagnosis, and treatment of mental health conditions. He collaborates closely with clients to guide them through understanding and selecting the most effective interventions and medication management options for their needs. Supportive therapy, solution-focused therapy, and motivational interviewing are integral components of his medication management sessions.

Deora earned his Master of Science in Nursing from Vanderbilt University in Nashville, Tennessee, and completed a nursing practice degree at the University of Alabama in Birmingham. He has experience treating patients in a variety of outpatient and inpatient settings.

His areas of specialty include the treatment of major depressive disorder, anxiety disorders, bipolar disorder, ADHD, PTSD, and insomnia. His research focused on non-pharmacologic interventions for insomnia in individuals with depression.

Deora also has experience working with military veterans. At the VA Outpatient Clinic in Baltimore, Maryland, he treated veterans returning from Operation Iraqi Freedom and Operation Enduring Freedom, as well as those from the Vietnam and Korean War eras. His clinical work focused on PTSD, major depressive disorder, anxiety disorders, and bipolar disorder.

Deora believes the therapeutic relationship offers a unique opportunity to work collaboratively through life’s challenges. He views medication management as an important part of a comprehensive treatment plan that also includes therapy.

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Dr. Elena Perea is a board-certified psychiatrist.  She completed her undergraduate training at Wake Forest University followed by medical school and residency training at The University of North Carolina at Chapel Hill (UNC).

Dr. Perea holds an adjunct academic appointment at UNC and has been involved in medical education for her entire career.  She most recently served as Residency Program Director for the Mountain Area Health Education Center (MAHEC) psychiatry residency in Asheville, NC.  She remains involved in didactic education there for both residents and medical students.

She has a genuine interest in treating a vast array of psychiatric disorders including depression, anxiety, bipolar disorders, post-traumatic stress disorders and obsessive compulsive and related disorders. She is a skilled psychopharmacologist and interested in the mind-body connection. She believes physical health greatly affects mental health and vice versa and loves helping patients with medical comorbidities to feel well.

Patients looking for a psychiatrist will find that Dr. Perea has a comprehensive approach to diagnosis and management of her patients. She believes in the principle that body and mind are interconnected and utilizes psychoeducation and psychotherapeutic approaches in addition to medications for total wellness.

Dr. Sujith Maracheril is a board-eligible psychiatrist who provides comprehensive patient care while building a physician-patient relationship centered on communication, empathy, and respect. His primary focus is medication management, and he also provides supportive psychotherapy to help patients work toward long-term improvements. While aligning treatment toward patient goals, he takes a practical approach to changes that can be made to empower patients in their lives. Dr. Maracheril is a graduate of the Sophie Davis Biomedical Education Program at the CUNY School of Medicine, a 7-year BS/MD program. He completed his residency training in psychiatry at the Zucker School of Medicine/Northwell Health at Mather Hospital. He has trained in many settings including inpatient psychiatric units, general and specialized outpatient clinics, and at a partial hospitalization program. Dr. Maracheril has experience treating a broad range of mental health conditions including depressive disorders, bipolar disorder, anxiety disorders, ADHD, and OCD. He understands that people may experience these conditions in different ways, and he aims to treat each patient in an individualized and holistic way.