Avishay Adri, PMHNP

Dr. Michael Gravenstein earned his medical degree from the University of Florida College of Medicine, where he also completed his psychiatry residency. During training, he was recognized with multiple awards, including the Malcom Randall VA Resident of the Year Award, the Ross A. McElroy Psychotherapy Award, and the John “J.D.” Dorian Award for best sense of humor. He has worked across outpatient, inpatient, and consult liaison settings, and has experience treating a wide range of conditions including depression, anxiety, ADHD, OCD, personality disorders, and transitional age concerns. He also has expertise working with LGBTQIA+ patients and provides psychodynamic, CBT, and supportive therapies.

Dr. Gravenstein believes in a comprehensive approach to treatment that integrates medications, therapy, and lifestyle interventions. While medications can be very effective, he views them as just one part of a broader treatment plan tailored to each patient’s needs. He emphasizes individualized care and sees treatment as a team effort, meeting patients where they are and progressing at a pace they feel ready for.

Dr. Gravenstein strives to create a warm, collaborative environment that fosters open communication and genuine connection. He may challenge patients therapeutically but always with careful attention to their readiness and comfort. His goal is to build trust so that meaningful conversations and progress can occur. For him, success is always shared—when patients succeed, they succeed together; when challenges arise, they regroup and move forward together.

Dr. Nieves-Alvarado is a Board-certified psychiatrist who completed medical training at Duke University Psychiatry Program. Originally from Puerto Rico, she is fluent in both English and Spanish, which allows her to connect deeply with a diverse patient population.

Her practice combines medication management with insight-oriented therapy during every visit, promoting a comprehensive approach to mental health care. She advocates for her patients to engage in therapy alongside medication management, as she believes this integrated approach leads to better outcomes and sustained improvement. Dr. Nieves-Alvarado's practice is rooted in a collaborative, team-based approach, working closely with her patients to achieve long-term mental wellness.

Dr. Nieves-Alvarado earned her medical degree from the Universidad Central del Caribe School of Medicine in Bayamon, PR. Afterward, she moved to North Carolina, where she completed her residency at Duke University Hospital. During her training, she was nominated for a fellowship in psychodynamic practice by the Psychoanalytic Center of the Carolinas, showcasing her expertise in this area. She is also a dedicated advocate against childhood sexual trauma.

Her diverse training includes significant experience in jail and forensic psychiatry, as well as the treatment of military veterans under the veteran affairs health care system. She has experience in medically assisted treatments (MAT) for substance use disorders, Electroconvulsive therapy (ECT), and family therapy, enabling her to care for patients with complex needs.

Dr. Nieves-Alvarado treats patients across a wide age range, from young adults to the elderly. Passionate about improving access to mental health care, she joined Talkiatry to help patients facing time or transportation challenges receive the care they need.  

In addition to her clinical practice, Dr. Nieves-Alvarado remains involved with her alma mater’s Behavioral Health Department, contributing to academic education and maintaining a connection with the next generation of medical professionals. She continues to seek ongoing improvement in her field, remaining engaged with medical associations including North Carolina Psychiatric Association, American Psychiatric Association, and Alpha Omega Alpha national medical honor society. Dr. Nieves-Alvarado is committed to working hand-in-hand with her patients to achieve mental wellness.”

Dr. Jency Cynthia Sachidanandam completed her Residency and Fellowship at Texas Tech University Health Science Center in El Paso, gaining extensive training in diagnosing and treating various psychiatric conditions. As a Child and Adolescent Psychiatrist at Texas Tech, she works with a diverse patient population, addressing psychiatric disorders like depression, anxiety, bipolar disorders, PTSD, and OCD. Dr. Sachi emphasizes the importance of addressing both physical and mental health to achieve a good quality of life. She believes that mental health is interconnected with physical well-being and that treating one aspect without the other leads to incomplete care. Her holistic approach involves medication management, psychotherapy, and lifestyle modifications to promote overall health. Dr. Sachi is skilled in providing supportive psychotherapy and using psychodynamic therapy techniques to help patients understand and address their current stressors and underlying issues. Dr. Sachi has shown a genuine commitment to her patients and a passion for helping them achieve their best possible outcomes. She is dedicated to staying current with the latest advancements in psychiatry and continuously improving her skills to provide the highest standard of care. Her compassionate and patient-centered approach has earned her the respect and trust of her patients and colleagues alike.

Violetta Aranda, LPC is a native South Texan and second generation Mexican- American. She is a 2011 graduate of St. Edward's University in Austin, Texas and obtained full LPC licensure in Texas in August of 2017. Her practice focuses on cognitive behavioral modalities within a humanistic client-centered approach to foster healing through self-acceptance and self-awareness. She has over a decade's worth of experience working within the mental health field and fifteen years working directly with children and adolescents in various capacities. Before joining Talkiatry, Miss Aranda practiced exclusively within the community health sector and these experiences provided the opportunity to become fully immersed in Trauma and Crisis Management and fostered the passion for evolving research in the treatment of trauma-informed care. She now aspires to utilize these allocated experiences and passion for the field to promote mental health awareness, client advocacy, and quality of care.

Angie Catlin DNP has been working in mental health for over a decade. She has experience working inpatient, outpatient, and intensive outpatient clinics. She has also worked as a provider in residential care centers and long-term care. She began as a BSN nurse, after graduating from Pittstate University in Kansas, in the critical care field before finding psychiatry at an inpatient child and adolescent hospital. Working with young patients in crisis led her to want to continue her education to become a psychiatric provider to address lack of access to care for those with mental health needs. Angie continued to help ensure those in need have access to care, and assisting her patients obtain the best outcomes became her passion.

She then enrolled in a dual master’s program to obtain her Master’s in Nursing and Master’s in Business for health care administration as she wanted to gather as much knowledge as she could on the barriers to care and to address those barriers. After finishing her dual Master’s with a MSN and MBA/HA from University of Phoenix, she enrolled in the Doctor of Nursing Practice program at University of Missouri in Columbia to become a Psychiatric Nurse Practitioner. While in her Doctorate program she completed residencies in rural outpatient clinics, urban outpatient clinics, and nursing homes to understand the barriers for patients of all age groups in each level of care. Since graduating from Mizzou, Angie maintained her zealousness in making care available to all; working with diverse populations in every setting. She enjoys reading up on the latest research pertinent to her clients, including new medications and treatments on the horizon. Angie is an avid football fan and enjoys cooking, reading, live music, and spending quality time with her family including her Saint Bernard and two English bull dogs during her downtime.

Angie Catlin DNP has worked with patients suffering from anxiety, depression, OCD, PTSD, ADHD personality disorders, learning disabilities, insomnia, Autism, bipolar disorder, Alzheimer’s and dementia, Parkinson’s, Psychosis, Depression, Schizoaffective disorder, and schizophrenia. Angie has always been an advocate for those with mental health issues and is willing to do what is needed to help patient’s feel supported, educating her patients on current treatments and treatment options, and best practices. Moreover, Angie advocates for LGBT issues and understands the issues facing those who are LGBT in society.

She is compassionate about the care she provides as she wants patients to achieve their best life. She will always spend time with patients discussing medications to ensure decisions are a team decision between patient and provider. She has always included counseling and education as part of her practice to ensure her patient receive best evidenced based outcomes She believes that psychiatric care decisions should be made with the patient, not for the patient, so patients feel heard respected and understood.

Angie Catlin DNP begins her sessions with new patients by gathering a thorough history including family history, medical history, surgical history, medication and psychiatric history. This ensures that the whole patient is treated and their entire histories are considered in influencing how the patient came to her and what their issues may be. Angie is careful to listen to each patient and assess what is important to them along with goals they may have for their treatment. Angie collaborates with her patients in a team approach to develop treatment plans that the patient feels comfortable with in achieving their goals.  

She values open communication and individualized treatment plans that focus on each patient’s needs and the barriers they face helping to address those barriers so patients can achieve to live their best lives. Angie wants the best for all patients she treats and accepts her patients as they are and supports what they believe is vital to their needs. Angie is a firm believer that the patient knows what works for them and is always patient centered in her approach.

Dr. Cecilia Fitz-Gerald is a board-certified psychiatrist trained in adult psychiatry and consultation-liaison psychiatry, formerly known as psychosomatic medicine. She has been practicing for over five years and has extensive experience working in a variety of clinical settings, including inpatient, outpatient, and emergency psychiatry. In addition, she specializes in working with patients with acute and chronic medical conditions that may be affecting their mental health, such as cancer, stroke, or a heart condition. She provides patient-centered care utilizing a collaborative approach to help her patients reach their goals. She is a native of Louisiana and a graduate of the LSU School of Medicine in Shreveport. She was elected to the prestigious medical honor society, Alpha Omega Alpha, during her fourth year of medical school and was awarded the John W. Bick Excellence in Psychiatry award. She completed her psychiatry residency training at the University of Texas Southwestern Medical Center where she served as Chief Resident and was a PRITE Fellow. Afterwards, she completed a fellowship in consultation-liaison psychiatry at Yale-New Haven Hospital. Dr. Fitz-Gerald has multiple scholarly publications, particularly in the fields of emergency psychiatry and hospital delirium and has presented at the annual conference for the Academy of Consultation-Liaison Psychiatry. She is passionate about academic medicine and enjoys teaching medical students and residents. Her other areas of clinical interest include ICU delirium and cardiac psychiatry.