Ayanna Swinton Jamison, MD

Dr. Tobias Murphy is a psychiatrist with Talkiatry who is licensed to provide care in the states of Ohio, West Virginia, and New York. He completed medical school and psychiatry residency at Marshall University's School of Medicine. He has additional training in neuropsychiatry and geriatric psychiatry. During his training, Dr. Murphy was actively involved in teaching medical students and residents. His most frequent lectures included LGBT and transgender mental health. He is a member of the American Psychiatric Association, the American Association of Gay and Lesbian Psychiatrists, the Gay and Lesbian Medical Association, the World Professional Association for Transgender Health. He was inducted into the Gold Humanism Honor Society and given awards for Inclusion and Advocacy as well as Honors in Community Service during training. He has published papers, presented at conferences, and served as an ad-hoc reviewer for medical journals. Dr. Murphy approaches medication management through the lens of compassionate listening and psychotherapy, seeking to reduce the stigma of mental illness and put patients at ease during their visits. He has experience treating a variety of conditions, including bipolar disorder, depression, OCD, PTSD, ADHD, and anxiety. He enjoys working with a diverse population of patients providing culturally informed care. Follow-up patient visits will include both supportive therapy and medication management during 30-minute encounters.

Dr. Robert Smeed, DO, is a board-certified psychiatrist with a passion for healing the human mind and consciousness. He earned his Doctor of Osteopathic Medicine from Lake Erie College of Osteopathic Medicine and completed his Psychiatry Residency at Wayne State University College of Medicine. Certified by the American Board of Psychiatry and Neurology (ABPN), Dr. Smeed served as an outpatient psychiatrist at Veterans Affairs for 11 years, honing his expertise in mental health care. Driven by a deep interest in consciousness and innovative treatments, he combines talking therapies, neuromodulation, and modern psychopharmacology to help patients achieve lasting wellness.

Dr. Smeed is proficient in treating a wide range of psychiatric conditions while specializing in treatment-resistant depression, neurodevelopmental disorders, anxiety and trauma disorders. His treatment style is empathic and collaborative, emphasizing family dynamics and relationships while integrating psychodynamic principles with biopsychosocial models. He approaches each patient with creativity, using open-ended discussions and innovative therapeutic and psychopharmacologic strategies to tailor care, ensuring a personalized and effective treatment experience.

Dr. Smeed begins with open-ended dialogue, allowing patients to develop their narrative, which is often therapeutic. Treatment plans are customized to patient needs and align with diagnostic standards of care. He incorporates medication reviews, mindfulness techniques, cognitive behavioral therapy (CBT), supportive therapy, and psychodynamic approaches. Dr. Smeed also educates patients on lifestyle factors, such as diet and exercise, to support mental health, fostering a holistic and individualized path to wellness.

Michelle Scott is a dual board-certified Psychiatric, Family, and Emergency Nurse Practitioner with 16 years of experience. She has an extensive background in psychiatry across the lifespan, emergency medicine, and internal medicine. Her psychiatric expertise includes a strong focus on adult outpatient and inpatient care. Michelle has also served as an acute care hospitalist and held leadership roles, including Assistant Medical Director, in multiple acute psychiatric facilities.

She brings additional experience in addiction treatment and is skilled in cognitive behavioral therapy (CBT), motivational interviewing, and problem-focused therapy. Michelle provides holistic care that addresses a wide range of needs, including mood and anxiety disorders, autism, genetic disabilities, and adult addiction issues.

With over a decade and a half of experience treating individuals of all ages for both acute and chronic medical and psychiatric conditions, Michelle understands the profound impact the right provider can have on a patient’s life. Her goal is to achieve positive, sustainable outcomes through a comprehensive approach that integrates multiple treatment modalities and addresses the whole person.

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Dr. Alfers is a board-certified psychiatrist specializing in adult psychiatry. He has been practicing for over 11 years. He completed his undergraduate education at Virginia Tech, graduating Cum Laude with degrees in Biology and Chemistry. Following graduation, he attended a research internship at the National Institutes of Health where he received a Post-baccalaureate Intramural Research Training Award. Dr. Alfers completed his medical degree from the Western University of Health Sciences in Pomona, CA. He completed his General Psychiatry Residency at Georgetown University, where he served as Chief Resident. After residency, he entered private practice in McLean, VA. Dr. Alfers takes a comprehensive approach to patient care. He integrates biological, psychological, and environmental factors into treatment planning. He focuses on developing a meaningful therapeutic relationship and providing medication interventions for specific treatment goals. Dr. Alfers provides interpersonal psychotherapy in conjunction with medication management services. Dr. Alfers has a special interest in the treatment of multiple mental health conditions, including depression, anxiety, bipolar disorder, PTSD, ADHD, and OCD. Dr. Alfers treats adults ages 18 to 65 years old. For established patients of Dr. Alfers, please call 917-634-5311 to schedule an appointment and let the care coordinator know you are an established patient.

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.

Dr. Lorangelly Rivera is board-certified in Adult psychiatry and has been practicing for over 5 years. Dr. Rivera focuses on medication management and brief psychotherapy utilizing techniques from cognitive behavioral therapy, psychodynamic therapy, and supportive therapy in 30-minute appointments. When appropriate, Dr. Rivera may recommend additional psychotherapy with a psychologist as part of the treatment plan. She is fluent in both Spanish and English and is passionate about working with the Latinx population. She completed her bachelor's degree in Cellular Molecular Biology from Metropolitan University, San Juan, Puerto Rico, and her postgraduate work at the National Cancer Institute in Bethesda, Maryland. Dr. Rivera received her medical degree from Ponce Health Sciences University School of Medicine, Ponce, Puerto Rico. She completed her residency training in psychiatry at the University of Rochester Medical Center. After completing her training, she began working for Lifespan Physician Group where she became program director for Lifespan Latinx Mental Health Services and served as Staff Psychiatrist at Rhode Island Hospital and The Miriam Hospital. She holds a faculty position in The Warren Alpert Medical School of Brown University, Department of Psychiatry and Human Behavior as a Clinical Instructor. ‍