Belinda Read, PMHNP

Background and credentials  

Dr. Alexandra Baluna, MD, is board-certified by the American Board of  Psychiatry and Neurology. She received her medical degree from  LSUHC-Shreveport and completed her psychiatry residency training at  Montefiore/Albert-Einstein College of Medicine, where she served as chief of  the Consultation-Liaison (C/L) service. Following residency, Dr. Baluna  served as Senior Chief, during which she was honored with the Leo M. Davidoff  Award for Outstanding Achievement in the Teaching of Medical Students. Her  professional experiences include roles at Fordham University, Albert Einstein  Student Mental Health Counseling Center, and most recently, as an outpatient  psychiatrist at Maimonides Medical Center, where she enjoyed teaching and  supervising residents.  

Treatment approach  

Dr. Baluna emphasizes creating a warm, empathic, and nonjudgmental  therapeutic environment. She collaborates closely with patients to develop  personalized treatment plans that consider cultural, biological,  psychological, and social factors. With a strong interest in psychotherapy,  she frequently employs ego-supportive and insight-oriented therapy techniques  during follow-up sessions.  

What you can expect in a first visit    

During an initial visit, patients can expect a welcoming and supportive  atmosphere where Dr. Baluna conducts a comprehensive assessment. This  involves exploring the patient's history, current challenges, and individual  circumstances. The goal of the first session is to collaboratively build an  individualized treatment plan tailored specifically to the patient's unique  needs.  

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Why Talkiatry?    

We’re a virtual mental health practice that makes it easy to find great  care. We combine quality and convenience to help you thrive—faster. Our  providers, like this one, are highly trained experts who speciualize in  medication management and collaborate with you on a treatment plan that fits  your needs and comfort level.

Lance Briggs is a dedicated Psychiatric Nurse Practitioner with over a decade of clinical and leadership experience. A graduate of the University of North Dakota, Lance began as a psychiatric RN in acute inpatient settings before becoming a psychiatric RN supervisor in a major Houston hospital while pursuing advanced practice.

After becoming a PMHNP, Lance initially worked with outpatient addiction treatment and severe mental illness populations, later expanding into bariatric psychiatry to support patients preparing for weight-loss surgery. When the COVID-19 pandemic paused bariatric procedures, Lance founded a private practice—Grey Matters Mental Health—in Seattle, which was later sold to a larger healthcare organization in Minnesota. Lance then transitioned into correctional mental health, serving underserved populations within the criminal justice system. Currently, Lance is working at Talkiatry, providing compassionate, high-quality care informed by experience across diverse and challenging environments.

Lance understands that every patient is unique. His approach is grounded in Carl Rogers’ principle of unconditional positive regard, creating a safe, calming space where patients feel heard and valued. Lance takes time to explore developmental history, family background, and major life events, recognizing how past experiences shape present challenges. He aims to understand each symptom fully and offers thoughtful, collaborative treatment options.

Dr. Wilbur is a Double Board Certified Psychiatrist in Adult and Addiction Psychiatry. He completed his undergraduate degree in Public Health Studies at Johns Hopkins University and his medical education at the UMass Chan Medical School. Dr. Wilbur completed his psychiatry residency training and addiction psychiatry fellowship training at Yale School of Medicine. His practice focuses on medication management, typically offered in conjunction with supportive therapy in 30-minute follow-up visits. Dr. Wilbur has an interest in treating patients with a wide range of psychiatric conditions including but not limited to depression, anxiety, obsessive compulsive disorder, trauma- and stressor-related disorders, and bipolar disorders. He also has experience treating psychiatric conditions in patients experiencing co-occurring medical illness. Dr. Wilbur believes that successful treatment begins with mutual trust between a patient and their doctor. He uses a warm, nonjudgmental, and collaborative approach. His assessments consider the biological, psychological, and social, and cultural factors that impact mental health. He implements a range of evidence-based treatments to alleviate psychiatric symptoms and improve wellbeing.

Dr. Shahan Syed is a Board-Eligible Psychiatrist who offers personable, compassionate, and empathetic care. Before completing his residency in psychiatry, Dr. Syed graduated from International American University College of Medicine and recently completed his residency at Bergen New Bridge Medical Center in Paramus, NJ. He gained experience as a clinical researcher, emergency medical technician, and a registered nurse in both psychiatric and emergency departments prior to his formal training. This diverse background equipped him with valuable tools to deliver empathetic care to a wide range of patients with experience treating anxiety disorder, traumatic disorders, depressive and bipolar disorders, substance use disorders, ADHD, OCD, and psychotic disorders. During his residency, Dr. Syed also took on the role of chief resident, demonstrating a remarkable ability to educate both his patients and colleagues. Throughout his residency, Dr. Syed actively pursued additional training opportunities at various safety net hospitals in New Jersey to care for underserved populations.

Dr. Syed places significant importance on collaborating with patients and all relevant parties to gain a comprehensive understanding of the factors affecting the patient's life before making treatment recommendations. Additionally, Dr. Syed emphasizes the importance of lifestyle, sleep, mindfulness, and nutrition, and their impact on overall mental health. He has experience in utilizing interpersonal and supportive psychotherapy, along with principles of motivational interviewing and cognitive-behavioral therapy, to foster resilience and meaningful change in partnership with other mental health professionals involved in patient care.

Dr. Syed employs a range of therapeutic methods alongside medication management to ensure a thorough and holistic approach for every patient. His goal is to create a safe environment that encourages healing and wellness, enabling individuals to remain motivated and live their lives to the fullest.

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Dr. Michael Fiori is Board Certified in Adult Psychiatry and Addiction Medicine. He has practiced general psychiatry for 37 years, and has also sub-specialized in Addiction Psychiatry for the past 20 years. Dr. Fiori's practice emphasizes Diagnostic Clarification, which is an ongoing process. He is highly trained and experienced in the biological and psychosocial underpinnings of psychiatric problems. He typically follows diagnostic evaluations with 30-minute follow up visits for medication adjustments and brief therapy. Dr. Fiori often enjoys collaborating with outside therapists when needed. Dr. Fiori graduated from Amherst College and received his medical degree from NY Medical College. He subsequently completed his residency in psychiatry at the Mount Sinai Medical Center in NYC. He excelled in Academic Psychiatry as both a teacher and a mentor. His practice has always combined medications with evidence-based therapies to alleviate suffering and maximize functioning. In addition to his work as a Board Certified Adult Psychiatrist, he has specialized in helping patients suffering from Substance Use Disorders. Dr. Fiori is Board Certified in Addiction Medicine, and helps patients understand the interrelationships between their Substance Use Disorders and their Psychiatric illnesses.

Matthew is a board-certified psychiatric mental health nurse practitioner and received his education in this specialty at Maryville University of St. Louis, Missouri.  He has been working in the mental health field for over 20 years and has provided care to patients in diverse care settings including psychiatric hospitals, outpatient mental health centers, psychiatric home health, and telepsychiatry.  Matthew is passionate about expanding access to high quality mental health care to all in need and greatly enjoys collaborating with patients from diverse backgrounds.  In his free time, he enjoys hiking, camping, reading, traveling, and searching for the best Mexican food around.  

Patients working with Matthew should know that he utilizes a very collaborative approach to patient care.  He does not assume that he knows what's best for patients but works closely with them to find the most appropriate and effective treatment plan for the unique individuals that he treats.  For Matthew, safety is always the first priority, but he does not believe in a "one size fits all" approach to mental health care and is focused on tailoring the treatment to the patient.  Matthew utilizes an empathic approach to mental health treatment and patients will feel heard and valued.  

Matthew's process for working with patients includes a thorough psychiatric evaluation at the initial appointment to make sure we are getting to the right diagnosis and remaining on track to improve the patient's mental health. Follow-up appointments are focused on monitoring for progress or regression and working collaboratively to meet mutually agreed upon goals. Collaboration is key!

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