Bracha Winograd, LCSW

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Melissa Buhler, LMHC

Staff Licensed Mental Health Counselor

Melissa knows first-hand how powerful the counseling experience can be. Melissa committed herself to the hard work of deep interpersonal counseling and has a passion to help others build a life of hope, joy, and resiliency. As an undergraduate, she studied at Toccoa Falls College in the mountains of North Georgia. She finished her master's degree in Clinical Mental Health Counseling and began working in the Crisis Stabilization Unit. Melissa assisted with the opening of a psychiatric hospital, advocating for the needs of the patient. She has served in Jerusalem and Africa and strives to be inclusive of everyone as an individual of significant value. Melissa focuses on building a strong rapport with her patients, highlighting their strengths, teaching mindfulness, boundaries, emotional regulation strategies, and often writing trauma narratives. She utilizes Solution Focused Therapy, Dialectical Behavioral Therapy, and Trauma-Focused Cognitive Behavioral Therapy. ‍

Osman Athar, MD

Staff Psychiatrist

Dr. Osman Athar is board certified in General Psychiatry and board eligible in Consult-Liaison Psychiatry. He graduated with a Bachelor of Arts in English from Rice University and McGovern Medical School for his medical doctorate, and went on to complete a psychiatry residency at the University of Texas-Houston, where he served as a chief resident. Afterward, he completed a fellowship in Consult-Liaison Psychiatry at Louisiana State University - Ochsner Medical Center in New Orleans. Dr. Athar has experience in treating a wide variety of conditions, including Major Depression, OCD, Bipolar Disorder, ADHD, Eating Disorders, Anxiety Disorders, PTSD, Substance Use Disorders, Delirium, Dementia, and Mental Disorders due to Another Medical Condition. Dr. Athar primarily focuses on medication management in his practice but will typically also use supportive therapy and cognitive behavioral therapy skills with his patients in order to maximize wellness and recovery. Dr. Athar held an academic appointment at the University of Mississippi Medical Center where he was an assistant professor of psychiatry. He served as the clerkship director for the Medical Neuroscience and Behavior Course during his appointment, which required a six-week course for third-year medical students, which included four weeks of psychiatry education. During his appointment, Dr. Athar was also very active in resident education, focusing on topics related to consult-liaison psychiatry. Dr. Athar has experience in treating a wide variety of conditions, including Major Depression, OCD, Bipolar Disorder, ADHD, Eating Disorders, Anxiety Disorders, PTSD, Substance Use Disorders, Delirium, Dementia, and Mental Disorders due to Another Medical Condition. Dr. Athar primarily focuses on medication management in his practice.

Alessandra Buonopane, MD

Staff Psychiatrist

Dr. Buonopane is Board Certified in Adult Psychiatry by the American Board of Psychiatry and Neurology. She obtained her medical degree with Laude from the University of Rome, La Sapienza, and completed her residency in Psychiatry from Yale School of Medicine. Dr. Buonopane has extensive experience in psychopharmacology and offers state-of-the-art medication management with compassion and empathy. She practices a holistic approach, combining psychiatric medications with elements of psychotherapy and mindfulness. She offers individualized and comprehensive treatment plans which address the whole person, including lifestyle and social engagement, because the latest research findings show that both play an important role in mental and physical health. Education on mental illness and recommendations on diet and exercise are always discussed with the patients, according to the individuals' needs. Dr. Buonopane spends time listening to patients and makes plans based on clinical evidence without an authoritative approach, taking into consideration the patient's level of comfort and views because, in her experience, the best outcomes are always reached when patients fully understand and agree with the management of their conditions. Dr. Buonopane has been in practice for more than twenty years and has extensive experience in general Adult Psychiatry with a focus on mood disorder and anxiety. She has been leading clinical programs and teaching medical students, residents, and fellows in psychiatry and addiction in various clinical settings, such as private institutions and universities, including Yale School of Medicine. Prior to joining Talkiatry, Dr Buonopane had her own in-person clinical services for over ten years and telehealth services over the past four years, treating patients suffering mainly from depression, bipolar disorder, and anxiety. When working in private practice, Dr Buonopane received the Compassionate Doctor Recognition (Vitals) and the Patient's Choice Awards (Vitals), both based on patients' reviews.

Amy Bichsel Pacheco Pina, LCSW

Staff Therapist

Amy Bichsel Pacheco Piña is a compassionate and experienced psychotherapist dedicated to helping individuals navigate the complexities of life with resilience and confidence. Amy holds a Master's in Social Work from the University of Nebraska-Omaha in 2008 and is licensed as a Licensed Clinical Social Worker (LCSW). With 16 years of experience in the mental health field, Amy specializes in anxiety, depression, trauma (including Narcissistic Abuse), and grief. Amy prides herself on creating a non-judgmental and healing environment that allows for self-discovery and assists clients in identifying their authentic selves. She has experience in many methods and techniques, ensuring that her approach integrates evidence-based practices with experiential techniques which are tailored to each client's unique needs to allow for nervous system regulation and a sense of safety within themselves. She believes in fostering a collaborative therapeutic relationship where clients feel empowered to set and achieve meaningful goals. From a holistic perspective, Amy incorporates techniques such as identifying strengths, mindfulness, polyvagal techniques, challenging core belief systems, early childhood, and attachment types to heal the mind, body, and spirit. When not working with clients, Amy enjoys being outdoors, reading, and spending time with her husband, son, and two dogs.

Barbara Pack, LPCC

Staff Therapist

Barbara (Barb) Pack is a Licensed Professional Clinical Counselor with the Supervision Endorsement and a Licensed Independent Chemical Dependency Counselor, Clinical Supervisor Endorsement who has been providing mental health treatment for over 24 years and addiction treatment for over 27 years. Barb utilizes a combination of approaches in working with her clients, including person-centered, cognitive behavioral therapy, motivational interviewing, solution focused techniques, and a variety of other techniques. She has experience in several different types of treatment settings and treatment modalities in both Ohio and Florida. Barb enjoys working with individuals who also have co-occurring disorders, both mental health and substance use. Barb has experience working with a wide range of age groups and mental health issues including but not limited to depression, anxiety, trauma, stress management, grief, relationship issues, and a wide range of substance use issues. She will assess individuals' needs in their first few visits and work with them to develop an individualized treatment plan. Barb works to provide the empathetic listening and emotional support that her clients need to reach their goals. Her dream has been to work herself out of a job, as she wants to help her clients find healing and happiness. Barb attended the University of Akron for graduate school in a Community Counseling Program and attended Malone College, now University, and majored in Psychology.

Briana Mathews, MD

Staff Psychiatrist

Dr. Mathews is an adult psychiatrist who works with young adults and adults struggling with anxiety and depressive disorders. She uses a compassionate, non-judgmental, and reflective approach to listening and working with clients. Dr. Mathews' practice focuses on medication management, offered in conjunction with supportive therapy in 30-minute follow-up visits. Dr. Mathews completed medical school at Stony Brook University School of Medicine where she also earned her masters in Medical Humanities, Compassionate Care, and Bioethics. She completed her adult psychiatry residency training program at Montefiore/Albert Einstein College of Medicine. The philosophy of Dr. Mathews' practice is to help promote each individual's natural capacity for healing. She ultimately strives to help clients create rich and meaningful lives while also offering mindfulness skills to empower clients to effectively cope with the pain and suffering that life can bring.

Giselle Brito, MD

Staff Psychiatrist

Dr. Giselle Brito is board-certified in adult psychiatry and has been practicing for over 4 years. She received her medical degree from San Juan Bautista, School of Medicine in Puerto Rico and continued her medical education at Jackson Memorial Hospital & University of Miami Hospital for her 4-year psychiatry residency training program. After completing her training, Dr. Brito worked at the Miami Veterans Affairs Hospital and then the Orlando Veterans Affairs Hospital in the primary care mental health integrated model. Dr. Brito also holds certification in Perinatal Mental Health. Dr. Brito's practice focuses on medication management and supportive psychotherapy in typically 30-min follow up visits. At times, additional psychotherapy is needed and a therapist may be added to provide the best outcome.‍

Derek Miller, LCSW

Staff Therapist

Derek Miller is a Licensed Clinical Social Worker, who has extensive experience working in the fields of substance abuse and mental health. Derek has worked with clients with a large variety of concerns and backgrounds, with more experience with male and minority populations. Derek attended undergraduate school in Alfred, NY, graduate school in Rochester, NY, including a school-based visit to Estonia to learn about social work systems abroad. Derek's greatest passion is helping people make lasting change in their lives. His approach draws both on professional and personal experiences with addiction, trauma, first responders, relationships and more. By creating a space and relationship where you feel safe, valued, and respected, Derek works together with you to overcome the challenges of today and build resiliency for the challenges yet to come. Therapy can be a truly transformative experience, when it is built on human connection and dedication to change. Derek takes an active approach, which includes asking tough questions while staying respectful, as well as humor and friendly conversations when appropriate. Therapy begins with building trust and a good relationship. Derek utilizes experiences from various practice models, including Cognitive Processing Therapy, Solution Focused Therapy and Motivational Interviewing.

Mark Helms, MD

Staff Psychiatrist

Dr. Helms is a graduate of the University of Arizona College of Medicine. He completed his General Psychiatry and Child/Adolescent fellowship training at the University of Texas, Health Science Center at San Antonio. He has over 25 years of experience as a psychiatrist treating patients of all ages (child, adolescent, and adult�including geriatric) while working in a multitude of treatment settings including outpatient clinics and psychiatric hospitals. He also has several years of experience working as a psychiatric consultant for medical-surgical hospitals, seeing an extensive variety of patients on all floors of the hospital from mother-baby to pediatrics, as well as adult patients on the medical and surgical floors. Dr. Helms takes with him into each patient encounter, his wide breadth of experience and his genuine care and concern for each and every individual patient. He provides both medication treatment and talk therapy. He understands that many patients greatly benefit from either short or long term medication treatment; however, he also understands that talk therapy can oftentimes lead to significant, long lasting positive change, personal growth, and improvements in occupational and relationship success. Moreover, patients will always find Dr. Helms encouraging and supportive as they search for greater meaning and purpose in their lives.

Michael Murphy, MD

Staff Psychiatrist

Dr. Michael A. Murphy is board-certified in General Psychiatry as well as Child and Adolescent Psychiatry by the American Board of Psychiatry and Neurology. He has over 20 years of experience practicing medicine in outpatient, acute, and residential settings. He provides psychiatric assessments and medication management along with brief supportive psychotherapy. He is a strong advocate of collaboration between psychiatric care and psychotherapeutic interventions and encourages the utilization of therapists and counselors. Dr. Murphy holds a bachelor's degree in Chemistry Pre-med from Florida A & M University and a Medical Degree from the University of Florida College of Medicine. He completed both his residency in General Psychiatry and Fellowship in Child and Adolescent Psychiatry at the University of Virginia. He formally served as Chief of Behavioral Health Services at Ft. Eustis, Virginia. He has previously provided acute care and residential treatment at Newport News Behavioral Health Center, outpatient services in the community, and the foster care system. He has recently served as medical director of Harbor Point Behavioral Health Center. Dr. Murphy has an extensive history of providing care for both the adult and child population. He specializes in the treatment of children with Mood Disorders, Anxiety Disorders, ADHD, and Pervasive Developmental Disorders.

Stephanie Jarvie, MD

Staff Psychiatrist

Dr. Stephanie Jarvie is a board-certified psychiatrist and has been practicing for over eight years. Stephanie completed her Bachelor's degree at the University of Bristol in her native United Kingdom. She attended Saint George's University school of medicine in Grenada and completed her residency training in psychiatry at New York Medical College Metropolitan Hospital in NYC, New York. As chief resident, Dr. Jarvie learned to balance her clinical experience with organizational duties and scholarly activities. She has played a crucial role, both clinically, and has been a part of multi-disciplinary treatment teams. More recently, she has been an inpatient clinical psychiatrist at Banner University medical center in Arizona and has served as an assistant professor of psychiatry at the University of Arizona for four years. Stephanie is from Edinburgh, Scotland. Her studies and training have taken her on a journey from the United Kingdom and the Caribbean to New York City and Arizona. She uses her exposure to diverse patient populations from around the world to help with her clinical skills and treatment plans. Dr. Jarvie has a wealth of knowledge and experience in treating a diverse range of psychiatric disorders such as major depression disorder, anxiety, bipolar spectrum disorder, and post-traumatic stress disorders. Dr. Jarvie's practice focuses on medication management. She offers this in conjunction with supportive therapy in 30-minute follow-up. She works collaboratively with patients to develop individualized treatment plans to help them achieve their goal, which may include medication management, lifestyle interventions, and stress reduction techniques. Dr. Jarvie believes that additional therapy may be necessary and asks that you bring a therapist into your care team to provide the best outcome.

Stephanie Negrey, MD

Staff Psychiatrist

Dr. Stephanie Negrey is a board certified psychiatrist. She completed her undergraduate degree in Biology and History at Fordham University in the Bronx and then attended medical school at the Renaissance School of Medicine at Stony Brook University. She completed her residency at Wright State University in Dayton, Ohio as a member of the United States Air Force. Dr. Negrey served as an active duty psychiatrist; her duties included medical director of the mental health clinic at a special operations base as well as a program manager for the Air Force substance use program. Dr. Negrey has experience treating a wide range of ages and diagnoses, with particular emphasis on personality disorders, depression, anxiety, and post traumatic stress disorder. She integrates supportive and psychodynamic therapies into her medication management appointments with a goal of achieving improvement through a holistic approach. Dr. Negrey will work with patients to reach their goals for their mental health care while also providing a compassionate and collaborative environment. Dr. Negrey looks forward to working with you!

Bracha Winograd, LCSW

Education and training

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