Bryce Thacker, PMHNP

Dr. Shalini Dutta is a medical doctor with experience working across outpatient, inpatient, and community mental health settings. She has extensive experience caring for underserved and diverse populations and was a recipient of the SAMHSA Minority Fellowship Program Grant. Her fellowship training included a focus on Seeking Safety, an evidence-based, trauma-informed treatment model. Dr. Dutta has a strong clinical interest in trauma, trauma-informed care, and integrating psychotherapy principles with medication management. Her clinical work includes treating mood disorders, anxiety, trauma-related conditions, and substance use disorders.

Dr. Dutta values open, collaborative communication and takes a warm, respectful, and nonjudgmental approach to care. She emphasizes partnership and shared decision-making, ensuring patients feel heard and actively involved in their treatment. She brings a trauma-informed lens to her work and collaborates closely with patients to clarify goals and align care with their values. Dr. Dutta takes a holistic view of mental health, considering biological, psychological, and social factors.

Dr. Dutta begins care with a thorough assessment of psychiatric history, current concerns, and treatment goals. She prioritizes understanding how past experiences and trauma may influence present symptoms. Treatment plans are individualized and evidence-based, integrating medication management with therapeutic principles and psychoeducation. She collaborates with therapists and other providers as needed and regularly reviews progress, adjusting treatment based on patient feedback.

Dr. Elizabeth Cox is a board-certified psychiatrist with over 20 years of experience providing compassionate, evidence-based care to adults. She believes healing begins with being heard and strives to create a supportive, nonjudgmental environment where patients feel comfortable sharing their experiences and working toward meaningful change.

Dr. Cox takes a collaborative approach to mental health, considering biological, psychological, social, and environmental factors. She values empathy, curiosity, and respect, and partners with patients to explore treatment options that align with their goals, including therapy, medication, and lifestyle changes.

Your first visits with Dr. Cox will focus on understanding your history, challenges, and treatment goals. Together, you will develop a personalized plan that is manageable, supportive, and grounded in trust. She ensures each patient feels safe, respected, and truly heard throughout the care process.

Dr. Carrie Ramos is a compassionate and skilled adult general psychiatrist with a commitment to providing comprehensive mental health care. A native of Texas, Dr. Ramos embarked on her medical journey at the Burrell College of Osteopathic Medicine in New Mexico, where she obtained her medical degree. Following her passion for psychiatry, she completed her residency at HCA Florida Woodmont Hospital, honing her expertise in adult psychiatric care. Dr. Ramos brings a diverse background to her practice, having earned her Bachelor's degree in Exercise Science from the University of Mary Hardin-Baylor. This foundational knowledge underscores her holistic approach to mental health, recognizing the interconnectedness of physical and emotional well-being. As a board eligible psychiatrist, Dr. Ramos is dedicated to staying current with the latest advancements in psychiatry and utilizing evidence-based treatments to support her patients. Her approach is characterized by empathy, active listening, and a commitment to fostering a therapeutic alliance with each individual under her care. With a deep-rooted passion for helping others, Dr. Ramos is driven to empower her patients on their journey toward mental wellness. Her Texas roots, coupled with her diverse educational background and clinical experiences, uniquely position her to understand and address the diverse needs of her patients. In her role as a psychiatrist, Dr. Ramos is poised to make a meaningful impact in the lives of those she serves, offering hope, healing, and support to individuals seeking guidance on their path to mental health recovery.

Dr. Patricia Klaine is an attending physician working at Talkiatry. She is board certified in adult psychiatry. After completing her training in adult psychiatry, she continued her education by completing a fellowship in consultation-liaison psychiatry, which enables her to treat patients with a variety of medical comorbidities confidently. Dr. Klaine focuses on medication management. She offers this in addition to supportive psychotherapy in 30-minute follow up visits. For some patients, it may be important to bring in additional psychotherapy for well-rounded care. Dr. Klaine received her medical degree from St. George's University in Grenada, and after that, she completed her training in general adult psychiatry at Maimonides Medical Center in Brooklyn, New York. She went on to complete a fellowship in consultation-liaison psychiatry at Mount Sinai Hospital in New York. After completing her training, she worked on an inpatient psychiatric unit before deciding to transition into outpatient psychiatric care. She looks forward to a collaborative relationship with her patients.

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. ‍

Xavier Diao, MD (he/him) is a board-certified psychiatrist. He earned his undergraduate degrees in Psychology and Biological Sciences at the University of Maryland, where he also obtained his medical degree. Dr. Diao completed his psychiatry residency at the Icahn School of Medicine at Mount Sinai, received additional training in child and adolescent psychiatry at Columbia and Cornell, and finished a psychoanalytic fellowship at the New York Psychoanalytic Society & Institute. Prior to joining Talkiatry, he was an Assistant Professor of Clinical Psychiatry at the University of Pennsylvania, where he provided clinical care and teaching along the undergraduate-graduate medical education continuum.

Dr. Diao's therapeutic orientation is informed by psychodynamic, cognitive behavioral, and dialectical behavior modalities. He has expertise in the treatment of a diverse range of mental health conditions, including depression, anxiety, OCD, and PTSD. Dr. Diao uses a developmentally informed and LGBTQ-affirmative approach in his practice, with the aim of enriching meaning and alleviating suffering in the domains of work, play, and love.

Dr. Diao begins each encounter with gentle curiosity, inviting patients to share their stories without fear of judgment. Together, he crafts an individualized treatment plan with the patient that may include medication, psychotherapy, and/or referrals to subspecialty care, always in close collaboration with other members on the treatment team.

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