Carmen Orellana Martinez, MD

Dr. Alexandre is a board-certified psychiatrist who completed his psychiatry training both in Brazil and in the United States, where he served as Chief Resident in both programs. He is fluent in both English and Portuguese and is especially attuned to the unique challenges faced by international and immigrant populations. Dr. Alexandre is passionate about helping patients achieve meaningful and sustained improvements in their mental health.

He brings over a decade of experience in mental health care and has a strong foundation in evidence-based treatment. His clinical interests include mood and anxiety disorders, ADHD, and cross-cultural psychiatry.

Dr. Alexandre incorporates a collaborative and compassionate approach to care, combining medication management with elements of cognitive behavioral therapy, behavioral activation, and interpersonal strategies when appropriate.

‍

Dr. Mirica Sanders is a board-certified adult psychiatrist. She graduated from Tennessee State University and earned her medical degree from Ohio University College of Medicine. She completed her Psychiatry Residency as Chief Resident at The Cleveland Clinic and pursued advanced training in community and public psychiatry at Case Western Reserve University. Dr. Sanders has experience practicing in both outpatient and inpatient settings and holds a special interest in women’s mental health.

Dr. Sanders values creating a warm and inviting atmosphere where patients feel comfortable and heard. She encourages openness and authenticity, aiming for each patient to leave with a clear understanding of their treatment plan. She also welcomes questions to ensure patients feel fully informed and supported throughout their care.

Patients can expect a conversational interview in which Dr. Sanders gathers medical, social, family, and psychiatric history to inform a personalized treatment plan. Each session involves collaboration, with patients actively participating in shaping their care. Following appointments, patients receive an after-visit summary and instructions to guide them between sessions.

Dr. Colleen Ryan is a psychiatrist who grew up in Kentucky and has trained and practiced in a wide range of clinical settings. Her experience spans inpatient and outpatient care, community mental health, state hospitals, addiction clinics, VA hospitals, and academic medicine. She became board certified in addiction medicine in 2019, deepening her understanding of how addiction affects individuals and families. She has also worked extensively with patients experiencing Post-Traumatic Stress Disorder, including both military- and civilian-related trauma. Her diverse background allows her to appreciate the complex personal, social, and medical factors that influence mental health.

Dr. Ryan believes effective treatment begins with understanding a patient’s life experiences and perspective. She takes time to explore how patients see their challenges and what is or is not working for them. While medication can be an important tool, she does not focus on medication alone and values open discussion about its benefits and concerns. She prioritizes understanding how patients are functioning across all areas of life and strongly values a collaborative approach, viewing treatment as a partnership built on shared decision-making.

Dr. Ryan begins with a thorough evaluation that includes medical and family history, ensuring that underlying medical issues are not overlooked. The first visit is also an opportunity to build rapport and help patients feel comfortable. Together, she and her patients develop a treatment plan aligned with the patient’s goals. She recognizes that goals evolve over time and works collaboratively to adjust treatment as part of the ongoing growth process.

Dr. Kristina Foreman is a board-certified psychiatrist and child and adolescent psychiatrist who earned her medical degree from St. George’s University and completed both psychiatry residency and fellowship at the University of Vermont Medical Center. She served for four years as an attending on a high-acuity inpatient adolescent unit in Denver, leading a multidisciplinary team in the care of complex cases. She also presents nationally on Positive and Lifestyle Psychiatry and has taught these approaches to fellows and residents.

Her style is open, thoughtful, and relationship-focused, creating a space where patients feel safe sharing what matters most. She brings a therapeutic mindset to every encounter and practices strengths-based care to help people connect with resilience and agency. Trained in the Vermont Family-Based Approach, she values family involvement and blends medication management with therapeutic principles and lifestyle psychiatry to support emotional flexibility and values-driven change.

Dr. Foreman begins by gaining a full understanding of each patient’s history, strengths, challenges, and hopes for treatment. She builds individualized plans that may include medication, lifestyle strategies, psychotherapy-informed tools, and family participation when helpful. She incorporates ACT, DBT, CBT, and positive psychology concepts to foster insight and skill development. Follow-up visits focus on refining the plan so progress feels steady, collaborative, and aligned with patient goals.

‍

Dr. O’Mara is a board-certified geriatric and general adult psychiatrist. She is originally from Ohio where she obtained her bachelor’s degree in neuroscience and psychology from Wright State University and attended medical school at Ohio University. She completed her psychiatry residency and geriatric psychiatry fellowship through Michigan State University at Pine Rest in Grand Rapids, Michigan. She has provided psychiatric care in both inpatient and outpatient settings. She was a faculty member and Associate Program Director for Trinity Health Livonia’s psychiatry residency. In her free time, she enjoys drawing and hiking.

Dr. O’Mara eagerly treats a wide range of age groups and conditions and is passionate about patients coping with chronic medical conditions and caregivers. She also has experience with perinatal mood disorders, obsessive compulsive disorder, and PTSD. She strives to deliver evidence-based treatment tailored to her patient’s individual needs.

In addition to medication management, she incorporates brief therapy modalities into her appointments including supportive therapy, cognitive behavioral therapy, and dialectical behavioral therapy skills. She will work with you to determine if more comprehensive therapy may be needed. She also can provide practical and realistic behavioral strategies to caregivers and patients with memory changes. Dr. O’Mara prefers to meet patients where they are in a supportive, safe, and non-judgmental environment.

Dr. Nida Khan is a board-certified psychiatrist starting her post-graduate practice with Talkiatry. She completed her undergraduate degree in Biochemistry at Smith College, earned her medical degree at New York Institute of Technology College of Osteopathic Medicine and completed her psychiatry residency training at Northwell Health. During her residency, she was involved in resident leadership and education, serving as academic chief resident during her third year of training. Dr. Khan's practice focuses on a holistic, patient-centered approach. Her practice is rooted in evidence-based practices and focuses on providing medication management during 30-minute visits along with supportive therapy to meet the unique needs of individuals under her care. Occasionally, she may believe that additional therapy is needed and may recommend a therapist be brought into your care team for optimal care.