Cecilia Wild, PMHNP

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Nicole Powers is an accomplished Autonomous Psychiatric Mental Health Nurse Practitioner with over 20 years of nursing experience and 6 years as a Nurse Practitioner. She holds a Master's degree in Nursing, specializing in psychiatric mental health, and is certified by the American Nurses Credentialing Center (ANCC). Throughout her career, Nicole Powers has cultivated a deep commitment to mental health care, focusing on patient-centered approaches that empower individuals to achieve optimal well-being.

Before joining Talkiatry, Nicole worked in various healthcare settings, including inpatient psychiatric facilities and outpatient clinics, inpatient critical care units where she honed her skills in diagnosing and treating a wide range of mental health disorders. Her specialties include anxiety, depression, and trauma-related conditions, and she is particularly passionate about integrating holistic practices into her treatment plans.

Nicole Powers treatment style emphasizes collaboration and open communication, ensuring that her patients feel heard and understood. She believes in utilizing evidence-based practices while incorporating patients' personal experiences and preferences into their care. By fostering a supportive and compassionate environment, she aims to help her patients navigate their mental health journeys with confidence and resilience.

As a dedicated advocate for mental health awareness, Nicole Powers also engages in community outreach and education, striving to reduce stigma and promote access to mental health resources. Her commitment to excellence in psychiatric care makes her a valuable asset to the Talkiatry team.

Jennifer DeSetto, PMHNP

Staff Nurse Practitioner

Jennifer DeSetto, RN, MSN, PMHNP-BC is a dedicated and compassionate Psychiatric Nurse Practitioner with extensive experience in a variety of settings, including inpatient psychiatry, private practice, and emergency psychiatry. Since beginning her practice in 2013, she has been committed to providing exceptional care for individuals facing mental health challenges.

She holds a Master of Science in Nursing as a Psychiatric Nurse Practitioner, and she is board-certified by the American Nurses Credentialing Center (ANCC). Over the years, Jennifer has honed her skills in treating a broad spectrum of mental health conditions, with a special focus on adolescents, postpartum depression, and post-traumatic stress disorder (PTSD).

Jennifer is deeply passionate about empowering her patients and believes in a non-judgmental, laid-back approach that ensures a welcoming and comfortable space for healing. Her treatment style is individualized and tailored to each person’s specific needs, providing a thorough and holistic approach to care. She emphasizes building strong, trusting relationships with her patients, ensuring that each individual feels heard, respected, and supported on their mental health journey.

Her diverse background working across various healthcare environments has equipped her with a broad understanding of mental health care and a flexible approach to treatment, allowing her to adapt her strategies to meet the unique challenges faced by those she serves. With her wealth of experience and commitment to individualized care, Jennifer DeSetto, PMHNP-BC continues to be a trusted provider in the mental health field, dedicated to helping her patients lead healthier, more fulfilling lives.

Suzann Gordon, PMHNP

Staff Nurse Practitioner

Dr. Suzann Gordon is a board certified psychiatric mental health nurse practitioner who graduated with her Doctor in Nursing Practice from the University of Nevada Reno. Her years of experience in the mental health field began when she became a behavioral health counselor working with adolescents, then as a psychiatric nurse working with patients across the life span. She's worked in various healthcare settings including pediatric and adolescent residential treatment, acute inpatient care and outpatient as a nurse case manager on the Assertive Community Treatment (ACT) Team for the state hospital.

Since Dr. Gordon has become a psychiatric mental health nurse practitioner, she has worked in community health clinics providing both psychiatric medication management and medication-assisted treatment to patients. She has treated patients with various diagnoses including anxiety, depression, post-traumatic stress disorders, obsessive compulsive disorders, bipolar disorders, schizoaffective disorders, schizophrenias, alcohol abuse disorder and substance use disorders.

As a nurse practitioner, she believes in focusing on patient-centered care, providing a holistic approach to patient management and having a collaborative approach to mental health treatment. She uses supportive psychotherapy and at times cognitive behavioral therapy to help her patients change their thoughts and behaviors in managing their stressors.

Sherra StClair, PMHNP

Staff Nurse Practitioner

Sherra St Clair is a board-certified Psychiatric Mental Health Doctor of Nursing. She has more than a decade of experience working with individuals with a wide range of mental health concerns including attention deficit hyperactivity disorder, depressive and anxious disorders, obsessive compulsive disorder, bipolar disorder, and trauma responses. Sherra completed her Doctor of Nursing degree at the University of Wyoming and was recognized for her compassionate and welcoming approach in patient interactions. Prior to becoming a nurse practitioner, she was inspired to pursue further education while working as part of an inpatient treatment team that included psychiatrists, psychologists, patients, and their families. Witnessing the profound improvements that patients can experience after a crisis motivated her to shift to an outpatient, preventative approach. Previous to nursing, Sherra was a medical illustrator and animator, educated through the University of Michigan's medical school and enjoyed creating medical education for patients, physicians, and attorneys.

Sherra enjoys working with patients of all genders and socioeconomic backgrounds. Through shared decision making, she complements patients' strengths with evidence-based medication, psychotherapy, and education. Sherra recognizes that each individual is the expert in their life experiences. She strives to empower people to build on their self-worth, progress, and potential.

Candice Webb, DO

Staff Psychiatrist

Background and credentials

Dr. Webb is board-certified by the American Board of Psychiatry and Neurology. She earned a Bachelor of Science in Biological Sciences from the University of Miami in Coral Gables, Florida, and obtained her medical degree in Osteopathic Medicine from the West Virginia School of Osteopathic Medicine. Dr. Webb completed her psychiatry residency training at Palm Beach Consortium for Graduate Medical Education in Tamarac, Florida. After her training, she served as an attending psychiatrist with the Department of Veterans Affairs in Miami, Florida, and as an attending psychiatrist and mentor for psychiatry residents in training at the University of Miami, Florida International University, and University Hospital and Medical Center in Tamarac.

Treatment approach

Dr. Webb believes in building strong therapeutic relationships with her patients, integrating conservative psychological treatments and lifestyle modifications to enhance overall well-being and quality of life. She primarily provides medication management combined with supportive or emotionally focused therapy. Dr. Webb emphasizes creating individualized care plans tailored to each patient’s unique needs. While medication and supportive therapy are central to her approach, she occasionally recommends involving an additional therapist to optimize treatment outcomes. Dr. Webb specializes in managing a broad range of psychiatric conditions, including depression, anxiety, bipolar disorder, postpartum depression, OCD, and PTSD.

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What you can expect in a first visit

Patients meeting Dr. Webb for the first time can expect a thoughtful and comprehensive assessment focused on building rapport and understanding their personal and clinical needs. Dr. Webb emphasizes creating a strong therapeutic relationship, developing an individualized care plan designed specifically to address each patient's symptoms and lifestyle. Follow-up appointments typically last around 30 minutes, during which medication management and supportive therapy are provided. Depending on patient needs, Dr. Webb might suggest incorporating additional therapeutic support to achieve the best possible results.

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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 specialize in medication management and collaborate with you on a treatment plan that fits your needs and comfort level.

Anita Green, LPC

Staff Therapist

Anita Green is a Licensed Mental Health Counselor who has worked directly with clients of various demographics and has a variety of mental health challenges. Anita graduated from Texas Wesleyan University in 2014 with a 3.8 GPA in Counseling. She also had the pleasure of studying abroad in Australia and China. Anita has been practicing as a LPC since 2023, focusing on substance abuse disorders and mood disorders that have a direct impact on everyday life. When working with Anita, her treatment will be tailored to the needs of the individual and their struggles. She uses foundational Interventions, including Addiction Counseling, CBT, DBT, ACT, EMDR, Empathy Active Listening, Crisis Intervention, Client Assessment, Therapeutic Boundaries, Self-Care Practices, and Multicultural Competence. Let's take this journey together.

Pamela Walkiewicz, LPC

Staff Licensed Professional Counselor

Ms. Walkiewicz is a licensed professional counselor and is certified by the NBCC. She also has Certifications in Telehealth EMDR, and as a Certified Clinical Telemental Health Provider. Her position at Talkiatry is that of a psychotherapist who works along with a licensed psychiatrist in the states of Pennsylvania and New York. In her career of over 25 years, her areas of focus are: child/adolescents/adults. Pamela offers modalities in CBT, DBT, Trauma Focused CBT, EMDR, Motivational Interviewing, Problem Solving Therapy, Psychoanalytical Therapies, and Adult ADHD. Also trained in modalities for specialty groups such as LGBTQ+. Family/couples Therapy, and Personality Disorders. Also has experience with DID, and Depersonalization. Pamela received her Undergraduate and Master's degree from Gannon University in Erie, Pa. Her majors are Political Science, and Psychology, Master's in Community Counseling. She began her career as a therapist at Sarah Reed Children's Center. She did individual therapy, family, crisis, and assessments. From there, she moved to Alabama to do administrative work and private practice. Now back in Pa. Her work in Pennsylvania and New York focuses on Outpatient Therapy as a Licensed Professional Counselor. Her most recent Certifications are within the work with Telemedicine for mental health conditions. Her work in Pennsylvania and New York focuses on Outpatient Therapy as a Licensed Professional Counselor. Her most recent Certifications are within the work with Telemedicine for mental health conditions.

Sara Mateo, MD

Staff Psychiatrist

Dr. Sara Mateo holds the position of staff Psychiatrist at Talkiatry. She is a board-eligible adult Psychiatrist. Dr. Mateo completed her Medical degree at the University of Benghazi- Faculty of Medicine and finished General Psychiatry Residency training at Tower Health/DrexelPhoenixville Hospital. Throughout her career, Dr. Mateo has actively contributed to various leadership roles and committees, demonstrating her commitment to advancing medical education and promoting diversity in the field. During her training, she generously shared her knowledge through educational presentations and lectures, fostering the growth of fellow trainees and medical students. Dr. Mateo is dedicated to creating a therapeutic environment characterized by warmth, empathy, and nonjudgmental support. Her approach involves collaborating with patients to develop individualized treatment plans that consider cultural, biological, psychological, and social factors. With a primary focus on medication management, Dr. Mateo's keen interest in psychotherapy is evident, as she often integrates supportive therapy, cognitive behavioral therapy, and psychodynamic psychotherapy during 30-minute follow-up visits to optimize wellness and recovery. Dr. Mateo brings a wealth of experience in caring for individuals of diverse ages and backgrounds, adeptly addressing a wide spectrum of conditions. Her expertise extends to treating depressive disorders, bipolar disorders, anxiety disorders, trauma and stress related disorders, ADHD, OCD, Insomnia, psychotic disorders; she also has experience treating individuals with medical comorbidities.

Carly Frix-Rhyne, LPC

Staff Therapist, Clinical Lead

Carly Frix-Rhyne is a Licensed Professional Counselor (LPC), in both Texas and Arkansas, who has extensive experience working in the mental health field. She has worked directly with clients of various demographics, living with a variety of mental health conditions. Carly attended undergraduate and graduate school in her hometown of Texarkana, Texas at Texas A&M University - Texarkana. She completed her practicum and internship working as a therapist in therapeutic foster care, with children, teens, foster parents, and biological families. Carly has been practicing for 7 years as a LPC, focusing on individuals working to cope with trauma, stressful life events, anxiety, depression, and issues coping with and communicating their own needs. Carly has worked for community mental health agencies, non-profit agencies, and private practice organizations. Much of Carly's past work involves providing therapy services to children, teens, and adults who survived abuse/trauma. Carly enjoys working with clients of all ages and with a variety of different presenting mental health needs. She uses different techniques including cognitive behavioral approaches and attachment-based approaches, while maintaining a person-centered theoretical orientation with all clients. Carly utilizes a range of therapeutic tools in hopes of providing clients with practical skills they can begin using immediately. She believes in meeting clients exactly where they are and helping them understand their own needs.

Jose Gomez, LPC

Staff Therapist

Jos� holds the position of Psychotherapist for Michigan, Florida, and South Carolina at Talkiatry. After completing his Master of Arts in Community Counseling in 2012, he spent 7 years fulfilling his passion for integrated care for adults suffering from substance use disorder and mental health challenges. For the past four years, he has been working in private practice working with clients exclusively via telehealth. Jos� provides cognitive therapy, motivational enhancement therapy, and logotherapy to help his patients gain insight into current stressors related to various diagnoses, including post-traumatic stress, affective mood disorder, depression, anxiety, ADHD, and substance use disorder. He strongly believes that collaborating with a physician for medication management allows patients to be more engaged in therapy, resulting in improved treatment outcomes.

Alexis Kropf, MD

Staff Psychiatrist

Dr. Alexis Kropf is a board-certified adult psychiatrist beginning her practice at Talkiatry after four years of clinical experience in residency. Dr. Kropf primarily focuses on providing medication management during 30-minute follow-up visits, weaving in elements of supportive therapy according to the needs of her clients. When additional therapy is indicated to promote recovery, Dr. Kropf may recommend that her clients work with a therapist as part of the treatment team. Dr. Kropf credits her undergraduate education at Southwestern University, a small liberal arts college, for strengthening her curiosity about and dedication to serving others. She received her medical degree from the University of Texas Southwestern Medical Center in Dallas, Texas, where she also completed her psychiatry residency training. During residency, she was involved in medical student education and resident leadership, serving as a chief resident during her final year of training. She also utilized her fluency in Spanish and medical Spanish interpreter training to serve Spanish-speaking patients and to lead Spanish-language group therapy sessions. In addition to psychopharmacology, Dr. Kropf studied psychotherapeutic interventions, including psychodynamic and cognitive behavioral therapies. She has experience working with clients experiencing many different mental health challenges, with a primary clinical focus including the treatment of anxiety, depression, and PTSD.

Richard Hess, MD

Staff Psychiatrist

Dr. Hess is double board-certified in Adult and Geriatric Psychiatry. He completed his psychiatry internship and residency training at St. Vincent's Hospital and Medical Center in New York City, and then completed a geriatric psychiatry fellowship at Mount Sinai Beth Israel Medical Center. Dr. Hess has practiced inpatient psychiatry at the Long Island College Hospital, NYU Langone Brooklyn, and Kingsbrook Jewish Medical Center. He has also worked in emergency rooms, day hospitals, and consultation-liaison settings, as well as seeing geriatric outpatients at a naturally-occurring retirement community (NORC) on the Lower East Side of Manhattan. Dr. Hess has taught St. George's University medical students during their clinical rotations in psychiatry. Dr. Hess has more than 24 years of experience providing patients with compassionate psychiatric care for depressive and bipolar disorders, anxiety, obsessive-compulsive disorder, post-traumatic stress disorder, and dementia. He uses pharmacotherapy as well as supportive psychotherapy. Dr. Hess may believe that additional therapy is also needed and ask that you bring a therapist into your care team to provide the best outcome. The philosophy of his practice is to collaborate with patients to meet their specific needs and make an impact in various stages of their lives.

Cecilia Wild, PMHNP

Education and training

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