Chelsea Karson, MD

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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Dr. Nieves-Alvarado is a Board-certified psychiatrist who completed medical training at Duke University Psychiatry Program. Originally from Puerto Rico, she is fluent in both English and Spanish, which allows her to connect deeply with a diverse patient population.

Her practice combines medication management with insight-oriented therapy during every visit, promoting a comprehensive approach to mental health care. She advocates for her patients to engage in therapy alongside medication management, as she believes this integrated approach leads to better outcomes and sustained improvement. Dr. Nieves-Alvarado's practice is rooted in a collaborative, team-based approach, working closely with her patients to achieve long-term mental wellness.

Dr. Nieves-Alvarado earned her medical degree from the Universidad Central del Caribe School of Medicine in Bayamon, PR. Afterward, she moved to North Carolina, where she completed her residency at Duke University Hospital. During her training, she was nominated for a fellowship in psychodynamic practice by the Psychoanalytic Center of the Carolinas, showcasing her expertise in this area. She is also a dedicated advocate against childhood sexual trauma.

Her diverse training includes significant experience in jail and forensic psychiatry, as well as the treatment of military veterans under the veteran affairs health care system. She has experience in medically assisted treatments (MAT) for substance use disorders, Electroconvulsive therapy (ECT), and family therapy, enabling her to care for patients with complex needs.

Dr. Nieves-Alvarado treats patients across a wide age range, from young adults to the elderly. Passionate about improving access to mental health care, she joined Talkiatry to help patients facing time or transportation challenges receive the care they need.  

In addition to her clinical practice, Dr. Nieves-Alvarado remains involved with her alma mater’s Behavioral Health Department, contributing to academic education and maintaining a connection with the next generation of medical professionals. She continues to seek ongoing improvement in her field, remaining engaged with medical associations including North Carolina Psychiatric Association, American Psychiatric Association, and Alpha Omega Alpha national medical honor society. Dr. Nieves-Alvarado is committed to working hand-in-hand with her patients to achieve mental wellness.”

Dr. Patricia Michel-Garrison is a board-certified psychiatrist by the American Osteopathic Board of Neurology and Psychiatry (AOBNP) with over a decade of experience in inpatient psychiatry. She completed her undergraduate training in Chemistry in Florida, having moved there from Chicago in 2000, followed by medical school at the Lake Erie College of Osteopathic Medicine (LECOM). She completed her residency in Psychiatry in Largo, Florida. Dr. Michel-Garrison specializes in treating adults aged 18 and over, addressing a wide range of psychiatric conditions including anxiety, mood disorders, and personality disorders. She is known for her holistic approach, integrating both traditional and osteopathic principles to provide comprehensive care. Her treatment style is patient-centered, emphasizing individualized care plans tailored to each patient's unique needs. Dr. Michel-Garrison fosters a collaborative therapeutic relationship, promoting open communication and trust with her patients. Throughout her career, Dr. Michel-Garrison has remained committed to staying current with the latest advancements in psychiatric care. She is dedicated to helping her patients achieve optimal mental health and well-being through a combination of evidence-based practices and empathetic support.

Dr. Ismail is double board-certified by the American Board of Psychiatry and Neurology in both Adult Psychiatry and Child and Adolescent Psychiatry. She earned her medical degree from Cairo University, where she also completed her neurology residency at Cairo University Hospitals. Following this, she pursued psychiatric training at New York Medical College at St. Vincent’s Hospitals, where she was appointed Chief Resident and recognized as Resident of the Year.

Dr. Ismail further specialized with a fellowship in Child and Adolescent Psychiatry at UMDNJ/Rutgers Robert Wood Johnson Medical School. Her career includes multiple leadership roles, notably serving as Chief of the Child and Adolescent Partial Hospital Programs (PHP) at Rutgers University in Newark, NJ, where she provided direct care to young patients. She has also held Medical Director positions across various clinical settings, including child and adolescent inpatient units, outpatient programs, and intensive outpatient services for both adolescents and adults with mental health and co-occurring substance use disorders.

An active educator, Dr. Ismail has been a teaching faculty member, delivering lectures and providing supervision and evaluations for medical residents and child and adolescent psychiatry fellows. Her academic contributions extend to research, where she has served as a principal investigator on multiple studies.

Throughout her career in leadership and teaching, Dr. Ismail maintained an integrative private practice in New Jersey, serving residents of the NJ and NY metropolitan areas before relocating to North Carolina.

Dr. Ismail is passionate about integrative medicine, which combines evidence-based alternative therapies with conventional treatments to optimize outcomes. Her approach focuses on promoting overall wellness, keeping both the body and mind in harmony.

During the diagnostic evaluation, Dr. Ismail will review your medical history and past treatments to develop a comprehensive, personalized treatment plan that prioritizes your overall wellness. In addition to medication management, she incorporates supportive, cognitive, or psychodynamic psychotherapy during follow-up visits, as time allows. When appropriate, she may also recommend referrals to specialized psychotherapists to address your individual needs as part of a holistic treatment approach.

Bethany McCann is a board-certified Adult Psychiatrist. After obtaining her Bachelor of Arts degree in Psychology at Kent State University, she received her medical degree from Ohio Heritage College of Osteopathic Medicine. She then went on to complete her Psychiatry Residency training at The Ohio State University, where she served as a Chief Resident for two years.

Following residency, Dr. McCann pursued an additional year of training through Ohio State, where she completed a Forensic Psychiatry Fellowship. A large portion of her time was spent in the state hospital system, where she learned more about the interplay between psychiatry and the law, provided high-quality psychiatric services to an inpatient forensic population, conducted forensic evaluations, and educated the Court on psychiatric topics through expert testimony.

While Dr. McCann has had experience working in a variety of settings, she has maintained a passion for outpatient psychiatry and building a strong, therapeutic relationship with her patients. Dr. McCann will provide an evidence-based medication management visit for a variety of psychiatric conditions including depression, anxiety, bipolar disorder, ADHD, PTSD, and OCD, while incorporating therapeutic techniques that are tailored to the individual and their goals.

Dr. Amara (She/Her) is an American Board of Psychiatry and Neurology certified psychiatrist. She earned her bachelor's degree in psychology and arts from the University of Albany. She then graduated from St. Matthews University's School of Medicine in the Grand Cayman Islands. After completing her residency at LSUHSC-Ochsner program in 2016, she worked at Ochsner Medical Center, New Orleans for 7 years. Her roles there included working with patients in the field of Consultation Liaison psychiatry. In addition, she was the medical director of the behavioral medical unit (IOP) and the lead of the transcranial magnetic stimulation clinic. Dr. Amara has been very involved in academics and won the Faculty Member of the year, Adult Psychiatry Program, LSU-Ochsner 2021, Teaching Excellence Award in Psychiatry University of Queensland 2019 and Roger Hatchette Award of Excellence in Emergency Psychiatry 2016. She then served in her community at Crescent Care FQHC clinic in 2023. Her interests include providing care for various behavioral health concerns, including Adjustment disorder, Mood disorders, including Treatment resistant depression, Anxiety disorders, PTSD, Neurodegenerative illnesses, Somatic disorders, Gender Dysphoria, and LGBTQIA2S+ community inclusive care. Dr. Amara's practice is focused on the functionality of a person in their life, including relationships, career, physical wellness and living a robust life. She provides primarily medication management but also includes Supportive therapy, Action Oriented therapy, Cognitive Behavioral Therapy, and Motivational interviewing when appropriate. Her style is very approachable, inclusive and always grounded in humanistic values.**THIS PROVIDER CANNOT PRESCRIBE CONTROLLED SUBSTANCES FOR LOUISIANA PATIENTS**