Chelsea Karson, MD

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Dr. Goicochea is Peruvian and speaks Spanish fluently. She is a "triple Gator” having completed her undergraduate and medical degree at the University of Florida (UF) and psychiatric training at UF Jacksonville. She was recognized by the Gold Humanism Honor Society for exemplary service, integrity, clinical excellence, and compassion and awarded Resident of the Year for exceptional clinical skills and commitment to patients. Dr. Goicochea is a board-certified adult psychiatrist who specializes in providing person-centered mental health care. She believes in a comprehensive, holistic approach to best improve the overall well-being of her patients; she explores psychosocial and physical health contributions to psychiatric symptoms and incorporates therapy into visits to develop a deeper understanding of the particular psychiatric concerns and their impact on patients' lives. Dr. Goicochea actively listens and creates an empathetic, non-judgmental space to work collaboratively with patients in achieving treatment goals. Dr. Goicochea's expertise is in the combination of evidence-based medication management with psychotherapy, which includes supportive, person-centered, cognitive behavioral, acceptance and commitment, interpersonal, and solution-focused therapy. While she enjoys working with young adults, her skills and experience allow her to effectively assist patients of all ages. Her clinical areas of interest include the treatment of depression, bipolar disorder, anxiety, and ADHD.

Janeen Paul, MD

Staff Psychiatrist

Dr. Paul has worked in outpatient private practice psychiatry for nearly 20 years. Throughout her career, she has combined medication management with talk therapy, to provide comprehensive care tailored to each patient's needs. Dr. Paul received her MD from The University of Iowa. She completed an intern year in Obstetrics and Gynecology at The University of Illinois, Chicago, and went on to psychiatry residency at Lutheran General Hospital in Park Ridge, IL. Dr. Janeen Paul is board certified in Adult Psychiatry. She specializes in Women's Issues, including pregnancy, postpartum and menopause, and has extensive experience treating depression, bipolar disorder and anxiety disorders, including OCD and PTSD. The mind/body connection is at the forefront of her care, with attention paid to diet and exercise as well as breathing and meditation. She often collaborates with primary care physicians and therapists to provide a team approach to treatment. She treats patients over age 18.‍

Thomas Mullenix, MD

Staff Psychiatrist

Dr. Mullenix is a board-certified adult psychiatrist who strives to form strong therapeutic and collaborative environments with patients and values patient empowerment. Dr. Mullenix received his medical degree from the Chicago Medical School and then went on to complete his residency in psychiatry at Advocate Lutheran General Hospital. His interests and expertise are in helping patients struggling with depression, anxiety, including social/obsessive compulsive and generalized anxiety disorders, and ADHD. He provides psychiatric medication management along with supportive, cognitive behavioral therapy (CBT) and other modalities of therapeutic treatment. Dr. Mullenix's practice focuses primarily on medication management, or pharmacotherapy. He routinely incorporates supportive therapy into his 30-minute follow-up visits. Dr. Mullenix may occasionally recommend that a therapist be part of the care team to provide optimal outcomes. The philosophy of his practice is to actively involve patients in the decision-making process to improve adherence to treatment and build trusting relationships with all patients.

Michael Fiori, MD

Staff Psychiatrist

Dr. Michael Fiori is Board Certified in Adult Psychiatry and Addiction Medicine. He has practiced general psychiatry for 37 years, and has also sub-specialized in Addiction Psychiatry for the past 20 years. Dr. Fiori's practice emphasizes Diagnostic Clarification, which is an ongoing process. He is highly trained and experienced in the biological and psychosocial underpinnings of psychiatric problems. He typically follows diagnostic evaluations with 30-minute follow up visits for medication adjustments and brief therapy. Dr. Fiori often enjoys collaborating with outside therapists when needed. Dr. Fiori graduated from Amherst College and received his medical degree from NY Medical College. He subsequently completed his residency in psychiatry at the Mount Sinai Medical Center in NYC. He excelled in Academic Psychiatry as both a teacher and a mentor. His practice has always combined medications with evidence-based therapies to alleviate suffering and maximize functioning. In addition to his work as a Board Certified Adult Psychiatrist, he has specialized in helping patients suffering from Substance Use Disorders. Dr. Fiori is Board Certified in Addiction Medicine, and helps patients understand the interrelationships between their Substance Use Disorders and their Psychiatric illnesses.

Juliet Nichols-Nicolescu, MD

Staff Psychiatrist

Dr. Juliet Nichols has been a diplomate of the American Board of Psychiatry and Neurology since 2002 and has been practicing psychiatry for over 25 years. While an expert in psychopharmacology, Dr. Nichols has an integrative approach to treatment and she often incorporates psychotherapeutic techniques when appropriate, tailoring every treatment to each patient's individual needs. She completed her Psychiatry residency at Stony Brook-SUNY and Geriatric Psychiatry Fellowship at the Albert Einstein School of Medicine. Over the last two decades, Dr. Nichols served as an attending psychiatrist at JT Mather Hospital in Port Jefferson, NY, where she became proficient in delivering stellar psychiatric care in a variety of settings. She specializes in treating adult and geriatric mental illnesses, including: Depression, Anxiety Disorders (eg, OCD, Panic Disorder, GAD, PTSD), ADHD, and Cognitive Disorders in the elderly. Dr. Nichols strives to help her patients gain insights into their inner conflicts, unveil their strengths, accept their limitations, and build their coping skills. Her approach is dynamic, straightforward, and empathic so patients always feel safe, understood, and at ease. She engages the patient to be an active participant in treatment decision-making, creating a strong therapeutic alliance.‍

Krista Alexander , MD

Staff Psychiatrist

Dr. Krista Alexander is a board-certified psychiatrist who loves equipping her fellow human beings to feel and function better. She studied medicine at the University of Texas Southwestern Medical School and completed her residency at Duke University. She has worked in both private practice and integrated primary care/behavioral health care settings. She is a member of the American Psychiatric Association and the North Carolina Psychiatric Association. Krista offers medication management and supportive psychotherapy for mood disorders, anxiety disorders, trauma, ADHD, substance use disorders, and other mental health issues. She strives to embody "relational prescribing” and believes that med management is most effective in the context of a relationship of mutual trust, emotional safety, and shared decision-making between provider and patient. She has trained in psychodynamic psychotherapy and various forms of cognitive behavioral therapy, and tailors her approach to each patient's individual strengths and needs. Krista understands that the needs of the whole person must be addressed in order to facilitate growth and healing. She enjoys collaborating with fellow medical/mental health providers to address a patient's complex needs as an integrated team.

Ashlyn Tellers, PMHNP

Staff Nurse Practitioner

Dr. Ashlyn Tellers is a board certified Psychiatric Mental Health Nurse Practitioner. She received her Doctorate degree in nursing with an emphasis in psychiatry, in 2020 from the University of Arizona. She has been caring for mental health patients for twelve plus years in the long-term care, inpatient, residential, and outpatient settings. She specializes in treating adults with depression, anxiety disorders, bipolar disorder, ADHD, and OCD with medication management and supportive therapy. She focuses on educating her patients to build a therapeutic and safe treatment plan with every patient. Dr. Tellers encourages her patients to discuss their past mental history and current stressors to finding the root cause of their triggers and identify healthy coping skills, while also referring patients to therapists for more specialized therapies.

Alexandra Baluna, MD

Staff Psychiatrist

Background and credentials

Dr. Alexandra Baluna, MD, is board-certified by the American Board of Psychiatry and Neurology. She received her medical degree from LSUHC-Shreveport and completed her psychiatry residency training at Montefiore/Albert-Einstein College of Medicine, where she served as chief of the Consultation-Liaison (C/L) service. Following residency, Dr. Baluna served as Senior Chief, during which she was honored with the Leo M. Davidoff Award for Outstanding Achievement in the Teaching of Medical Students. Her professional experiences include roles at Fordham University, Albert Einstein Student Mental Health Counseling Center, and most recently, as an outpatient psychiatrist at Maimonides Medical Center, where she enjoyed teaching and supervising residents.

Treatment approach

Dr. Baluna emphasizes creating a warm, empathic, and nonjudgmental therapeutic environment. She collaborates closely with patients to develop personalized treatment plans that consider cultural, biological, psychological, and social factors. With a strong interest in psychotherapy, she frequently employs ego-supportive and insight-oriented therapy techniques during follow-up sessions.

What you can expect in a first visit

During an initial visit, patients can expect a welcoming and supportive atmosphere where Dr. Baluna conducts a comprehensive assessment. This involves exploring the patient's history, current challenges, and individual circumstances. The goal of the first session is to collaboratively build an individualized treatment plan tailored specifically to the patient's unique needs.

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

Holly Shiao, MD

Staff Psychiatrist

Dr. Holly Shiao is a psychiatrist who has worked extensively with medically complex patients, including a special focus in psycho-oncology with cancer patients. She is double board-certified in Consultation-Liaison Psychiatry and Adult Psychiatry. She has been practicing for over 7 years. Before Talkiatry, Dr. Shiao worked as an Assistant Professor at the University of Washington and Fred Hutchinson Cancer Center. She also worked as an Assistant Professor and was Director of Emergency Psychiatry at the University of Chicago. She has presented nationally at the Academy of Consultation-Liaison Psychiatry and written a book chapter about psycho-oncology. Dr. Shiao attended medical school at John P. and Kathrine G. McGovern Medical School at the University of Texas Health Science Center at Houston. She then completed an Adult Psychiatry residency at the University of Texas Medical Branch at Galveston, followed by a Consultation-Liaison fellowship at Dell Medical School at the University of Texas at Austin. Dr. Shiao is interested in the mind-body connection in overall emotional and mental well-being. She likes to integrate therapy modalities, such as cognitive behavioral therapy, supportive therapy, mindfulness and meditation with medication management to optimize a patient's mental health.

David Jiang, MD

Staff Psychiatrist

Dr. Jiang is a board-certified adult psychiatrist. His practice focuses on medication management and supportive therapy. His major goal is for treatment to be patient centered, with a focus on high quality, evidence-based care in the safest and most meaningful way. Dr. Jiang completed an undergraduate degree at the University of California, Los Angeles. He received his medical degree from Oakland University William Beaumont, School of Medicine. He then completed his psychiatry residency at Loyola University Medical Center. Dr. Jiang's areas of interest include depression and post-traumatic stress disorder.‍

Michael Underriner, MD

Staff Psychiatrist

Dr. Michael Underriner is an adult psychiatrist. His approach to treatment is holistic, taking into account the entire person, and emphasizes the importance of the therapeutic bond to help people reduce suffering and achieve their goals. He is a member of the Gold Humanism Honor Society. Dr. Underriner's practice focuses on a mix of medication management, offered in conjunction with supportive therapy in 30-minute follow-up visits, and insight-oriented psychotherapy offered in weekly 45-minute visits. He works with people struggling with ADHD, depression, anxiety, obsessive-compulsive and related disorders, and difficulties with self-esteem and relationships. Occasionally Dr. Underriner may believe that additional therapy is warranted and recommend a separate therapist to provide the best outcome. He received his medical degree from the University of Chicago Pritzker School of Medicine and completed his residency training at New York University. During training, he gained experience treating patients with various psychiatric illnesses in several different clinics and hospital-based settings. He worked with experts in the field of depression and provided consultations for patients considering transcranial magnetic stimulation. He also published a review article on long-term injectable medications for psychosis. Dr. Underriner has maintained an interest in teaching and remains connected to the psychiatry department at NYU. He has supervised and taught junior residents and medical students. Additionally, he is interested in global health and disparities in access to care and has traveled to Ghana to teach medical students rotating through psychiatry at the university there.

Abigail McMorrow, LCSW

Staff Therapist

Abigail McMorrow is a Licensed Clinical Social Worker with experience providing psychotherapy to individuals and families, and group therapy with a wide range of mental health diagnoses. Abigail graduated from the University of Chicago with a master's in social work. She received her bachelor's in arts from Hampshire College, where she studied social work and psychology. Abigail has extensive experience working with people from all socioeconomic and cultural backgrounds in San Francisco, Chicago, and New York City. She specializes in working with people who experienced and are experiencing trauma, struggling to manage substance use, as well as people diagnosed with mood disorders and anxiety. Abigail draws from a relational approach to the therapeutic relationship pulling from trauma-informed care, psychodynamic principles, and mindfulness techniques. Flexibility is core to Abigail's trauma-informed approach and incorporates Motivational Interviewing, CBT, and DBT principles as may be needed. Abigail works to hold space for your unique experience and support a better understanding of yourself and your relationships, a greater sense of meaning and purpose, and an increased ability to manage the challenges of everyday life.

Chelsea Karson, MD

Education and training

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