Christine Reyes, MD

Cecilia Wild is a board-certified psychiatric-mental health nurse practitioner (PMHNP-BC) with a strong background in treating patients across the mental health spectrum. She earned her Bachelor of Science in Nursing from Illinois State University and began her career in a women’s residential facility specializing in mood disorders, eating disorders, and PTSD. She then transitioned to inpatient adolescent psychiatry, where she became a charge nurse and obtained her Psychiatric-Mental Health Nursing Certification (PMH-BC) from the American Nurses Credentialing Center (ANCC). Inspired by her passion for mental health, she pursued her master's degree at the University of St. Francis to become a PMHNP.  

Cecilia has extensive experience treating patients at all levels of care, including inpatient, PHP/IOP, and outpatient settings. She later transitioned to telehealth, providing medication management to college students. She is passionate about mental health advocacy, particularly within the LGBTQ+ community.  

Cecilia takes a team-based, individualized approach to care. She believes in the importance of education, open communication, and empowering patients in their treatment journey. She emphasizes a holistic perspective, incorporating medication management, therapy, and lifestyle modifications.  

Cecilia prioritizes a trauma-informed approach, recognizing the significant role trauma plays in mental health. She integrates mindfulness techniques, motivational interviewing, and lifestyle changes to support overall well-being. By fostering a collaborative and supportive environment, she helps patients build resilience and achieve their mental health goals.

Dr. Siera Kirkland is an adult general psychiatrist. She is a diplomate of the American Board of Psychiatry and Neurology. She has been practicing for 8 years. Dr. Kirkland focuses on collaborative and evidence-based care. She believes it is imperative to form a therapeutic relationship with each individual and work together as a team to formulate the best treatment plan. Her passion is to educate, empower, and support. She specializes in medication management and brief psychotherapy .Dr. Kirkland received her medical degree from Ross University School of Medicine. She completed her residency at The Cleveland Clinic Akron General and Summa HealthSystem in her hometown of Akron, OH. Upon completion of residency, she relocated to Charlotte, NC to start her career as the Lead Psychiatrist at Novant Health Psychiatric Associates- Matthews. Dr. Kirkland has experience in treating various patient populations. Her areas of focus have been perinatal and postpartum depression and anxiety. She has also worked with adults with co-occurring substance use disorders. Special interests include women's health and minority mental health disparities.‍For established patients of Dr. Kirkland, call 917-634-5311 to schedule an appointment and let the care coordinator know you are an established patient.

Dr. Alejandra Vivas is board-certified in adult psychiatry and board-eligible in child and adolescent psychiatry. She completed her general psychiatry residency at Montefiore Medical Center and a child and adolescent fellowship at Mount Sinai School of Medicine. Dr. Vivas brings extensive experience from outpatient, emergency, and telepsychiatry settings. She has advanced training in CBT, Motivational Interviewing, and Psychodynamic Therapy. Fluent in English and Spanish, she is committed to culturally sensitive, individualized care.

Dr. Vivas fosters a warm, respectful, and professional space where patients feel seen and empowered. She values open communication and builds collaborative relationships to align treatment with each person’s values, goals, and lifestyle. Her approach is integrative and flexible, grounded in evidence-based methods to support lasting, meaningful change.

Dr. Vivas begins with a thorough evaluation to understand each patient’s history and goals. She creates customized treatment plans that may include therapy, medication, or both. Drawing on CBT, Motivational Interviewing, and Psychodynamic Therapy, she adapts care to meet evolving needs, aiming to relieve symptoms, foster resilience, and support long-term well-being.

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Dr. Ali Imran is double board-certified in Adult Psychiatry and Child and Adolescent Psychiatry by the American Board of Psychiatry and Neurology. He completed his psychiatry residency training at SUNY Downstate Medical Center. He completed his Child and Adolescent Psychiatry Fellowship at Hofstra/Northwell Zucker Hillside Hospital. He has practiced in various settings over his career, including inpatient psychiatric units, adult and child outpatient treatment clinics, urgent care centers, and emergency psychiatric treatment centers. Dr. Imran has more than five years of experience treating patients with depression, anxiety, OCD, bipolar disorder, ADHD, and learning disorders. Dr. Imran's approach is collaborative, supportive, and patient-centered.�

Background and credentials

Dr. Nina Jacobs is a board-certified psychiatrist specializing in child, adolescent, and adult psychiatry with over 20 years of clinical experience. She earned her medical degree from the University of Chicago, Pritzker School of Medicine and completed her adult, child, and adolescent psychiatry training at NYU School of Medicine. Additionally, she has specialized training in psychodynamic psychotherapy from the New York Psychoanalytic Institute. Before joining Talkiatry, she served as Chief of Adult Behavioral Health at a busy urban community health clinic.

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Treatment approach

Dr. Jacobs believes that understanding and compassion are fundamental to effective psychiatric care. She provides engaged, patient-centered treatment, focusing on reducing symptoms and restoring well-being. Her approach includes comprehensive evaluations, thoughtful medication management, supportive therapy, and the development of stress management skills. She treats youth ages 13-17 and adults with anxiety, depression, bipolar disorder, ADHD, PTSD, and other mental health conditions. For adolescent patients, she includes parental involvement during a portion of appointments to discuss progress and treatment plans.

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What you can expect in a first visit

During the first visit, patients can expect a comprehensive evaluation in which Dr. Jacobs takes time to understand their symptoms, history, and goals. She fosters a collaborative and compassionate environment, ensuring that treatment plans are personalized and patient-centered. Her approach may include medication management, therapy recommendations, and stress management techniques to support patients in achieving their mental health and well-being goals.

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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.

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Gary Etter, MD is a board-certified psychiatrist with experience across outpatient, inpatient, and emergency settings, including many years within the John Peter Smith Healthcare System. He has also practiced in federal correctional psychiatric settings and outpatient care through Tarrant County MHMR. Dr. Etter has been extensively involved in psychiatric education for medical students and psychiatry residents. He has participated in organized psychiatry for many years through the Texas Society of Psychiatric Physicians, serving on multiple committees and previously as President of the Texas Psychiatric Society. He earned his medical degree from the University of Texas Medical Branch in Galveston and completed his psychiatry residency at Timberlawn Psychiatric Hospital in Dallas. He is a Distinguished Life Fellow of the American Psychiatric Association.

Dr. Etter values ongoing patient input and strives to create a collaborative treatment environment where patients are actively involved in decision-making. He emphasizes a warm, supportive approach that helps patients feel heard, respected, and understood throughout their care.

Dr. Etter begins by developing a thorough understanding of each patient’s psychiatric, medical, family, developmental, and substance use history, while also exploring the patient’s concerns and goals. He then works collaboratively with the patient to develop an individualized treatment plan tailored to their unique needs and objectives.