Clara Kim, MD

Dr. Lauren Miller earned her medical degree from Loma Linda University and completed her psychiatry residency at the University of Miami. She has experience working in both inpatient and outpatient psychiatry, caring for individuals from diverse backgrounds and with a wide range of clinical needs. Dr. Miller has a special clinical interest in lifestyle and integrative psychiatry, particularly the role of nutrition, exercise, sleep, and mind-body practices in supporting mental health.

Dr. Miller strives to create a warm, collaborative, and non-judgmental environment where patients feel truly heard and supported. She values whole-person care, addressing not only mental and emotional health, but also physical and spiritual well-being. She believes in partnering with patients to create treatment plans that reflect their values, goals, and strengths. Her approach emphasizes accessibility, practicality, and empowerment, providing patients with tools they can integrate into daily life.

Dr. Miller begins with a thorough, compassionate evaluation, taking into account both medical and psychiatric history as well as personal goals. She develops personalized treatment plans that may include a blend of medication, psychotherapy, and lifestyle approaches. Dr. Miller encourages small, sustainable steps in areas such as nutrition, sleep, movement, and stress management, with the goal of not only reducing symptoms but also building resilience and long-term wellness.

Dr. Orejarena is board certified by the American Board of Psychiatry and Neurology. She finished her residency from Yale University and the University of Texas Houston. She has done extensive research on psychiatry during her PhD in Neuropsychopharmacology and a Master's in Neuroscience. She is bilingual in Spanish and English. She incorporates different therapy modalities and evidence-based treatments, tailored to each person's needs. She enjoys applying her knowledge in neuroscience and pharmacology into her clinical practice and believes a combination of medication and psychotherapy yields the best treatment outcomes.

Her ultimate goal is to help patients feel their best and accomplish their own goals by developing tools to navigate internal or external obstacles that are part of life. Dr. Orejarena is originally from Colombia, where she earned her medical degree from Universidad Industrial de Santander. She pursued a Master's in Neuroscience at the University of Barcelona and a PhD in Neuropharmacology at the Universidad Pompeu Fabra in Barcelona, Spain. Her PhD thesis was honored summa cum laude.

She completed a postdoctoral fellowship training at the Institut de Neurobiologie de la Mediterranee in Marseille, France. She is the author of multiple peer-reviewed publications and has presented her research at national and international meetings. Over the years, she has worked in a variety of settings including outpatient clinics, acute care, psychiatric hospitals as an Assistant Professor of Psychiatry at the University of Texas Health Sciences Center.‍‍

Dr. Lauren McClairen is a psychiatrist board certified in General Psychiatry and Addiction Medicine. She completed her medical and psychiatric training at Meharry Medical College in Nashville, TN and a fellowship in Addiction Medicine at Baptist Memorial Hospital in collaboration with IAC (Integrated Addiction Care) in Memphis, TN. Dr. McClairen has clinical experience and practice working with other specialties and disciplines in treatment teams and integrated care models both in the inpatient and outpatient setting. She has held an academic appointment at Baptist Memorial Hospital where she enjoyed teaching and supervising medical residents and fellows in training. She most recently served as the Regional Behavioral Health Medical Director for a group of mental health clinics throughout Tennessee, and as the Chief of Psychiatric Services for a residential treatment facility in Mississippi that also had Partial Hospital and Intensive Outpatient Programming (PHP/IOP). She is experienced in treating patients with a variety of mental health diagnoses including but not limited to depression, bipolar disorder, anxiety disorders, ADHD, OCD, PTSD, and those with a history of substance use disorders. Dr. McClairen works collaboratively with her patients to provide treatments tailored to each patient's individualized needs. She prioritizes building trusting relationships and fostering open communication. Patients can expect a compassionate approach often with utilization of supportive therapy, mindfulness, and at times cognitive behavioral and psychodynamic psychotherapy techniques to address their psychosocial stressors and unique needs.

Dr. Kasey Broom earned her medical degree from the University of South Carolina School of Medicine Greenville and completed general psychiatry residency and an addiction psychiatry fellowship at the Medical University of South Carolina in Charleston. She holds undergraduate and master’s degrees in biomedical engineering. Dr. Broom has experience in telepsychiatry, inpatient, outpatient, and interventional psychiatry settings, with expertise in treating mood, anxiety, trauma-related, attention, and substance use disorders, as well as women’s behavioral health and veteran populations.

Dr. Broom believes it’s a privilege to be part of her patients’ healing journey. She fosters authentic, therapeutic relationships in a supportive, judgment-free space that encourages open, honest communication. Her collaborative style integrates motivational interviewing, supportive psychotherapy, and cognitive behavioral strategies, all while providing evidence-based, patient-centered care that may include medication, therapy, and lifestyle changes.

In the initial session, Dr. Broom focuses on understanding each patient’s history, concerns, and personal goals. She creates individualized treatment plans that align with those goals and emphasizes education to help patients better understand their diagnoses. Through this approach, she empowers individuals to actively participate in their care and take meaningful steps toward recovery.

Dr. Upton Thomas is a board-certified psychiatrist who takes a warm, collaborative, and evidence-based approach to care. With a focus on treating mood disorders, anxiety, OCD, and substance use, he integrates psychopharmacology and psychotherapy to support patients in achieving meaningful change. He brings curiosity, creativity, and a deep respect for each individual’s story to his clinical work.

Patients often find Dr. Thomas easy to talk to and appreciate his calm, thoughtful demeanor. He emphasizes shared decision-making and believes that treatment works best when the patient’s values and voice are at the center. Dr. Thomas aims to create a safe space for honest dialogue and ongoing reflection as treatment evolves.

Dr. Thomas begins with a comprehensive evaluation to understand each patient’s mental health history, current concerns, and goals. He then develops an individualized treatment plan that may include medication, therapy, or both. He prefers to use the lowest effective dose of medications and often integrates psychotherapeutic strategies such as CBT, DBT, or insight-oriented work into his sessions.

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Dr. Thomas Spina is an adult psychiatrist who began his practice at Talkiatry after completing his psychiatry residency at the Eastern Long Island branch of Stony Brook University, where he treated a diverse patient population. Dr. Spina received his undergraduate degree from St. John's University in Queens where he studied Philosophy. Initially interested in a career in law, Dr. Spina decided to change gears and pursue a career in medicine after watching a relative struggle with her diagnosis of Diabetes Mellitus. Dr. Spina then completed medical school at Tel Aviv University in Israel, where he fell in love with psychiatry during his clerkship at Ichilov medical center. During that rotation, he came to appreciate how each patient has his or her own unique story, regardless of their diagnosis. Dr. Spina favors a holistic and integrative approach to psychiatry, combining medication management with supportive therapy, elements of cognitive behavioral therapy, while remaining open to other treatment modalities depending on the needs of his patients. When more focused therapy is indicated, Dr. Spina may recommend that his patient work with a provider specializing in a particular modality of therapy as part of their treatment. Dr. Spina treats adult patients with mood disorders including major depressive disorder and bipolar disorder, anxiety spectrum disorders, OCD, PTSD and specific phobias. In his spare time, Dr. Spina enjoys a variety of hobbies, including Brazilian Jiu-Jitsu, running, baseball, and exploring new eateries and shops.