Cory Alfers, DO

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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Dr. Debrey is board-certified in adult psychiatry. Her approach is client-centered, individualized, and collaborative. She focuses on building a strong therapeutic alliance with each client to work towards achieving enhanced functioning and meaning in their lives. She works with individuals experiencing a wide range of mental health concerns, including depression and other mood concerns, bipolar spectrum illnesses, OCD, PTSD, anxiety disorders, and substance use disorders. Though she specializes in medication management, she believes in an integrative and comprehensive treatment program that incorporates multiple aspects of an individual's health and wellness. Along with discussing physical health concerns, diet, exercise, personal connection, and stress management, she incorporates various therapeutic modalities, including CBT, DBT, ACT, and mindfulness, into her work. In some instances, Dr. Debrey may recommend more intensive psychotherapy with a collaborating therapist in order to help facilitate the best care possible. Dr. Debrey received her medical degree from Rush Medical College. She also holds a graduate degree in epidemiology from the Johns Hopkins Bloomberg School of Public Health. Following medical school, she completed her residency in psychiatry at Emory University School of Medicine. During her final year of residency, she served as chief resident at Grady Memorial Hospital. Prior to joining Talkiatry, Dr. Debrey was an assistant professor at Emory University Department of Psychiatry, where she worked as an attending psychiatrist at Grady Behavioral Health. While at Grady, Dr. Debrey worked primarily as a community psychiatrist with a focus on working with individuals experiencing psychosis. She also frequently worked on the inpatient psychiatry service at Grady. As an Emory faculty member, teaching and mentorship were an especially meaningful part of her work.‍

Dr. Parrish is a board-certified General Psychiatrist and board-certified Child and Adolescent Psychiatrist. In addition to medication management, Dr. Parrish also provides supportive therapy and cognitive behavioral therapy techniques during appointments. When appropriate, she will refer patients for additional psychotherapy and will work to collaborate with therapists to help patients achieve the best outcomes. She received her medical degree from the Medical College of Virginia/VCU in Richmond, Virginia. She then traveled to Greenville, South Carolina where she completed a General Psychiatry residency at Greenville Health System/PRISMA Health and then returned to Virginia to complete a Child & Adolescent Psychiatry fellowship at The Virginia Treatment Center for Children/VCU Health System. Dr. Parrish is a strong advocate of an integrated approach to treating children and their families. She completed undergraduate training at Randolph-Macon College in Ashland, Virginia, where she studied psychology and elementary education. Prior to entering medical school, she was a licensed elementary school teacher in Virginia where she served children of various learning styles and needs. She continues to have an interest in learning disabilities, other neurodevelopmental disorders, ADHD, mood disorders, as well as many other areas of psychiatry.‍

Bryan Larson is a Psychiatric Mental Health Nurse Practitioner (PMHNP) with a Doctorate of Nursing Practice from Washington State University (2019). He earned his Bachelor of Science in Nursing from Walla Walla University in 2003 and worked for over a decade as an emergency department nurse. Since 2019, he has provided outpatient psychiatric care for diverse patients, offering medication management and support for a variety of mental health diagnoses.

Bryan works with patients from all backgrounds with a focus on treating each individual uniquely. He emphasizes meeting patients “where they’re at” and collaborates in a supportive environment to achieve personalized treatment goals, ensuring every patient feels understood and valued.

During the initial appointment, Bryan reviews a patient’s psychiatric history and current concerns to develop a tailored treatment plan, which may include medication and/or therapy services. He fosters a welcoming environment and continually adjusts care plans to align with each patient’s goals, supporting long-term mental health improvement.

Jaime Sather, PMHNP is a board certified psychiatric nurse practitioner with over 20 years' experience in the mental health field. Specialty areas include ADHD, anxiety, depression, mood disorders, substance abuse, PTSD, and women’s health. Clinical experience with inpatient, outpatient, detoxifications rehab, psychiatric emergency department, IOP, and PHP.

Comprehensive psychiatric evaluations, medication management, and brief psychotherapy are provided. Besides medication management with psychotherapy, individual therapy may be recommended for the best possible patient outcome.

Patients feel comfortable discussing their concerns in a non-judgmental therapeutic environment. Education is provided about diagnosis and treatment options with the patient being empowered to be an active part of their treatment plan.

Mary Birse is a board-certified Psychiatric Mental Health Nurse Practitioner (ANCC) with over 20 years of nursing experience. She graduated magna cum laude with a BSN from Florida Atlantic University and earned her MSN from the University of Florida. She completed a Psychiatric NP Residency at the VA in Charleston, SC. Mary has worked in a variety of settings including the West Palm Beach VA Medical Center, the Palm Beach County Firefighter’s Clinic, various outpatient telehealth platforms, and a child and adolescent inpatient facility. She was also an adjunct professor at Palm Beach State College.

Mary believes in empowering patients through education and collaboration so they can play an active role in their mental health journey. She works to create a warm and welcoming space where patients feel safe, heard, and understood. Whether the treatment path includes therapy, medication, integrative approaches, or a combination, she ensures that the plan reflects the patient's needs and goals.

Mary takes a thorough and holistic approach to care. She spends time understanding each patient’s history and past treatments—what has or hasn’t worked—and listens carefully to their current concerns and future goals. By factoring in lifestyle and preferences, she works with patients to build thoughtful, individualized treatment plans.