Daniel Azzopardi, MD

Dr. Michael Gravenstein earned his medical degree from the University of Florida College of Medicine, where he also completed his psychiatry residency. During training, he was recognized with multiple awards, including the Malcom Randall VA Resident of the Year Award, the Ross A. McElroy Psychotherapy Award, and the John “J.D.” Dorian Award for best sense of humor. He has worked across outpatient, inpatient, and consult liaison settings, and has experience treating a wide range of conditions including depression, anxiety, ADHD, OCD, personality disorders, and transitional age concerns. He also has expertise working with LGBTQIA+ patients and provides psychodynamic, CBT, and supportive therapies.

Dr. Gravenstein believes in a comprehensive approach to treatment that integrates medications, therapy, and lifestyle interventions. While medications can be very effective, he views them as just one part of a broader treatment plan tailored to each patient’s needs. He emphasizes individualized care and sees treatment as a team effort, meeting patients where they are and progressing at a pace they feel ready for.

Dr. Gravenstein strives to create a warm, collaborative environment that fosters open communication and genuine connection. He may challenge patients therapeutically but always with careful attention to their readiness and comfort. His goal is to build trust so that meaningful conversations and progress can occur. For him, success is always shared—when patients succeed, they succeed together; when challenges arise, they regroup and move forward together.

Dr. Duy Tran is a board-certified adult psychiatrist. He received his medical doctorate degree from the University of Texas Southwestern Medical School and completed his residency training in general psychiatry at the University of Michigan. Dr. Tran aims to provide mental health care that helps patients live more fulfilling lives. In his training, Dr. Tran gained extensive experience treating psychiatric disorders in diverse populations, including college students, LGBTQ+ individuals, perinatal women, veterans, and those with socioeconomic disadvantages. He has worked with experts on cases of treatment-resistant depression and provided consultations for patients considering procedural interventions, such as transcranial magnetic stimulation (TMS), electroconvulsive therapy (ECT), and ketamine infusion therapy. Although Dr. Tran's practice primarily focuses on medication management, he uses a holistic approach in developing individualized treatment plans. He typically incorporates elements of various psychotherapy modalities, including supportive, cognitive behavioral (CBT), dialectical behavioral (DBT), and insight-oriented therapy, in 30- or 45-minute follow-up visits. Occasionally, Dr. Tran may believe that more intensive therapy is needed and recommend that you bring a dedicated therapist into your care team for an optimal outcome.

Dr. Ana Lilian Reyes is a board-certified psychiatrist that earned her M.D. from the University of Florida, where she served as a chief resident. She received multiple academic honors, including the Peter Regan, M.D. Award for academic excellence in psychiatry and the John E. Adams academic achievement award throughout her course of training. She also holds a B.A. in Psychology with a neuroscience focus from Harvard University.

Dr. Reyes is passionate about outpatient psychiatry and values the long-term, collaborative relationships formed in the clinic setting. She has a particular interest in women’s and reproductive mental health and has been involved in research and protocol development focused on perinatal depression. She also brings additional training in cognitive behavioral therapy and psychodynamic psychotherapy to her work. Additionally, she has worked with underrepresented college-aged populations pursuing careers in STEM.

Her approach is rooted in blending psychotherapy and psychopharmacology. She emphasizes a full lifestyle approach and a therapeutic space wherein patients can engage in self-reflection and expression.

Fluent in English and Spanish, Dr. Reyes is dedicated to providing culturally responsive care that supports patients in achieving lasting emotional health.

Dr. Patricia Klaine is an attending physician working at Talkiatry. She is board certified in adult psychiatry. After completing her training in adult psychiatry, she continued her education by completing a fellowship in consultation-liaison psychiatry, which enables her to treat patients with a variety of medical comorbidities confidently. Dr. Klaine focuses on medication management. She offers this in addition to supportive psychotherapy in 30-minute follow up visits. For some patients, it may be important to bring in additional psychotherapy for well-rounded care. Dr. Klaine received her medical degree from St. George's University in Grenada, and after that, she completed her training in general adult psychiatry at Maimonides Medical Center in Brooklyn, New York. She went on to complete a fellowship in consultation-liaison psychiatry at Mount Sinai Hospital in New York. After completing her training, she worked on an inpatient psychiatric unit before deciding to transition into outpatient psychiatric care. She looks forward to a collaborative relationship with her patients.

Dr. Rodriguez is an adult psychiatrist, who is fluent in Spanish and English. She completed residency at St Luke's-Roosevelt Hospital in New York City via Columbia University College of Physicians and Surgeons followed by a Fellowship in Forensic Psychiatry in a combined Cornell University - Columbia University program with the New York State Psychiatric Institute. She obtained her medical degree at the Pontificia Universidad Catolica Madre y Maestro in the Dominican Republic. Dr. Rodriguez is an adult psychiatrist and has worked with a wide array of patients across various medical settings including extensive experience in Telehealth. Her experience includes Kings County Hospital in Brooklyn, New York, in addition to outpatient experience in both clinics and correctional facilities. Dr. Rodriguez has experience treating patients with psychiatric illness who may also be suffering from medical comorbidities, such as obesity, hypertension, pain, and diabetes. She has been deeply involved with teaching and emphasizes psychoeducation while working in collaboration with her patients to help tailor their personalized treatment plan. Her primary focus has been on treating adults with depression, bipolar disorder, anxiety, ADHD, OCD, and PTSD. Dr. Rodriguez has an approachable, patient-centered style, combined with a passion for optimizing sleep as it pertains to management of a psychiatric illness and overall well-being. She offers supportive therapy as part of her medication management visits, and at times may also offer cognitive behavioral therapy to address underlying stressors which may be contributing to one's presenting ailments. She may also recommend including a therapist in your care team to optimize outcomes.

Dr. Niles (he/him) holds the position of Staff Psychiatrist at Talkiatry. He has four years of experience in outpatient psychiatry and is board-certified for adult psychiatry. He has received training in the use of cognitive behavioral therapy, supportive therapy, motivational interviewing, psychodynamic therapy, and dialectical behavioral therapy skills. He uses his training in therapy in tandem with medicine management to provide holistic, person-centered care. During his undergraduate studies at the University of Pittsburgh, while completing his pre-medical classes, he also pursued certification in the history and philosophy of medicine. Additionally, he studied the effect of culture and ethics on healthcare. He earned a Bachelor of Science in Psychology with a minor in Chemistry. He attended medical school at the West Virginia School of Osteopathic Medicine. His psychiatry residency training was completed at Charleston Area Medical Center. While in residency, he worked to improve cultural awareness in the outpatient setting. Dr. Niles is interested in treating patients with a wide variety of diagnoses. He treats mood disorders, anxiety disorders, trauma-related disorders, personality disorders, OCD, comorbid addiction, mild eating disorders, neurodevelopmental disorders such as autism spectrum disorder, and more. He also strives to provide care that affirms LGBTQIA+ identities and underwent additional training in transgender mental healthcare.