David Zhang, MD

Dr. Patricia Michel-Garrison is a board-certified psychiatrist by the American Osteopathic Board of Neurology and Psychiatry (AOBNP) with over a decade of experience in inpatient psychiatry. She completed her undergraduate training in Chemistry in Florida, having moved there from Chicago in 2000, followed by medical school at the Lake Erie College of Osteopathic Medicine (LECOM). She completed her residency in Psychiatry in Largo, Florida. Dr. Michel-Garrison specializes in treating adults aged 18 and over, addressing a wide range of psychiatric conditions including anxiety, mood disorders, and personality disorders. She is known for her holistic approach, integrating both traditional and osteopathic principles to provide comprehensive care. Her treatment style is patient-centered, emphasizing individualized care plans tailored to each patient's unique needs. Dr. Michel-Garrison fosters a collaborative therapeutic relationship, promoting open communication and trust with her patients. Throughout her career, Dr. Michel-Garrison has remained committed to staying current with the latest advancements in psychiatric care. She is dedicated to helping her patients achieve optimal mental health and well-being through a combination of evidence-based practices and empathetic support.

Dr. Marla Richard is a Stanford-trained board-certified psychiatrist and is board-eligible for geriatric psychiatry from UCSD. She has been practicing in a variety of settings for the last 30 years. Dr. Richard uses an integrated health paradigm with general and geriatric patients using traditional psychopharmacology, interpersonal neurobiology practices, and personality assessments to look at root motivations for behaviors to address core issues and with medication management as needed. Dr. Marla believes that you need to take a whole-person approach to both mental and physical health. She received her undergraduate degree from the University of Minnesota, Duluth, and then attended medical school at Stanford Medical School to complete her MD. With visions of becoming a general surgeon, she went to the University Hospitals of Cleveland and completed two years of general surgery training before seeing the light and transferring to psychiatry. She completed her psychiatry training at Stanford University and geriatric training many years later at UCSD. Her focus includes an integrated approach to the consideration of mental and physical health while incorporating mindfulness tools to teach skills of stress and anxiety management in everyday life. In conjunction with medication management, she uses interpersonal neurobiology to help clients understand triggers as well as methods to calm overactive stress responses and reactivity.

Dr. Priya Mukhopadhyay is a board certified adult psychiatrist. She completed her psychiatry residency training at Richmond University Medical Center in NYC. She has practiced in various settings over her career including inpatient, outpatient, comprehensive psychiatric emergency program (CPEP), and the consult liaison service to name a few. She has experience providing patients with compassionate psychiatric care treating patients with anxiety, depression, bipolar disorder, PTSD, family and relationship issues, as well as other mental health issues. Dr. Priya's practice focuses on medication management. Typically, she offers this in conjunction with supportive or emotionally focused therapy in 30-minute follow-up visits. The philosophy of her practice is to collaborate with patients to meet their specific needs and make an impact in various stages of their lives. Growing up in NYC as a South Asian American female in medicine, Dr. Priya strongly values diversity and compassion and strives to make her patients feel heard, validated, and comfortable at all times.

Dr. Perington is a Staff Psychiatrist with Talkiatry. She previously served in the US Air Force, where she completed her residency training in psychiatry (Lackland AFB) and was the medical director for a small-sized mental health clinic (Hill AFB). Dr. Perington uses a person-centered approach to tailor treatment to the individual, with an emphasis on shared decision making. She prefers to focus on psychotherapy and behavioral interventions as a primary part of the treatment plan, in addition to any indicated medication.

Motivation for change is a large part of the healing process, and for many people recovery doesn't happen with medication alone. Dr. Perington asks all her patients to play an active role in their treatment.

A thorough diagnostic assessment with discussion of the best treatment setting and modality, then regular follow up visits with emphasis on psychotherapy in addition to medication management (if indicated).

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Background and credentials    

Dr. Alexander Wittenberg is a board-certified adult psychiatrist. He received his undergraduate degree from Cornell University, majoring in Human Biology, Health, and Society. He earned his medical degree from the New York Institute of Technology College of Osteopathic Medicine, where he was a  member of the Psi Sigma Alpha Osteopathic Honor Society. As chief resident at  Mount Sinai Beth Israel, he gained extensive experience working in outpatient  settings and managing patient care at one of New York City's busiest clinics. Dr. Wittenberg has expertise in treating a wide range of mental health conditions, including depressive disorders, anxiety disorders, bipolar disorder, trauma and stressor-related disorders, and OCD.    

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Treatment approach    

Dr. Wittenberg offers highly individualized and empathic treatment, primarily focusing on medication management. He frequently recommends integrating therapy into treatment plans and may suggest collaborating with a therapist. Dr. Wittenberg prioritizes a holistic approach, emphasizing overall well-being alongside symptom relief. He encourages the incorporation of mindfulness, self-compassion, exercise, nutrition, and attention to interpersonal relationships into his treatment strategy.    

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What you can expect in a first visit    

During an initial visit with Dr. Wittenberg, patients can anticipate a collaborative, patient-centered, and non-judgmental environment designed to foster a meaningful therapeutic relationship. He will thoroughly discuss individual concerns and treatment goals, exploring potential therapeutic interventions, including medication management and holistic strategies to support mental health and overall wellness.

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.

Dr. Ismail is double board-certified by the American Board of Psychiatry and Neurology in both Adult Psychiatry and Child and Adolescent Psychiatry. She earned her medical degree from Cairo University, where she also completed her neurology residency at Cairo University Hospitals. Following this, she pursued psychiatric training at New York Medical College at St. Vincent’s Hospitals, where she was appointed Chief Resident and recognized as Resident of the Year.

Dr. Ismail further specialized with a fellowship in Child and Adolescent Psychiatry at UMDNJ/Rutgers Robert Wood Johnson Medical School. Her career includes multiple leadership roles, notably serving as Chief of the Child and Adolescent Partial Hospital Programs (PHP) at Rutgers University in Newark, NJ, where she provided direct care to young patients. She has also held Medical Director positions across various clinical settings, including child and adolescent inpatient units, outpatient programs, and intensive outpatient services for both adolescents and adults with mental health and co-occurring substance use disorders.

An active educator, Dr. Ismail has been a teaching faculty member, delivering lectures and providing supervision and evaluations for medical residents and child and adolescent psychiatry fellows. Her academic contributions extend to research, where she has served as a principal investigator on multiple studies.

Throughout her career in leadership and teaching, Dr. Ismail maintained an integrative private practice in New Jersey, serving residents of the NJ and NY metropolitan areas before relocating to North Carolina.

Dr. Ismail is passionate about integrative medicine, which combines evidence-based alternative therapies with conventional treatments to optimize outcomes. Her approach focuses on promoting overall wellness, keeping both the body and mind in harmony.

During the diagnostic evaluation, Dr. Ismail will review your medical history and past treatments to develop a comprehensive, personalized treatment plan that prioritizes your overall wellness. In addition to medication management, she incorporates supportive, cognitive, or psychodynamic psychotherapy during follow-up visits, as time allows. When appropriate, she may also recommend referrals to specialized psychotherapists to address your individual needs as part of a holistic treatment approach.