Ekta Rathee, PMHNP

Kathleen Francois, LCSW, brings a rich background in outpatient, community mental health, crisis intervention, and behavioral health settings. She holds a degree in psychology and a master’s degree in clinical social work and addiction, allowing her to support individuals through a wide range of challenges with expertise and compassion.

Kathleen values authenticity, deep connection, and creating a safe space where people feel truly seen and supported. She approaches care with warmth, curiosity, and compassion, fostering a collaborative environment where clients feel empowered to explore and grow.

Kathleen’s approach is rooted in trauma-focused care and holistic wellness, honoring the mind-body connection and the influence of social wellbeing. She integrates evidence-based practices with a holistic lens to promote lasting healing, balance, and personal growth.

Dr. Mark Varela is a board-certified psychiatrist joining Talkiatry directly out of residency. He focuses primarily on medication management, often accompanied by brief cognitive, motivational, or supportive therapy. He may request that you also meet with a therapist regularly for your benefit. Dr. Varela received his medical degree and general psychiatric residency training both from Texas Tech University Health Sciences Center in West Texas. He treats young adults and adults with a wide variety of mental health concerns, including ADHD, mood disorders, anxiety, OCD, and PTSD.

Dr. Nieves-Alvarado is a Board-certified psychiatrist who completed medical training at Duke University Psychiatry Program. Originally from Puerto Rico, she is fluent in both English and Spanish, which allows her to connect deeply with a diverse patient population.

Her practice combines medication management with insight-oriented therapy during every visit, promoting a comprehensive approach to mental health care. She advocates for her patients to engage in therapy alongside medication management, as she believes this integrated approach leads to better outcomes and sustained improvement. Dr. Nieves-Alvarado's practice is rooted in a collaborative, team-based approach, working closely with her patients to achieve long-term mental wellness.

Dr. Nieves-Alvarado earned her medical degree from the Universidad Central del Caribe School of Medicine in Bayamon, PR. Afterward, she moved to North Carolina, where she completed her residency at Duke University Hospital. During her training, she was nominated for a fellowship in psychodynamic practice by the Psychoanalytic Center of the Carolinas, showcasing her expertise in this area. She is also a dedicated advocate against childhood sexual trauma.

Her diverse training includes significant experience in jail and forensic psychiatry, as well as the treatment of military veterans under the veteran affairs health care system. She has experience in medically assisted treatments (MAT) for substance use disorders, Electroconvulsive therapy (ECT), and family therapy, enabling her to care for patients with complex needs.

Dr. Nieves-Alvarado treats patients across a wide age range, from young adults to the elderly. Passionate about improving access to mental health care, she joined Talkiatry to help patients facing time or transportation challenges receive the care they need.  

In addition to her clinical practice, Dr. Nieves-Alvarado remains involved with her alma mater’s Behavioral Health Department, contributing to academic education and maintaining a connection with the next generation of medical professionals. She continues to seek ongoing improvement in her field, remaining engaged with medical associations including North Carolina Psychiatric Association, American Psychiatric Association, and Alpha Omega Alpha national medical honor society. Dr. Nieves-Alvarado is committed to working hand-in-hand with her patients to achieve mental wellness.”

Dr. Jerry Sayers is a double board-certified psychiatrist in General Psychiatry and Consultation-Liaison Psychiatry. Dr. Sayers completed an Internal Medicine internship in Youngstown, Ohio. He then completed his residency in General Psychiatry at The Johns Hopkins Hospital followed by fellowship training in Neuropsychiatry and Behavioral Neurology at Johns Hopkins Bayview. He most recently finished his fellowship in Consultation-Liaison Psychiatry at the University of Maryland. Dr. Sayers has had the opportunity to care for a diverse group of patients with neuropsychiatric, neurological, and other general medical conditions. His work allowed him to work on a proactive, collaborative psychiatric consultation team designed to be involved early in the care of vulnerable patients with complex neuropsychiatric conditions. Dr. Sayers has experience in outpatient, inpatient, residential, and partial hospitalization programs. He works hard to tailor therapy to the needs of the individual patient by adapting techniques that have been successful across different treatment settings. His desire to ensure exceptional care is evident in his ability to relate to and understand an individual patient's needs and concerns.

Jeanine Foley is a board-certified Psychiatric-Mental Health Nurse Practitioner (PMHNP-BC) with over a decade of experience in both inpatient and outpatient settings. She holds a Doctorate of Nursing Practice from the University of Colorado Denver, an MSN from Vanderbilt University, and a BS from Boston University. Her career includes service as an active duty PMHNP in the U.S. Air Force and roles in the VA and private psychiatric hospitals. She also serves as Adjunct Clinical Faculty for a PMHNP graduate program.

Jeanine believes in patient-centered care built on trust, collaboration, and respect for each individual’s life story. She integrates medication management with therapeutic techniques and creates a safe, inclusive space that is trauma-informed and aligned with each patient’s values. Jeanine emphasizes genuine connection and strives to help clients explore root causes of distress—not just manage symptoms.

Jeanine begins with a comprehensive, collaborative assessment of each patient’s medical, psychiatric, and psychosocial history. She partners with patients to develop flexible, personalized treatment plans that support holistic mental health. Her approach combines psychopharmacologic and psychotherapeutic interventions, continuously adjusting plans based on feedback and progress.

Do you feel lost, stuck or overwhelmed? Maybe you feel like you are just going through the motions. Ann-Marie helps people over the age of 13 who are experiencing depression, anxiety, stress, and unexpected life changes. She enjoy working with adolescents and adults including members of the LGBTQIA+ community who are motivated to enhance their mental health and be the best versions of themselves.

Together, we will build a therapeutic relationship in a trusting, non judgmental environment. She encourages clients to be involved in their treatment plans and goals to help give them the tools they need to improve their mental health.

Ann-Marie uses different evidence-based treatment modalities to help you be successful in your mental health journey. She uses a personalized treatment approach tailored to your unique needs.

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