Elena Perea, MD

Dr. Alexandre is a board-certified psychiatrist who completed his psychiatry training both in Brazil and in the United States, where he served as Chief Resident in both programs. He is fluent in both English and Portuguese and is especially attuned to the unique challenges faced by international and immigrant populations. Dr. Alexandre is passionate about helping patients achieve meaningful and sustained improvements in their mental health.

He brings over a decade of experience in mental health care and has a strong foundation in evidence-based treatment. His clinical interests include mood and anxiety disorders, ADHD, and cross-cultural psychiatry.

Dr. Alexandre incorporates a collaborative and compassionate approach to care, combining medication management with elements of cognitive behavioral therapy, behavioral activation, and interpersonal strategies when appropriate.

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Dr. Dominic Adams earned his medical degree from Eastern Virginia Medical School and completed his residency at the University of Mississippi Medical Center. He has experience treating a broad range of mental health conditions using both medicinal and psychotherapeutic interventions. Dr. Adams works with children, adolescents, and adults, and has training in cognitive behavioral and psychodynamic psychotherapy.

Dr. Adams strives to create a cooperative therapeutic experience that fosters open and empathetic communication. He values patient choice in treatment and prioritizes empowering patients through psychoeducation. Drawing on a variety of psychotherapeutic techniques, he tailors care to meet the unique needs of each individual.

Initial appointments with Dr. Adams include a thorough review of the patient’s concerns and the development of both patient and physician treatment goals. He discusses treatment options in detail, providing education on any medications, therapies, or interventions. Together, he and the patient select a dynamic treatment plan and set a follow-up schedule to monitor progress.

Margaret Mary Reyes, MSN, APRN, PMHNP-BC, is a board-certified Psychiatric Mental Health Nurse Practitioner committed to delivering patient-centered and compassionate mental health care. A proud Florida native, she earned her Bachelor of Science in Nursing (BSN), Master of Science in Nursing (MSN), and post-master’s certification in Psychiatric Mental Health Nursing from Florida Atlantic University (FAU). Her academic research focused on improving outcomes for women living with Premenstrual Dysphoric Disorder (PMDD).

Margaret has advanced practice experience in both inpatient and outpatient psychiatric settings. She has treated individuals with a wide range of mental health conditions, including psychotic disorders, bipolar spectrum disorders, depressive and anxiety disorders, trauma-related disorders, attention deficit disorders, personality disorders, substance use and co-occurring disorders, eating disorders, suicidality, homelessness, and severe mental illness (SMI) within the criminal justice system. Her clinical background also includes acute care experience in oncology, medical-surgical, telemetry/cardiac step-down, intensive care, nursing research, and consultation-liaison psychiatry.

She takes an integrative and comprehensive approach to mental health care, combining medication management with evidence-based complementary and alternative interventions. Her practice is grounded in the understanding of the mind-body-spirit connection and the gut-brain axis. Margaret incorporates supportive therapy, motivational interviewing, and mindfulness-based cognitive techniques to support her patients’ overall well-being.

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Dr. Tsujimoto-Ryzewski is a board-certified adult psychiatrist. She received her medical degree from the University of Nevada, Reno School of Medicine. She completed her residency at the University of Nevada, Reno School of Medicine, where she served as a chief resident during her last year of training. Dr. Tsujimoto-Ryzewski has treated patients with a wide variety of diagnoses both during her residency and after her training while working at a busy private practice clinic as well as for the Veterans Administration. Dr Tsujimoto-Ryzewski focuses on medication management and supportive psychotherapy. If she feels that additional therapy is needed, she will ask that you bring in a therapist as part of the treatment team. Dr. Tsujimoto-Ryzewski will work collaboratively with you in a caring environment to assist you in reaching your goals.

Dr. Ali is a lifelong New Yorker who has always been fascinated by the complexity of the human mind, behavior, and experience. Growing up in a vibrant and diverse city, she developed a deep appreciation for how culture, environment, and individual background shape a person’s psychological well-being. Driven by this passion, she pursued her medical degree at SUNY Downstate Health Sciences University, where she gained a strong foundation in both the biological and psychosocial aspects of medicine. She then completed her general psychiatry training at SUNY Stony Brook University Hospital, where she worked closely with a diverse patient population from varied religious, cultural, socioeconomic, and age groups.

Dr. Ali prioritizes open communication and mutual trust, creating a safe, nonjudgmental environment where patients feel respected and empowered to actively engage in their care. She integrates psychotherapy techniques and takes a holistic, person centered approach to treatment.

Dr. Ali believes in collaboration and shared understanding grounded in evidence-based therapies. Her typical process includes developing individualized treatment plans aimed at symptom relief, improved functioning, and overall quality of life. Beyond medication management, she incorporates psychotherapy techniques and psychoeducation to help patients build coping skills and insight.

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Background and credentials

Dr. John Whittier is a board-certified psychiatrist. He earned his Bachelor of Arts in Molecular, Cellular, and Developmental Biology from the University of Colorado at Boulder and went on to obtain a master’s degree in Medical Science from Loyola University Chicago. He completed his medical training at the Robert Larner, M.D. College of Medicine at The University of Vermont and returned to Colorado for his psychiatry residency at the University of Colorado School of Medicine. While in residency, he specialized in the Psychotherapy Scholars Program and has since gained four years of experience treating psychiatric conditions through telehealth.

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Treatment approach

Dr. Whittier primarily focuses on medication management for general psychiatric conditions. His approach is individualized, ensuring that each patient receives a treatment plan tailored to their unique needs. He integrates supportive therapy, medications, and evidence-based alternative therapies to provide a flexible and comprehensive approach. In addition to his general practice, he maintains a psychodynamic psychotherapy panel where he helps patients explore developmental and relational patterns that contribute to their symptoms. His specialties include treating depression, anxiety, adjustment disorders, PTSD, insomnia, bipolar disorder, and ADHD.

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What you can expect in a first visit

During the first visit, patients can expect a one-hour comprehensive intake during which Dr. Whittier thoroughly evaluates their symptoms, medical history, and personal goals. He provides treatment options that prioritize flexibility, allowing patients to take an active role in their care. Follow-up visits typically last 20 to 30 minutes, focusing on assessing treatment progress and making necessary adjustments. For those engaged in psychodynamic psychotherapy, longer one-hour sessions are available for in-depth exploration of underlying psychological patterns.

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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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