Emily Sykes, MD

Dr. Alexandra ("Sasha”) Blaes is a board-certified psychiatrist. Before joining Talkiatry, she practiced consult-liaison psychiatry, seeing medically ill patients with psychiatric problems at the Department of Veterans Affairs, where she also treated veterans in nursing homes. Dr. Blaes graduated from New York University with a B.A. in philosophy and photography and worked in nonprofit marketing in New York before deciding she wanted to pursue a life in medicine. Following a post-baccalaureate, pre-medical program at Columbia University, Dr. Blaes completed medical school at The University of Maryland, followed by a psychiatry residency at The Johns Hopkins Hospital. While at Johns Hopkins, she mastered clinical assessment and treatment of general psychiatric problems. She also received specialized training in eating disorders, addiction, reproductive psychiatry, chronic pain, and geriatric psychiatry, an interest she pursued further with a fellowship at University of Pittsburgh Medical Center. In fellowship and in her subsequent experience at the VA, she developed expertise in caring for the difficulties that can accompany aging, including depression, anxiety, and memory loss, as well as the stress of medical illness. Dr. Blaes' practice focuses on medication management. She works to foster a safe and collaborative space in which patients can address psychiatric illness and other barriers holding them back from the lives they want to lead. Typically, she offers appointments for medication management coupled with supportive or emotionally focused therapy in 30-minute sessions. When Dr. Blaes feels that additional therapy is needed, she will suggest inviting a therapist to join the team for additional support and guidance. She welcomes collaborations with other clinicians, be they therapists or other physicians caring for her patients. She strives to build strong therapeutic relationships that help patients grow and meet their goals - whatever their situation, challenge, or life stage. Dr. Blaes welcomes patients from all walks of life and cultural backgrounds and is LGBTQ+ friendly. In addition to her background in geriatrics, she has experience working with peripartum women and enjoys working with patients navigating major life changes.

Background and credentials

Dr. Jenny Joseph is a board-certified adult psychiatrist. She earned her medical degree from St. George's University School of Medicine and completed her adult psychiatry residency at New York Medical College at Metropolitan Hospital Center. She has experience working with diverse patient populations and treating a range of psychiatric conditions.

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Treatment approach

Dr. Joseph specializes in medication management for various psychiatric conditions, including mood, anxiety, and psychotic disorders. She employs a patient-centered approach that emphasizes empathy, open communication, and collaboration. In addition to pharmacological treatment, she incorporates psychoeducation and supportive therapy to help patients better understand and manage their conditions. When beneficial, she may recommend additional therapy and coordinate care with a therapist to ensure comprehensive treatment.

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What you can expect in a first visit

During the first visit, patients can expect a thorough evaluation that explores their symptoms, treatment history, and personal goals. Dr. Joseph takes the time to listen and understand each patient's needs, ensuring that their treatment plan is tailored to their specific concerns. She provides a compassionate and structured approach to medication management while fostering a collaborative environment where patients feel supported in their mental health journey.

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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. Thistlethwaite is a board eligible adult psychiatrist and internal medicine physician. He completed his medical education at West Virginia University School of Medicine. Following completion of medical school, Dr. Thistlethwaite completed residency training at WVU/Charleston Area Medical Center with a dual specialization in internal medicine and psychiatry. Dr. Thistlethwaite's training included treatment of patients both in the inpatient and outpatient setting as well as management of patients with comorbid medical conditions. During his training Dr. Thistlethwaite became passionate about approaching patients in a holistic manner that addressed both their physical and mental health. He is especially passionate about ensuring that patients with mental health disorders are provided with appropriate general medical care as they are a marginalized and underserved group. Dr. Thistlethwaite's practice focuses on medication management for a wide array of conditions including depression, anxiety disorders, bipolar disorder, obsessive compulsive disorder, tic disorder/Tourette's, and post traumatic stress disorder. Dr. Thistlethwaite incorporates supportive psychotherapy, cognitive behavioral therapy interventions, and some psychodynamic therapy skills in his practice as well. Dr. Thistlethwaite believes in a collaborative and holistic approach to mental healthcare that incorporates the patient as well as all members of the healthcare team in every aspect of care.

Dr. Kristofer Joondeph-Breidbart is a board certified adult psychiatrist. He earned his undergraduate degree and Master's in Teaching from Boston University, followed by his medical degree from the University of Massachusetts Medical School. Dr. Joondeph-Breidbart completed his residency in general adult psychiatry at Cambridge Health Alliance, a Harvard teaching hospital. Currently, Dr. Joondeph-Breidbart serves as a staff psychiatrist at Harvard University Health Services, where he works with both undergraduate and graduate students. He has developed significant expertise in working with LGBTQ individuals through his involvement with the Gender and Sexuality Clinic at Cambridge Health Alliance and the LGBTQ Interdisciplinary Team at Harvard University Health Services. While he has extensive expertise in treating college-aged young adults, his practice also includes a broad range of patients, with a particular specialization in Obsessive-Compulsive Disorder (OCD). He is trained in Exposure and Response Prevention Therapy, a highly effective treatment for OCD. Dr. Joondeph-Breidbart takes a holistic approach to mental health care, integrating therapy into his sessions and collaborating with patients to develop individualized medication regimens that best meet their needs. His gentle and understanding approach helps create a supportive environment for his patients, fostering their mental and emotional well-being.

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. Michael Miller earned his medical degree with honors and completed his residency in Adult Psychiatry at the University of Kentucky College of Medicine. He has worked across a wide range of clinical settings, including inpatient, outpatient, community clinics, and state hospitals. Dr. Miller is also trained in multiple psychotherapy modalities, equipping him to meet diverse patient needs.

Dr. Miller values creating a safe and nonjudgmental space where patients can speak openly about their experiences and goals. He believes in a collaborative approach, working with patients to discover strategies that best suit their lives. He also takes into account lifestyle factors that may influence mental health, supporting a well-rounded and sustainable path to wellness.

Dr. Miller begins care with a comprehensive conversation about current concerns, past mental health, physical health, and life experiences. From there, he works with patients to create a personalized treatment plan—whether through therapy, medication, lifestyle adjustments, or a combination. Follow-ups focus on refining the plan to ensure it continues to support the patient’s journey.