Giulia Ferrero, LMSW

Marcela Medina is a Licensed Clinical Social Worker who earned both her undergraduate and graduate degrees in Social Work from Florida International University. She is a dedicated and passionate clinician who understands the challenges individuals and families face across different stages of life. Marcela has worked with diverse populations experiencing homelessness, substance use, mental health disorders, and behavioral concerns. She has extensive experience working with children, adolescents, families, and adults, and provides therapy in both English and Spanish.

Marcela is authentic, realistic, and reliable, and believes therapy should be a supportive and empowering experience. She is deeply committed to helping clients reach their maximum potential by fostering insight, resilience, and personal growth. Marcela focuses on empowering clients to take control of their lives while creating a safe, nonjudgmental space where they feel heard, respected, and supported throughout the therapeutic process.

After the initial introduction, Marcela collaborates with clients to discuss what to expect from therapy and to establish clear goals and objectives. She uses open-ended questions to help clients identify triggers, strengths, and coping strategies. Together, they build a strong, individualized treatment plan that supports meaningful and sustainable progress.

Courtnei Powell, LPC, LMHC, has experience practicing in outpatient, school, and virtual settings. She earned her master’s degree from the TWU Counseling and Development Program and has worked as a Licensed Professional Counselor serving adults, teens, and children. Courtnei also has a background as a Special Education Teacher for both elementary and high school students.

Courtnei cultivates a warm, supportive space where clients feel heard, respected, and safe to explore their experiences. She values open communication and collaborates with clients to establish manageable steps toward meaningful, long-term goals.

Courtnei dedicates the initial session to gaining a thorough understanding of each client’s history, concerns, and goals. From there, she develops customized treatment strategies aligned with what clients want to achieve, ensuring care is both personalized and practical.

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.

‍

Dr. Anna Ostrovskaya is a board-certified psychiatrist with over 20 years of experience working with adults of all ages. She earned a bachelor’s degree in psychology from NYU, a medical degree from Rush Medical College, and completed her psychiatry training at Yale. Dr. Ostrovskaya has practiced in inpatient, consultation-liaison, and emergency psychiatry settings, though her primary passion is outpatient care, where she builds long-term therapeutic relationships. She has worked in private practice and clinic settings and serves on the faculty at Yale’s Psychiatry Department, teaching and supervising trainees. She treats a wide range of conditions, including anxiety, OCD, ADHD, PTSD, depression, bipolar disorder, and more, with experience across diverse populations.

Dr. Ostrovskaya emphasizes integrating therapy and medication management. She creates a warm, safe, and respectful space where patients feel understood and supported in their journey to recovery. Her approach focuses on treating the whole person, recognizing that everyone’s story is unique and informs the best path forward.

She conducts thorough evaluations and uses evidence-based prescribing while incorporating psychotherapeutic modalities such as CBT, executive skills training, insight-oriented approaches, and motivational interviewing. Understanding a patient’s history, current symptoms, and treatment goals is central to developing an effective plan and building a strong therapeutic relationship.

‍

Dr. Jacqueline Hong is a board-certified adult psychiatrist who takes a genuine interest in her patients and values collaborative decision-making. Over the past 4 years of practicing, she has followed a holistic model of care that accounts for the physical, mental, social, and spiritual needs of the individual. She has a down-to-earth, patient, and warm personality, and prides herself on timeliness and professionalism. Though Dr. Hong focuses on medication management, she has a passion for supportive therapy with elements of CBT, psychodynamic therapy, and mindfulness. She may also recommend that a therapist be included in your care team if more specialized therapy is required. Dr. Hong graduated summa cum laude from Grove City College, and completed medical school at UTMB at Galveston. She finished her residency at Memorial Healthcare System in FL, where she held a leadership position in Graduate Medical Education. Dr. Hong has experience in treating a wide range of disorders, including depression, anxiety, OCD, PTSD, ADHD, schizophrenia, bipolar disorder, and addiction. She has worked with adolescent, geriatric, pregnant, and medically complex patients. Growing up in a Korean immigrant household and training in the ethnically diverse South Florida region has informed her of the unique struggles that immigrant populations face. Dr. Hong has a special interest in treating mood and anxiety disorders. Outside of the office, Dr. Hong enjoys art, cinema, and powerlifting.

Dr. Seth Flesher is double board-certified in adult psychiatry and addiction medicine.  Dr. Flesher’s practice focuses on medication management of psychiatric illness without the use of controlled substances.  Typically, he offers this in conjunction with supportive or emotionally focused therapy in 30-minute follow-up visits. However, occasionally Dr. Flesher may believe that additional therapy is also needed and ask that you bring a therapist into your care team to provide the best outcome.

Before joining Talkiatry Dr. Flesher was Medical Director of Advanced Psychiatric Services [complex/high profile cases] at Kings County Hospital and Unit Chief of the Covid19 positive unit.  He was also a clinical professor at Downstate Medical College where he was voted educator of the year numerous times by psychiatric residents and medical students.  Dr. Flesher is a graduate of the prestigious combined 6-year BS/MD program at The Sophie Davis School of Biomedical Education.  He did research at the neuropsychiatric branch of the National Institute of Mental Health, completed his psychiatric residency at St. Lukes/Roosevelt Hospital, and he received his master’s degree in public health from Columbia University.

Dr. Flesher believes that psychiatry should start with a thorough assessment to arrive at an accurate diagnosis.  Then a discussion with the patient of the different evidence-based options available.  Followed by shared decision-making to arrive at an effective treatment plan to achieve the goals that the patient identifies as being important.  This should be done in an honest, open, non-judgmental, but realistic environment.  Understanding that the ultimate goal is to get the patient to a position where they will no longer need medication and/or therapy.