Heather Inano, MD

Shelah Radke, MD, JD, is a double board-certified Child and Adolescent and Adult Psychiatrist with over a decade of extensive experience in mental health care, specializing in the well-being of children, adolescents, and young adults. She currently serves in St. Louis, MO, where she is known for her dynamic leadership as a Medical Director and her robust clinical practice. Throughout her career, Dr. Radke has held pivotal roles, including Medical Director of Crisis Psychiatry Services at Mercy Hospital and key positions in several reputable outpatient clinics across the U.S. Her clinical acumen spans a diverse range of settings, from private practice and crisis care to specialized programs in residential and educational institutions.

A staunch advocate for evidence-based approaches, Dr. Radke integrates lifestyle and pharmacological interventions to foster mental health resilience among her patients. She is particularly passionate about the shared decision-making model, which enhances patient empowerment and satisfaction by actively involving them in their treatment plans. Dr. Radke's academic contributions are equally notable. She has developed educational curriculums that significantly improve health outcomes and has shared her expertise through numerous media appearances and professional talks. Her commitment to medical education is reflected in her mentorship of nurse practitioners and her involvement in creating community psychiatry programs.

Complementing her medical expertise, Dr. Radke holds a Juris Doctorate, with a focus on public health and social policy, which enriches her understanding of the legal and systemic aspects of healthcare. Her approach is deeply holistic, informed by her training in integrative medicine and her personal commitment to wellness, which she practices through nutrition, exercise, and travel with her family. Dr. Radke's professional journey is driven by a commitment to optimizing mental health outcomes and enhancing the quality of life for her patients and their families.

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Dr. Thomas Spina is an adult psychiatrist who began his practice at Talkiatry after completing his psychiatry residency at the Eastern Long Island branch of Stony Brook University, where he treated a diverse patient population. Dr. Spina received his undergraduate degree from St. John's University in Queens where he studied Philosophy. Initially interested in a career in law, Dr. Spina decided to change gears and pursue a career in medicine after watching a relative struggle with her diagnosis of Diabetes Mellitus. Dr. Spina then completed medical school at Tel Aviv University in Israel, where he fell in love with psychiatry during his clerkship at Ichilov medical center. During that rotation, he came to appreciate how each patient has his or her own unique story, regardless of their diagnosis. Dr. Spina favors a holistic and integrative approach to psychiatry, combining medication management with supportive therapy, elements of cognitive behavioral therapy, while remaining open to other treatment modalities depending on the needs of his patients. When more focused therapy is indicated, Dr. Spina may recommend that his patient work with a provider specializing in a particular modality of therapy as part of their treatment. Dr. Spina treats adult patients with mood disorders including major depressive disorder and bipolar disorder, anxiety spectrum disorders, OCD, PTSD and specific phobias. In his spare time, Dr. Spina enjoys a variety of hobbies, including Brazilian Jiu-Jitsu, running, baseball, and exploring new eateries and shops.

Tiffany Reilly is a Licensed Mental Health Counselor with 8 years of experience providing therapeutic services to children, adolescents, and families in Seattle and New York City. She received her Master's in Counseling from Northwest University in 2015. Before coming to Talkiatry, Tiffany worked as a Family Therapist and Supervisor at Children's Aid. This role gave her experience navigating the complexities of adolescence, young adulthood, marriage, and other interpersonal stressors. She was also able to pursue additional trainings in motivational interviewing, trauma systems, and LGBTQIA supportive counseling. Tiffany focuses on treating mood and anxiety disorders, as well as the complexities of grief and loss. She has additional experience working with trauma, conduct disorder, ODD, and personality disorders. She utilizes a variety of therapeutic modalities including Cognitive Behavior Therapy, Psychoanalytic Theory, and Person-Centered Counseling. Tiffany approaches each therapeutic relationship with empathy and compassion, understanding the uniqueness of personal experience. She believes that all behavior maintains something for each individual and that when we bravely uncover our patterns, we can use our inherent strengths to work towards change.

Dr. Megan Marumoto provides holistic and personalized care as an integrative psychiatrist board-certified in General Psychiatry, Child & Adolescent Psychiatry, Integrative Medicine, and Lifestyle Medicine. She takes a root cause approach to treating mental health conditions as a certified Functional Medicine practitioner.

Dr. Marumoto is specialized to treat children, adolescents, and young adults, with expertise in a wide range of mental health conditions including ADHD, anxiety, depression, phobias, OCD, and trauma-related conditions. Patients may expect a comprehensive assessment with evidence-based treatment focusing on nutrition and healthy lifestyle interventions as well as medication management in 20–30-minute sessions. She enjoys working collaboratively with therapists and health coaches to achieve the best outcomes. She also provides supportive therapy and other therapies when indicated.

She received her medical degree from the John A Burns School of Medicine and completed her Psychiatry Residency and Child & Adolescent Psychiatry fellowship at the University of Hawaii. Wishing to provide comprehensive care beyond medication management and therapy, Dr. Marumoto completed a second fellowship in Integrative Medicine at the University of Arizona. She has over 20 years of clinical experience working with military and civilian populations.

Dr. Alexis Kropf is a board-certified adult psychiatrist beginning her practice at Talkiatry after four years of clinical experience in residency. Dr. Kropf primarily focuses on providing medication management during 30-minute follow-up visits, weaving in elements of supportive therapy according to the needs of her clients. When additional therapy is indicated to promote recovery, Dr. Kropf may recommend that her clients work with a therapist as part of the treatment team. Dr. Kropf credits her undergraduate education at Southwestern University, a small liberal arts college, for strengthening her curiosity about and dedication to serving others. She received her medical degree from the University of Texas Southwestern Medical Center in Dallas, Texas, where she also completed her psychiatry residency training. During residency, she was involved in medical student education and resident leadership, serving as a chief resident during her final year of training. She also utilized her fluency in Spanish and medical Spanish interpreter training to serve Spanish-speaking patients and to lead Spanish-language group therapy sessions. In addition to psychopharmacology, Dr. Kropf studied psychotherapeutic interventions, including psychodynamic and cognitive behavioral therapies. She has experience working with clients experiencing many different mental health challenges, with a primary clinical focus including the treatment of anxiety, depression, and PTSD.

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.