Holly Shiao, MD

Dr. Michael Padua is a graduate from the University of Nevada, Reno School of Medicine and completed his psychiatry residency training at Loyola University Medical Center at Maywood, IL. He is trained and experienced in diagnosing and treating various psychiatric disorders including depression, anxiety, psychosis, and bipolar disorder with a focus on posttraumatic stress disorder, women's mental health, and cultural psychiatry. He combines his clinical expertise with a passion for working with underserved populations and the LGBTQIA+ population to address mental health needs across various communities. Dr. Padua has experience working in a variety of settings, which includes working as an outpatient psychiatrist at a federally qualified health center (FQHC), and as a correctional psychiatrist at the Washoe County Sherriff's Office in Reno, NV. In addition to his clinical work, Dr. Padua has also participated in research and education, and has co-authored peer-reviewed articles in the fields of psychiatry and biology.

Dr. Rayal Gorrepati is double board certified in both adult and geriatric psychiatry. He has been practicing for over 12 years. Dr. Gorrepati's practice focuses on medication management. Typically, he offers this in conjunction with supportive psychotherapy in 30-minute follow-up visits. However, occasionally Dr. Gorrepati may believe that additional therapy is also needed and ask that you bring a therapist into your care team to provide the best possible outcome. He received his medical degree from the American University of the Caribbean School of Medicine. His general psychiatry residency was completed at Cooper University Hospital in New Jersey. He then completed a Geriatric Psychiatry Fellowship at the University of Hawaii. After completing training, he returned to his hometown of Chicago and began working at a Federally Qualified Health Center providing care to an underserved low-income population for nearly 12 years. While at the clinic, he treated a wide range of diagnoses, the most common ones being depression, anxiety, bipolar disorder, etc. His primary clinical focus is treating adults with depression, anxiety, and bipolar disorder.

Dr. Mouneimne is a Board-Certified bilingual psychiatrist specializing in general adult psychiatry, bringing extensive experience from her residency training in the underserved area of East Texas. She earned her medical degree from the Texas College of Osteopathic Medicine in Fort Worth and has received broad exposure to child/adolescent, geriatric, and adult inpatient and outpatient psychiatry. With a background in Engineering from Texas A&M University, Dr. Mouneimne employs an analytical approach to diagnose and treat mental health issues through personalized and collaborative care. Her training has included both in-person and virtual encounters to extend care across larger geographic areas. She has experience managing psychiatric care in acute behavioral health units as well as long-term facilities and has focused training in applied Cognitive Behavioral Therapy (CBT). Dr. Mouneimne prioritizes maintaining strong patient-provider relationships, ensuring that patients feel heard and seen to optimize treatment outcomes. She is committed to de-stigmatizing mental health services and providing culturally competent care. Her practice incorporates medication management as part of a comprehensive treatment strategy, emphasizing a deep understanding of the underlying etiology rather than merely addressing symptoms. Known for her compassionate and open bedside manner, she values each patient's unique story as essential to their care. ‍In addition to medication management, her practice includes Cognitive Behavioral Therapy (CBT) and supportive psychotherapy to effectively address complex mental health needs. Dr. Mouneimne strives to promote overall well-being and encourage active patient engagement in their care, ensuring that treatment plans support patient goals, comfort, and meaningful outcomes.

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 Veterans 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.

Andrea Roth is an LCSW in New York. Her recent work was at a community-based mental health clinic, where she worked with people of all ages and with various goals for counseling. She has 18 years of experience in human service and nonprofit organizations. She previously worked at a community organization in Syracuse that provides support to people with sensory loss, to maintain or establish independence. Additionally, she worked as a therapist with a Mobile Crisis team. Andrea received a Master's Degree in Social Work and a BA in Psychology from Syracuse University. She has also completed training in Conflict Resolution. Her therapeutic approach is client-centered and strengths-based, emphasizing collaboration and empowerment. She believes in creating a safe and supportive environment where clients can explore their concerns, gain insight, and develop skills to cope effectively with life's challenges. Her clinical approach is to utilize the treatment model that best fits the unique needs of each individual. She strives to be sensitive to the various factors that might impact a person's identity, such as culture, ethnicity, disability, neurodivergence, or being part of the LGBTQ+ community. Andrea's work is informed by several different modalities, including CBT, DBT, IFS, and Mindfulness-based interventions. She has experience treating many mental health conditions such as Anxiety, Depression, Bipolar disorder, Trauma, Anger, Grief, and PTSD.

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.