Ioana Horotan-Enescu, DO

Sherra St. Clair is a board-certified Psychiatric Mental Health Nurse Practitioner with over a decade of experience supporting individuals with a wide range of mental health concerns. Her areas of expertise include attention deficit hyperactivity disorder (ADHD), depressive and anxiety disorders, obsessive-compulsive disorder (OCD), bipolar disorder, and trauma-related conditions.

She completed her advanced nursing degree at the University of Wyoming, where she was recognized for her compassionate and welcoming approach to patient care. Before becoming a nurse practitioner, Sherra was inspired to pursue further education while working as part of an inpatient treatment team that included psychiatrists, psychologists, patients, and their families. Witnessing the profound improvements patients experienced after a crisis motivated her to transition toward outpatient and preventative care.

Prior to her nursing career, Sherra worked as a medical illustrator and animator, having studied at the University of Michigan’s medical school. She enjoyed creating educational materials for patients, physicians, and attorneys.

Sherra is passionate about working with individuals of all genders and socioeconomic backgrounds. She uses a collaborative, strengths-based approach that incorporates evidence-based medication management, psychotherapy, and patient education. She believes each person is the expert in their own life and strives to empower individuals to build on their self-worth, progress, and potential.

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Ernest Smith, LPC, specializes in supporting adolescents, young adults, adults, and older adults as they navigate grief, anxiety, depression, trauma, and life transitions. With a compassionate and client-centered approach, he creates a safe, nonjudgmental space for individuals to explore their experiences and build the skills necessary for healing, growth, and resilience.

Ernest draws from a range of evidence-based modalities—including solution-focused therapy, person-centered therapy, cognitive-behavioral therapy (CBT), and dialectical behavior therapy (DBT). He tailors each session to meet the unique needs of his clients, whether helping adolescents manage emotional regulation and identity development or supporting older adults in coping with grief and life changes.

Ernest provides trauma-informed care and recovery-focused strategies that foster emotional safety, self-awareness, and long-term well-being. His goal is to walk alongside each person with empathy, understanding, and practical tools that promote lasting change and inner strength.

Background and credentials

Dr. James is a board-certified adult psychiatrist with 32 years of clinical experience. She earned her medical degree from Tufts University, Boston’s affiliated program and completed her residency training at Steward St. Elizabeth Medical Center in Boston, where she initiated the residency program and received the Resident Teaching Award for excellence in teaching. Throughout her career, she has served in various leadership roles, including as Chief of Psychiatry at Pro Medica Healthcare Company.

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Treatment approach

Dr. James specializes in community adult psychiatry and is deeply invested in providing comprehensive care for individuals and families. She has extensive experience working in outpatient, inpatient, consult-liaison, and emergency room settings, allowing her to tailor treatment to diverse patient needs. Her approach prioritizes holistic, patient-centered care, ensuring that each treatment plan aligns with a patient’s specific challenges and goals.

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What you can expect in a first visit

During the first visit, patients can expect a thorough psychiatric evaluation where Dr. James carefully reviews their symptoms, medical history, and treatment objectives. She fosters a compassionate and collaborative environment, ensuring that patients feel supported in their journey toward better mental health. Her extensive experience allows her to provide personalized treatment strategies, which may include medication management and therapeutic interventions tailored to each individual’s needs.

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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. Alexandra Hamlyn is a board-certified adult psychiatrist and board-certified child and adolescent psychiatrist. She completed her medical education at Cooper Medical School of Rowan University and then completed her residency in adult psychiatry at Icahn School of Medicine at Mount Sinai Beth Israel. She then went on to complete her child and adolescent psychiatry fellowship at NYU Langone and Bellevue Hospital. During this time, she also taught a course titled Love Actually at NYU School of Arts and Science. During training, Dr. Hamlyn gained extensive clinical experience in psychiatric inpatient, outpatient, and emergency settings, allowing her the opportunity to treat patients of all ages and backgrounds in numerous busy hospitals in New York City. Dr. Hamlyn's primary focus is on medication management, though she also has experience working in four different outpatient clinics where she has gained expertise in multiple different therapy modalities. If appropriate, Dr. Hamlyn will refer you for psychotherapy and collaborate with your therapist to support your care. She appreciates the importance of fostering a meaningful therapeutic relationship, and her goal is to make every patient feel welcomed in a non-judgmental treatment environment. She also takes a holistic approach as she understands that good health creates a sense of overall well-being and improved mental health. She strongly emphasizes the importance of mindfulness, self-compassion, exercise, nutrition, and interpersonal relationships throughout treatment. She looks forward to meeting and working with you.

Danielle LaBarre is a Licensed Mental Health Counselor and Licensed Professional Counselor (LMHC and LPC) practicing in New York, Virginia, and Georgia. With 10 years of experience, she supports adults navigating anxiety, depression, stress, grief, and life transitions. Danielle earned her Master of Science in Mental Health Counseling from Long Island University and holds a Bachelor of Arts in Psychology from Mount Saint Mary College.

She is deeply committed to person-centered care, meeting clients where they are and guiding them toward where they want to be. Danielle integrates mindfulness techniques, cognitive-behavioral strategies, and strength-based, compassionate approaches to help each individual achieve their personal goals.

Understanding that seeking therapy can feel intimidating, Danielle also views it as a courageous and empowering step. She is dedicated to creating a collaborative, culturally inclusive therapeutic environment that supports clients in living balanced, fulfilling lives.

Dr. Rodriguez is an adult psychiatrist, who is fluent in Spanish and English. She completed residency at St Luke's-Roosevelt Hospital in New York City via Columbia University College of Physicians and Surgeons followed by a Fellowship in Forensic Psychiatry in a combined Cornell University - Columbia University program with the New York State Psychiatric Institute. She obtained her medical degree at the Pontificia Universidad Catolica Madre y Maestro in the Dominican Republic. Dr. Rodriguez is an adult psychiatrist and has worked with a wide array of patients across various medical settings including extensive experience in Telehealth. Her experience includes Kings County Hospital in Brooklyn, New York, in addition to outpatient experience in both clinics and correctional facilities. Dr. Rodriguez has experience treating patients with psychiatric illness who may also be suffering from medical comorbidities, such as obesity, hypertension, pain, and diabetes. She has been deeply involved with teaching and emphasizes psychoeducation while working in collaboration with her patients to help tailor their personalized treatment plan. Her primary focus has been on treating adults with depression, bipolar disorder, anxiety, ADHD, OCD, and PTSD. Dr. Rodriguez has an approachable, patient-centered style, combined with a passion for optimizing sleep as it pertains to management of a psychiatric illness and overall well-being. She offers supportive therapy as part of her medication management visits, and at times may also offer cognitive behavioral therapy to address underlying stressors which may be contributing to one's presenting ailments. She may also recommend including a therapist in your care team to optimize outcomes.