Ioana Horotan-Enescu, DO

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 veteran 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.”

Dr. Sarah Benito Figueroa is a board-certified Adult Psychiatrist and a board-certified Child and Adolescent Psychiatrist. She earned her medical degree from the University of Puerto Rico Medical Sciences Campus.  She completed her Adult Psychiatry residency at the University of Connecticut. Following this, she sub-specialized in Child and Adolescent Psychiatry at New York University. Prior to joining Talkiatry, Dr. Benito Figueroa served as a Child and Adolescent Psychiatrist at a busy academic outpatient clinic and on an inpatient basis, providing care to children with complex medical needs.

Dr. Benito Figueroa strives to provide a patient-centered and collaborative approach when developing treatment plans. She specializes in medication management and supportive psychotherapy. When appropriate, she may make a referral for more specialized therapeutic interventions. For child and adolescent patients, Dr. Benito Figueroa encourages parental involvement at each visit to ensure a family centered approach is being followed to best support the child's needs.

During the first visit, Dr. Benito Figueroa will conduct a comprehensive psychiatric evaluation with a goal of understanding a patient's treatment history, current symptomatology and personal goals. She will work together with her patients to foster a collaborative environment, personalize treatment plans and support patients in achieving an improved quality of life.

‍

Dr. Tony Tu is a board certified adult psychiatrist who emphasizes patient education and a psychodynamic approach to outpatient psychiatry. His passion for empowering patients with knowledge stems from his academic experience in psychiatry residency training. Dr. Tu's practice focuses on blending medication management together with psychotherapy. He also prioritizes collaboration with your therapist and encourages working together as a team. Dr. Tu is a graduate of the University of Chicago Pritzker School of Medicine where he completed an MD and PhD combined program which helped develop his "doctors as teachers” style of practice. Dr. Tu completed his psychiatry residency training at Loyola University Medical Center in Illinois. Dr. Tu served as an Associate Program Director of Loyola's Psychiatry residency training program for two years, and now maintains an Affiliate Assistant Professor of Psychiatry role with Loyola. He continues to contribute to residency training, as well as mentorship of medical students and psychology externs. Over the years, Dr. Tu has received several awards that demonstrate his affinity for teaching, including the Educator of the Year Award in 2022 from the Loyola Psychiatry Residency Program. Areas of specialization include psychopharmacology, patient-centered medicine, and combination treatment of psychiatry and psychotherapy. Dr. Tu understands that medications are not the end-all-be-all of treatment, but just the beginning. For trauma and acute stress, he understands that the journey starts at the tip of the iceberg, with much to explore as you feel more ready.

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. Amada holds the position of staff psychiatrist at Talkiatry. She was born and raised in Queens, NY. She completed her undergraduate education at New York University, followed by medical school at SUNY Downstate College of Medicine in Brooklyn, NY. She went on to complete her psychiatry residency at Stony Brook University Hospital, where she received an award for academic achievement. Dr. Amada believes in a holistic approach to mental health that addresses lifestyle factors alongside medication management. She values the importance of both therapy and medication in treating mental illness.

Dr. Amada takes a collaborative approach to care and strives to involve her patients in every step of the treatment process. She believes in creating a safe, supportive, and nonjudgmental space where patients can openly discuss their concerns. While her focus is on medication management, she often recommends incorporating additional therapy into the treatment plan and may ask that patients work with a therapist to help achieve the best outcomes.

Dr. Amada works closely with her patients to develop personalized treatment plans. She believes in open communication, shared decision-making, and taking into account the whole person when addressing mental health concerns. Her goal is to ensure that patients feel heard, supported, and actively engaged in their care.

‍

Dr. Lee is a board-certified psychiatrist who specializes in adult psychiatry and minority mental health. He is a graduate of Morehouse College and later received his medical degree from Meharry Medical College in Nashville, TN. After graduating from Meharry, he completed his psychiatry residency at the University of South Carolina/ Palmetto Health in Columbia, SC and a forensic psychiatry fellowship at Tulane University. After completing his training, he entered private practice in Rock Hill, SC and served the community for 11+ years. During that time, he also served as Staff Psychiatrist at Winthrop University. Prior to joining Talkiatry, Dr. Lee served as an Attending Psychiatrist and Medical Director of an inpatient psychiatric unit. Throughout his professional career, he has remained passionate about educating individuals about sustaining better mental health and eradicating the stigma of mental illness. Dr. Lee brings a vast array of knowledge to Talkiatry. He has experience treating various psychiatric disorders including depression, anxiety, bipolar disorder and ADHD. His approach focuses on evidence-based medication management and incorporates supportive therapy techniques as well as psychoeducation to address the presenting issues in a compassionate and competent manner. If additional therapy is needed, Dr. Lee may recommend that a therapist is part of the treatment team.