Irene Pastis, MD

Dr. Peppers works with patients to meet the goals that matter to them. She believes that feeling heard and being understood are key factors in a successful treatment relationship.

She has been working in telehealth since 2018. She has worked extensively with patients dealing with trauma from childhood abuse, assaults, combat, and accidents. She also has a lot of experience treating depression, anxiety disorders, bipolar disorder, ADHD, and personality disorders.

After completing her training, Dr. Peppers worked in private practice and in various roles for the Department of Veterans Affairs. She most enjoys working in the clinic because of the long term follow-up.        

Dr. Peppers enjoys her work and includes psychotherapy in her appointments. She offers medication options to treat symptoms but also works with patients to examine behaviors and defenses that may be contributing to their problems. For patients who would benefit from more extensive psychotherapy, she may refer patients to a therapist and work collaboratively with the therapist.

She starts off with a thorough evaluation to make a diagnosis. Then, she works with patients to determine what their treatment goals are and develops a treatment plan to meet those goals.

Dr. Heath Foreman is double board-certified in General Psychiatry and Child and Adolescent Psychiatry. He is a Texas native and received his Bachelor of Science in Medical Technology from UTSouthwestern Medical Center in Dallas. His medical degree was earned at the University of North Texas Health Science Center - Texas College of Osteopathic Medicine in Fort Worth. He completed residency and fellowship training at Baylor Scott & White - Texas A&M in Temple and has been practicing since 2015. He served as Medical Director for a community mental health system for 10 years and has experience working with patients who have ADHD, Autism, Intellectual Developmental, Anxiety, Mood and Traumatic Stress Disorders and Psychosis.

Dr. Foreman uses a professional yet conversational style so that patients may feel at ease while developing a comprehensive understanding of the issues at hand. He prefers an educational approach so that patients can gain the knowledge and tools required to achieve improvement.

Dr. Foreman will perform a broad evaluation and work with his patients to create an evidence-based, personalized treatment plan. Subsequent meetings will incorporate medication management as well as psychotherapeutics based on Cognitive Behavioral, Trauma Based and Psychodynamic techniques. He will provide referrals for traditional counseling or testing when appropriate.

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Dr. Luna Sanchez Rivera holds the position of Staff Psychiatrist at Talkiatry. After completing residency in 2016 at the Ponce Medical School Psychiatry Residency in Puerto Rico, she then moved to North Carolina to complete a subspecialty in Child and Adolescent Psychiatry at Duke University Health System. There, she transitioned into an assistant professor position, focused on structuring pediatric emergency psychiatric services, and helped support the consult and liaison pediatric service. Her years of experience have included working as an integrated care child psychiatrist within outpatient clinics at Duke University Health System, and she trained and worked as a staff psychiatrist at the Inpatient State Facility in North Carolina. She also served in the Dayton Children's Hospital outpatient clinics in Dayton, Ohio, the Appalachian Health System outpatient clinics in Linville, North Carolina, and more recently has been serving the Child and Adolescent inpatient population in Bangor, Maine. Dr. Sanchez Rivera has an approachable style aimed at providing a comprehensive evaluation for all age ranges and is comfortable managing various levels of diagnostic complexities. She provides supportive psychotherapy while using psychodynamic therapy skills to clarify her patient's constellation of symptoms, identify unifying themes and provide thorough psychoeducation throughout the process to drive positive outcomes. She integrates psychodynamic medication management approaches and is adept at family therapy interventions.

Dr. Hess is double board-certified in Adult and Geriatric Psychiatry. He completed his psychiatry internship and residency training at St. Vincent's Hospital and Medical Center in New York City, and then completed a geriatric psychiatry fellowship at Mount Sinai Beth Israel Medical Center. Dr. Hess has practiced inpatient psychiatry at the Long Island College Hospital, NYU Langone Brooklyn, and Kingsbrook Jewish Medical Center. He has also worked in emergency rooms, day hospitals, and consultation-liaison settings, as well as seeing geriatric outpatients at a naturally-occurring retirement community (NORC) on the Lower East Side of Manhattan. Dr. Hess has taught St. George's University medical students during their clinical rotations in psychiatry. Dr. Hess has more than 24 years of experience providing patients with compassionate psychiatric care for depressive and bipolar disorders, anxiety, obsessive-compulsive disorder, post-traumatic stress disorder, and dementia. He uses pharmacotherapy as well as supportive psychotherapy. Dr. Hess may believe that additional therapy is also needed and ask that you bring a therapist into your care team to provide the best outcome. The philosophy of his practice is to collaborate with patients to meet their specific needs and make an impact in various stages of their lives.

Dr. Shari Sengupta attended the University of OK as a National Merit Scholar and went on to graduate with her MD from Eastern Virginia Medical School. She specialized in Adult Psychiatry at the University of NC Hospitals where she was a chief resident. She received psychotherapy training in insight-oriented and cognitive-behavioral approaches and trained at the Psychoanalytic Institute of the Carolinas. She has 18 years of experience providing medication management and psychotherapy in both private practice and community mental health settings and over 10 years of experience in telepsychiatry providing care to underserved communities. Dr. Sengupta has experience treating a variety of mental health concerns but has a particular interest in depression, anxiety, and mental health in the perinatal period. Her practice focuses on medication management from a holistic perspective. She believes that mental health is the cornerstone of overall well-being and that treatment is a collaborative journey toward improved health and function in life, work, and relationships. She offers culturally sensitive treatment to people from all backgrounds and sexual orientations. As a staff psychiatrist at Talkiatry, her treatment approach focuses on medication management informed by a background in psychotherapy.‍

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.

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