Irene Pastis, MD

Dr. Sarah Ramos, MD, has experience practicing in a variety of outpatient settings, including community mental health and military care, serving active-duty service members, their families, and veterans. She earned her medical degree from Vanderbilt School of Medicine and completed psychiatry residency training at the University of California San Diego and Thomas Jefferson University in Philadelphia.

Dr. Ramos values open communication, privacy, and a collaborative approach with her patients. She creates a warm, supportive environment where individuals feel heard, respected, and empowered to participate in their care.

In initial sessions, Dr. Ramos thoroughly assesses patients’ history, concerns, and goals to ensure care is personalized and effective. She develops comprehensive treatment plans that align with each patient’s objectives, providing ongoing support to help them achieve meaningful outcomes.

Glenn is a Board-Certified Psychiatric Mental Health Nurse Practitioner with nearly 30 years of experience in health care, dedicated to addressing the mental health needs of his community. With a background in both inpatient and outpatient settings, he is committed to helping individuals become the best versions of themselves—no matter where they are in their journey at the time of their first appointment.

Outside of work, Glenn enjoys spending time with his family, biking, and being outdoors.

He takes a patient-centered approach and emphasizes that he, too, is human. Everyone faces challenges at different times and in different ways. Glenn adopts a holistic perspective, recognizing that effective treatment involves understanding how life challenges impact a person as a whole. He is dedicated to providing compassionate, empathetic, and practical care to all his patients.

Glenn engages with patients in a way that makes it easy and natural for them to share their stories. From there, he promotes a shared decision-making approach to develop the most effective treatment plan. His areas of expertise include psychopharmacology, as well as Cognitive Behavioral, Supportive, and Psychodynamic therapies.

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Thomas Ittoop, MD has experience practicing in both academic and community settings. He earned his medical degree from Central Michigan University and completed his psychiatry residency at Baylor College of Medicine. His background reflects a commitment to comprehensive, patient-centered care grounded in clinical rigor and human understanding.

Dr. Ittoop fosters a warm, collaborative environment rooted in genuine human connection. He values uncovering core patterns, meaning, and the story beneath symptoms. His approach emphasizes curiosity, emotional insight, and self-understanding. Patients can expect transparency, clear communication, and shared goal-setting that honors their strengths, long-term vision, and capacity for resilience and wholeness.

He begins with a thorough initial evaluation exploring symptoms, personal and family history, personality patterns, and desired life changes. Together, he and his patients identify core goals and develop a personalized treatment plan. His integrative therapeutic style includes thoughtful medication management, regular check-ins, and a focus on long-term transformation—building clarity, resilience, and a grounded sense of self that extends beyond treatment.

Dr. Bianca Fleming is a double board-certified psychiatrist in Adult and Child and Adolescent Psychiatry. She completed her undergraduate studies at the University of Georgia, earned her MD from Morehouse School of Medicine, completed psychiatry residency at the University of North Carolina at Chapel Hill, and a child and adolescent fellowship at Emory University School of Medicine. She has experience across inpatient, outpatient, and integrative community health settings.

Dr. Fleming values gathering thorough information through a warm, conversational interview style. She strives to create a supportive therapeutic space while maintaining a balanced sense of patient accountability to promote meaningful progress.

Her approach emphasizes shared agenda setting at every visit to ensure both patient and provider needs are met. Dr. Fleming takes a detailed history to guide clinical decisions, prioritizes patient education, and delivers evidence-based, patient-centered care. She integrates psychotherapy into all medication management appointments to support holistic treatment.

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Dr. Jane Eisen comes to Talkiatry from her previous position at McLean Hospital, in Boston, where she was Clinical Director of the Depression and Anxiety Division, overseeing the integration of clinical work, faculty development, and research in the division. Clinically, she has experience working with people with significant mood and anxiety difficulties. Dr. Eisen's practice focuses on using an integrated approach to the understanding and treatment of individuals' psychosocial stresses and psychiatric symptoms. Her sessions are usually 30 minutes. She frequently suggests including a family member or friend in at least one session to get a comprehensive sense of each person's strengths and challenges. She received her medical degree from NYU and completed her psychiatric residency at Mt. Sinai Hospital. She spent a number of years in the Brown system, as Training Director for the Brown Psychiatry Residency and as Vice-Chair of the Brown Department of Psychiatry. For several years, she served as Chair of the Department of Psychiatry at Mt. Sinai West/St. Lukes' prior to her position at McLean, as Clinical Director of the McLean Hospital Depression and Anxiety Division. She has worked primarily with outpatients with the exception of a recent period of residential work at the Pavilion at McLean Hospital. Dr. Eisen is a general psychiatrist with a focus on anxiety disorders, OCD, and mood disorders. She is interested in the impact of trauma and personality and has extensive experience working with young adults.

Dr. Rachel Sherhart is a board-certified adult psychiatrist who has been in practice for over 4 years. She specializes in medication management with 30-minute follow-up visits. This may be accompanied by elements of supportive therapy, Acceptance and Commitment Therapy (ACT), Dialectical Behavior Therapy (DBT), and psychodynamic therapy. If more in-depth work is needed, she may refer patients to a collaborating psychotherapist. ‍Dr. Sherhart received her medical degree from Texas A&M Health Science Center and completed her psychiatry residency training at the University of Texas Southwestern in Dallas, Texas. She has served as faculty at Texas A&M University College of Medicine, providing education and supervision for psychiatry residents and medical students. ‍She has experience treating adult patients from many walks of life with a broad range of diagnoses, including depression, anxiety, bipolar disorder, ADHD, and trauma-related disorders. Dr. Sherhart has a passion for providing excellent patient care and education. Her goal is for patients to feel heard and find a safe place to discuss their concerns. She is motivated to work collaboratively with patients to find a solution that best fits their treatment goals and improves their overall quality of life.‍