Iris Vanessa Guerrero Urena, MD

Dr. Krista Alexander is a board-certified psychiatrist who loves equipping her fellow human beings to feel and function better. She studied medicine at the University of Texas Southwestern Medical School and completed her residency at Duke University. She has worked in both private practice and integrated primary care/behavioral health care settings. She is a member of the American Psychiatric Association and the North Carolina Psychiatric Association. Krista offers medication management and supportive psychotherapy for mood disorders, anxiety disorders, trauma, ADHD, substance use disorders, and other mental health issues. She strives to embody "relational prescribing” and believes that med management is most effective in the context of a relationship of mutual trust, emotional safety, and shared decision-making between provider and patient. She has trained in psychodynamic psychotherapy and various forms of cognitive behavioral therapy, and tailors her approach to each patient's individual strengths and needs. Krista understands that the needs of the whole person must be addressed in order to facilitate growth and healing. She enjoys collaborating with fellow medical/mental health providers to address a patient's complex needs as an integrated team.

Dr. Nidhi Sharoha is a double board certified psychiatrist in Psychiatry and Consultation Liaison Psychiatry. She completed her undergraduate training at Stony Brook University followed by medical school at New York Institute of Technology College of Osteopathic Medicine. She has completed both a Residency in Psychiatry and Fellowship in Consultation Liaison Psychiatry at Nassau University Medical Center.

Dr. Sharoha has held academic appointments at Stony Brook University Hospital, practicing as a consultant psychiatrist and Associate Director of Consultation Liaison Psychiatry Fellowship. “Dr. Sharoha has accrued experience and expertise in Perinatal Psychiatry through her training in CL psychiatry. Currently, Dr. Sharoha is serving as President Elect of Long Island District Branch  of APA. She  has formerly served as Associate Director of Clinical Education here at Talkiatry.” She has contributed to education, training and supervision of trainees and physicians throughout her career.   She continues to stay up to date with current psychiatric knowledge.

She has a genuine interest in treating a vast array of psychiatric disorders including depression, anxiety, bipolar disorders, post-traumatic stress disorders, and obsessive compulsive and related disorders. She also has experience in treating patients with medical comorbidities and has training in issues related to women's health. Patients looking for a psychiatric provider will find that Dr. Sharoha has a gentle approach to diagnosis and management of her patients. She believes in the principle that body and mind are interconnected, which allows her to provide comprehensive care to all of her patients.

Background and credentials    

Dr. Abernethy is a board-certified psychiatrist who received his medical  degree from the University of Texas Medical School at Houston. He completed  his internship at UT Southwestern in Dallas and earned a Master's of Public  Health in Epidemiology and Occupational and Environmental Health from Texas  A&M. He completed his psychiatry residency training at the University of  Oklahoma Health Science Center. Dr. Abernethy has over 12 years of experience  practicing psychiatry in various outpatient settings, including private  practice and community mental health centers in Texas and Oklahoma,  specifically reaching underserved communities. He has treated a broad  spectrum of mental health symptoms among diverse populations, addressing  issues ranging from mood and anxiety disorders to behavioral manifestations  of Autism and other developmental disorders.    

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Treatment approach    

Dr. Abernethy utilizes a collaborative and patient-centered approach to  psychiatry, focusing primarily on medication interventions that align with  each patient's unique treatment goals and clinical needs. He emphasizes  cooperation with patients to effectively treat and reduce mental  health-related symptoms. His practice centers around medication management,  supplemented by supportive treatments tailored to individual needs. Depending  on each patient’s circumstances, he may recommend additional support from  individual, family, or group counselors and therapists to achieve optimal outcomes.    

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What you can expect in a first visit

In an initial visit, patients can expect a thorough, collaborative  discussion focused on understanding their symptoms, goals, and clinical  needs. Dr. Abernethy will evaluate the patient's condition to determine  appropriate medication interventions and discuss personalized treatment  recommendations. Typical follow-up visits are approximately 20-30 minutes in  length. Depending on the severity and complexity of a patient's situation,  referrals to additional counseling or therapy may also be suggested.    

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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 speciualize in  medication management and collaborate with you on a treatment plan that fits  your needs and comfort level.

Dr. Dave Kopacz studied psychology, medicine, and psychiatry at the University of Illinois. He has over 25 years of clinical experience, most recently 11 years at the Seattle Veterans Affairs and as a national VA Whole Health Education Champion, teaching holistic self-care to staff and veterans. Prior to that, Dr. Kopacz was Clinical Director of a psychiatric rehabilitation center in New Zealand. He has worked in private practice, rural community mental health, and ran a VA tele-health program for Native American/Alaskan and Pasifika veterans.

Dr. Kopacz is board certified in Psychiatry & Integrative Medicine, a certified yoga instructor and a certified iRest (Integrative Restoration) meditation teacher. He is an author and international speaker on topics of burnout, well-being, medical humanities, creativity and health, and cross-cultural approaches to healing. His books include Caring for Self & Others: Transforming Burnout, Compassion Fatigue, and Soul Loss, and Re-humanizing Medicine. He has also co-authored four books with Joseph Rael (Beautiful Painted Arrow), including Walking the Medicine Wheel: Healing Trauma & PTSD.

"What is your typical process for working with patients?"

Dr. Kopacz combines psychiatric diagnosis with a collaborative and holistic focus on your strengths and personal growth. Combining a psychiatric and self-care assessment, he will help you find a plan for medication, psychotherapy, and well-being work that feels right for you.

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Background and credentials

Dr. Lillian Cole is a board-certified adult psychiatrist. She completed her undergraduate education at the University of North Carolina Wilmington and went on to earn both a master’s in biomedical sciences and a medical degree from Texas Tech University. She completed her psychiatry residency training at the University of Texas Southwestern Medical Center, where she gained experience working with a diverse range of patient populations across different ethnic, socioeconomic, and clinical backgrounds.

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Treatment approach

Dr. Cole emphasizes a holistic, patient-centered approach that integrates evidence-based medicine, psychotherapeutic techniques, lifestyle interventions, and psychoeducation. She believes that listening, collaboration, and compassion are essential to guiding patients toward recovery. Her practice primarily focuses on psychiatric medication management, and she has extensive experience treating mood disorders, anxiety, trauma-related disorders, and substance use disorders. When additional therapy is necessary for the best outcome, she may recommend integrating a therapist into the treatment plan.

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What you can expect in a first visit

Patients can expect a thorough and compassionate initial evaluation, where Dr. Cole takes the time to understand their symptoms, medical history, and treatment goals. She focuses on fostering a strong doctor-patient relationship and collaborates with each patient to create a personalized treatment plan that may include medication management, therapy, and lifestyle interventions. If additional therapy is indicated, she will coordinate with other providers to ensure comprehensive care tailored to the patient’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. Caitlin Schroen completed her Psychiatry residency at Rutgers Robert Wood Johnson Medical School in Piscataway, NJ. She received her bachelor's degree in Psychology from Fordham University and then attended medical school at the Lewis Katz School of Medicine at Temple University. Dr. Schroen provides psychiatric services to adults ages 18 and older. She focuses on medication management and psychoeducation, often along with supportive therapy. With a patient-centered approach, Dr. Schroen believes in fostering a safe and non-judgmental environment where individuals can openly discuss their mental health concerns. Dr. Schroen is well-versed in a wide spectrum of psychiatric conditions and offers evidence-based treatments tailored to each patient's unique needs. She has a particular interest in treating mood disorders, anxiety disorders, OCD, and ADHD. Dr. Schroen is passionate about reducing the stigma surrounding mental health and strives to provide the highest quality care to help individuals lead happier and more fulfilling lives.