James Lee Jr., MD

Dr Cardiel- Sam is Board Certified in both General Psychiatry and Child and Adolescent Psychiatry. He completed undergraduate training at University of Miami followed by medical school at St. Georges University. He has completed Residency in Psychiatry at Bergen New Bridge Medical Center and fellowship training for Child and Adolescent Psychiatry at Penn State University.  

His training in Child and Adolescent Psychiatry has given him a unique perspective on mental illness. He has found that these conditions rarely start in adulthood, but rather, are a product of multiple factors and years of lived experience. For this reason, Dr Cardiel- Sam approaches his patients through a trauma informed lens; an acknowledgement of the unique story and challenges that each individual has faced. He is comfortable treating a wide variety of psychiatric conditions including depression, anxiety, bipolar disorder, ADHD and many more.

Working with Dr Cardiel- Sam, you can expect holistic and collaborative psychiatric treatment. He believes that medication along with therapeutic treatment should fit seamlessly into a patient’s life, with minimal inconvenience. He strives to empower patients in shared medical decision making, making time to explain risks/benefits and alternatives for treatment.

Dr. Sabrina Lefcochilos-Fogelquist earned her bachelor’s degree from Georgetown University and her medical degree from Sidney Kimmel Medical College at Thomas Jefferson University. She completed her psychiatry residency at the Icahn School of Medicine at Mount Sinai Morningside/West in New York City. She has experience in outpatient, inpatient, and emergency psychiatry, treating a broad spectrum of mental health conditions across diverse populations.

Dr. Lefcochilos-Fogelquist values compassionate, holistic care and strives to build long-term, collaborative relationships with her patients. She is particularly drawn to the outpatient setting, where she can engage with the evolving narratives of her patients’ lives. She creates a warm, supportive environment where individuals feel safe, respected, and heard.

Her process begins with a comprehensive evaluation to understand each patient’s history, concerns, and goals. Treatment plans are individualized and may include medication management and psychotherapy. She integrates supportive, cognitive behavioral, psychodynamic, and mindfulness-based techniques to meet patients' evolving needs.

Dr. Alicia Garcete is a board-certified child, adolescent, and adult psychiatrist in practice for over 12 years. Her practice focuses on medication management, recognizing  family involvement is extremely important and is an integral part of treatment. Dr Garcete has treated a wide variety of patients. Her primary focus is treating depression, anxiety disorders, ADHD, PTSD and OCD. Additionally, she can provide supportive therapy and elements of cognitive-behavioral therapy but on occasions more therapy support may be needed, and the recommendation to bring a psychotherapist on the care team may occur to provide an optimal outcome. Dr. Garcete is bilingual and provides care in both Spanish and English.

Prior to Talkiatry, Dr Garcete treated children, adolescents, and adults was at the intensive outpatient and partial hospitalization levels of care with focus on behavioral approaches in the Depression recovery and Anxiety/OCD programs.

Dr. Garcete earned her Medical Degree from the Universidad Nacional de Asuncion, Facultad de Ciencias Medicas in Paraguay. She completed her general psychiatrist residency at Maimonides Medical Center in New York. She was also a Fellow in Psychoanalysis at the Psychoanalytic Institute, Affiliate to New York University School of Medicine, and completed her child and adolescent psychiatrist fellowship at Elmhurst Hospital Center, affiliate to Mount Sinai Hospital. Dr. Garcete also held a clinical assistant professor appointment from the department of psychiatry at SUNY Downstate Medical Center.

Dr. Tahira Akbar specializes in adult psychiatry, she completed her four years of residency training at Bergen New Bridge Medical Center in Paramus NJ and additional two years of geriatric psychiatry fellowship from SUNY Downstate Medical Center in Brooklyn, NY. During her final year of the of residency training, she was appointed as the chief of research. She utilized her extensive research experience to guide and mentor her fellow residents. Under her supervision the program submitted maximum number of research papers and presented medical posters to various psychiatric platforms including American Psychiatric Association.

Dr. Akbar was introduced to tele-psychiatry during the second year of her fellowship due to the COVID-19 pandemic. She appreciated that tele-psychiatry allowed her to continue to serve her patients in the comfort of their own homes. During the challenging times of social distancing, she recognized the importance of collaborative care involving family members, social workers, medical team, and therapist to work together in the best interest of her patients while protecting their privacy and individuality.

Dr. Akbar has excellent communication skills, she believes that an open communication is essential for any relationship to prosper especially that of doctor-patient relationship. She provides a comforting environment for her patients to be able to express their needs and encourages feedback while preparing their individual treatment plan. She is experienced in providing psychiatric care to all age groups while her clinical interest focuses on taking care of adults and geriatric population. Dr. Akbar emphases on medication management utilizing a multidisciplinary methodology when treating each patient based on their requirements and tailoring treatment appropriately.

Dr. Stuart Hedgpeth is a board-certified psychiatrist. While Dr. Hedgpeth primarily focuses on medication management, he understands that mental health often requires approaches from multiple perspectives. Psychodynamic and supportive therapies are offered on an as-needed basis in addition to medication management. New patients are provided 60 minutes for initial visits, and follow-ups are given 30 minutes. Dr. Hedgpeth graduated from the University of North Carolina School of Medicine in Chapel Hill, NC. He completed his adult psychiatry residency training at Virginia Commonwealth University Health System in Richmond, VA. Dr. Hedgpeth's training has positioned him to care for adults of all ages with a wide spectrum of mental health disorders and related conditions. In his residency he sought out additional experience working with patients undergoing treatment for HIV, patients with trauma-related disorders, and the LGBTQ+ population.

Background and credentials

Dr. Munoz is a board-eligible adult psychiatrist. He earned his medical degree from Rutgers, New Jersey Medical School and completed his psychiatric residency at Mount Sinai Beth Israel. Throughout his training, he gained experience in a variety of clinical settings, including outpatient and inpatient care, as well as psychiatric emergency services.

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Treatment approach

Dr. Munoz provides compassionate psychiatric care through a combination of pharmacotherapy and supportive therapy. He specializes in treating depression, anxiety, bipolar disorder, and psychotic disorders. He has extensive experience working with LGBTQ+ and Spanish-speaking communities. His treatment philosophy is holistic, viewing patients as whole individuals and addressing their specific needs at different stages of life. He also emphasizes the importance of exercise, relationships, and overall well-being in his approach to mental health care.

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What you can expect in a first visit

During the first visit, patients can expect a comprehensive and patient-centered evaluation. Dr. Munoz takes the time to understand each patient’s symptoms, background, and personal goals. He collaborates with patients to develop an individualized treatment plan that may include medication management, supportive therapy, and lifestyle modifications to support their overall well-being.

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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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