Janeen Paul, MD

Mary Birse is a board-certified Psychiatric Mental Health Nurse Practitioner (ANCC) with over 20 years of nursing experience. She graduated magna cum laude with a BSN from Florida Atlantic University and earned her MSN from the University of Florida. She completed a Psychiatric NP Residency at the VA in Charleston, SC. Mary has worked in a variety of settings including the West Palm Beach VA Medical Center, the Palm Beach County Firefighter’s Clinic, various outpatient telehealth platforms, and a child and adolescent inpatient facility. She was also an adjunct professor at Palm Beach State College.

Mary believes in empowering patients through education and collaboration so they can play an active role in their mental health journey. She works to create a warm and welcoming space where patients feel safe, heard, and understood. Whether the treatment path includes therapy, medication, integrative approaches, or a combination, she ensures that the plan reflects the patient's needs and goals.

Mary takes a thorough and holistic approach to care. She spends time understanding each patient’s history and past treatments—what has or hasn’t worked—and listens carefully to their current concerns and future goals. By factoring in lifestyle and preferences, she works with patients to build thoughtful, individualized treatment plans.

Background and credentials  

Dr. Alexandra Baluna, MD, is board-certified by the American Board of  Psychiatry and Neurology. She received her medical degree from  LSUHC-Shreveport and completed her psychiatry residency training at  Montefiore/Albert-Einstein College of Medicine, where she served as chief of  the Consultation-Liaison (C/L) service. Following residency, Dr. Baluna  served as Senior Chief, during which she was honored with the Leo M. Davidoff  Award for Outstanding Achievement in the Teaching of Medical Students. Her  professional experiences include roles at Fordham University, Albert Einstein  Student Mental Health Counseling Center, and most recently, as an outpatient  psychiatrist at Maimonides Medical Center, where she enjoyed teaching and  supervising residents.  

Treatment approach  

Dr. Baluna emphasizes creating a warm, empathic, and nonjudgmental  therapeutic environment. She collaborates closely with patients to develop  personalized treatment plans that consider cultural, biological,  psychological, and social factors. With a strong interest in psychotherapy,  she frequently employs ego-supportive and insight-oriented therapy techniques  during follow-up sessions.  

What you can expect in a first visit    

During an initial visit, patients can expect a welcoming and supportive  atmosphere where Dr. Baluna conducts a comprehensive assessment. This  involves exploring the patient's history, current challenges, and individual  circumstances. The goal of the first session is to collaboratively build an  individualized treatment plan tailored specifically to the patient's unique  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 speciualize in  medication management and collaborate with you on a treatment plan that fits  your needs and comfort level.

Dr. Viga Naik takes a holistic approach when practicing, understanding the importance of an integrative treatment care model. She believes optimal patient care goes beyond psychopharmacology and requires incorporation of psychotherapy and psychosocial intervention. She is a strong advocate for her patients, dedicated to being an educator of mental illness to break self, societal, and systemic stigmas. She believes that a strong therapeutic alliance between clinician and patient is essential. She works on creating a safe and empathetic environment while providing psychoeducation to patients, empowering them to play an active role in their treatment. Dr. Naik is an adult psychiatrist with specializations in Addiction Psychiatry and Consultation-Liaison Psychiatry, also known as psychosomatic medicine. She completed her residency training at New York Medical College and fellowship training at the Mount Sinai Health Systems located at Bronx Care and Beth Israel Hospital. She has worked in both inpatient and many outpatient specialty clinics such as psych/oncology, transplant, collaborative-care, medication assistance treatment, music and medicine, and gender affirmation surgery treating patients with comorbid mental illness and substance use disorders as well as comorbid mental illness and general medical conditions. Her practice focuses on medication management in combination with supportive therapy and providing psychoeducation to patients. She treats depression, anxiety, bipolar disorder, obsessive compulsive disorder, post-traumatic stress disorder, general anxiety disorder, substance use disorders and other associated psychiatric disorders.

Dr. Cecilia Fitz-Gerald is a board-certified psychiatrist trained in adult psychiatry and consultation-liaison psychiatry, formerly known as psychosomatic medicine. She has been practicing for over five years and has extensive experience working in a variety of clinical settings, including inpatient, outpatient, and emergency psychiatry. In addition, she specializes in working with patients with acute and chronic medical conditions that may be affecting their mental health, such as cancer, stroke, or a heart condition. She provides patient-centered care utilizing a collaborative approach to help her patients reach their goals. She is a native of Louisiana and a graduate of the LSU School of Medicine in Shreveport. She was elected to the prestigious medical honor society, Alpha Omega Alpha, during her fourth year of medical school and was awarded the John W. Bick Excellence in Psychiatry award. She completed her psychiatry residency training at the University of Texas Southwestern Medical Center where she served as Chief Resident and was a PRITE Fellow. Afterwards, she completed a fellowship in consultation-liaison psychiatry at Yale-New Haven Hospital. Dr. Fitz-Gerald has multiple scholarly publications, particularly in the fields of emergency psychiatry and hospital delirium and has presented at the annual conference for the Academy of Consultation-Liaison Psychiatry. She is passionate about academic medicine and enjoys teaching medical students and residents. Her other areas of clinical interest include ICU delirium and cardiac psychiatry.

Dr Reddy is double board certified in adult as well as child and adolescent psychiatry. She has experience working at various levels of mental health care. Dr. Reddy has most recently served as the medical director for a partial hospitalization/intensive outpatient program (PHP/IOP) for adolescents in the Dallas/Fort Worth area. She completed her general psychiatry residency at the University of Illinois at Peoria and went on to pursue her child and adolescent psychiatry fellowship at the University of Texas Southwestern. She is knowledgeable in treating patients of all ages and a wide variety of diagnoses including depression, bipolar disorder, anxiety, ADHD, OCD, PTSD, and eating disorders. Dr. Reddy is passionate about working with LGBTQIA+ populations, providing culturally informed care, and taking a person-centered approach to providing comprehensive and individualized treatment to her patients. She is well versed in incorporating psychotherapy in conjunction with medication management. She has experience in incorporating supportive, cognitive behavioral, and dialectical behavioral therapeutic approaches in her care.

Dr. Mandel received his Bachelor of Arts and Doctor of Medicine degrees from the University of Pennsylvania. He completed his Residency in Psychiatry at Mount Sinai Medical Center in Manhattan. He has been board certified in psychiatry since 2001 and is a Life Fellow of the American Psychiatric Association. He has held numerous clinical and academic appointments including serving as Chairperson of Psychiatry at Huntington Hospital in Huntington, New York, and Assistant Professor of Psychiatry at Hofstra North Shore-LIJ School of Medicine.

Dr. Mandel has over 25 years of clinical experience treating all mental health conditions. He has a strong interest in mood and anxiety disorders, including work-related anxiety. He authored a section on the pharmacology of social anxiety in the book Work Makes Me Nervous. Dr. Mandel also has expertise working with clients diagnosed with borderline personality disorder. He has lectured on the pharmacologic management of this condition, including a presentation at the NIMH International Think Tank for the More Effective Treatment of Borderline Personality Disorder.

Dr. Mandel continually seeks to streamline complex medication regimens. He has completed a fellowship in integrative psychiatry and carefully considers the potential contributions of lifestyle and nutrition to overall mental health and well-being. By taking an eclectic approach, Dr. Mandel is able to achieve the best possible outcome for all whom he is privileged to serve.