Jency Sachidanandam, MD

Dr. Alexandre is a board-certified psychiatrist who completed his psychiatry training both in Brazil and in the United States, where he served as Chief Resident in both programs. He is fluent in both English and Portuguese and is especially attuned to the unique challenges faced by international and immigrant populations. Dr. Alexandre is passionate about helping patients achieve meaningful and sustained improvements in their mental health.

He brings over a decade of experience in mental health care and has a strong foundation in evidence-based treatment. His clinical interests include mood and anxiety disorders, ADHD, and cross-cultural psychiatry.

Dr. Alexandre incorporates a collaborative and compassionate approach to care, combining medication management with elements of cognitive behavioral therapy, behavioral activation, and interpersonal strategies when appropriate.

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Sonya R. Isler, PMHNP-BC, began her nursing journey over 30 years ago in a state psychiatric hospital in Goldsboro, NC, inspired by the poised nurse she admired at church as a child. Her path includes roles as LPN, RN, BSN, and multiple advanced practice degrees. Sonya has worked in inpatient and outpatient settings, VA clinics, and private practices. She also serves as a preceptor for PMHNP students at her alma mater, the University of North Carolina at Chapel Hill.

Sonya creates a welcoming, respectful space where patients feel safe to communicate openly. She practices active listening and values patient input when setting therapy goals. Her approach is holistic—treating the whole person—and she encourages collaboration, helping patients feel seen, heard, and empowered in their care.

Sonya reviews a patient's history before each session and begins with clear introductions and goal setting. She invites open discussion of concerns and tailors' treatment plans with patient input. She often incorporates CBT, motivational interviewing, and solution-focused therapy into care, promoting growth through supportive, personalized strategies.

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. Kristina Foreman is a board-certified psychiatrist and child and adolescent psychiatrist who earned her medical degree from St. George’s University and completed both psychiatry residency and fellowship at the University of Vermont Medical Center. She served for four years as an attending on a high-acuity inpatient adolescent unit in Denver, leading a multidisciplinary team in the care of complex cases. She also presents nationally on Positive and Lifestyle Psychiatry and has taught these approaches to fellows and residents.

Her style is open, thoughtful, and relationship-focused, creating a space where patients feel safe sharing what matters most. She brings a therapeutic mindset to every encounter and practices strengths-based care to help people connect with resilience and agency. Trained in the Vermont Family-Based Approach, she values family involvement and blends medication management with therapeutic principles and lifestyle psychiatry to support emotional flexibility and values-driven change.

Dr. Foreman begins by gaining a full understanding of each patient’s history, strengths, challenges, and hopes for treatment. She builds individualized plans that may include medication, lifestyle strategies, psychotherapy-informed tools, and family participation when helpful. She incorporates ACT, DBT, CBT, and positive psychology concepts to foster insight and skill development. Follow-up visits focus on refining the plan so progress feels steady, collaborative, and aligned with patient goals.

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Dr. Niles (he/him) holds the position of Staff Psychiatrist at Talkiatry. He has four years of experience in outpatient psychiatry and is board-certified for adult psychiatry. He has received training in the use of cognitive behavioral therapy, supportive therapy, motivational interviewing, psychodynamic therapy, and dialectical behavioral therapy skills. He uses his training in therapy in tandem with medicine management to provide holistic, person-centered care. During his undergraduate studies at the University of Pittsburgh, while completing his pre-medical classes, he also pursued certification in the history and philosophy of medicine. Additionally, he studied the effect of culture and ethics on healthcare. He earned a Bachelor of Science in Psychology with a minor in Chemistry. He attended medical school at the West Virginia School of Osteopathic Medicine. His psychiatry residency training was completed at Charleston Area Medical Center. While in residency, he worked to improve cultural awareness in the outpatient setting. Dr. Niles is interested in treating patients with a wide variety of diagnoses. He treats mood disorders, anxiety disorders, trauma-related disorders, personality disorders, OCD, comorbid addiction, mild eating disorders, neurodevelopmental disorders such as autism spectrum disorder, and more. He also strives to provide care that affirms LGBTQIA+ identities and underwent additional training in transgender mental healthcare.

Dr. Arif Patel is a board-certified adult psychiatrist. He obtained his medical degree from Rowan University School of Osteopathic Medicine and completed his residency training at Authority Health, an affiliate of Michigan State University. In addition, he has completed a Psychoanalytic Psychotherapy Fellowship from the Michigan Psychoanalytic Institute. He has 4 years of clinical experience. Dr. Patel's practice focuses primarily on medication management. Follow-up appointments typically last 30 minutes and incorporate elements of supportive psychotherapy, CBT, and motivational interviewing. Dr. Patel utilizes a collaborative approach to treatment, ensuring that treatment plans align with patients' goals and values. Dr. Patel has extensive clinical experience in various psychiatric settings including inpatient, outpatient, and emergency settings. He has treated patients of various ages and of diverse cultural and spiritual backgrounds. He has extensive training in the community mental health system, where he has treated patients with severe mental illness and substance use disorders. Dr. Patel practices general adult psychiatry. His practice focuses on medication management in conjunction with supportive psychotherapy. Dr. Patel has experience in treating a wide array of psychiatric disorders including mood disorders, anxiety disorders, trauma, and ADHD.