Jennifer Garner, PMHNP

Michelle Harris is a board-certified psychiatric mental health nurse practitioner (PMHNP). She earned her Master of Science in Nursing in the psychiatric mental health track at the University of Saint Joseph and her Bachelor of Science in Nursing from the University of Connecticut. Her training includes psychiatric diagnosis, medication management, cognitive behavioral therapy, and motivational interviewing. With over a decade in psychiatric mental health care and 5+ years as a PMHNP, she has worked in outpatient, private practice, telehealth, inpatient, and homecare settings, treating patients from diverse backgrounds, including neurodivergent, LGBTQ+, BIPOC, and immigrant populations. She has a particular interest in ADHD, depression, anxiety, and OCD.

Michelle values a holistic approach to mental health and believes culturally sensitive care is essential. She strives to create a supportive environment for patients of all backgrounds and sexual orientations, ensuring each person feels understood, respected, and empowered in their care.

Michelle focuses on medication management with supportive therapy as appropriate. Initial sessions involve gathering a detailed patient history and discussing individual concerns. She works collaboratively with each patient to develop a personalized treatment plan, addressing their unique needs and goals.

Background and credentials

Dr. Nina Jacobs is a board-certified psychiatrist specializing in child, adolescent, and adult psychiatry with over 20 years of clinical experience. She earned her medical degree from the University of Chicago, Pritzker School of Medicine and completed her adult, child, and adolescent psychiatry training at NYU School of Medicine. Additionally, she has specialized training in psychodynamic psychotherapy from the New York Psychoanalytic Institute. Before joining Talkiatry, she served as Chief of Adult Behavioral Health at a busy urban community health clinic.

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Treatment approach

Dr. Jacobs believes that understanding and compassion are fundamental to effective psychiatric care. She provides engaged, patient-centered treatment, focusing on reducing symptoms and restoring well-being. Her approach includes comprehensive evaluations, thoughtful medication management, supportive therapy, and the development of stress management skills. She treats youth ages 13-17 and adults with anxiety, depression, bipolar disorder, ADHD, PTSD, and other mental health conditions. For adolescent patients, she includes parental involvement during a portion of appointments to discuss progress and treatment plans.

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What you can expect in a first visit

During the first visit, patients can expect a comprehensive evaluation in which Dr. Jacobs takes time to understand their symptoms, history, and goals. She fosters a collaborative and compassionate environment, ensuring that treatment plans are personalized and patient-centered. Her approach may include medication management, therapy recommendations, and stress management techniques to support patients in achieving their mental health and well-being goals.

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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. 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. Peppers works with patients to meet the goals that matter to them. She believes that feeling heard and being understood are key factors in a successful treatment relationship.

She has been working in telehealth since 2018. She has worked extensively with patients dealing with trauma from childhood abuse, assaults, combat, and accidents. She also has a lot of experience treating depression, anxiety disorders, bipolar disorder, ADHD, and personality disorders.

After completing her training, Dr. Peppers worked in private practice and in various roles for the Department of Veterans Affairs. She most enjoys working in the clinic because of the long term follow-up.        

Dr. Peppers enjoys her work and includes psychotherapy in her appointments. She offers medication options to treat symptoms but also works with patients to examine behaviors and defenses that may be contributing to their problems. For patients who would benefit from more extensive psychotherapy, she may refer patients to a therapist and work collaboratively with the therapist.

She starts off with a thorough evaluation to make a diagnosis. Then, she works with patients to determine what their treatment goals are and develops a treatment plan to meet those goals.

Dr. Alexandra Held is a general psychiatrist who holds a bachelor’s degree in psychology. She completed her psychiatry training at the University of Miami Miller School of Medicine. Her clinical interests include mood and anxiety disorders, PTSD, and OCD. She is passionate about incorporating psychotherapeutic tools into her practice, including supportive psychotherapy.

Dr. Held takes a warm, collaborative, and nonjudgmental approach to care. Her goal is to create a safe and supportive space where patients feel heard and empowered to take an active role in their treatment, using a combination of supportive psychotherapy and medication management.

During the first few sessions, Dr. Held will take time to get to know the patient—their history, current concerns, and what they hope to achieve through treatment. Together, they will develop a comprehensive plan that may include psychiatric medications and supportive therapy. Follow-up visits are typically focused on checking in, adjusting treatments if necessary, and continuing to build on progress.

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Mary Poupon is an experienced board certified psychiatric APRN/psychiatric nurse practitioner with over 30 years' experience in her field. She completed her graduate work at Columbia University and is published in her field. Her practice sites have included inpatient hospital treatment, partial hospital programs, in-home programs, outpatient clinics and alternative therapy including equine assisted therapy.  She was the program director and clinician with the Ryan White Mental Health Program in New York providing innovative mental health treatment for adolescents and adults living with HIV/AIDS in the boroughs of Manhattan, Queens, Brooklyn and the Bronx.  In 2013 she became certified as an equine assisted psychotherapist and served as the Director of Mental Health at Embrace Hope in Sandy Hook, CT. She was appointed as the Executive Director of Embrace Hope in 2017. Embrace Hope provided treatment to children, adolescents and adults who were victims of trauma related to the shooting at the Sandy Hook Elementary School. She presented a TED x talk in 2018 regarding her work with victims of trauma. She has provided treatment in the outpatient setting for children, teens, and adults. She has provided treatment to young adults at the Covenant House New York shelter program for homeless young adults.

Mary believes the human spirit is resilient. There are many challenges in the lifespan and self-care is paramount to success.

Mary provides psychiatric consultation and assessment and provides a pathway to change. Treatment may include medication management, therapy, and coping skills to assist with life challenges. Mary believes treatment is a partnership and believes in establishing mutually agreed upon goals.

Mary's process for working with patients begins with active listening. The assessment begins with the patient describing why they are seeking engagement in behavioral health treatment at this time. She will complete a psychiatric assessment and evaluation and establish mutually agreed upon goals for treatment. She offers medication management in conjunction with supportive therapy in 30-minute follow-up visits. Mary believes therapy and medication management if indicated together provides the best treatment outcomes.