Jennifer Ruch, DO

Meet Alex Starmer, LMHC, your friendly mental health counselor here at Talkiatry. She's not just a counselor; she's your partner on your mental health journey. Alex earned her Master of Science in Mental Health Counseling from Syracuse University in 2020 and has been in the field since January 2021, working closely with clients facing mental health and substance use challenges. Alex believes in the power of the mind-body connection, and she loves to share polyvagal exercises and mindfulness techniques to help you better understand yourself. She's always learning and growing, with ongoing training in Internal Family Systems (IFS) and eye movement desensitization and reprocessing (EMDR). Her go-to tools for therapy are Acceptance and Commitment Therapy (ACT) and Cognitive Behavioral Therapy (CBT). With her, you can expect a compassionate and comprehensive approach to your mental well-being. You're in good hands with Alex.‍

Melissa Sims, MSN, APRN, PMHNP-BC, is a board-certified psychiatric mental health nurse practitioner who is passionate about delivering high-quality, compassionate, and comprehensive mental health care. She earned her Master of Science in Nursing from the University of Alabama at Birmingham in 2022 and has since worked in both community mental health and correctional settings.

Melissa takes a collaborative approach to care, working closely with other mental health professionals, medical providers, families, and relevant support systems to ensure well-rounded treatment. She emphasizes a patient-centered, individualized approach, combining medication management with psychotherapy to meet each person’s unique needs.

Patients working with Melissa can expect a thorough evaluation, accurate diagnosis, and a personalized treatment plan tailored to their mental health goals. One of her core priorities is to empower individuals to make informed decisions about their care by providing education grounded in research, evidence-based practices, and clinical experience.

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Dr. Michael Underriner is an adult psychiatrist. His approach to treatment is holistic, taking into account the entire person, and emphasizes the importance of the therapeutic bond to help people reduce suffering and achieve their goals. He is a member of the Gold Humanism Honor Society. Dr. Underriner's practice focuses on a mix of medication management, offered in conjunction with supportive therapy in 30-minute follow-up visits, and insight-oriented psychotherapy offered in weekly 45-minute visits. He works with people struggling with ADHD, depression, anxiety, obsessive-compulsive and related disorders, and difficulties with self-esteem and relationships. Occasionally Dr. Underriner may believe that additional therapy is warranted and recommend a separate therapist to provide the best outcome. He received his medical degree from the University of Chicago Pritzker School of Medicine and completed his residency training at New York University. During training, he gained experience treating patients with various psychiatric illnesses in several different clinics and hospital-based settings. He worked with experts in the field of depression and provided consultations for patients considering transcranial magnetic stimulation. He also published a review article on long-term injectable medications for psychosis. Dr. Underriner has maintained an interest in teaching and remains connected to the psychiatry department at NYU. He has supervised and taught junior residents and medical students. Additionally, he is interested in global health and disparities in access to care and has traveled to Ghana to teach medical students rotating through psychiatry at the university there.

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.

Beth Folks is a Licensed Professional Counselor, a Certified Advanced Alcohol and Drug Counselor, and a Certified Co-Occurring Disorder Diplomate. She has 25 years of experience helping clients recognize their inner strength. Her style of therapy utilizes Cognitive Behavioral Therapy and Motivational Interviewing. Beth tailors each treatment plan to fit the client's individual needs and encourages them to take an active role in every step of the journey. She strives to create a safe environment where the client feels they can speak openly. Beth most recently worked in a private practice for a psychiatrist as a psychotherapist via tele-health serving adults diagnosed with mental health issues. She has also worked in a residential setting where she supervised the care of clients with mental health and addiction issues. Bath worked closely with Psychiatrists and is familiar with most types of medications used currently. Beth obtained a Bachelor of Science Degree in psychology from Ursinus College in Collegeville, PA. She then earned a Master of Science Degree at Chestnut Hill College in Philadelphia, PA. In addition, she obtained a post-master's certification in forensic treatment at Chestnut Hill College.

Dr. Dhaliwal is an integrative psychiatrist with an MPH, a 1-year fellowship through Psychiatry Redefined, as well in intensive inpatient and outpatient training. A Boston University School of Medicine graduate and former Chief Resident at FAU, she blends research-based care, emotional insight, and life optimization. She treats depression, bipolar, anxiety, ADHD, PTSD, substance use, and psychotic-spectrum disorders with a holistic, results-driven approach.

Dr. Dhaliwal works with individuals who feel stuck—functioning on the outside but "not like myself" inside. Her warm, structured, and research-driven approach combines medication when needed with integrative tools such as CBT, lifestyle changes, "24-hour approach", and a bio-psycho-social-spiritual lens. She focuses on root causes and helps individuals gain clarity, momentum, and purpose to function at their highest level across home, career, and life.

Dr. Dhaliwal begins with a 360-degree assessment exploring emotional patterns, routine, physical health, neurobiology, and values. Her 24-hour optimization model supports intentional living, clarity, and structure. She fine-tunes medications and augments with an integrative tools to enhance mood, resilience, and wellbeing. Her care is shaped by years in psychiatry and over a decade of coaching future physicians, researchers, and life coaches to reach their highest academic and career potential.