Jennifer Shoenfelt, MD

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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Thomas Sargent, MD, holds a master's degree in pharmacology and a Doctor of Medicine from Tulane University School of Medicine. He completed his psychiatry residency at the Icahn School of Medicine at Mount Sinai West/Morningside in New York City. Over the past four years, he has treated a wide range of mental health conditions in various clinical settings. Dr. Sargent has extensive experience treating mood, anxiety and psychotic disorders, PTSD, OCD, personality disorders, and substance use issues. He utilizes both medication management and psychotherapy to provide comprehensive care. Dr. Sargent has received specialized training at the VA and the Center for Intensive Treatment of Personality Disorders in NYC. Passionate about holistic treatment, Dr. Sargent considers the biological, psychological, and social factors that influence mental health. He believes in addressing core issues through targeted care rather than defaulting to prescribing multiple medications. Dr. Sargent strives to create a supportive environment where patients can openly express their concerns. He believes in shared decision-making to ensure that care is evidence-based but also tailored to each patient's unique needs. Dr. Sargent takes the time to thoroughly explain diagnoses and treatment options, empowering patients to make informed decisions about their mental health. His approach emphasizes patient autonomy and aims to build trust, leading to more effective and personalized care outcomes.

Dr. Goel holds the position of Staff Psychiatrist at Talkiatry. She has completed adult psychiatry training and is board eligible. She has been actively involved in mental health care in various capacities over the past 7 years. Dr. Goel's practice focuses on psychopharmacological interventions. Typically, she combines this with a strong emphasis on Cognitive Behavior Therapy (CBT). Dr. Goel also strongly believes that the best outcomes are achieved when you treat a person and not just illness. She received her medical degree from one of the largest publicly funded medical schools in India, L.L.R.M. Medical College, Meerut, India, before moving to the US. She gained experience in mental and behavioral health in various roles at some of the most prestigious institutions in the US, namely Northwestern University, Emory University, and North Shore-LIJ. She completed her residency at Nassau University Medical Center, East Meadow, NY. Dr. Goel has been a co-author of several research papers. Her team's research work has also been presented at national and international meetings as well. While Dr. Goel enjoys working with adults with various psychiatric disorders, her primary focus is on treating adults with various anxiety and depressive disorders. Dr. Goel also has a special interest in co-occurring sleep disorders related to these conditions.

Dr. Rania Elkhatib is a board-certified general psychiatrist with extensive experience in clinical care, teaching, and research. She earned her medical degree from the University of Texas Medical Branch in Galveston and completed her psychiatry residency at UTHealth Science Center in Houston, where she later served as an Assistant Clinical Professor. During that appointment, Dr. Elkhatib was heavily involved in medical education and has developed courses in cultural psychiatry and psychiatry boot camps for medical students.

Dr. Elkhatib specializes in treating a wide range of psychiatric conditions, including Major Depressive Disorder, Anxiety Disorders, Bipolar Disorder, OCD, ADHD, and PTSD. Dr. Elkhatib focuses on evidence-based medication management but will also incorporate supportive therapy and cognitive-behavioral techniques to optimize treatment management and patient’s wellness. She is fluent in Arabic and English and has a strong interest in working with diverse patient populations.

Dr. Elkhatib has a holistic approach with focus on medication management while incorporating supportive therapy and cognitive-behavioral techniques to optimize patient wellness.

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. Gamberino is a board certified adult psychiatrist who has been in practice for over 25 years. He has always been fascinated by how the brain works, especially in the setting of stress, anxiety, and trauma. He completed his training at the Pennsylvania State University College of Medicine MD/PhD program and earned his PhD in Neuroscience. He subsequently completed a Residency in Adult Psychiatry including an Anxiety Disorder Research Fellowship at the University of Florida. Dr. Gamberino had a private practice for over 10 years with a focus on providing psychotherapy integrated with pharmacological management. He worked for 25 years with adult and geriatric Veterans at Department of Veterans Affairs with focus on treating PTSD, as well as a full range of anxiety and mood disorders including 7 years of providing care through telehealth treatment. Dr. Gamberino also has 10 years of experience working with adolescents in the juvenile justice system.

Dr. Gamberino is experienced and comfortable treating a wide variety of psychiatric conditions including PTSD, mood disorders such as major depression and bipolar disorder, and all anxiety disorders such as generalized anxiety disorder, social phobia, panic disorder, and OCD. He enjoys sharing knowledge with patients to help them better understand the origins of their symptoms and a range of strategies to manage them.

Dr. Gamberino utilizes a non-paternalistic approach respecting the autonomy of his patients while helping them gain insight into their presenting problems utilizing a collaborative shared decision making approach to help reduce symptoms and optimize functioning. His practice combines evidence-based medication management with psychotherapy utilizing elements of supportive, cognitive behavior, and insight-oriented therapy. Dr. Gamberino utilizes a patient, caring approach, meeting patients where they are to empower them with making changes that lead toward improvement and optimization of their wellness.