Jessi Munoz, MD

Dr. Kira Posteraro is double board-certified in Adult and Addiction Psychiatry and has over 10 years of clinical experience. She completed her General Adult Psychiatry Residency at Allegheny General Hospital in Pittsburgh, PA, followed by a fellowship in Addiction Psychiatry at Beth Israel Medical Center in New York, NY.

Dr. Posteraro’s career has included serving as Director of Psychiatric Services at an addiction treatment center in Pittsburgh, PA, where she provided care across the full continuum of substance use disorder treatment—including residential, acute PHP, IOP, outpatient, and aftercare services. She later held the role of Section Chief Psychiatrist for the Center for Treatment of Addictive Disorders at VA Pittsburgh Healthcare System, offering both residential and outpatient services and acting as Medical Director for the SAMHSA-certified Opioid Treatment Program. Most recently, she served as Chief of Psychiatry for the Behavioral Health Service Line at VA Pittsburgh, where she had the honor of caring for our nation’s Veterans.

While her clinical expertise centers on the diagnosis and treatment of substance use disorders, Dr. Posteraro also has extensive experience treating a wide range of psychiatric conditions, including depressive and bipolar spectrum disorders, anxiety disorders, and trauma-related disorders.

Dr. Posteraro uses a collaborative, supportive approach to care, incorporating motivational interviewing to help guide patients on their journey to wellness. She integrates holistic strategies alongside medication management and is dedicated to meeting patients where they are in treatment to build individualized, effective recovery plans.

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Ms. Celeste Boyd is a dual board certified Psychiatric Mental Health and Family Nurse Practitioner.  She is the CEO and Founder of Metamorphosis Psyche, a psychiatric mental health resource platform.  She has practiced in family medicine since 2011 and psychiatric mental health medicine since 2013.  She has clinical experience and expertise in substance use disorders, addiction rehabilitation, sleep medicine, general psychiatry, and serious mental illness (SMI) in both private and public sectors.  In Academia, she has extended her knowledge and experience as Adjunct Clinical Faculty at School of Nursing Graduate Programs.

Since 2017, Ms. Boyd has been practicing general psychiatry in the outpatient private sector.  Ms. Boyd provides medication management and psychotherapy for acute, chronic, and comorbid psychiatric conditions that include Anxiety Disorders, Depression, Mood Disorders, ADHD, OCD, and PTSD.  Her clinical treatment modalities include supportive therapy, solution-focused therapy, motivational enhancement, mindfulness, and cognitive behavioral therapy.

As a clinician, she promotes mental health awareness to reduce stigmatization and empower those suffering and struggling with mental illness. Ms. Boyd clinical practices are oriented towards the Mental Health Recovery Model, which permits individuals to go through an active process of change, being in control, strengthening, and empowering themselves to improve their mental health and well-being.

Dr. Dominique Holley is a triple board-certified psychiatrist in Adult Psychiatry, Child and Adolescent Psychiatry, and Addiction Medicine. Dr. Holley completed her post-doctoral residency and fellowship training at Walter Reed National Military Medical Center. She has served as an active US Army officer and recently separated from the US Army after 11 years of service. In her most recent role, she served as the Deputy Chief of the Department of Behavioral Health at Fort Campbell, KY where she provided clinical and administrative supervision, as well as mentorship and guidance for an interdisciplinary team of over 140 personnel. She maintained oversight of behavioral health care being delivered through 11 clinics and satellite locations, providing patient care for over 30,000 beneficiaries. While in leadership, she continued to provide direct patient care for service members and dependents including child and adolescent populations. Due to her experience with this unique population, she has extensive experience in treating individuals with trauma. She offers an holistic approach when caring for individuals dealing with mental illness as well as phase of life circumstances. She believes in treating the whole person and attending to physical, spiritual, and mental health. Dr. Holley provides supportive, cognitive behavioral, acceptance and commitment, and psychodynamic therapy skills that complement medication management in order to help improve wellness.

Dr. Gulati is a board-certified adult psychiatrist who has been in practice for over 10 years. She has worked in inpatient units, private practice, and community mental health, as well as served as Chief Medical Officer of a large psychiatric hospital. In 2018 she was awarded the Charleston Choice Award for Best Psychiatrist in Charleston, South Carolina. She currently resides in South Florida. Dr. Gulati's practice centers around treating the whole patient: mind, body, and spirit. She believes the judicious use of psychiatric medications, coupled with psychotherapy and alternative treatments such as meditation and yoga, can bring about transformative changes in the lives of those suffering from depression, anxiety, and other mental conditions and life issues. Dr. Gulati graduated with Honors in Psychology from The University of Florida, received her medical degree from The University of South Alabama School of Medicine, completed a clinical postdoctoral research fellowship at Boston University School of Medicine, and completed her Psychiatry residency training at The University of North Carolina. She is currently obtaining her MBA. After residency, she worked as a psychiatric hospitalist at Trident Medical Center in Charleston and has also worked in private practice. Most recently she served as Chief Medical Officer for an 80-bed psychiatric hospital, Coral Shores Behavioral Hospital in Stuart, FL. In addition to general adult psychiatry, Dr. Gulati received extensive training in one of the nation's largest women's mood disorder programs at The University of North Carolina Chapel Hill and enjoys treating peripartum and postpartum mood and anxiety disorders. She is also well trained in addiction medicine and received additional training in buprenorphine use for opioid addiction.

Background and credentials

Dr. Jonathan Myrtil is a board-certified adult psychiatrist. He earned his medical degree from Ross University School of Medicine and completed his residency in Adult Psychiatry at the University of Central Florida, affiliated with North Florida Regional Medical Center. After completing his training, he remained at North Florida Regional as an adult psychiatrist and supervising physician, gaining experience treating patients in inpatient, outpatient, partial hospitalization, and intensive outpatient program (IOP) settings.

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Treatment approach

Dr. Myrtil takes a collaborative approach to psychiatric care, integrating medication management with supportive therapy to provide well-rounded treatment. His primary focus is on treating adults with mood and anxiety disorders, PTSD, and ADHD. He prioritizes patient involvement in treatment decisions, ensuring that care plans align with individual needs and goals.

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What you can expect in a first visit

Patients meeting Dr. Myrtil for the first time can expect a thorough evaluation where he assesses their symptoms, treatment history, and personal goals. He fosters a supportive and collaborative environment, working closely with patients to create a personalized treatment plan that incorporates medication management and therapeutic interventions tailored to their specific 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 specialize in medication management and collaborate with you on a treatment plan that fits your needs and comfort level.

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Dr. Thomas O’Brien holds a Bachelor of Science degree from the University of Wisconsin–Madison and earned his medical degree from Midwestern University Chicago College of Osteopathic Medicine. He completed his psychiatry residency at Loyola University Medical Center. Dr. O’Brien has experience practicing across outpatient, PHP, IOP, and inpatient settings.

He strives to create a supportive environment where patients feel heard, respected, and understood. His approach emphasizes a holistic, whole-person method to healing, guided by the patient’s own goals and values. Dr. O’Brien integrates psychotherapy with medication management, drawing on his background in psychodynamic psychopharmacology and acceptance and commitment therapy.

Dr. O’Brien focuses on understanding each patient as a whole to create individualized treatment plans. This begins with a comprehensive history during the initial session to identify biopsychosocial factors. Treatment is then tailored to align with the patient’s unique goals and values, promoting meaningful progress.