Jessica Grimes, DO

Ashley is an ANCC board-certified Psychiatric Mental Health Nurse Practitioner with over a decade of experience in Psychiatry. She has worked in inpatient and outpatient settings, crisis centers, and psychiatric emergency rooms. Ashley is deeply committed to working collaboratively with individuals to enhance their well-being, creating a personalized care plan tailored to each person’s unique needs.

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Her approach integrates medication management, supportive psychotherapy, and lifestyle interventions. As a prescriber specializing in psychopharmacology, Ashley provides comprehensive medication management while utilizing a shared decision-making model. She actively involves clients in their treatment planning, discussing various options to determine the most effective path forward.

During the initial session, Ashley prioritizes establishing a comfortable, open environment where clients feel at ease. She will review medical and psychiatric history, discuss treatment goals, and explore different therapeutic options based on individual preferences. Ashley encourages questions throughout the process to ensure a collaborative and supportive treatment experience.

Michael Robbins is a psychiatric nurse practitioner with over 17 years of experience specializing in psychiatric medication management. He earned his MSN from the University of Tennessee in 2006. His career spans various settings, including acute inpatient care, private practice, community mental health, and substance abuse treatment. Michael treats conditions such as depression, anxiety, PTSD, OCD, bipolar disorder, and ADHD. He has worked both remotely and in-person, adapting to the evolving healthcare landscape. Michael is known for his expertise in psychopharmacology, tailoring treatment plans to each patient’s needs while minimizing side effects. His compassionate and patient-centered approach has made him a trusted provider in the mental health community.

Dr. Kevin DiCesare is a board-certified psychiatrist, treating adults. He received his undergraduate degree at Harvard University, his medical degree at the University of Massachusetts Medical School, and then went on to train at Maine Medical Center for his psychiatric residency. He has 22 years of expertise in diagnosing and treating psychiatric conditions, including depression, anxiety, Bipolar spectrum disorders, adjustment problems, ADHD and other disorders. He is well versed in psychopharmacological interventions, but is a proponent of patients also being active in psychotherapy whenever appropriate. He prides himself in collaboratively arriving at treatment decisions with his patients, and taking the time to listen to their concerns and answer their questions.

Dr. DiCesare has worked in various settings, including community mental health centers and large hospital systems, with experience in inpatient, outpatient, and consultative roles. Prior to joining Talkiatry, he most recently served as an attending psychiatrist on the staff of Southern New Hampshire Health System, where he provided consultative care to referrals made from primary care providers and various specialists.

Tulsie Patel is a board certified psychiatrist who treats adults. She graduated Cum Laude from Drexel University and attended medical school at the University of Miami Miller School of Medicine. She completed her psychiatry residency at the University of Texas Southwestern (UTSW) and was elected to serve as Chief Resident during her final year of training. She has worked as an outpatient psychiatrist in California and Florida and has experience in medication management, individual and group therapy, and transcranial magnetic stimulation (TMS). She is dedicated to constantly learning and has previously published numerous articles and book chapters on various topics in the fields of psychiatry, dermatology, and psychodermatology. She is also very passionate about education and medical journalism. During her residency training, she worked at ABC News in New York City as a member of their medical unit. She provided consultation on medical stories for programs including Good Morning America and World News with David Muir. She has published a number of articles on the websites for ABC News and Good Morning America. She also has experience presenting as an on-air expert for ABC News and for mental health podcasts. She is committed to continuously evolving as a provider in order to provide the best care for her patients. Her focus is always to provide patient-centered care by prioritizing open communication and collaboration with her patients. She has experience providing care for a variety of psychiatric illnesses. The conditions she treats include but are not limited to depression, anxiety, panic disorder, OCD, PTSD, and ADHD.

Dr. Kristofer Joondeph-Breidbart is a board certified adult psychiatrist. He earned his undergraduate degree and Master's in Teaching from Boston University, followed by his medical degree from the University of Massachusetts Medical School. Dr. Joondeph-Breidbart completed his residency in general adult psychiatry at Cambridge Health Alliance, a Harvard teaching hospital. Currently, Dr. Joondeph-Breidbart serves as a staff psychiatrist at Harvard University Health Services, where he works with both undergraduate and graduate students. He has developed significant expertise in working with LGBTQ individuals through his involvement with the Gender and Sexuality Clinic at Cambridge Health Alliance and the LGBTQ Interdisciplinary Team at Harvard University Health Services. While he has extensive expertise in treating college-aged young adults, his practice also includes a broad range of patients, with a particular specialization in Obsessive-Compulsive Disorder (OCD). He is trained in Exposure and Response Prevention Therapy, a highly effective treatment for OCD. Dr. Joondeph-Breidbart takes a holistic approach to mental health care, integrating therapy into his sessions and collaborating with patients to develop individualized medication regimens that best meet their needs. His gentle and understanding approach helps create a supportive environment for his patients, fostering their mental and emotional well-being.

Dr. Alexandre Cupler is a board-certified psychiatrist who began his career in community mental health in 2014, working as a counselor in psychiatric rehabilitation facilities. Since then, he has gained experience across inpatient hospitals, outpatient clinics, and residential treatment settings. Dr. Cupler earned his medical degree from Rush Medical College and completed his psychiatry residency at Chicago Medical School.

Dr. Cupler takes a patient-centered approach to care, making it a priority to ensure that each patient’s concerns are genuinely heard. He strives to create a culturally sensitive, non-judgmental, and safe environment where patients feel comfortable discussing difficult topics and working collaboratively toward their goals.

Initial sessions with Dr. Cupler focus on understanding the patient’s primary concerns, history, and treatment goals. He tailors care to each individual's preferred treatment style and ensures patients are informed about their treatment plan so they know what to expect and can take an active role in their care.