Jessica Mars, LCSW

Akili’s approach is centered around the individual. His goal is to help people embrace their authentic self. He believes that counseling and the therapeutic process is experiential. He has been through most of the life struggles we all have been through. Akili has also written several books - the latest of which, “Be an Anomaly”, is about the autism spectrum. Beyond his passion for helping others, Akili is passionate about his family, drawing, music, and basketball.

Akili utilizes multimedia resources, oftentimes with an emphasis on writing and creativity. He works to create a warm atmosphere of welcoming energy and connection. Therapeutic modalities used include REBT, CBT, Positive Psychology, ACT, and Gottman Method.

The tools that Akili uses are those hidden within you. He uses creative therapy and behavioral techniques to help you get where you want to be. Your collaboration is a trip that you will embark on together. Akili will help you find the best solutions to the answers you have.

Jill Sinnott is a Licensed Clinical Social Worker. She has practiced in Tennessee for over ten years, in a variety of roles including comprehensive child and family therapy, mobile crisis, and group-based Alcohol and Drug treatment. Most recently, she worked in community mental health for five and a half years. In this role, she focused on individual therapy with clients of all ages. Jill obtained her Bachelor's Degree from Warren Wilson College in Swannanoa, NC, and her Master's of Science in Social Work from the University of Tennessee in Knoxville, TN before settling in Johnson City, TN with her family. Jill's areas of interest include working with the LGBTQIA+ community and incorporating play therapy techniques while working with children. She uses a combination of Cognitive Behavioral Therapy, Motivational Interviewing, and Solution-Focused Therapy to develop a treatment plan addressing the client's own goals using specific, obtainable steps and recognizing each individual's strengths.

Dr. David Wait, MD is American Board of Psychiatry and Neurology certified and a fellow of the American Psychiatric Association. A skilled psychopharmacologist and psychotherapist, he has over 30 years’ experience successfully helping people overcome a diverse range of emotional, psychiatric, and addiction challenges.

David was born in Sioux Falls, South Dakota, and is a graduate of Augustana College. He obtained his MD at the USD School of Medicine. His residency was at the University of Arkansas for Medical Sciences (UAMS) in Little Rock where he was trained in both psychotherapy and biological management of psychiatric challenges.

Following residency training, Dr. Wait continued to work with UAMS and the State of Arkansas in research and program development focusing on implementing and then teaching novel strengths focused care for people with severe mental illness for the first 12 years of his career.

Later, Dr. Wait moved with his wife and three children to Coeur d'Alene, Idaho. He has since been in clinical practice and leadership roles in inpatient, outpatient, and telehealth psychiatric care settings.

Rather than focus primarily on illness or problems, Dr. Wait’s approach is to first evaluate his patients comprehensively, then utilize what’s learned from this to treat and empower them to make and then practice choices that lead to improved health and well-being, using an integrative model that recognizes that mental, physical, social, and spiritual health are one.

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Dr. Tyler Alderette is a board-certified psychiatrist with experience treating patients in outpatient and telehealth settings. He earned his medical degree from the American University of the Caribbean School of Medicine and completed his psychiatry residency at Larkin Community Hospital in Miami, Florida. His clinical interests include depression, bipolar disorder, anxiety disorders, ADHD, trauma-related conditions, psychotic disorders, and substance use concerns. Dr. Alderette provides evidence-based medication management integrated with psychotherapy-informed care and is committed to staying current with advances in psychiatric treatment to ensure safe and effective care.

Dr. Alderette strives to create a warm, nonjudgmental, and respectful environment where patients feel comfortable sharing their experiences. His approach is collaborative and patient-centered, working closely with patients to set clear goals and select treatments aligned with their values. He takes a whole-person approach, considering mental health alongside sleep, relationships, medical conditions, culture, and life stressors, and provides affirming, inclusive care for patients of all ages and backgrounds.

Dr. Alderette begins with a comprehensive evaluation to understand each patient’s history, current concerns, and personal goals. Treatment plans are individualized and may include medication management along with supportive therapy, cognitive behavioral therapy (CBT), and motivational interviewing. Follow-up visits focus on progress, side effect management, and ongoing adjustments, with an emphasis on education, open dialogue, and long-term stability.

Dr. Thomas Spina is an adult psychiatrist who began his practice at Talkiatry after completing his psychiatry residency at the Eastern Long Island branch of Stony Brook University, where he treated a diverse patient population. Dr. Spina received his undergraduate degree from St. John's University in Queens where he studied Philosophy. Initially interested in a career in law, Dr. Spina decided to change gears and pursue a career in medicine after watching a relative struggle with her diagnosis of Diabetes Mellitus. Dr. Spina then completed medical school at Tel Aviv University in Israel, where he fell in love with psychiatry during his clerkship at Ichilov medical center. During that rotation, he came to appreciate how each patient has his or her own unique story, regardless of their diagnosis. Dr. Spina favors a holistic and integrative approach to psychiatry, combining medication management with supportive therapy, elements of cognitive behavioral therapy, while remaining open to other treatment modalities depending on the needs of his patients. When more focused therapy is indicated, Dr. Spina may recommend that his patient work with a provider specializing in a particular modality of therapy as part of their treatment. Dr. Spina treats adult patients with mood disorders including major depressive disorder and bipolar disorder, anxiety spectrum disorders, OCD, PTSD and specific phobias. In his spare time, Dr. Spina enjoys a variety of hobbies, including Brazilian Jiu-Jitsu, running, baseball, and exploring new eateries and shops.

Mary Birse is a board-certified Psychiatric Mental Health Nurse Practitioner (ANCC) with over 20 years of nursing experience. She graduated magna cum laude with a BSN from Florida Atlantic University and earned her MSN from the University of Florida. She completed a Psychiatric NP Residency at the VA in Charleston, SC. Mary has worked in a variety of settings including the West Palm Beach VA Medical Center, the Palm Beach County Firefighter’s Clinic, various outpatient telehealth platforms, and a child and adolescent inpatient facility. She was also an adjunct professor at Palm Beach State College.

Mary believes in empowering patients through education and collaboration so they can play an active role in their mental health journey. She works to create a warm and welcoming space where patients feel safe, heard, and understood. Whether the treatment path includes therapy, medication, integrative approaches, or a combination, she ensures that the plan reflects the patient's needs and goals.

Mary takes a thorough and holistic approach to care. She spends time understanding each patient’s history and past treatments—what has or hasn’t worked—and listens carefully to their current concerns and future goals. By factoring in lifestyle and preferences, she works with patients to build thoughtful, individualized treatment plans.