Jonathan Myrtil, MD

Dr. Debrey is board-certified in adult psychiatry. Her approach is client-centered, individualized, and collaborative. She focuses on building a strong therapeutic alliance with each client to work towards achieving enhanced functioning and meaning in their lives. She works with individuals experiencing a wide range of mental health concerns, including depression and other mood concerns, bipolar spectrum illnesses, OCD, PTSD, anxiety disorders, and substance use disorders. Though she specializes in medication management, she believes in an integrative and comprehensive treatment program that incorporates multiple aspects of an individual's health and wellness. Along with discussing physical health concerns, diet, exercise, personal connection, and stress management, she incorporates various therapeutic modalities, including CBT, DBT, ACT, and mindfulness, into her work. In some instances, Dr. Debrey may recommend more intensive psychotherapy with a collaborating therapist in order to help facilitate the best care possible. Dr. Debrey received her medical degree from Rush Medical College. She also holds a graduate degree in epidemiology from the Johns Hopkins Bloomberg School of Public Health. Following medical school, she completed her residency in psychiatry at Emory University School of Medicine. During her final year of residency, she served as chief resident at Grady Memorial Hospital. Prior to joining Talkiatry, Dr. Debrey was an assistant professor at Emory University Department of Psychiatry, where she worked as an attending psychiatrist at Grady Behavioral Health. While at Grady, Dr. Debrey worked primarily as a community psychiatrist with a focus on working with individuals experiencing psychosis. She also frequently worked on the inpatient psychiatry service at Grady. As an Emory faculty member, teaching and mentorship were an especially meaningful part of her work.‍

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Dr. Shalini Dutta is a medical doctor with experience working across outpatient, inpatient, and community mental health settings. She has extensive experience caring for underserved and diverse populations and was a recipient of the SAMHSA Minority Fellowship Program Grant. Her fellowship training included a focus on Seeking Safety, an evidence-based, trauma-informed treatment model. Dr. Dutta has a strong clinical interest in trauma, trauma-informed care, and integrating psychotherapy principles with medication management. Her clinical work includes treating mood disorders, anxiety, trauma-related conditions, and substance use disorders.

Dr. Dutta values open, collaborative communication and takes a warm, respectful, and nonjudgmental approach to care. She emphasizes partnership and shared decision-making, ensuring patients feel heard and actively involved in their treatment. She brings a trauma-informed lens to her work and collaborates closely with patients to clarify goals and align care with their values. Dr. Dutta takes a holistic view of mental health, considering biological, psychological, and social factors.

Dr. Dutta begins care with a thorough assessment of psychiatric history, current concerns, and treatment goals. She prioritizes understanding how past experiences and trauma may influence present symptoms. Treatment plans are individualized and evidence-based, integrating medication management with therapeutic principles and psychoeducation. She collaborates with therapists and other providers as needed and regularly reviews progress, adjusting treatment based on patient feedback.

Dr. Pereira is a board-certified adult psychiatrist who is dedicated to providing compassionate care for a wide range of mental health concerns. He received his Bachelor of Arts from Harvard University and his medical degree from The Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, where he graduated with the Department of Psychiatry's award of distinction. He went on to complete his psychiatric residency training at Northwell Health's Zucker Hillside Hospital, with a specialization in the assessment and treatment of obsessive compulsive disorder and related conditions. Dr. Pereira's clinical approach emphasizes building trust with his patients and working collaboratively to develop an individualized treatment plan. He uses medication management along with cognitive behavioral therapy, exposure and response prevention, psychodynamic psychotherapy, interpersonal psychotherapy, and supportive therapy as needed. His practice treats a wide range of conditions, including depression, anxiety, OCD, family and relationship struggles, and other mental health issues. He has been trained in a wide range of settings including inpatient, outpatient, emergency departments, and behavioral health crisis centers. He also has experience teaching and supervising medical students and psychiatry residents.

Serena Mirchandani is a board-certified psychiatric nurse practitioner with extensive experience treating serious mental illnesses such as bipolar disorder and schizophrenia spectrum disorders. She also provides care for individuals with depression, anxiety, PTSD, OCD, autism spectrum disorder, and substance use disorders. Serena earned both a Master of Science in Nursing and a Doctorate in Nursing Practice in psychiatry from Columbia University. She completed a Nurse Practitioner Fellowship at Community Healthcare Network and worked at Bellevue Hospital for 2.5 years, providing care on an inpatient psychiatric unit for a diverse, underserved population.

Serena’s approach is grounded in open communication, evidence-based care, and deep respect for each patient’s lived experience. She prioritizes a collaborative, safe space where individuals feel heard, respected, and empowered. Her holistic style supports honest conversation, transparency in treatment options, and patient-centered goals.

Serena begins with a comprehensive assessment to understand each patient's full story—biological, psychological, and social. She then partners with patients to develop personalized, evidence-based treatment plans that align with their values and goals. She emphasizes education, transparency, and regular follow-up to support ongoing progress and informed decision-making.

Dr. Antonio Ramirez earned his medical degree from Ponce Health Sciences University, where he also served as Chief Resident in Psychiatry. He completed residency training at Ponce Health Sciences University and the U.S. Veterans Health Administration, Caribbean Healthcare System, followed by a Fellowship in Consultation–Liaison Psychiatry at Montefiore Medical Center, Albert Einstein College of Medicine. Board-certified in both Psychiatry and Consultation–Liaison Psychiatry, he has served as Director of Psychiatry at the Roberto Clemente Center and Clinical Assistant Professor at NYU Grossman School of Medicine. Dr. Ramirez is bilingual in Spanish and bicultural, with published research in cultural psychiatry and stress biology, and has been recognized for teaching and leadership.

Dr. Ramirez focuses on compassionate, evidence-based care that integrates psychotherapy and psychotropic medications to promote recovery and growth. His collaborative and respectful style ensures patients feel heard while working toward meaningful goals. He emphasizes setting clear expectations from the start to foster confidence and engagement. With his background in consultation–liaison psychiatry, Dr. Ramirez brings expertise in caring for individuals managing psychiatric conditions alongside significant medical illness.

The first appointment is a comprehensive evaluation, during which Dr. Ramirez carefully explores a patient’s history, conditions, and symptoms. Based on this, he develops a personalized treatment plan and reviews it collaboratively, so expectations are clear. Future visits focus on monitoring progress, adjusting the plan as needed, and integrating both psychotherapy and medication management to best support the patient’s needs and long-term growth.