Jonathan Myrtil, MD

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. Michael Fiori is Board Certified in Adult Psychiatry and Addiction Medicine. He has practiced general psychiatry for 37 years, and has also sub-specialized in Addiction Psychiatry for the past 20 years. Dr. Fiori's practice emphasizes Diagnostic Clarification, which is an ongoing process. He is highly trained and experienced in the biological and psychosocial underpinnings of psychiatric problems. He typically follows diagnostic evaluations with 30-minute follow up visits for medication adjustments and brief therapy. Dr. Fiori often enjoys collaborating with outside therapists when needed. Dr. Fiori graduated from Amherst College and received his medical degree from NY Medical College. He subsequently completed his residency in psychiatry at the Mount Sinai Medical Center in NYC. He excelled in Academic Psychiatry as both a teacher and a mentor. His practice has always combined medications with evidence-based therapies to alleviate suffering and maximize functioning. In addition to his work as a Board Certified Adult Psychiatrist, he has specialized in helping patients suffering from Substance Use Disorders. Dr. Fiori is Board Certified in Addiction Medicine, and helps patients understand the interrelationships between their Substance Use Disorders and their Psychiatric illnesses.

Background  and credentials    

Dr. Christine Reyes is a bilingual Spanish-speaking adult psychiatrist with  25 years of experience. She completed her residency in Adult Psychiatry at  Saint Vincent's Hospital and Medical Center in New York City and subsequently  completed a Child Psychiatry fellowship at the University of Pennsylvania in  Philadelphia. Dr. Reyes has extensive experience practicing in outpatient and  community mental health settings.    

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Treatment approach    

Dr. Reyes provides compassionate psychiatric care using pharmacotherapy  combined with supportive psychotherapy. She specializes in treating anxiety,  depression, bipolar disorder, post-traumatic stress disorder (PTSD), and  numerous other psychiatric conditions. Additionally, Dr. Reyes emphasizes  nutritional counseling, assisting patients in achieving and maintaining a  healthy weight as part of their overall wellness plan.    

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What you can expect in a first visit    

Patients can expect a compassionate and thorough initial assessment aimed  at understanding their psychiatric symptoms, personal health goals, and  lifestyle considerations. Dr. Reyes combines medication evaluation with  supportive psychotherapy and may discuss nutritional guidance as part of a holistic  treatment plan. She prioritizes creating a supportive environment for  bilingual (English/Spanish) patients to openly discuss their mental health  concerns.    

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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.

Rebecca Kostopoulos, PMHNP, is a board-certified psychiatric nurse practitioner committed to helping individuals facing mental health challenges lead full and balanced lives.

Her practice primarily focuses on medication management, often combined with supportive or emotionally focused therapy during 30-minute follow-up visits. When appropriate, Rebecca may recommend involving an additional therapist to ensure the most effective and comprehensive care.

She earned her Master of Science in Nursing with a specialization in psychiatry from Columbia University and her Bachelor of Science in Nursing from Boston College. Her training includes psychiatric diagnosis, medication management, and both psychodynamic and cognitive-behavioral therapies.

With over a decade of experience, Rebecca has evaluated and treated adults in a variety of clinical settings. Her previous roles include working at Elmhurst Hospital’s Comprehensive Psychiatric Emergency Program, Gracie Square Hospital’s inpatient unit, as well as in community health centers and skilled nursing facilities.

As a nurse practitioner, Rebecca believes that mental health is just as vital as physical health. She values the therapeutic relationship and approaches treatment with empathy and collaboration, ensuring that each patient receives personalized and compassionate care.

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Sunny Bowers is a licensed professional clinical counselor (LPCC) based in Ohio. She holds an undergraduate Bachelor of Science in Human Development and Family Studies from Kent State University, complemented by a graduate degree in a Master of Arts in Education with a focus in Clinical Counseling from Malone University.‍With a rich professional background spanning over 10 years, Sunny has dedicated her expertise to working with diverse populations, including adults, first responders, and teenagers. Her scope of practice covers all phases of addiction, trauma, and mood disorders with a particular emphasis on addressing issues related to depression, anxiety, adjustment concerns, and relational difficulties.‍Sunny's therapeutic approach places a strong emphasis on the value of the therapeutic relationship. Recognizing the pivotal role of comfort and trust in the therapeutic process, she believes that lasting change is built on authentic exploration. Sunny employs several different therapeutic approaches, tailoring her methods to individual needs. Grounded in the development of insight and awareness, her overarching goal is to support empowerment and personal freedom for her clients.‍Sunny is enthusiastic about the prospect of working collaboratively with individuals seeking positive change and personal growth. If you're looking for a therapist who values authenticity and is dedicated to supporting your journey towards lasting change.

Dr. Scott Masters is a Board-Certified psychiatrist and psychoanalyst with over 30 years' experience in medication management and therapy. He is living in Hawaii after a 20-year training and working in New York City.

Columbia University Vagelos College of Physicians and Surgeons

Columbia University Psychiatry Residency Program, Chief Resident

Columbia University Public Psychiatry Fellowship

Columbia University Center for Psychoanalytic Training and Research

Dr. Masters offers an integration of medication management and various psychotherapy. He is certified in supportive psychotherapy, prolonged exposure therapy for PTSD, motivational interviewing, CBT for chronic pain, Integrated Behavioral Couples Therapy and Whole Health.  With the right combination of treatments, patients can achieve their potential and relieve suffering.

In an initial visit, patients can expect a thorough, collaborative discussion with shared decision making to understand their symptoms, life goals, and clinical needs. Dr. Masters will evaluate the patient's condition to determine appropriate medication interventions and discuss personalized treatment recommendations including integrated psychotherapy.  Typical follow-up visits are approximately 20-30 minutes in length. Depending on the severity and complexity of a patient's situation, referrals to additional counseling or therapy may also be suggested.

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