Joy James, MD

Dr. Michael Miller earned his medical degree with honors and completed his residency in Adult Psychiatry at the University of Kentucky College of Medicine. He has worked across a wide range of clinical settings, including inpatient, outpatient, community clinics, and state hospitals. Dr. Miller is also trained in multiple psychotherapy modalities, equipping him to meet diverse patient needs.

Dr. Miller values creating a safe and nonjudgmental space where patients can speak openly about their experiences and goals. He believes in a collaborative approach, working with patients to discover strategies that best suit their lives. He also takes into account lifestyle factors that may influence mental health, supporting a well-rounded and sustainable path to wellness.

Dr. Miller begins care with a comprehensive conversation about current concerns, past mental health, physical health, and life experiences. From there, he works with patients to create a personalized treatment plan—whether through therapy, medication, lifestyle adjustments, or a combination. Follow-ups focus on refining the plan to ensure it continues to support the patient’s journey.

Alana Ward is a board certified psychiatric mental health nurse practitioner (PMHNP). Alan has been practicing since 2018 and has experience with individuals of all ages. Prior to becoming a PMHNP, Alana worked as a registered nurse in critical care and psychiatry. As a PMHNP, she has experience working on inpatient adult and geriatric psychiatric units, as well as providing psychiatric evaluations and consultations to individuals on medical units and emergency rooms at hospitals. Alana is very experienced working in outpatient settings managing various psychiatric diagnoses. She has also helped manage individuals in long term care facilities and assisted living facilities. When Alana is not providing direct patient care, she will on occasion help with instructing future nurses at Kent State University. Alana graduated with her Master's of Science in Nursing from Kent State University, and is board certified as a Psychiatric Mental Health Nurse Practitioner through the American Nurse Credentialing Center. Alana enjoys treating a variety of mental health diagnoses including depression, anxiety, obsessive compulsive disorder, mood disorders such as bipolar disorder, and various psychotic disorders. She believes in client-centered care, where clients get a say in their treatment in order to help make them feel their best. Alana truly believes that therapy is a crucial part of successfully treating any mental health diagnosis, in combination with medication management when warranted. Alana likes to add mindfulness and cognitive behavioral therapy techniques to her medication management appointments to help individuals receive effective, quality care.

Dr. Perington is a Staff Psychiatrist with Talkiatry. She previously served in the US Air Force, where she completed her residency training in psychiatry (Lackland AFB) and was the medical director for a small-sized mental health clinic (Hill AFB). Dr. Perington uses a person-centered approach to tailor treatment to the individual, with an emphasis on shared decision making. She prefers to focus on psychotherapy and behavioral interventions as a primary part of the treatment plan, in addition to any indicated medication.

Motivation for change is a large part of the healing process, and for many people recovery doesn't happen with medication alone. Dr. Perington asks all her patients to play an active role in their treatment.

A thorough diagnostic assessment with discussion of the best treatment setting and modality, then regular follow up visits with emphasis on psychotherapy in addition to medication management (if indicated).

Dr. Jency Cynthia Sachidanandam completed her Residency and Fellowship at Texas Tech University Health Science Center in El Paso, gaining extensive training in diagnosing and treating various psychiatric conditions. As a Child and Adolescent Psychiatrist at Texas Tech, she works with a diverse patient population, addressing psychiatric disorders like depression, anxiety, bipolar disorders, PTSD, and OCD. Dr. Sachi emphasizes the importance of addressing both physical and mental health to achieve a good quality of life. She believes that mental health is interconnected with physical well-being and that treating one aspect without the other leads to incomplete care. Her holistic approach involves medication management, psychotherapy, and lifestyle modifications to promote overall health. Dr. Sachi is skilled in providing supportive psychotherapy and using psychodynamic therapy techniques to help patients understand and address their current stressors and underlying issues. Dr. Sachi has shown a genuine commitment to her patients and a passion for helping them achieve their best possible outcomes. She is dedicated to staying current with the latest advancements in psychiatry and continuously improving her skills to provide the highest standard of care. Her compassionate and patient-centered approach has earned her the respect and trust of her patients and colleagues alike.

Douglas Brennan, MD, earned his medical degree from the University of Colorado School of Medicine and completed an adult psychiatry residency at Massachusetts General Hospital (MGH) and McLean Hospital. He also completed a forensic psychiatry fellowship at MGH. Dr. Brennan has experience in both outpatient and inpatient settings, supervising residents and mid-level practitioners, and working in emergency and inpatient facilities. He remains on staff at MGH as an instructor for Harvard Medical School and is double-board certified in adult and forensic psychiatry. His outpatient work includes several years treating patients at the Department of Veterans Affairs with post-traumatic stress disorder, depression, and anxiety.

Dr. Brennan enjoys collaborating with patients to understand their goals, set expectations, and provide education on treatment options. He offers medication management evaluations and follow-up visits while working alongside licensed therapists to provide behavioral support as needed.

Dr. Brennan begins by thoroughly reviewing each patient’s history, concerns, and goals in the initial session. He then develops individualized treatment plans tailored to the patient’s objectives, ensuring care aligns with their personal goals and needs.

Dr. Maria Teresa Carvajal is an adult, child, and adolescent psychiatrist. She is originally from Guayaquil, Ecuador, and is bilingual in Spanish and English. Dr. Carvajal earned her medical degree from Universidad de Guayaquil in Ecuador. She then participated in a medical program at The William J. Harrington Training Program for Latin America and the Caribbean, at Jackson Memorial Hospital, an affiliate of the University of Miami in Florida. Afterwards, she completed her adult psychiatry residency at Icahn School of Medicine at Mount Sinai, Bronx Care Health System, and her fellowship in child and adolescent psychiatry at Northwell Health in New York. She has experience working in various settings, including inpatient, outpatient, and emergency departments. Dr. Carvajal has submitted and presented work to the American Psychiatric Association and has also collaborated on a book publication. Dr. Carvajal has experience treating children and adults with anxiety, depression, OCD, PTSD, ADHD, dementia, etc. She utilizes medication management in conjunction with emotional and supportive therapy in 30-minute follow-up visits. She is passionate about her work and understands the impact of mental illnesses in daily life activities and in the family system. She will work with each patient in an individualized manner and will tailor personalized treatment plans that may include pharmacological treatment. In addition, Dr. Carvajal may recommend including a therapist in your care team to provide the best outcome.‍