Joyln Ferrell, MD

Dr. Komarczyk is a board-certified adult psychiatrist who takes a special interest in developing a therapeutic alliance with each patient by providing an informative, encouraging, and holistic approach to mental health. At the heart of her practice is creating a warm, empathetic, and nonjudgmental space that allows her to work collaboratively with her patients to help them achieve their goals. Her treatment plans include evidence-based medication management, cognitive behavioral therapy, mindfulness-based cognitive therapy, acceptance and commitment therapy, and dialectical behavior therapy.

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.

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.

Dr. Patricia Klaine is an attending physician working at Talkiatry. She is board certified in adult psychiatry. After completing her training in adult psychiatry, she continued her education by completing a fellowship in consultation-liaison psychiatry, which enables her to treat patients with a variety of medical comorbidities confidently. Dr. Klaine focuses on medication management. She offers this in addition to supportive psychotherapy in 30-minute follow up visits. For some patients, it may be important to bring in additional psychotherapy for well-rounded care. Dr. Klaine received her medical degree from St. George's University in Grenada, and after that, she completed her training in general adult psychiatry at Maimonides Medical Center in Brooklyn, New York. She went on to complete a fellowship in consultation-liaison psychiatry at Mount Sinai Hospital in New York. After completing her training, she worked on an inpatient psychiatric unit before deciding to transition into outpatient psychiatric care. She looks forward to a collaborative relationship with her patients.

Background and credentials  

Dr. Alexandra Baluna, MD, is board-certified by the American Board of  Psychiatry and Neurology. She received her medical degree from  LSUHC-Shreveport and completed her psychiatry residency training at  Montefiore/Albert-Einstein College of Medicine, where she served as chief of  the Consultation-Liaison (C/L) service. Following residency, Dr. Baluna  served as Senior Chief, during which she was honored with the Leo M. Davidoff  Award for Outstanding Achievement in the Teaching of Medical Students. Her  professional experiences include roles at Fordham University, Albert Einstein  Student Mental Health Counseling Center, and most recently, as an outpatient  psychiatrist at Maimonides Medical Center, where she enjoyed teaching and  supervising residents.  

Treatment approach  

Dr. Baluna emphasizes creating a warm, empathic, and nonjudgmental  therapeutic environment. She collaborates closely with patients to develop  personalized treatment plans that consider cultural, biological,  psychological, and social factors. With a strong interest in psychotherapy,  she frequently employs ego-supportive and insight-oriented therapy techniques  during follow-up sessions.  

What you can expect in a first visit    

During an initial visit, patients can expect a welcoming and supportive  atmosphere where Dr. Baluna conducts a comprehensive assessment. This  involves exploring the patient's history, current challenges, and individual  circumstances. The goal of the first session is to collaboratively build an  individualized treatment plan tailored specifically to the patient's unique  needs.  

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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 speciualize in  medication management and collaborate with you on a treatment plan that fits  your needs and comfort level.

Cassandra Thomas-Jingles is a dedicated, board-certified Psychiatric Nurse Practitioner with dual certification as a Family Nurse Practitioner. She is deeply passionate about helping others and takes a holistic, evidence-based approach to mental healthcare, empowering patients to live life to their fullest potential.

Her practice focuses on medication management and supportive therapy, offering 30-minute follow-up sessions. When additional therapy is needed, she recommends including a therapist in the care team to ensure the best possible outcomes. With extensive experience in both outpatient and inpatient settings, Cassandra has worked with adults and children facing a wide range of mental health conditions, including ADHD, anxiety, depression, and psychotic disorders. She strongly believes in prioritizing client involvement and fostering interprofessional collaboration.

Your mental health journey is unique, and Cassandra is here to listen with compassion and without judgment. All conversations are confidential, and her goal is to create a safe, welcoming space where you feel comfortable sharing your thoughts and concerns.

During your initial appointment, Cassandra will review your mental health history, current symptoms, lifestyle factors, and any previous treatments to gain a comprehensive understanding of your needs. Together, you will develop a personalized treatment plan that may include therapy, medication, or other supportive strategies. She values shared decision-making, ensuring your input is considered at every step of the process.

If medication is part of your treatment, Cassandra will clearly explain its benefits, potential side effects, and how your progress will be monitored. Adjustments can be made as needed to achieve the best possible outcome.

Healing takes time, and Cassandra is committed to supporting you throughout the process. Follow-up appointments are essential for tracking progress, making necessary adjustments, and ensuring you receive the care you need.

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