Karelis Sierra-Cintron, MD

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.

Jeanine Foley is a board-certified Psychiatric-Mental Health Nurse Practitioner (PMHNP-BC) with over a decade of experience in both inpatient and outpatient settings. She holds a Doctorate of Nursing Practice from the University of Colorado Denver, an MSN from Vanderbilt University, and a BS from Boston University. Her career includes service as an active duty PMHNP in the U.S. Air Force and roles in the VA and private psychiatric hospitals. She also serves as Adjunct Clinical Faculty for a PMHNP graduate program.

Jeanine believes in patient-centered care built on trust, collaboration, and respect for each individual’s life story. She integrates medication management with therapeutic techniques and creates a safe, inclusive space that is trauma-informed and aligned with each patient’s values. Jeanine emphasizes genuine connection and strives to help clients explore root causes of distress—not just manage symptoms.

Jeanine begins with a comprehensive, collaborative assessment of each patient’s medical, psychiatric, and psychosocial history. She partners with patients to develop flexible, personalized treatment plans that support holistic mental health. Her approach combines psychopharmacologic and psychotherapeutic interventions, continuously adjusting plans based on feedback and progress.

Akif A. Khawaja M.D. is a Clinical General Psychiatrist. He has worked in this field since graduating and obtaining his residency from the University of Mississippi Medical Center Department of Neurology and Behavioral Sciences in 1996. He has worked mostly with adults ranging from 18 to 90 years of age. He has served as a director of Intensive Outpatient Programs in the state of Mississippi. He currently focuses on medical management of patients above 50 years of age and has served as a director of Geriatric Psychiatric Units.

He has a particular interest in treating mood, anxiety, and cognitive disorders, including ADHD. Patients working with him can expect thorough and detailed appointments, as he places special emphasis on gathering comprehensive medical and psychiatric histories, including specific dates of past treatments. During initial visits, he carefully reviews previous medical interventions, particularly procedures such as electroconvulsive therapy (ECT) and vagus nerve stimulation (VNS).

His approach prioritizes thorough evaluations to ensure accurate diagnoses. He strongly believes that honesty is essential for achieving the best possible treatment outcomes.

Dr. Sarita Sharma is a board-certified adult psychiatrist dedicated to providing personalized psychiatric treatment that addresses the mind, body, and spirit for optimized health and healing. Born and raised in Toronto, Ontario, she earned her medical degree from Avalon University School of Medicine in Curacao and completed her residency at Southern Illinois University in Springfield, Illinois. Dr. Sharma has extensive experience working with underserved patients from diverse backgrounds and with varying severities of psychiatric disorders. She has a genuine interest in treating mood and anxiety disorders like depression and anxiety. She views medication as one of many tools to aid patients, emphasizing the importance of therapy and lifestyle changes aligned with each patient's goals. Believing in a holistic approach, she incorporates mindfulness techniques, lifestyle optimization (sleep, diet, movement), Dialectical Behavioral Therapy (DBT), Cognitive Behavioral Therapy (CBT), and Acceptance and Commitment Therapy (ACT) to target the root causes of unease. She enjoys helping patients navigate meaning and purpose, relationship dynamics, and self-image. With a sincere, direct, and practical approach, Dr. Sharma values empathy and understanding as vital components of effective care. In her free time, she enjoys spontaneous adventures, connecting with fellow human beings, and just being in nature. She is committed to helping you achieve a balanced, fulfilling life.

Dr. Jennifer Snowden completed medical school at the University of Arkansas for Medical Sciences in Little Rock, Arkansas in 1995. She then completed a residency in general psychiatry at Emory University in Atlanta, Georgia, followed by a fellowship in forensic psychiatry also at Emory University in Atlanta, Georgia from 1995-2000. She spent ten years practicing forensic psychiatry at a state hospital in Atlanta. She then decided that she wanted to travel and spent eighteen months as a locum tenens psychiatrist primarily practicing in New England. During this time, she met her future husband and they decided together that they eventually wanted to live in the New England area. In 2013, she officially became a telepsychiatrist, which eventually provided her with the opportunity to move to Rhode Island and practice out of the home she and her husband bought there. She initially saw patients via telepsychiatry at a community mental health center in rural Georgia and later took a position as a remote consultant telepsychiatrist at Acadia Hospital in Bangor, Maine. Dr. Snowden uses a practical and realistic approach with patients to assist them in identifying small, attainable goals and then motivating them to achieve those goals. She prefers to work with adults and relishes the opportunity to work with patients who are highly motivated for change.

Dr. Lee is a board-certified psychiatrist who specializes in adult psychiatry and minority mental health. He is a graduate of Morehouse College and later received his medical degree from Meharry Medical College in Nashville, TN. After graduating from Meharry, he completed his psychiatry residency at the University of South Carolina/ Palmetto Health in Columbia, SC and a forensic psychiatry fellowship at Tulane University. After completing his training, he entered private practice in Rock Hill, SC and served the community for 11+ years. During that time, he also served as Staff Psychiatrist at Winthrop University. Prior to joining Talkiatry, Dr. Lee served as an Attending Psychiatrist and Medical Director of an inpatient psychiatric unit. Throughout his professional career, he has remained passionate about educating individuals about sustaining better mental health and eradicating the stigma of mental illness. Dr. Lee brings a vast array of knowledge to Talkiatry. He has experience treating various psychiatric disorders including depression, anxiety, bipolar disorder and ADHD. His approach focuses on evidence-based medication management and incorporates supportive therapy techniques as well as psychoeducation to address the presenting issues in a compassionate and competent manner. If additional therapy is needed, Dr. Lee may recommend that a therapist is part of the treatment team.