Kristofer Joondeph-Breidbart, MD

Dr. Emily Sykes is a board-certified adult psychiatrist. She received her Bachelor of Arts degree with Magna Cum Laude distinction from Carleton College, where she majored in biology. Dr. Sykes completed her Doctor of Medicine degree from the University of Toledo. She completed her psychiatry residency at the University of Cincinnati and was the outpatient chief resident physician. Dr. Sykes' specialty interests include mood disorders, anxiety disorders, post-traumatic stress disorder (PTSD), obsessive-compulsive and related disorders, Cognitive-Behavioral Therapy (CBT) and holistic wellness. She is a certified Cognitive Processing Therapy (CPT) provider for PTSD. Dr. Sykes provides compassionate, evidence-based, individualized, holistic care for patients suffering from a variety of mental health diagnoses and concerns. She incorporates supportive therapy, cognitive-behavioral therapy and solutions-focused therapy into her sessions.

Mekayla Davila is a Licensed Mental Health Counselor (LMHC) who has been in practice for 6 years. She has experience working with many diverse populations and mental health conditions. Mekayla attended graduate school at Teachers College Columbia University where she received an M.A. and M.Ed. in Mental Health Counseling. Her education and experience span both psychology and criminal justice fields as she has always been interested in their intersectionality. In previous roles, Mekayla has worked mostly with children, adolescents, and adults of minority populations, with focuses on treating anxiety, depression, trauma, and other stressor-related disorders. Mekayla strongly believes that every therapeutic interaction is unique, so she uses an eclectic approach, with foundations in Cognitive Behavioral Therapy and Psychodynamic Therapy, to tailor treatment to the specific needs of each individual. Mekayla puts emphasis on the therapeutic relationship and finds it important to provide a safe and comforting environment for all.

Dr. Seth Flesher is double board-certified in adult psychiatry and addiction medicine.  Dr. Flesher’s practice focuses on medication management of psychiatric illness without the use of controlled substances.  Typically, he offers this in conjunction with supportive or emotionally focused therapy in 30-minute follow-up visits. However, occasionally Dr. Flesher may believe that additional therapy is also needed and ask that you bring a therapist into your care team to provide the best outcome.

Before joining Talkiatry Dr. Flesher was Medical Director of Advanced Psychiatric Services [complex/high profile cases] at Kings County Hospital and Unit Chief of the Covid19 positive unit.  He was also a clinical professor at Downstate Medical College where he was voted educator of the year numerous times by psychiatric residents and medical students.  Dr. Flesher is a graduate of the prestigious combined 6-year BS/MD program at The Sophie Davis School of Biomedical Education.  He did research at the neuropsychiatric branch of the National Institute of Mental Health, completed his psychiatric residency at St. Lukes/Roosevelt Hospital, and he received his master’s degree in public health from Columbia University.

Dr. Flesher believes that psychiatry should start with a thorough assessment to arrive at an accurate diagnosis.  Then a discussion with the patient of the different evidence-based options available.  Followed by shared decision-making to arrive at an effective treatment plan to achieve the goals that the patient identifies as being important.  This should be done in an honest, open, non-judgmental, but realistic environment.  Understanding that the ultimate goal is to get the patient to a position where they will no longer need medication and/or therapy.

Dr. Joshua Riederman is a board-certified psychiatrist with a specialization in the treatment of adults aged 18 to 65. Dr. Riederman obtained his undergraduate degree in brain, cognition, and neuroscience from the University of Michigan in Ann Arbor. He subsequently attended medical school at Nova Southeastern University in Fort Lauderdale, Florida, and completed his residency training at JFK Hospital in Palm Beach, Florida.

Dr. Riederman places a strong emphasis on establishing meaningful relationships with his patients and supporting them in achieving their individual life goals through effective treatment. He actively incorporates patient preferences into all treatment plans and integrates psychotherapy with medication management. Dr. Riederman recognizes the importance of educating patients about their care and dedicates time during each appointment to address any questions or concerns they may have.

In his clinical practice, Dr. Riederman begins by facilitating an open dialogue with patients regarding their primary concerns for the appointment. During initial consultations, he conducts a comprehensive assessment, which includes gathering relevant medical, familial, and social histories that may influence the course of treatment. In subsequent appointments, Dr. Riederman engages patients by inquiring about developments that have occurred since their last visit, as well as any issues related to medications or significant life events.

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Dr. Kristina Foreman is a board-certified psychiatrist and child and adolescent psychiatrist who earned her medical degree from St. George’s University and completed both psychiatry residency and fellowship at the University of Vermont Medical Center. She served for four years as an attending on a high-acuity inpatient adolescent unit in Denver, leading a multidisciplinary team in the care of complex cases. She also presents nationally on Positive and Lifestyle Psychiatry and has taught these approaches to fellows and residents.

Her style is open, thoughtful, and relationship-focused, creating a space where patients feel safe sharing what matters most. She brings a therapeutic mindset to every encounter and practices strengths-based care to help people connect with resilience and agency. Trained in the Vermont Family-Based Approach, she values family involvement and blends medication management with therapeutic principles and lifestyle psychiatry to support emotional flexibility and values-driven change.

Dr. Foreman begins by gaining a full understanding of each patient’s history, strengths, challenges, and hopes for treatment. She builds individualized plans that may include medication, lifestyle strategies, psychotherapy-informed tools, and family participation when helpful. She incorporates ACT, DBT, CBT, and positive psychology concepts to foster insight and skill development. Follow-up visits focus on refining the plan so progress feels steady, collaborative, and aligned with patient goals.

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Evelyn Kuang, PMHNP, is a Board-Certified Psychiatric Nurse Practitioner with over 10 years of experience spanning clinical practice, research, and teaching. She trained at Columbia School of Nursing and in specialized psychiatric programs including Gracie Square Hospital, NYP Mt. Sinai SAGE elders, and Harlem’s STAY program. Evelyn has worked with diverse communities, including LGBTQ+ youth, older adults, and Asian-American populations, with expertise in sexual health, geriatric psychiatry, and trauma. She is also a musician and composer, integrating creative expression into therapeutic work.

Evelyn provides person-centered, trauma-informed care with an intersectional and decolonized lens. She emphasizes shared decision-making and creates a compassionate environment where patients feel safe and heard. Passionate about addressing implicit bias in healthcare and supporting ethnic identity formation, she focuses on improving access and quality of mental health care for Asian diaspora communities.

Evelyn begins by exploring each patient’s history, concerns, and goals through a trauma-informed, intersectional approach. She develops individualized treatment plans aligned with patient goals, incorporating supportive psychodynamic psychotherapy alongside medication management to ensure holistic care.