Kristofer Joondeph-Breidbart, MD

Dr. Michael Gravenstein earned his medical degree from the University of Florida College of Medicine, where he also completed his psychiatry residency. During training, he was recognized with multiple awards, including the Malcom Randall VA Resident of the Year Award, the Ross A. McElroy Psychotherapy Award, and the John “J.D.” Dorian Award for best sense of humor. He has worked across outpatient, inpatient, and consult liaison settings, and has experience treating a wide range of conditions including depression, anxiety, ADHD, OCD, personality disorders, and transitional age concerns. He also has expertise working with LGBTQIA+ patients and provides psychodynamic, CBT, and supportive therapies.

Dr. Gravenstein believes in a comprehensive approach to treatment that integrates medications, therapy, and lifestyle interventions. While medications can be very effective, he views them as just one part of a broader treatment plan tailored to each patient’s needs. He emphasizes individualized care and sees treatment as a team effort, meeting patients where they are and progressing at a pace they feel ready for.

Dr. Gravenstein strives to create a warm, collaborative environment that fosters open communication and genuine connection. He may challenge patients therapeutically but always with careful attention to their readiness and comfort. His goal is to build trust so that meaningful conversations and progress can occur. For him, success is always shared—when patients succeed, they succeed together; when challenges arise, they regroup and move forward together.

Dr. Natalie Armijo is a board-certified adult psychiatrist with over twenty years of experience. She completed medical school, internship and residency at the University of New Mexico. She has worked for private HMOs and government facilities. Her private practice combines conventional treatment with nutrition and physical activity to support total health.

Dr. Armijo treats patients, ages 18 to 64, who have conditions related to anxiety, depression, trauma and ADHD with medication and supportive therapy. Her clinical interests include integrative medicine and nutritional psychiatry.

Your first visit with Dr. Armijo will range from thirty minutes to one hour and is designed to collect and clarify information about you. Topics will include your current symptoms, previous mental health treatment, medical conditions, substance use and family history. She will review treatment options, including their risks and benefits. At the end of the visit, she will let you know if her clinical experience and the limitations of an online platform are compatible with your needs. Your safety is her priority.

Follow-up visits range from twenty to thirty minutes and will initially focus on how you are responding to treatment. As your condition stabilizes, she will help you.

- Organize a long-term mental health

- Develop discipline to accomplish your goals

- Evaluate your progress

- Maintain motivation to reach your highest potential

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Jaime Sather, PMHNP is a board certified psychiatric nurse practitioner with over 20 years' experience in the mental health field. Specialty areas include ADHD, anxiety, depression, mood disorders, substance abuse, PTSD, and women’s health. Clinical experience with inpatient, outpatient, detoxifications rehab, psychiatric emergency department, IOP, and PHP.

Comprehensive psychiatric evaluations, medication management, and brief psychotherapy are provided. Besides medication management with psychotherapy, individual therapy may be recommended for the best possible patient outcome.

Patients feel comfortable discussing their concerns in a non-judgmental therapeutic environment. Education is provided about diagnosis and treatment options with the patient being empowered to be an active part of their treatment plan.

Dr. Kerry O'Leary is a board-certified adult psychiatrist who joined Talkiatry after she completed her psychiatry residency. Dr. O'Leary provides patient-centered care and understands the importance of actively involving patients in their treatment journey. She believes that every patient deserves personalized care tailored to their unique needs and circumstances. She utilizes evidence-based treatments combined with a comprehensive approach to address not only the symptoms but also the underlying factors contributing to her patients' distress. Although her practice focuses on medication management, she also provides supportive therapy and may recommend more intensive therapy when indicated. Dr. O'Leary approaches each patient with empathy and understanding, fostering a supportive and nonjudgmental environment. Dr. O'Leary completed her undergraduate training at The University of Texas at Austin and pursued her medical degree at The University of Texas Medical Branch in Galveston. She also graduated with a Master's in Public Health from Columbia University in New York. She went on to complete her general adult psychiatry training at Baylor College of Medicine in Houston. Dr. O'Leary focuses on treating the adult population from ages 18+. She utilizes both pharmacological and psychotherapeutic treatment interventions and has experience in treating a variety of diagnoses including depression, anxiety, bipolar disorder, insomnia, PTSD, OCD, and psychotic disorders.

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.

Shaneika Lindsay, PMHNP, is a board-certified psychiatric nurse practitioner dedicated to providing personalized and empathetic care to those in need of mental health care. Her academic journey began with a B.S. in Biology from the University at Albany. She later received her B.S. in Nursing from Pace University and attained her Psychiatric Mental Health Nurse Practitioner M.S. from Hunter-Bellevue School of Nursing, graduating magna cum laude. Shaneika's practice focuses on medication management. Occasionally, Shaneika may believe that additional therapy is also needed and ask that you bring a therapist into your care team to provide the best outcome. For the last seven years, Shaneika has diligently provided care to our nation's veterans, working on a dual diagnosis inpatient psychiatric unit in the VA New York Harbor Healthcare System. In her time at the VA, she has gained extensive experience in managing substance abuse and co-morbid psychiatric disorders. In addition, while attending Hunter College, she completed a yearlong clinical rotation at Casa Promesa, a mental health outpatient and inpatient facility that services some of the most vulnerable and underserved populations in the South Bronx. As a Nurse Practitioner, her primary focus is holistic care, taking into consideration all physical, psychological, interpersonal, and environmental factors when creating unique treatment plans. She strongly believes that all of these factors are interconnected and play a significant role in any individual's mental health and vitality. Shaneika's goal is to work with clients to create a safe, non-judgmental, and collaborative treatment environment that promotes sustained healing and positive self-development.