Kyra Fragnito, MD

Dr. Aileen Kim approaches medication management with an emphasis on shared decision-making within safe, effective options, thorough counseling about what to expect in treatment, and giving attention to the concurrent use of non-medication modalities of treatment alongside optimizing medication. She is accustomed to working with people who have more than one diagnosis. She is skilled and experienced in de-prescribing (methodically streamlining the number of medications being taken) when needed. Patients can see Dr. Kim for medication management, therapy, or both. Dr. Kim is board certified in Adult Psychiatry. She graduated from the University of Illinois College of Medicine in Chicago in 2004. She was selected for the Health Professions Scholarship Program and completed her residency in 2008 at Naval Medical Center Portsmouth in Virginia, where she was chief resident. Following residency, she deployed to Kuwait as a medical officer. She has taught and supervised residents at Walter Reed National Military Medical Center. She left active duty in the Navy as a Lieutenant Commander. After becoming a civilian, she went into solo practice, then joined Potomac Behavioral Solutions in 2014, where she served as medical director. Dr. Kim is a past president of the Virginia Psychoanalytic Society. She also lectures advanced mental health professionals for Lingyu International Psychology Centre based in Toronto. For established patients of Dr. Aileen Kim, please call 833-351-8255 to schedule an appointment and let the patient care coordinator know you are an established patient from her prior practice.

Erin Snider, PMHNP, brings more than seven years of experience as an Advanced Practice Registered Nurse at Lindner Center of HOPE, a full-service psychiatric facility affiliated with the University of Cincinnati and Cincinnati Children’s Hospital. Her work has spanned the full spectrum of psychiatric care, including inpatient crisis intervention, partial hospitalization, and outpatient services. She holds a bachelor’s degree in psychology from the University of Kentucky and both a BSN and MSN from Wright State University. Erin also recently earned a Mindfulness and Yoga-Studies Certificate from the University of Cincinnati.

Erin prioritizes building a strong therapeutic relationship and values open communication to create a supportive environment for healing. She views psychiatry as a holistic practice, integrating evidence-based approaches that address mental, emotional, physical, and spiritual well-being. Patients working with Erin can expect compassion, respect, and a collaborative partnership in their care.

Erin begins each appointment with open conversation to better understand each individual’s story and experiences. She works with patients to identify their concerns, explore barriers to growth, and highlight strengths. Together, she collaborates on a treatment plan that aligns with the patient’s personal goals, ensuring care is both personalized and empowering.

Dr. Holly Shiao is a psychiatrist who has worked extensively with medically complex patients, including a special focus in psycho-oncology with cancer patients. She is double board-certified in Consultation-Liaison Psychiatry and Adult Psychiatry. She has been practicing for over 7 years. Before Talkiatry, Dr. Shiao worked as an Assistant Professor at the University of Washington and Fred Hutchinson Cancer Center. She also worked as an Assistant Professor and was Director of Emergency Psychiatry at the University of Chicago. She has presented nationally at the Academy of Consultation-Liaison Psychiatry and written a book chapter about psycho-oncology. Dr. Shiao attended medical school at John P. and Kathrine G. McGovern Medical School at the University of Texas Health Science Center at Houston. She then completed an Adult Psychiatry residency at the University of Texas Medical Branch at Galveston, followed by a Consultation-Liaison fellowship at Dell Medical School at the University of Texas at Austin. Dr. Shiao is interested in the mind-body connection in overall emotional and mental well-being. She likes to integrate therapy modalities, such as cognitive behavioral therapy, supportive therapy, mindfulness and meditation with medication management to optimize a patient's mental health.

Thomas Ittoop, MD is a psychiatrist with experience practicing in both academic and community settings. He earned his medical degree from Central Michigan University and completed his psychiatry residency at Baylor College of Medicine. His clinical work is grounded in thoughtful, patient centered care that combines medical rigor with a deep respect for the complexity of each individual’s life.

Dr. Ittoop fosters a warm, collaborative environment grounded in genuine human connection. He values exploring the deeper patterns that shape emotional life and the meaning beneath symptoms. Patients can expect transparency, clear communication, and shared decision making that honors their strengths, goals, and long-term well-being while helping them cultivate resilience and greater self-understanding.

Treatment begins with a thorough evaluation exploring symptoms, personal and family history, personality patterns, and the changes patients hope to achieve in their lives. From there, Dr. Ittoop works with each patient to develop a personalized treatment plan that includes thoughtful psychiatric medication management, supportive psychotherapy, and ongoing follow up. While he frequently works with patients experiencing anxiety and related conditions, his practice does not include prescribing benzodiazepines such as Xanax, Ativan, or Klonopin. Care instead focuses on evidence-based treatments that support lasting stability and deeper psychological understanding.

Amanda Bevan is a licensed therapist with five years of experience working with adults. She holds a Master of Social Work from The Ohio State University and is licensed as an LISW-S in Ohio and an LCSW in Maine and Virginia. Amanda has experience treating anxiety, depression, stress, trauma, life transitions, and self-esteem, and has worked primarily with adults in community mental health, healthcare, and outpatient substance use and mental health settings. Her clinical work draws from evidence-based approaches including CBT, DBT, ACT, mindfulness-based therapy, motivational interviewing, and strengths-based care.

Amanda brings a warm, collaborative, and nonjudgmental style to therapy. She believes treatment should be personalized, goal-focused, holistic, and centered on each individual’s unique needs. She prioritizes creating a safe and supportive space where patients feel heard, respected, and empowered throughout their therapeutic journey.

Amanda begins with a comprehensive initial session to understand each person’s concerns, history, and goals. She partners with patients to develop individualized treatment plans and uses ongoing sessions to build skills, deepen insight, and track progress. Treatment is regularly reviewed and adjusted as needs and goals evolve.

Dr. Martha James is board-certified in general adult psychiatry and has more than twenty years of experience working with adults in a variety of mental health care settings including academia, inpatient psychiatric hospitals, outpatient clinics, university medical centers, VA medical centers, and community mental health settings. Dr. James received her medical degree from Duke University School of Medicine. She completed her psychiatric residency at the University of California, Los Angeles Neuropsychiatric Institute. Dr. James has experience treating adults with a variety of mental health problems including anxiety, mood disorders, trauma related disorders and psychotic disorders.

Dr. James is an experienced, open-minded psychiatrist who prioritizes empathy and understanding in her work. She recognizes that each individual's path to wellness is unique and strives to meet patients where they are in this process. Dr. James believes that while some individuals may benefit from treatment with medication management alone, psychotherapy is often important for treatment success. She encourages patients to participate in psychotherapy and believes a therapist can be a crucial part of the treatment team.

Dr. James uses a collaborative, patient-centered treatment approach with the goal of reducing mental pain and improving wellness so that patients are better able to pursue their unique personal and professional goals. She utilizes psychopharmacology, psychoeducation, and supportive and psychodynamic psychotherapy skills when working with patients.

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