LaTreece Ross, LPC

Dr. Upton Thomas is a board-certified psychiatrist who takes a warm, collaborative, and evidence-based approach to care. With a focus on treating mood disorders, anxiety, OCD, and substance use, he integrates psychopharmacology and psychotherapy to support patients in achieving meaningful change. He brings curiosity, creativity, and a deep respect for each individual’s story to his clinical work.

Patients often find Dr. Thomas easy to talk to and appreciate his calm, thoughtful demeanor. He emphasizes shared decision-making and believes that treatment works best when the patient’s values and voice are at the center. Dr. Thomas aims to create a safe space for honest dialogue and ongoing reflection as treatment evolves.

Dr. Thomas begins with a comprehensive evaluation to understand each patient’s mental health history, current concerns, and goals. He then develops an individualized treatment plan that may include medication, therapy, or both. He prefers to use the lowest effective dose of medications and often integrates psychotherapeutic strategies such as CBT, DBT, or insight-oriented work into his sessions.

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Dr. Krishna Divadeenam is a staff psychiatrist at Talkiatry. He trained in New York and earned his medical degree from Albany Medical College in 1997.  He finished his internship at Vanderbilt Medical Center and completed his psychiatric residency at the University of Kansas Medical Center in 2000. During his residency, he served as Chief Resident at the Kansas City VA Medical Center (KCVA).  His initial post-residency focus was with patients with serious and persistent mental illness (SPMI) when he worked at the Johnson County Mental Health Center.  He has served as a adjunct professor at the University of Kansas providing clinical supervision to residents and yearly lectures on Bipolar disorder, Tourette’s and Obsessive compulsive disorder for over 20 years.  He worked at Midwest Psychiatric associates in an outpatient private practice for nearly 3 years before returning to the KCVA.  There he oversaw care for combat veterans as a clinical psychiatrist and the supervisor for the PTSD Specialty outpatient clinic.  After 5 years he transitioned to the inpatient unit as the inpatient supervisor and one of the attending physicians of the acute inpatient psychiatric unit.  In addition, he served as the University of Kansas Site director for their psychiatric residency program.  

Dr. Divadeenam believes in a holistic approach to mental health treatment, integrating medication management, supportive psychotherapy, and collaboration with therapists and support staff. He tailors treatment to each patient's unique needs, ensuring a comprehensive and individualized approach to care. His expertise includes treating a variety of psychiatric diagnoses, such as mood disorders, anxiety disorders (including OCD), ADHD, and PTSD.

In a first visit, patients can expect a thorough evaluation, where Dr. Divadeenam takes the time to understand their medical history, symptoms, and treatment goals. He emphasizes open communication and collaborative decision-making, ensuring that patients feel heard and supported. Based on this initial assessment, he will develop a personalized treatment plan, which may include medication management and referrals to therapy or other supportive services as needed.

Avril Dennis is a Licensed Clinical Social Worker with experience in outpatient and residential settings. She earned her MSW from Fordham University and holds a Post Graduate Certificate in Interpersonal Trauma. Licensed in Florida and New York, she has spent over 25 years practicing in the New York area and the last decade in Florida. She has wanted to be a clinical social worker for as long as she can remember.

Avril believes in starting where each client is and moving at a pace that feels right. She is open, understanding, and supportive, while also willing to gently challenge unhelpful thinking when appropriate. She has worked with trauma, LGBTQAI+ clients, chronic health concerns, anxiety, stress, sobriety from alcohol, self-esteem issues, and life transitions such as marriage, divorce, career changes, relocation, and caring for aging parents.

Avril begins by exploring what brings a patient to therapy and understanding their current circumstances. Through a collaborative, humanistic approach, she examines both present concerns and relevant life experiences that shape today’s challenges. She integrates a range of therapeutic tools and practical strategies so clients can begin building skills and finding relief right away.

Michelle is a Licensed Clinical Social Worker/Licensed Independent Social Worker with over 10 years of experience in the mental health field. Michelle has worked in a variety of settings including community mental health, crisis management, outpatient treatment, inpatient treatment, and the private practice setting. Michelle has experience working with patients who are experiencing anxiety, depression, grief, and trauma symptoms. Michelle’s passion is working with women who are struggling with managing healthy coping mechanisms in the perinatal/postpartum period.

Michelle has received extensive training from the Postpartum Support International focusing on treating patients struggling with infertility, postpartum anxiety and depression, and pregnancy loss/grief. She utilizes a variety of treatment modalities ranging from Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, Cognitive Processing Therapy, and Mindfulness Based Therapy.

Michelle’s approach to therapy is compassionate, collaborative, and warm. She considers it an honor to walk alongside you during this difficult journey. Let’s talk to see how Michelle can best support you.

LMHCNudedrose Guirand, also known as Rose Guirand, is a Licensed Mental Health Counselor in New York City who has been practicing since 2017. Rose has worked directly with clients of various demographics such as people with disabilities and neurodivergent people living with a variety of mental health conditions for 6 years. She graduated with a Master of Science in Education, Mental Health Counseling at Hunter College of The City University of New York. During her studies, she attended an internship at Boston Road Medical Center, Psychiatry Department in Bronx, New York. Rose's central approach to therapy is eclectic and based on the needs of each client. She frequently uses person-centered, Strength-based, and collaborative therapy. Also, she enjoys using CBT, ACT and DBT which draw upon the whole person and their intrinsic qualities and talents to forge a thriving way of life. Essentially, Rose likes to empower clients to find their passion and set their goals not only to survive but also to thrive in life. Rose enjoys helping people on their journey and sees the rewards of clients winning themselves back. Rose's work as a therapist comes from the heart and holistic space, and being there for her clients truthfully and inspiring them to become the expert of their lives.

Derek Miller is a Licensed Clinical Social Worker, who has extensive experience working in the fields of substance abuse and mental health. Derek has worked with clients with a large variety of concerns and backgrounds, with more experience with male and minority populations. Derek attended undergraduate school in Alfred, NY, graduate school in Rochester, NY, including a school-based visit to Estonia to learn about social work systems abroad. Derek's greatest passion is helping people make lasting change in their lives. His approach draws both on professional and personal experiences with addiction, trauma, first responders, relationships and more. By creating a space and relationship where you feel safe, valued, and respected, Derek works together with you to overcome the challenges of today and build resiliency for the challenges yet to come. Therapy can be a truly transformative experience, when it is built on human connection and dedication to change. Derek takes an active approach, which includes asking tough questions while staying respectful, as well as humor and friendly conversations when appropriate. Therapy begins with building trust and a good relationship. Derek utilizes experiences from various practice models, including Cognitive Processing Therapy, Solution Focused Therapy and Motivational Interviewing.