Lauren McClairen, MD

***Provider does not prescribe controlled substances*** Dr. David Eiler is a staff psychiatrist at Talkiatry. He is board certified in adult psychiatry. Before joining Talkiatry, Dr. Eiler was a staff psychiatrist at Dartmouth-Hitchcock Medical Center (DHMC), where he had an academic appointment and served as clinical director of transcranial magnetic stimulation (TMS) and intranasal esketamine services. In his practice, Dr. Eiler has focused on medication management and interventional techniques, including TMS, for the treatment of depression and other disorders. Dr. Eiler received his MD from the University of Wisconsin School of Medicine and Public Health and completed his residency at DHMC.

Dr. Rachel Klein received her medical degree from the UCLA School of Medicine and completed her residency training at Harbor-UCLA. She went on to complete a Consultation Liaison fellowship at Yale New Haven Hospital. Dr. Klein has served as a Consultation Liaison psychiatrist providing psychiatric care to patients across hospital settings and in emergency rooms. She has also worked in community health, delivering outpatient psychiatric care to a diverse range of patients.

Dr. Klein provides care in a supportive, non-judgmental, and empathetic manner. She works collaboratively with patients to identify goals and treatments that are effective, safe, and minimize the risk of dependence. Her approach emphasizes education about mental health and the use of non-pharmacological strategies to enhance wellbeing. She values treating the whole person and considers physical health as an integral part of understanding emotional distress.

Dr. Klein begins by understanding each patient’s history, concerns, and goals during the initial session. She takes time to establish an accurate diagnosis, sometimes gathering additional information from trusted friends or family members when helpful. She develops individualized treatment plans aligned with each patient’s goals, provides education about medications and their side effects when indicated, and closely monitors progress over time.

Dr. Sierra-Cintron is board-certified in adult psychiatry by the American Board of Psychiatry and Neurology and has been in practice for 12 years. Dr. Sierra-Cintron focuses her practice on medication management. She also engages in supportive therapy in a comprehensive way, focusing on the patient as a whole and not just the symptoms. Dr. Sierra-Cintron has a broad understanding of vitamin support as an adjunctive treatment to traditional medication. She has broadened her understanding of second-line treatment, having been certified in Electroconvulsive Therapy (ECT), conducting clinics in Clozapine and Long-Acting Antipsychotics (LOA), and even conducting assessments for patients interested in weight loss surgery. Dr. Sierra-Cintron has a comprehensive approach to treatment, and might consider the addition of therapy, either by referral or collaborating with an existing therapist for a more rounded approach and improved outcome. Dr. Sierra-Cintron received her medical degree from the Universidad Central del Caribe located in Bayamon, Puerto Rico. Upon graduation, she relocated to Philadelphia, where she started her residency program at Einstein Medical Center. After completing her training, she worked for 8 years in a community mental health clinic, treating an underserved population in all modalities of psychiatric care. In her 12-year career, Dr. Sierra-Cintron has treated both adult males and females, including seniors. This has led to varied and wide-ranging diagnoses during the length of her career. After leaving the community clinic setting, she started working for an outpatient clinic in a suburb of Philadelphia. Dr. Sierra-Cintron's current areas of focus are adults with Mood Disorders, Anxiety Co-Occurring Substance disorders, as well as patients with varied concomitant medical problems.‍

Dr. Sean Culver is an outpatient psychiatrist with experience treating a wide variety of disorders across multiple distinct age groups. He completed his undergraduate education at the University of Pittsburgh, graduating summa cum laude while majoring in neuroscience. He attended medical school at the Ohio State University College of Medicine, where he was granted an annual merit scholarship. Dr. Culver then remained at the OSU Wexner Medical Center for residency training. Outside of psychiatry, he enjoys numerous interests including soccer, hockey, music, photography, and video games.

During residency, Dr. Culver developed particular interest in working with young adults, college students, and athletes, but is comfortable with patients of all ages. He strongly believes in the practice of evidence-based medicine, utilizing the most current research to guide recommendations. He is a strong advocate for patient autonomy and therefore provides psychoeducation on diagnoses and medications so that each patient can make informed decisions which align with their own values.

Dr. Culver approaches each patient in the context of their individual interests, family dynamics, and life goals. He understands that not every patient requires or desires medication and is comfortable in a number of psychotherapy techniques including cognitive behavioral therapy, psychodynamic therapy, and supportive therapy. He emphasizes a trusting and honest therapeutic relationship with his patients.

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Background and credentials

Dr. Sinner is board-certified in Psychiatry. He completed his psychiatry residency training at Dartmouth-Hitchcock Medical Center. With over 14 years of experience, he has worked in a variety of settings, including five years in inpatient psychiatry in Vermont, where he served as Medical Director for a state hospital psychiatric unit and taught medical students. He then spent five years working in an outpatient community mental health center in Pennsylvania before transitioning to telepsychiatry, providing care to individuals in Pennsylvania, Florida, and New York.

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Treatment approach

Dr. Sinner employs a collaborative, patient-centered approach, tailoring treatment plans to meet each individual's specific needs. His practice integrates pharmacotherapy with cognitive behavioral therapy (CBT) and supportive therapy as needed. He specializes in treating a wide range of psychiatric conditions, including depression, bipolar disorder, anxiety, ADHD, neuropsychiatric disorders, developmental disorders, and personality disorders. His philosophy is to provide personalized care that makes a meaningful impact at different stages of a patient’s life.

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What you can expect in a first visit

During the first visit, patients can expect a comprehensive evaluation focused on understanding their mental health concerns, history, and treatment goals. Dr. Sinner takes a compassionate and collaborative approach, working closely with patients to create individualized treatment plans. He ensures that each patient receives a balanced and effective combination of medication management and therapeutic interventions suited to their unique needs.

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Why Talkiatry?

We’re a virtual mental health practice that makes it easy to find great care. We combine quality and convenience to help you thrive—faster. Our providers, like this one, are highly trained experts who specialize in medication management and collaborate with you on a treatment plan that fits your needs and comfort level.

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Dr. Erlach is a board certified adult psychiatrist who has previously worked for the United States Air Force and the Department of Veterans Affairs. He attended medical school at the Uniformed Services University of Health Sciences, graduating in 2009, followed by active duty military service in the United States Air Force until 2024. He completed residency training at the combined military-civilian Wright State University/Wright Patterson AFB training program in Dayton, Ohio.

Dr. Erlach enjoys working with all types of patients. He takes a collaborative approach to patient care and develops a treatment plan alongside the patient so that both are fully invested in the plan. He generally has weekend and evening appointments only.

Dr. Erlach incorporates therapy into medication management appointments. Dr. Erlach feels that addressing psychosocial stressors and developing coping mechanisms are a vital component to treatment.

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