Laurence Dopkin, MD

Kristen Soukup, LCSW is a mental health therapist at Talkiatry. Kristen completed her undergraduate degree at the University of Rochester where she studied Psychology and Brain & Cognitive Science. She then went on to pursue her Master's degree in Social Work at the State University of New York at Buffalo. After completing her Master's degree, Kristen began working at an outpatient cancer center where she provided care coordination and therapeutic support to patients and their families enduring cancer diagnoses, treatments, and end of life. She then worked to pursue her clinical license in working with adults with significant and persistent mental illness in an outpatient setting. Kristen functioned not only as a primary therapist but also as the crisis team leader, providing supervision to other clinicians and assisting clients both in the clinic and the community. Kristen believes in looking at the whole person in their environment when working with her patients. She comes from a nonjudgmental and empathetic standpoint and genuinely wants to put the patient's goals and values first. Kristen has experience in treating patients with anxiety, depression, OCD, Bipolar disorder, and personality disorders. Kristen is trained in Dialectical Behavioral Therapy and tends to utilize Cognitive Behavioral Therapy techniques in treatment. She has knowledge and interest in human motivation and performance related issues, and utilizes Motivational Interviewing and mindfulness skills to assist her patients with these concerns. Kristen also has training in treating anxiety and Obsessive Compulsive disorders and uses exposure therapy to assist patients in overcoming these struggles.‍

Ernest Smith, LPC, specializes in supporting adolescents, young adults, adults, and older adults as they navigate grief, anxiety, depression, trauma, and life transitions. With a compassionate and client-centered approach, he creates a safe, nonjudgmental space for individuals to explore their experiences and build the skills necessary for healing, growth, and resilience.

Ernest draws from a range of evidence-based modalities—including solution-focused therapy, person-centered therapy, cognitive-behavioral therapy (CBT), and dialectical behavior therapy (DBT). He tailors each session to meet the unique needs of his clients, whether helping adolescents manage emotional regulation and identity development or supporting older adults in coping with grief and life changes.

Ernest provides trauma-informed care and recovery-focused strategies that foster emotional safety, self-awareness, and long-term well-being. His goal is to walk alongside each person with empathy, understanding, and practical tools that promote lasting change and inner strength.

Miranda Brumber is a licensed clinical mental health counselor with extensive experience working in the mental health field. Miranda has worked directly with clients of various demographics, living with a variety of mental health conditions. Miranda attended undergraduate school in Albany, NY, graduate school in Oswego, NY, and attended an internship abroad in London, UK; she continues to travel and obtain knowledge through these experiences. Miranda has been practicing for 3 years as a Clinical Mental Health Counselor, focusing on mood disorders and chronic challenges including health and physical ailments, which may hinder daily life. Working with Miranda, treatment is tailored to the individual, as great effort is put into choosing the treatment modality that fits the individual's personal struggles. Miranda uses an eclectic approach with a foundation in cognitive behavioral therapy and rational-emotive behavioral therapy, which are intertwined with mindfulness stemming from her personal practices with yoga and meditation.

Dr. Kothari's treatment approach begins with establishing a good therapeutic rapport with her patients and listening to her patients so that they feel heard. Dr. Kothari likes to spend time providing psychoeducation on medications when discussing the treatment plan. Dr. Kothari's practice focuses on medication management primarily, but may incorporate supportive psychotherapy during medication visits. Dr. Kothari may recommend additional psychotherapy if she feels a patient may benefit from this. Dr. Kothari's current practice does not include the use of any controlled substance medications, such as stimulants, benzodiazepines, and certain sleep aids.

Margaret Mary Reyes, MSN, APRN, PMHNP-BC, is a board-certified Psychiatric Mental Health Nurse Practitioner committed to delivering patient-centered and compassionate mental health care. A proud Florida native, she earned her Bachelor of Science in Nursing (BSN), Master of Science in Nursing (MSN), and post-master’s certification in Psychiatric Mental Health Nursing from Florida Atlantic University (FAU). Her academic research focused on improving outcomes for women living with Premenstrual Dysphoric Disorder (PMDD).

Margaret has advanced practice experience in both inpatient and outpatient psychiatric settings. She has treated individuals with a wide range of mental health conditions, including psychotic disorders, bipolar spectrum disorders, depressive and anxiety disorders, trauma-related disorders, attention deficit disorders, personality disorders, substance use and co-occurring disorders, eating disorders, suicidality, homelessness, and severe mental illness (SMI) within the criminal justice system. Her clinical background also includes acute care experience in oncology, medical-surgical, telemetry/cardiac step-down, intensive care, nursing research, and consultation-liaison psychiatry.

She takes an integrative and comprehensive approach to mental health care, combining medication management with evidence-based complementary and alternative interventions. Her practice is grounded in the understanding of the mind-body-spirit connection and the gut-brain axis. Margaret incorporates supportive therapy, motivational interviewing, and mindfulness-based cognitive techniques to support her patients’ overall well-being.

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Dr. Lindsay Legnon is board-certified in Psychiatry and has 15 years of experience in outpatient clinical psychiatry. Her focus is primarily on medication management, but she does incorporate brief cognitive behavioral therapy and supportive therapy when appropriate. If more extensive psychotherapy is felt to be beneficial, she will recommend a therapist and collaborate with them for optimal care. She completed her medical degree at Louisiana State University in Shreveport and her residency at Tulane University in New Orleans, where she served as Chief Resident. After completing her residency, she worked primarily in outpatient clinics treating a wide range of mental health disorders. She has extensive experience treating major depressive disorder, a variety of anxiety disorders, OCD, PTSD, and bipolar disorder, among others. Medication is felt to be an important tool for many in achieving wellness, and she encourages a holistic approach to improve outcomes. Her hope is to provide relief and help people achieve their goals in their journey back to wellness.