Leonardo Alexandre, MD

Dr. David Wait, MD is American Board of Psychiatry and Neurology certified and a fellow of the American Psychiatric Association. A skilled psychopharmacologist and psychotherapist, he has over 30 years’ experience successfully helping people overcome a diverse range of emotional, psychiatric, and addiction challenges.

David was born in Sioux Falls, South Dakota, and is a graduate of Augustana College. He obtained his MD at the USD School of Medicine. His residency was at the University of Arkansas for Medical Sciences (UAMS) in Little Rock where he was trained in both psychotherapy and biological management of psychiatric challenges.

Following residency training, Dr. Wait continued to work with UAMS and the State of Arkansas in research and program development focusing on implementing and then teaching novel strengths focused care for people with severe mental illness for the first 12 years of his career.

Later, Dr. Wait moved with his wife and three children to Coeur d'Alene, Idaho. He has since been in clinical practice and leadership roles in inpatient, outpatient, and telehealth psychiatric care settings.

Rather than focus primarily on illness or problems, Dr. Wait’s approach is to first evaluate his patients comprehensively, then utilize what’s learned from this to treat and empower them to make and then practice choices that lead to improved health and well-being, using an integrative model that recognizes that mental, physical, social, and spiritual health are one.

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Dr. Macdonnell is a double-boarded psychiatrist with over 25 years of experience in adult psychiatry and geriatric psychiatry. Dr. Macdonnell focuses on treating individuals with medication management. Supportive and interpersonal therapy is incorporated as needed. When additional therapy or longer sessions are necessary to enhance the individual's treatment, she invites a therapist to become a member of your care team. Dr. Macdonnell attended undergraduate school at Manhattan School of Music earning a bachelor's and master's degree in violin performance and musicology. She then attended the City University of New York � Hunter College campus majoring in premedical sciences. Dr. Macdonnell attended Albert Einstein College of Medicine in the Bronx, New York, earning a degree in MD. She completed an internship in internal medicine before entering psychiatry residency at New York-Presbyterian Hospital � Westchester Division. After completing her residency, she stayed for an additional year, completing a fellowship in geriatric psychiatry. She was promoted to Attending Psychiatrist and Unit Chief of the Geriatric Partial Hospital Program. After two years in academic psychiatry, she entered private practice in New York and Connecticut for 8 years. She then served 2 years in the National Health Service providing outpatient care to an underserved area in central Florida. Moving to Georgia, she has worked in private practice and academic psychiatry at Mercer University College of Medicine before moving on to Veterans' care at Atlanta VA and Carl Vinson VA Medical Center. While Dr. Macdonnell has a wide range of experience, she focuses on general adult psychiatry.

Dr. Perington is a Staff Psychiatrist with Talkiatry. She previously served in the US Air Force, where she completed her residency training in psychiatry (Lackland AFB) and was the medical director for a small-sized mental health clinic (Hill AFB). Dr. Perington uses a person-centered approach to tailor treatment to the individual, with an emphasis on shared decision making. She prefers to focus on psychotherapy and behavioral interventions as a primary part of the treatment plan, in addition to any indicated medication.

Motivation for change is a large part of the healing process, and for many people recovery doesn't happen with medication alone. Dr. Perington asks all her patients to play an active role in their treatment.

A thorough diagnostic assessment with discussion of the best treatment setting and modality, then regular follow up visits with emphasis on psychotherapy in addition to medication management (if indicated).

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Dr. Richard Shehane completed medical school at the University of Nevada School of Medicine and then went on to complete psychiatry residency training at Naval Medical Center San Diego. Dr. Shehane is a board-certified psychiatrist that specializes in the treatment of depression, anxiety, PTSD, bipolar disorder, schizophrenia, personality disorders and ADHD. Dr. Shehane has also worked extensively with patients that have experienced sexual trauma in their past and patients struggling with substance and alcohol use addictions.

Dr. Shehane will focus on two main approaches to mental health treatment: medication management and psychotherapy. Appointments will focus on a mix of interactions aimed at tailoring each patient’s specific medication needs as well as promoting mental health wellness through different types of evidence-based therapy techniques including mindfulness, CBT, CPT and psychodynamic psychotherapy.

Dr. Shehane works together patients to develop a plan that fits each patient’s individual needs. Initial appointments will focus on identifying and treating primary concerns, and then later appointments will center on building upon the therapeutic relationship to increase self-awareness, promote emotional insight, and secure lasting positive mental health changes.

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Dr. Joshua Riederman is a board-certified psychiatrist with a specialization in the treatment of adults aged 18 to 65. Dr. Riederman obtained his undergraduate degree in brain, cognition, and neuroscience from the University of Michigan in Ann Arbor. He subsequently attended medical school at Nova Southeastern University in Fort Lauderdale, Florida, and completed his residency training at JFK Hospital in Palm Beach, Florida.

Dr. Riederman places a strong emphasis on establishing meaningful relationships with his patients and supporting them in achieving their individual life goals through effective treatment. He actively incorporates patient preferences into all treatment plans and integrates psychotherapy with medication management. Dr. Riederman recognizes the importance of educating patients about their care and dedicates time during each appointment to address any questions or concerns they may have.

In his clinical practice, Dr. Riederman begins by facilitating an open dialogue with patients regarding their primary concerns for the appointment. During initial consultations, he conducts a comprehensive assessment, which includes gathering relevant medical, familial, and social histories that may influence the course of treatment. In subsequent appointments, Dr. Riederman engages patients by inquiring about developments that have occurred since their last visit, as well as any issues related to medications or significant life events.

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Julia Askinazi is an LCSW with 14 years of experience and substantial experience working in the field of mental health. Julia has collaborated with clients from diverse backgrounds with a broad range of psychiatric as well as physical health challenges. Julia earned her Bachelor of Science degree in Social Work from Shepherd College and her Master's degree from the Charleston campus of West Virginia University. Julia has volunteered or worked in nearly every type of setting from daycares to nursing homes, including homeless shelters, hospices, with foster children and adoptive families, psych hospitals, Neuro ICU, Federally Qualified Health Centers, and even private practice. In undergraduate school she was President of the Social Work Association and interned for the National Association of Social Workers in graduate school. She has worked with people in recovery, clients who are HIV positive, those enlisted in the military and their family members, including neurodiverse and LGBTIQA individuals. Julia has been practicing as a Licensed Clinical Social Worker for 14 years, with an emphasis on Anxiety Disorders and Complicated Mourning, including symptoms that hinder daily functioning. Engaging with Julia, treatment is client-centered and designed to fit each person's situation. Julia uses a comprehensive approach founded on Acceptance and Commitment Therapy, focusing on Mindfulness.