Lopa Rana, MD

Dr. Thomas Spina is an adult psychiatrist who began his practice at Talkiatry after completing his psychiatry residency at the Eastern Long Island branch of Stony Brook University, where he treated a diverse patient population. Dr. Spina received his undergraduate degree from St. John's University in Queens where he studied Philosophy. Initially interested in a career in law, Dr. Spina decided to change gears and pursue a career in medicine after watching a relative struggle with her diagnosis of Diabetes Mellitus. Dr. Spina then completed medical school at Tel Aviv University in Israel, where he fell in love with psychiatry during his clerkship at Ichilov medical center. During that rotation, he came to appreciate how each patient has his or her own unique story, regardless of their diagnosis. Dr. Spina favors a holistic and integrative approach to psychiatry, combining medication management with supportive therapy, elements of cognitive behavioral therapy, while remaining open to other treatment modalities depending on the needs of his patients. When more focused therapy is indicated, Dr. Spina may recommend that his patient work with a provider specializing in a particular modality of therapy as part of their treatment. Dr. Spina treats adult patients with mood disorders including major depressive disorder and bipolar disorder, anxiety spectrum disorders, OCD, PTSD and specific phobias. In his spare time, Dr. Spina enjoys a variety of hobbies, including Brazilian Jiu-Jitsu, running, baseball, and exploring new eateries and shops.

Dr. Phelps is a board-eligible adult psychiatrist. She was elected chief resident by her residency program at the University of Central Florida. She obtained her medical degree at Nova Southeastern University. She graduated magna cum laude with a bachelor's degree in Kinesiology from Louisiana State University. Dr. Phelps believes in patient-centered care and a holistic approach to medicine. Her practice focuses on medication management, in conjunction with supportive therapy in 30-minute follow-up visits. If additional therapy is needed, she utilizes referrals to psychotherapists to enhance management of mental illness and provide the best treatment outcomes. Dr. Phelps has worked in a variety of medical settings with different patient populations, including outpatient, consult liaison, and inpatient psychiatry. Her primary focus is treating adults with depression, anxiety, ADHD, insomnia, and bipolar disorder. Dr. Phelps aims to build a strong therapeutic relationship and improve the quality of life of her patients.

Dr. Jennifer Hailey is a board-certified psychiatrist in Psychiatry. She completed her undergraduate training at Michigan State University followed by medical school at Nova Southeastern University College of Osteopathic Medicine. She has completed a residency in psychiatry at Michigan State University. Dr. Hailey has worked in many different settings including private hospitals, jails, military treatment facilities and private practice. She enjoys educating her fellow providers who specialize in psychiatry as well as other areas of medicine. She has a genuine interest in treating a vast array of psychiatric disorders including depression, anxiety, post-traumatic stress disorders, obsessive compulsive and personality disorders. She also has experience in treating patients with medical comorbidities and has training in issues related to women's health.

Megan is a Board-Certified Psychiatric Mental Health Nurse Practitioner specializing in medication management and various therapeutic techniques. She earned a Master of Science in Nursing as a Psychiatric Nurse Practitioner from Regis College and has board certification from the American Nurses Credentialing Center (ANCC).

Megan has extensive experience in psychiatric settings, including private practice, inpatient facilities, and substance use treatment programs. She has worked on community initiatives, such as the Mobile Suboxone Van program, which provides treatment to individuals in high-need areas.

She utilizes evidence-based practices in treating clients with mood and anxiety disorders, ADHD, trauma, and substance use disorders, among other mental health disorders.

The first priority is establishing a therapeutic relationship and providing adequate support, which can substantially impact outcomes. The combination of medication management and therapy can effectively reduce symptoms and contribute to the remission of mental health symptoms.

The first session will involve a 60-minute psychiatric evaluation to gather history and discuss current symptoms and goals. Clients starting medication will need more frequent 30-minute follow-up appointments for medication management and therapy, ensuring a positive response to treatment.

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Dr. Michael Fiori is Board Certified in Adult Psychiatry and Addiction Medicine. He has practiced general psychiatry for 37 years, and has also sub-specialized in Addiction Psychiatry for the past 20 years. Dr. Fiori's practice emphasizes Diagnostic Clarification, which is an ongoing process. He is highly trained and experienced in the biological and psychosocial underpinnings of psychiatric problems. He typically follows diagnostic evaluations with 30-minute follow up visits for medication adjustments and brief therapy. Dr. Fiori often enjoys collaborating with outside therapists when needed. Dr. Fiori graduated from Amherst College and received his medical degree from NY Medical College. He subsequently completed his residency in psychiatry at the Mount Sinai Medical Center in NYC. He excelled in Academic Psychiatry as both a teacher and a mentor. His practice has always combined medications with evidence-based therapies to alleviate suffering and maximize functioning. In addition to his work as a Board Certified Adult Psychiatrist, he has specialized in helping patients suffering from Substance Use Disorders. Dr. Fiori is Board Certified in Addiction Medicine, and helps patients understand the interrelationships between their Substance Use Disorders and their Psychiatric illnesses.

Dr. Anna Ostrovskaya is a board-certified psychiatrist with over 20 years of experience working with adults of all ages. She earned a bachelor’s degree in psychology from NYU, a medical degree from Rush Medical College, and completed her psychiatry training at Yale. Dr. Ostrovskaya has practiced in inpatient, consultation-liaison, and emergency psychiatry settings, though her primary passion is outpatient care, where she builds long-term therapeutic relationships. She has worked in private practice and clinic settings and serves on the faculty at Yale’s Psychiatry Department, teaching and supervising trainees. She treats a wide range of conditions, including anxiety, OCD, ADHD, PTSD, depression, bipolar disorder, and more, with experience across diverse populations.

Dr. Ostrovskaya emphasizes integrating therapy and medication management. She creates a warm, safe, and respectful space where patients feel understood and supported in their journey to recovery. Her approach focuses on treating the whole person, recognizing that everyone’s story is unique and informs the best path forward.

She conducts thorough evaluations and uses evidence-based prescribing while incorporating psychotherapeutic modalities such as CBT, executive skills training, insight-oriented approaches, and motivational interviewing. Understanding a patient’s history, current symptoms, and treatment goals is central to developing an effective plan and building a strong therapeutic relationship.

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