Luke Romanow, MD

Dr. Nieves-Alvarado is a recent psychiatry graduate from Duke Psychiatry Residency program. She is board eligible and has experience with psychodynamic and supportive therapy. Dr. Nieves-Alvarado is originally from Puerto Rico and practices psychiatry in both English and Spanish.

Dr. Nieves-Alvarado practice focuses on medication management with adjunct insight oriented therapy on all of her visits. She works on a team-based approach and advocates for most of her patients to engage in some type of therapy for better outcomes and sustained symptom improvement. She received her medical degree from the Universidad Central del Caribe School of Medicine in Bayamon, PR, before moving to North Carolina to complete her residency at Duke University Hospital. During training, she was nominated for a fellowship in psychodynamic practice by the Psychoanalytic Center of the Carolinas. She was also an advocate against childhood sexual trauma. Her training was well rounded including experience at the jail and forensics psychiatry. She also worked with patients on substance use disorders treatment centers and holds experience with medically assisted treatment.

Dr. Nieves-Alvarado treats a wide age range from young adults to elderly. After completing training, she joined Talkiatry to improve mental health access to patients who are time constricted or have transportation issues. She continues to seek for constant improvement and working hand on hand with her patients to achieve mental wellness.

Dr. Shaily C. Desai, MD is a board-certified psychiatrist who treats adults. She graduated Magna Cum Laude and with General Honors from University of Miami. She completed medical school at the University of Miami Miller School of Medicine in the prestigious Honors Program in Medicine. She continued her medical education at Jackson Memorial Hospital & University of Miami Hospital for her 4-year psychiatry residency training program. After completing her training, Dr. Desai held an academic appointment at the University of Miami while working at the Miami Veterans Affairs Hospital initially as a behavioral health consultant in the Primary Care Mental Health Integration (PCMHI) model and later as a Behavioral Health Interdisciplinary Program (BHIP) psychiatrist in the Mental Health Treatment Coordinator (MHTC) role.

Dr. Desai’s background spans clinical care, academic research, and community service, giving a comprehensive understanding of mental healthcare delivery across different settings. Dr. Desai developed expertise in quickly building rapport with patients, conducting medication management assessments, and implementing effective interventions. These experiences taught Dr. Desai how to maintain clinical excellence while showing patience and respect for each patient's unique circumstances. She understands the delicate balance of providing thorough care within the constraints of virtual sessions and she has developed strategies to ensure patients feel supported and understood, even though a screen.

By combining clinical expertise with genuine empathy and persistence, Dr. Desai helps her patients navigate their treatment journey with confidence and hope. Dr. Desai’s practice focuses on medication management and supportive psychotherapy in typically 30-minute follow up visits. At times, additional psychotherapy is needed, and a therapist may be added to provide the best outcome.

Dr. Megan Wynne is board certified in adult psychiatry and completed fellowship training in Consultation-Liaison Psychiatry (Psychosomatic Medicine). She has been in practicing psychiatry since 2006. Dr. Wynne completed her medical degree at Drexel University School of Medicine in Philadelphia, PA, her psychiatric residency at Thomas Jefferson University Hospital in Philadelphia, PA and her consultation/liaison psychiatric fellowship at Long Island Jewish Hospital in Queens, NY. She continued to work in Consultation Liaison Psychiatry at North Shore Hospital in NY, before working for nine years at Philadelphia Veterans Administration Hospital as a staff psychiatrist and associate at the University of Pennsylvania University Hospital. During this time, she worked closely with patients struggling with Traumatic Brain Injury, Post Traumatic Stress Disorder, Depression and Anxiety. She acted as an attending psychiatrist in training medical students, psychiatric residents and fellows. Following a move to New Zealand, she worked as lead psychiatrist for Te Puna Waiora, Maori Mental Health team (Indigenous Person mental health clinic) at Counties Manakau District Health Board. She worked with multiple patients facing cultural challenges, as well as psychosocial stressors (poverty, family fragmentation, poor education). During this time, she worked within the indigenous system of mental health, which treats not just emotional or physical issues for a person, but spiritual and familial as well. She has incorporated this into her treatment approach for all patients. Dr. Wynne has always believed that medication must be used in conjunction with psychodynamic therapy, and medical and social supports to most appropriately treat a patient. She offers 30-minute sessions consisting of medication management and brief therapeutic support. She specializes in treating victims of trauma, medical comorbidity.

Dr. William Richie is an adult General and Forensic Psychiatrist. He earned his undergraduate and medical degrees from the University of Missouri Kansas City, completed his psychiatry residency at Howard University Hospital in Washington, DC, and later served as a Major in the United States Air Force. After his service, he returned to Howard as Chief of the Inpatient Psychiatric Service and completed fellowship training in Forensic Psychiatry at LSU Medical Center. Dr. Richie specializes in personality and dissociative disorders, pre-trial evaluations, and is especially interested in Men’s Mental Health.

Dr. Richie brings decades of clinical and academic experience to his practice. He believes that the foundation of effective care lies in a strong, respectful patient-psychiatrist relationship. His interpersonal and dialectical approach fosters collaboration, trust, and deeper understanding.

Dr. Richie takes time to listen carefully, ask thoughtful questions, and offer meaningful feedback. He works closely with each patient to develop a personalized treatment plan that supports long-term well-being and meaningful progress.

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Mu Xu, MD is a Psychiatrist at Talkiatry. He obtained his medical doctorate degree from the University of Chicago Pritzker School of Medicine and PhD from New York University. He completed his psychiatry residency at New York University. Dr Xu is licensed to practice in California, New York, New Jersey, Connecticut, Pennsylvania, and Maryland. Dr. Xu provides both medication management for a variety of psychiatric conditions. Dr. Xu is fluent in English and Mandarin. Dr. Xu is a general adult psychiatrist specializing in medication management. He values building strong connections with patients from all walks of life and tailoring treatments to their unique needs. His working style is characterized by attentive listening, detailed follow-up questions, and straightforward communication, fostering a collaborative and empathetic environment.

Dr. Katherine Vital-Daley is an adult psychiatrist at Talkiatry. She treats all adults and her passion lies in providing accessible care for women facing challenges throughout pregnancy, childbirth, and postpartum and in reproductive psychiatry. Dr. Vital-Daley's academic background is rooted in science, with an undergraduate degree in biochemistry and molecular biology from the University of California, Merced. She then pursued her medical doctorate at the Medical University of the Americas. Following medical school, she completed her psychiatry residency training. The first two years were spent at East Carolina University, Brody School of Medicine, with a culmination of her last two years of residency at Allegheny Health Network in Pittsburgh, Pennsylvania, to further specialize in women's mental health, which solidified her expertise in this vital area.‍At Allegheny Health Network's Women's Behavioral Health clinic, Dr. Vital-Daley honed her skills in treating a range of conditions, including depression, anxiety, PTSD, OCD, bipolar disorder, and related issues, and served as a medical provider for their intensive perinatal/postpartum outpatient clinic. She also developed a deep understanding of perinatal mental health, supporting patients coping with perinatal loss and traumatic birthing experiences. In her practice, she employs supportive psychotherapy and mindfulness along with evidence-based medication management, utilizing the most current clinical guidelines and treatment modalities. ‍Dr. Vital-Daley's approach is rooted in a collaborative treatment approach. She works closely with patients, exploring past and current stressors and any relevant medical conditions to develop a comprehensive understanding of their individual needs. Recognizing the importance of cultural competency, she incorporates patients' unique backgrounds, beliefs, and core values into her care plans.