Luna Sanchez Rivera, 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. 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.

Dr. Caitlin Schroen completed her Psychiatry residency at Rutgers Robert Wood Johnson Medical School in Piscataway, NJ. She received her bachelor's degree in Psychology from Fordham University and then attended medical school at the Lewis Katz School of Medicine at Temple University. Dr. Schroen provides psychiatric services to adults ages 18 and older. She focuses on medication management and psychoeducation, often along with supportive therapy. With a patient-centered approach, Dr. Schroen believes in fostering a safe and non-judgmental environment where individuals can openly discuss their mental health concerns. Dr. Schroen is well-versed in a wide spectrum of psychiatric conditions and offers evidence-based treatments tailored to each patient's unique needs. She has a particular interest in treating mood disorders, anxiety disorders, OCD, and ADHD. Dr. Schroen is passionate about reducing the stigma surrounding mental health and strives to provide the highest quality care to help individuals lead happier and more fulfilling lives.

Dr. Ethan Atwood is a board-certified psychiatrist. He earned his medical degree from the College of Medicine at the University of Arkansas for Medical Sciences. He completed his psychiatry residency and fellowship at the University of Alabama at Birmingham, and he completed a forensic fellowship at the University of Arkansas for Medical Sciences.

New patients can expect a warm and welcoming atmosphere when beginning their journey with Dr. Atwood. He emphasizes a holistic approach to mental health care, combining medication management with supportive therapies. His empathetic nature and commitment to patient well-being ensures a nurturing and supportive environment.

Dr. Atwood believes in a collaborative approach, working closely with his patients to develop treatment goals and adjust treatment strategies as needed. He is committed to providing ongoing support and guidance, ensuring that patients feel confident and supported throughout their mental health journey.

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Angelica Luciano, PMHNP, has been dedicated to health care for over 22 years. Her journey began in 2003 when she enlisted in the Air Force as a medic and later served as a nurse in the Department of Defense. She earned her bachelor’s degree in Nursing from Indiana State University, was commissioned as a Nurse Officer in the U.S. Public Health Service, and went on to complete her master’s at Gonzaga University. Inspired by her work as a psychiatric RN, Angelica pursued her calling in mental health and became board certified as a Psychiatric-Mental Health Nurse Practitioner in 2017.

Angelica provides care through a warm, direct, and nonjudgmental style. She takes a biopsychosocial approach, recognizing the interplay of biological, psychological, and social factors in mental health. By combining psychopharmacology, patient education, and brief supportive therapy, she offers care that is accessible, collaborative, and authentic. Patients can expect to feel heard, respected, and actively involved in their treatment decisions.

Angelica begins with a comprehensive consultation to understand each patient’s history, concerns, and goals. This may take several appointments before finalizing a treatment plan. Plans may include lab work, collaboration with a patient’s broader health care team, and involvement of supportive family members if desired. Her goal is to create individualized care tailored to patient needs while ensuring comfort, advocacy, and trust. She emphasizes that patients are never defined by a diagnosis but valued as whole individuals.

Dr. Wang is a board-certified psychiatrist in both General Psychiatry and Addiction Psychiatry, with extensive experience in providing compassionate, evidence based to mental healthcare. She currently serves as an outpatient psychiatrist providing care to veterans, where she integrates evidence-based medication management with psychotherapy. Dr. Wang completed her psychiatry residency at the University of Wisconsin-Madison, where she also contributed to clinical education through supervising residents and conducting quality improvement initiatives.

Dr. Wang believes in crafting individualized treatment plans that address both the biological and psychological aspects of mental illness. She specializes in the combined use of psychotherapy and medication management to support long-term healing. Dr. Wang encourages her patients to become active participants in their recovery process and empowers them to grow into their own healers. Her therapeutic approach emphasizes insight, autonomy, and long-term well-being.

During the initial visit, patients can expect a warm, thoughtful, and collaborative evaluation. Dr. Wang takes time to understand her patients’ symptoms, personal history, strengths, and goals in order to develop a tailored and sustainable treatment plan. She believes in shared decision-making and provides clear, compassionate communication around both therapy and medication options.