Luna Sanchez Rivera, MD

Sandra is a Licensed Mental Health Counselor in the state of New York with extensive experience working in the mental health field. Sandra attended both undergraduate and Graduate school in Queens, New York, studying and obtaining degrees in Psychology and Mental Health Counseling. Sandra has been practicing for over a decade as a Clinical Mental Health Counselor, in diverse settings ranging from community outpatient clinics to academic settings and private practices. She has worked with individuals, families, and groups, with a wide variety of situational, behavioral and emotional mental-health conditions as well as those who have experienced relational and other traumas. Sandra is trauma-trained and working with her delivers a warm and inviting atmosphere, blending different techniques with talk-based therapy to connect to the needs of each person. Sandra's work has recently focused on treatment of anxiety disorders, relationship issues and complex family dynamics, life-transitions and stress management. Sandra helps clients work on chronic maladaptive patterns that keep them feeling unwell or stuck in life situations. Her work leads to symptom relief, emotional stability, goal attainment, and improved relationships.

Sherra St Clair is a board-certified Psychiatric Mental Health Doctor of Nursing.  She has more than a decade of experience working with individuals with a wide range of mental health concerns including attention deficit hyperactivity disorder, depressive and anxious disorders, obsessive compulsive disorder, bipolar disorder, and trauma responses. Sherra completed her Doctor of Nursing degree at the University of Wyoming and was recognized for her compassionate and welcoming approach in patient interactions. Prior to becoming a nurse practitioner, she was inspired to pursue further education while working as part of an inpatient treatment team that included psychiatrists, psychologists, patients, and their families. Witnessing the profound improvements that patients can experience after a crisis motivated her to shift to an outpatient, preventative approach. Previous to nursing, Sherra was a medical illustrator and animator, educated through the University of Michigan's medical school and enjoyed creating medical education for patients, physicians, and attorneys.

Sherra enjoys working with patients of all genders and socioeconomic backgrounds. Through shared decision making, she complements patients' strengths with evidence-based medication, psychotherapy, and education. Sherra recognizes that each individual is the expert in their life experiences. She strives to empower people to build on their self-worth, progress, and potential.

Dr. Rodriguez is an adult psychiatrist, who is fluent in Spanish and English. She completed residency at St Luke's-Roosevelt Hospital in New York City via Columbia University College of Physicians and Surgeons followed by a Fellowship in Forensic Psychiatry in a combined Cornell University - Columbia University program with the New York State Psychiatric Institute. She obtained her medical degree at the Pontificia Universidad Catolica Madre y Maestro in the Dominican Republic. Dr. Rodriguez is an adult psychiatrist and has worked with a wide array of patients across various medical settings including extensive experience in Telehealth. Her experience includes Kings County Hospital in Brooklyn, New York, in addition to outpatient experience in both clinics and correctional facilities. Dr. Rodriguez has experience treating patients with psychiatric illness who may also be suffering from medical comorbidities, such as obesity, hypertension, pain, and diabetes. She has been deeply involved with teaching and emphasizes psychoeducation while working in collaboration with her patients to help tailor their personalized treatment plan. Her primary focus has been on treating adults with depression, bipolar disorder, anxiety, ADHD, OCD, and PTSD. Dr. Rodriguez has an approachable, patient-centered style, combined with a passion for optimizing sleep as it pertains to management of a psychiatric illness and overall well-being. She offers supportive therapy as part of her medication management visits, and at times may also offer cognitive behavioral therapy to address underlying stressors which may be contributing to one's presenting ailments. She may also recommend including a therapist in your care team to optimize outcomes.

Matthew is a board-certified psychiatric mental health nurse practitioner and received his education in this specialty at Maryville University of St. Louis, Missouri.  He has been working in the mental health field for over 20 years and has provided care to patients in diverse care settings including psychiatric hospitals, outpatient mental health centers, psychiatric home health, and telepsychiatry.  Matthew is passionate about expanding access to high quality mental health care to all in need and greatly enjoys collaborating with patients from diverse backgrounds.  In his free time, he enjoys hiking, camping, reading, traveling, and searching for the best Mexican food around.  

Patients working with Matthew should know that he utilizes a very collaborative approach to patient care.  He does not assume that he knows what's best for patients but works closely with them to find the most appropriate and effective treatment plan for the unique individuals that he treats.  For Matthew, safety is always the first priority, but he does not believe in a "one size fits all" approach to mental health care and is focused on tailoring the treatment to the patient.  Matthew utilizes an empathic approach to mental health treatment and patients will feel heard and valued.  

Matthew's process for working with patients includes a thorough psychiatric evaluation at the initial appointment to make sure we are getting to the right diagnosis and remaining on track to improve the patient's mental health. Follow-up appointments are focused on monitoring for progress or regression and working collaboratively to meet mutually agreed upon goals. Collaboration is key!

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Background and credentials

Dr. Lillian Cole is a board-certified adult psychiatrist. She completed her undergraduate education at the University of North Carolina Wilmington and went on to earn both a master’s in biomedical sciences and a medical degree from Texas Tech University. She completed her psychiatry residency training at the University of Texas Southwestern Medical Center, where she gained experience working with a diverse range of patient populations across different ethnic, socioeconomic, and clinical backgrounds.

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Treatment approach

Dr. Cole emphasizes a holistic, patient-centered approach that integrates evidence-based medicine, psychotherapeutic techniques, lifestyle interventions, and psychoeducation. She believes that listening, collaboration, and compassion are essential to guiding patients toward recovery. Her practice primarily focuses on psychiatric medication management, and she has extensive experience treating mood disorders, anxiety, trauma-related disorders, and substance use disorders. When additional therapy is necessary for the best outcome, she may recommend integrating a therapist into the treatment plan.

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What you can expect in a first visit

Patients can expect a thorough and compassionate initial evaluation, where Dr. Cole takes the time to understand their symptoms, medical history, and treatment goals. She focuses on fostering a strong doctor-patient relationship and collaborates with each patient to create a personalized treatment plan that may include medication management, therapy, and lifestyle interventions. If additional therapy is indicated, she will coordinate with other providers to ensure comprehensive care tailored to the patient’s needs.

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Why Talkiatry?

We’re a virtual mental health practice that makes it easy to find great care. We combine quality and convenience to help you thrive—faster. Our providers, like this one, are highly trained experts who specialize in medication management and collaborate with you on a treatment plan that fits your needs and comfort level.

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Dr. Fisher is a psychiatrist with over 20 years of experience in adult psychiatry, military health, addiction medicine, business leadership, and executive consultation.  His background has given him the opportunity to work with a diverse range of individuals, and he brings that breadth of experience to every patient relationship. In addition to his medical training, Dr. Fisher completed advanced training in psychodynamic and person-centered psychotherapy, which helps him provide care that’s not only evidence-based, but also deeply respectful of each person’s unique story.

Patients often describe Dr. Fisher as easygoing, kind, and patient. He takes pride in being someone who truly listens. he strives to create a safe, nonjudgmental space where you can be yourself—no matter where you're starting from. His goal is to meet you where you are, both emotionally and practically, and help you move toward where you want to be.

Dr. Fisher's approach is collaborative and flexible. He begins by getting to know you—your history, your concerns, and your goals. From there, we work together to create a treatment plan that may include therapy, medication, or both, depending on what’s appropriate for your needs. He integrate both psychodynamic insight and person-centered techniques, always with an emphasis on mutual respect and open communication. Progress takes time, and he's here to support you every step of the way.