Mallory Jacobs, MD

Ian Sanders is a licensed clinical mental health counselor and licensed professional counselor who has 12 years of experience with adolescents, adults, and families. Ian has helped clients in diverse demographics manage conditions ranging from depression, anxiety, work stress, LGBTQIA matters, family matters, and situations/adjustment concerns. Ian has worked in Inpatient, Partial Hospitalization, Intensive Outpatient, Outpatient, and Employee/Family Assistant Program settings. Ian earned his Master's Degree in Counseling from Concordia University - Wisconsin and his Bachelor's Degree from Western Illinois University. Ian is also a National Board Certified Counselor. Ian's focus has been with the LGBTQIA community and with adults and teens with mood disorders. Ian's approach to helping his clients is resiliency-based, utilizing dialectical behavioral therapy, cognitive behavioral therapy, and Solution-focused Therapy.

Gabrielle Kull is a Licensed Professional Counselor with a strong foundation in mental health care. She earned her undergraduate degree from Indiana University of Pennsylvania in 2017 and went on to complete her Master's degree at West Virginia University in 2019. Since then, Gabrielle has gained experience working with diverse populations and age groups while working for a non-profit organization that served victims of sexual assault, domestic violence, and other violent crimes. She has a genuine interest in treating a vast array of psychiatric disorders including Post-Traumatic Stress Disorders, Depression, Anxiety, and Obsessive-Compulsive related disorders. Gabrielle became licensed in 2022. She has been trained extensively in Eye Movement Desensitization and Reprocessing (EMDR) therapy since 2019 and achieved her EMDR certification in 2025. She takes a trauma-informed, client-centered approach, meeting individuals where they are in their healing journey. Her practice incorporates evidence-based modalities, including Cognitive Behavioral Therapy (CBT), Internal Family Systems (IFS), and mindfulness techniques, to support her clients in achieving their goals. Gabrielle is committed to ongoing education and continuous learning to ensure she provides the most effective and up-to-date care for her clients. She is currently expanding her specialties to include mental performance counseling with athletes.

Dr. Alexis Kropf is a board-certified adult psychiatrist beginning her practice at Talkiatry after four years of clinical experience in residency. Dr. Kropf primarily focuses on providing medication management during 30-minute follow-up visits, weaving in elements of supportive therapy according to the needs of her clients. When additional therapy is indicated to promote recovery, Dr. Kropf may recommend that her clients work with a therapist as part of the treatment team. Dr. Kropf credits her undergraduate education at Southwestern University, a small liberal arts college, for strengthening her curiosity about and dedication to serving others. She received her medical degree from the University of Texas Southwestern Medical Center in Dallas, Texas, where she also completed her psychiatry residency training. During residency, she was involved in medical student education and resident leadership, serving as a chief resident during her final year of training. She also utilized her fluency in Spanish and medical Spanish interpreter training to serve Spanish-speaking patients and to lead Spanish-language group therapy sessions. In addition to psychopharmacology, Dr. Kropf studied psychotherapeutic interventions, including psychodynamic and cognitive behavioral therapies. She has experience working with clients experiencing many different mental health challenges, with a primary clinical focus including the treatment of anxiety, depression, and PTSD.

Dr. Mouneimne is a Board-Certified bilingual psychiatrist specializing in general adult psychiatry, bringing extensive experience from her residency training in the underserved area of East Texas. She earned her medical degree from the Texas College of Osteopathic Medicine in Fort Worth and has received broad exposure to child/adolescent, geriatric, and adult inpatient and outpatient psychiatry. With a background in Engineering from Texas A&M University, Dr. Mouneimne employs an analytical approach to diagnose and treat mental health issues through personalized and collaborative care. Her training has included both in-person and virtual encounters to extend care across larger geographic areas. She has experience managing psychiatric care in acute behavioral health units as well as long-term facilities and has focused training in applied Cognitive Behavioral Therapy (CBT). Dr. Mouneimne prioritizes maintaining strong patient-provider relationships, ensuring that patients feel heard and seen to optimize treatment outcomes. She is committed to de-stigmatizing mental health services and providing culturally competent care. Her practice incorporates medication management as part of a comprehensive treatment strategy, emphasizing a deep understanding of the underlying etiology rather than merely addressing symptoms. Known for her compassionate and open bedside manner, she values each patient's unique story as essential to their care. ‍In addition to medication management, her practice includes Cognitive Behavioral Therapy (CBT) and supportive psychotherapy to effectively address complex mental health needs. Dr. Mouneimne strives to promote overall well-being and encourage active patient engagement in their care, ensuring that treatment plans support patient goals, comfort, and meaningful outcomes.

Background and credentials

Dr. Nina Jacobs is a board-certified psychiatrist specializing in child, adolescent, and adult psychiatry with over 20 years of clinical experience. She earned her medical degree from the University of Chicago, Pritzker School of Medicine and completed her adult, child, and adolescent psychiatry training at NYU School of Medicine. Additionally, she has specialized training in psychodynamic psychotherapy from the New York Psychoanalytic Institute. Before joining Talkiatry, she served as Chief of Adult Behavioral Health at a busy urban community health clinic.

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Treatment approach

Dr. Jacobs believes that understanding and compassion are fundamental to effective psychiatric care. She provides engaged, patient-centered treatment, focusing on reducing symptoms and restoring well-being. Her approach includes comprehensive evaluations, thoughtful medication management, supportive therapy, and the development of stress management skills. She treats youth ages 13-17 and adults with anxiety, depression, bipolar disorder, ADHD, PTSD, and other mental health conditions. For adolescent patients, she includes parental involvement during a portion of appointments to discuss progress and treatment plans.

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What you can expect in a first visit

During the first visit, patients can expect a comprehensive evaluation in which Dr. Jacobs takes time to understand their symptoms, history, and goals. She fosters a collaborative and compassionate environment, ensuring that treatment plans are personalized and patient-centered. Her approach may include medication management, therapy recommendations, and stress management techniques to support patients in achieving their mental health and well-being goals.

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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. Ismail is double board-certified by the American Board of Psychiatry and Neurology in both Adult Psychiatry and Child and Adolescent Psychiatry. She earned her medical degree from Cairo University, where she also completed her neurology residency at Cairo University Hospitals. Following this, she pursued psychiatric training at New York Medical College at St. Vincent’s Hospitals, where she was appointed Chief Resident and recognized as Resident of the Year.

Dr. Ismail further specialized with a fellowship in Child and Adolescent Psychiatry at UMDNJ/Rutgers Robert Wood Johnson Medical School. Her career includes multiple leadership roles, notably serving as Chief of the Child and Adolescent Partial Hospital Programs (PHP) at Rutgers University in Newark, NJ, where she provided direct care to young patients. She has also held Medical Director positions across various clinical settings, including child and adolescent inpatient units, outpatient programs, and intensive outpatient services for both adolescents and adults with mental health and co-occurring substance use disorders.

An active educator, Dr. Ismail has been a teaching faculty member, delivering lectures and providing supervision and evaluations for medical residents and child and adolescent psychiatry fellows. Her academic contributions extend to research, where she has served as a principal investigator on multiple studies.

Throughout her career in leadership and teaching, Dr. Ismail maintained an integrative private practice in New Jersey, serving residents of the NJ and NY metropolitan areas before relocating to North Carolina.

Dr. Ismail is passionate about integrative medicine, which combines evidence-based alternative therapies with conventional treatments to optimize outcomes. Her approach focuses on promoting overall wellness, keeping both the body and mind in harmony.

During the diagnostic evaluation, Dr. Ismail will review your medical history and past treatments to develop a comprehensive, personalized treatment plan that prioritizes your overall wellness. In addition to medication management, she incorporates supportive, cognitive, or psychodynamic psychotherapy during follow-up visits, as time allows. When appropriate, she may also recommend referrals to specialized psychotherapists to address your individual needs as part of a holistic treatment approach.