Maralys Colon Betancourt, MD

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Dr. Lorangelly Rivera is board-certified in Adult psychiatry and has been practicing for over 5 years. Dr. Rivera focuses on medication management and brief psychotherapy utilizing techniques from cognitive behavioral therapy, psychodynamic therapy, and supportive therapy in 30-minute appointments. When appropriate, Dr. Rivera may recommend additional psychotherapy with a psychologist as part of the treatment plan. She is fluent in both Spanish and English and is passionate about working with the Latinx population. She completed her bachelor's degree in Cellular Molecular Biology from Metropolitan University, San Juan, Puerto Rico, and her postgraduate work at the National Cancer Institute in Bethesda, Maryland. Dr. Rivera received her medical degree from Ponce Health Sciences University School of Medicine, Ponce, Puerto Rico. She completed her residency training in psychiatry at the University of Rochester Medical Center. After completing her training, she began working for Lifespan Physician Group where she became program director for Lifespan Latinx Mental Health Services and served as Staff Psychiatrist at Rhode Island Hospital and The Miriam Hospital. She holds a faculty position in The Warren Alpert Medical School of Brown University, Department of Psychiatry and Human Behavior as a Clinical Instructor. ‍

Nereida Gonzalez-Berrios, MD

Staff Psychiatrist

Background and credentials

Dr. Nereida Gonzalez-Berrios is a general psychiatrist fluent in English and Spanish. She earned her bachelor’s degree in Microbiology from the University of Puerto Rico and her medical doctorate from Ponce School of Medicine (now Ponce Health Sciences University). She completed her General Psychiatry Training Program at the University of Puerto Rico Medical Sciences Campus, graduating in 2008. After practicing privately in Puerto Rico, she relocated to Texas, where she worked for over five years at the Michael E. DeBakey VA Health System, providing mental health care to veterans. She has also gained extensive experience in telemedicine, working both within the VA system and as a locum tenens provider.

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Treatment approach

Dr. Gonzalez-Berrios has extensive experience treating a wide range of psychiatric conditions, including mood disorders, anxiety disorders, psychotic disorders, intellectual impairment, ADHD, eating disorders, PTSD, and personality disorders. She integrates traditional psychiatric treatment with a holistic wellness approach, drawing on her background as a motivational speaker, wellness coach, certified personal fitness trainer, nutrition coach, and weight-loss specialist. Her approach emphasizes improving overall mental and physical well-being through personalized treatment plans that incorporate psychiatric care, wellness strategies, and lifestyle modifications.

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What you can expect in a first visit

Patients can expect a comprehensive psychiatric evaluation where Dr. Gonzalez-Berrios carefully assesses their symptoms, medical history, and personal wellness goals. She takes a collaborative and patient-centered approach, ensuring that treatment is tailored to each individual’s mental and physical health needs. As an experienced telemedicine provider, she offers accessible and flexible mental health care, combining medication management and holistic wellness strategies to help patients achieve lasting well-being.

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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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Luna Sanchez Rivera, MD

Staff Psychiatrist

Dr. Luna Sanchez Rivera holds the position of Staff Psychiatrist at Talkiatry. After completing residency in 2016 at the Ponce Medical School Psychiatry Residency in Puerto Rico, she then moved to North Carolina to complete a subspecialty in Child and Adolescent Psychiatry at Duke University Health System. There, she transitioned into an assistant professor position, focused on structuring pediatric emergency psychiatric services, and helped support the consult and liaison pediatric service. Her years of experience have included working as an integrated care child psychiatrist within outpatient clinics at Duke University Health System, and she trained and worked as a staff psychiatrist at the Inpatient State Facility in North Carolina. She also served in the Dayton Children's Hospital outpatient clinics in Dayton, Ohio, the Appalachian Health System outpatient clinics in Linville, North Carolina, and more recently has been serving the Child and Adolescent inpatient population in Bangor, Maine. Dr. Sanchez Rivera has an approachable style aimed at providing a comprehensive evaluation for all age ranges and is comfortable managing various levels of diagnostic complexities. She provides supportive psychotherapy while using psychodynamic therapy skills to clarify her patient's constellation of symptoms, identify unifying themes and provide thorough psychoeducation throughout the process to drive positive outcomes. She integrates psychodynamic medication management approaches and is adept at family therapy interventions.

Nilsa De Jesus Rosario, MD

Staff Psychiatrist

Dr. De Jesus is a bilingual psychiatrist, fluent in English and Spanish. She is a double board-certified psychiatrist in Adult Psychiatry and Child & Adolescent Psychiatry. Dr. De Jesus provides medication management services in combination with supportive therapy during 30-minute follow-up visits. Dr. De Jesus received her medical degree from the Universidad Central del Caribe School of Medicine in Bayamon, Puerto Rico. She completed her Adult Psychiatry residency at Jackson Memorial Hospital in Miami, FL. Subsequently, Dr. De Jesus pursued her fellowship in Child and Adolescent Psychiatry at Thomas Jefferson University Hospital in Pennsylvania and was a Chief Resident during her last year of training. Dr. De Jesus has been providing psychiatric services in the community mental health setting for 8 years. Her clinical focus has been in treating children, adolescents, and young adults with depression, anxiety, posttraumatic stress disorder, and ADHD. Dr. De Jesus believes in the importance of establishing an individualized treatment approach to meet each individual's need while providing comprehensive care to her patients.

Maria Abramov Mann, MD

Staff Psychiatrist

Dr. Mann is a double board-certified psychiatrist specializing in the care of adults, with additional expertise in the care of older adults. Her practice focuses on medication management for a wide range of psychiatric conditions. It incorporates various therapeutic modalities in order to optimize symptomatic improvement and enhance quality of life. Dr. Mann received her medical degree from St. George's University School of Medicine. She completed her residency training in psychiatry at Maimonides Medical Center, and fellowship training in geriatric psychiatry at Columbia University Irving Medical Center. Dr. Mann's approach is rooted in empathy. She believes in the importance of a strong therapeutic relationship in facilitating the healing process. She strives to empower patients on their journey to recovery by partnering with them in their care.

Maryanne Garnsey, LMFT

Staff Therapist

Maryanne Garnsey is a Licensed Marriage and Family Therapist, who has extensive experience working in multiple disciplines, modalities, and stages of life. Maryanne has worked directly with clients of various demographics, living with a variety of mental health conditions. Maryanne completed her BFA at Rutgers University in New Brunswick, New Jersey, and MS in Mentally Health Counseling and Marriage and Family Therapy from Palm Beach Atlantic University in West Palm Beach, Florida.

Maryanne’s approach is eclectic, integrative, interdisciplinary, and holistic. This approach incorporates humanistic, family systems, lifestyle, cognitive behavioral, acceptance and commitment, mindfulness, strengths-based, and healthy attachment, as well as many other techniques into each session based on the unique needs, interests, and goals of each client. Maryanne’s love of nature, science, people, and lifelong learning creates a therapeutic environment of curiosity, care, support, guidance, and hope.

Maryanne has experience in finance, education, wellness, entertainment, hospitality, marketing, and sales working with individuals, couples, families, and groups of all ages. Maryanne is easily inspired and enjoys discovering each client’s personal story. Maryanne believes that working as a team with a common goal can foster personal growth, healing, health, and optimum wellbeing.

Patricia Michel-Garrison, DO

Staff Psychiatrist

Dr. Patricia Michel-Garrison is a board-certified psychiatrist by the American Osteopathic Board of Neurology and Psychiatry (AOBNP) with over a decade of experience in inpatient psychiatry. She completed her undergraduate training in Chemistry in Florida, having moved there from Chicago in 2000, followed by medical school at the Lake Erie College of Osteopathic Medicine (LECOM). She completed her residency in Psychiatry in Largo, Florida. Dr. Michel-Garrison specializes in treating adults aged 18 and over, addressing a wide range of psychiatric conditions including anxiety, mood disorders, and personality disorders. She is known for her holistic approach, integrating both traditional and osteopathic principles to provide comprehensive care. Her treatment style is patient-centered, emphasizing individualized care plans tailored to each patient's unique needs. Dr. Michel-Garrison fosters a collaborative therapeutic relationship, promoting open communication and trust with her patients. Throughout her career, Dr. Michel-Garrison has remained committed to staying current with the latest advancements in psychiatric care. She is dedicated to helping her patients achieve optimal mental health and well-being through a combination of evidence-based practices and empathetic support.

John Bardugon, MD

Staff Psychiatrist

Dr. Bardugon is a board-eligible psychiatrist who specializes in the treatment of adults. He has experience in treating patients with various forms of depression and anxiety, bipolar disorder, OCD, ADHD, PTSD, and substance use disorders. He seeks to provide a safe, non-judgmental, gender affirming space for patients as they strive to lead a happier, more contented life. After a pediatrics residency, Dr Bardugon worked for 13 years as a pediatric ER physician. His interest in psychiatry was piqued during this time as he witnessed the emergence of a child and adolescent mental health crisis. While ultimately deciding to focus his efforts on the treatment of adults, Dr Bardugon is keenly aware of the influence of child development and family systems on the behavioral health of adults. Dr Bardugon employs a holistic, multimodal treatment approach. Aiming to treat the whole person, he stresses the importance of nutrition, exercise, and sleep. Dr Bardugon believes an informed patient actively engaged in decision making surrounding treatment has the best chance of effecting lasting change. Believing in the synergistic effect of talk therapy and medication, he incorporates one or more talk therapy techniques including motivational interviewing, cognitive behavioral therapy, and supportive and psychodynamic psychotherapies into most sessions. He often recommends formal participation in some form of talk therapy and is happy to collaborate with other providers.

Sujal Kotadia, MD

Staff Psychiatrist

Dr. Kotadia is a board-certified psychiatrist who completed his psychiatry residency training program at Nassau University Medical Center in Long Island, NY. After completing training, he has been practicing outpatient psychiatry and specializes in the evaluation and management of major psychiatric disorders, including depression, and anxiety. He uniquely combines his education, training, and practical experiences into specialized treatment plans. Typically, he offers this in conjunction with supportive or emotionally focused therapy in 30-minute follow-up visits. However, occasionally Dr. Kotadia may believe that additional therapy is also needed and ask that you bring a therapist into your care team to provide the best outcome. A story that Dr. Kotadia came across years back still inspires him each day. A man was taking a morning walk at the beach. He saw that along with the morning tide, came hundreds of starfish. When the tide receded, the starfish were left behind and would die in the morning sun. While the tide was fresh, and the starfish were alive, the man took a few steps, picked one up and threw it into the water and continued throwing starfish back into the ocean. Behind him was a stranger who couldn't understand what this man was doing. He caught up with him and asked, "What are you doing? There are hundreds of starfish. How many can you help? What difference does it make?” The man did not reply, rather he took two more steps, picked up another one, threw it into the water, and said, "It makes a difference to this one.”With this story as his motivation and ultimate objective, it has always been Dr. Kotadia's goal, with each patient, to provide superior services.

Megan Wynne, MD

Staff Psychiatrist

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.

Jacob Kannarkat , MD

Staff Psychiatrist

Dr. Jacob T. Kannarkat is an adult psychiatrist. Dr. Kannarkat's practice focuses on medication management. In his visits, he uses an integrative approach, blending an empathic, problem-solving orientation with an understanding that the reasons for an individual's condition can be complex. He has experience dealing with many forms of mental illness and works collaboratively with his patients and their other treatment providers in making a plan for recovery. Dr. Kannarkat completed undergraduate studies at the University of Florida. After receiving his medical degree at the University of Miami Miller School of Medicine, Dr. Kannarkat continued for residency at the University of Miami/Jackson Health System. He ultimately completed his training as Chief of Psychiatric Emergency Services at Yale School of Medicine. Dr. Kannarkat has experience working with adults of all ages who are dealing with depression, anxiety, bipolar disorder, PTSD, substance use disorders, and many other conditions.‍

Kaitlyn Brady, LMHC

Staff Licensed Mental Health Counselor

After receiving my bachelor's in psychology from SUNY New Paltz in 2013, I worked as a medical assistant with individuals with developmental disabilities. From there, I recognized the need to promote mental health and a balanced way of living. I completed my master's in clinical Mental Health Counseling through Walden University in 2021. My goal is to guide individuals towards cultivating their own sense of independence, ability to utilize healthy coping strategies, and regain control over their lives. I work with children, adolescents, teenagers, adults, couples, and families as they begin their journey through processing adjustment changes, anxiety, depression, anger, grief, trauma, among other symptoms. Through the therapeutically proven interventions from CBT, DBT, person-centered therapy, and mindfulness, we can begin to explore triggers, symptoms, and challenges in a safe, respectful environment.

Maralys Colon Betancourt, MD

Education and training

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