Maria Carvajal-Ramirez, MD

Sonya R. Isler, PMHNP-BC, began her nursing journey over 30 years ago in a state psychiatric hospital in Goldsboro, NC, inspired by the poised nurse she admired at church as a child. Her path includes roles as LPN, RN, BSN, and multiple advanced practice degrees. Sonya has worked in inpatient and outpatient settings, VA clinics, and private practices. She also serves as a preceptor for PMHNP students at her alma mater, the University of North Carolina at Chapel Hill.

Sonya creates a welcoming, respectful space where patients feel safe to communicate openly. She practices active listening and values patient input when setting therapy goals. Her approach is holistic—treating the whole person—and she encourages collaboration, helping patients feel seen, heard, and empowered in their care.

Sonya reviews a patient's history before each session and begins with clear introductions and goal setting. She invites open discussion of concerns and tailors' treatment plans with patient input. She often incorporates CBT, motivational interviewing, and solution-focused therapy into care, promoting growth through supportive, personalized strategies.

Dr. Karina Fatova is a board certified psychiatrist who hails from New York City but has made New Orleans her home for the past ten years. She is a graduate of Albert Einstein College of Medicine in Bronx, NY, and she did her adult psychiatry residency at Tulane University in New Orleans, LA. She was proud to have her first position post-residency at the River Oaks Hospital Trauma Unit in New Orleans, LA where she treated patients with Complex PTSD and eating disorders. The Trauma Unit was one of a few of its kind nationally because it provided very specialized treatment that was affordable to many. Dr. Fatova then went on to work at the New Orleans Veterans Affairs Hospital for the last five years in its ambulatory outpatient mental health clinic. Though her passion is Complex Trauma/PTSD, she also regularly saw veteran patients who have been diagnosed with anxiety, depression, bipolar disorder, ADHD, and adjustment disorder. During her five years at the New Orleans VA, she received three special commendations from the director of the VA for feedback from her patients about her effective integrative approach to supportive psychotherapy and medication management. She believes that her rapport with her patients, and their therapeutic work together, is just as important as the medication she prescribes to heal or alleviate their symptoms. Dr Fatova employs psychodynamic therapy techniques, at times, to help those patients who would like to explore childhood experiences that may continue to impact them in their adult lives. With respect to medication management she regularly helps patients target symptoms such as sleep issues, nightmares, persistent worry, emotional dysregulation, frequent mood changes, impulsivity, and "toning down the nervous system," among others. She strongly believes that treatment decisions are best approached as a collaboration between patient and doctor. She sees young adults who are just starting their journey into adulthood, as well as adults who have been navigating life with challenges, which may include untreated, or poorly treated, mental health symptoms. Often, by the time Dr. Fatova sees a patient, they may have lost a significant amount of faith in their mental health doctors, and she is particularly attuned to helping individuals with this type of experience.

Dr. Weasen is a board-eligible adult psychiatrist with Talkiatry. He received his medical degree from Sidney Kimmel Medical College at Thomas Jefferson University in Philadelphia. He then moved to Washington, D.C. to complete his residency training at Saint Elizabeths Hospital, where he served as Chief Resident during his final year. He is a member of the American Psychiatric Association (APA) and has presented at the APA Annual Meeting on the topic of virtual fatigue. He has had extensive experience working with a wide array of patients, including college/graduate students, geriatric patients, military veterans, and LGBTQ+ populations.

Dr. Weasen provides a combination of medication management and supportive psychotherapy. Occasionally, he may work with you on finding additional support as well, including bringing on a dedicated therapist as part of your treatment team. He believes in tailoring treatment to each person’s needs. He primarily treats mood disorders, anxiety disorders, ADHD, PTSD, OCD, and insomnia, but believes in seeing beyond the diagnosis and focusing on the individual first and foremost.

Background and credentials

Dr. Jonathan Myrtil is a board-certified adult psychiatrist. He earned his medical degree from Ross University School of Medicine and completed his residency in Adult Psychiatry at the University of Central Florida, affiliated with North Florida Regional Medical Center. After completing his training, he remained at North Florida Regional as an adult psychiatrist and supervising physician, gaining experience treating patients in inpatient, outpatient, partial hospitalization, and intensive outpatient program (IOP) settings.

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Treatment approach

Dr. Myrtil takes a collaborative approach to psychiatric care, integrating medication management with supportive therapy to provide well-rounded treatment. His primary focus is on treating adults with mood and anxiety disorders, PTSD, and ADHD. He prioritizes patient involvement in treatment decisions, ensuring that care plans align with individual needs and goals.

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What you can expect in a first visit

Patients meeting Dr. Myrtil for the first time can expect a thorough evaluation where he assesses their symptoms, treatment history, and personal goals. He fosters a supportive and collaborative environment, working closely with patients to create a personalized treatment plan that incorporates medication management and therapeutic interventions tailored to their specific 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. Holly Hunter is a child and adolescent psychiatrist. She received her medical degree from LSUHC-Shreveport and completed her psychiatry residency training at the University of Arkansas for Medical Sciences. She went on to complete her child and adolescent fellowship at UAMS. During her fellowship, she participated in the Leadership Education in Neurodevelopmental and Related Disabilities (LEND) Program.

Her professional experiences include roles at Burrell Behavioral Health, Arkansas Children’s Hospital and the University of Arkansas for Medical Sciences. She enjoys treating childhood trauma, anxiety, and mood disorders but has experience in a wide variety of psychiatric conditions.

Patients can expect a collaborative experience rooted in beneficence and evidence based practices.

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.