Maria Carvajal-Ramirez, MD

Dr. Christopher DeBernard is a board-certified psychiatrist with extensive clinical leadership experience. He earned his MD and completed a combined residency in Internal Medicine and Psychiatry at Tulane University School of Medicine. Previously board certified in Internal Medicine, he is especially comfortable caring for patients with medical comorbidities. Dr. DeBernard has worked in both inpatient and outpatient settings and held leadership roles as Chief Medical Officer at Arisa Health and Lotic.ai. He also brings a systems-thinking perspective to clinical care from earlier careers in engineering and consulting. He holds active medical licenses in Louisiana and Arkansas.

Dr. DeBernard strives to create a warm, collaborative environment where patients feel respected, understood, and supported. His approach combines evidence-based medicine with an appreciation for each patient’s unique story, values, and motivations. Patients can expect open, direct communication, shared decision-making, and treatment plans that align with their personal goals. Trust, empathy, and authenticity form the foundation of his therapeutic relationships.

Dr. DeBernard begins by listening closely to each patient’s history, concerns, and hopes for treatment. Together, he works with patients to establish clear goals and develop individualized care plans that may include therapy, medication management, and lifestyle approaches. His focus is on both symptom relief and building long-term resilience, helping patients develop strategies that sustain well-being. Over time, he collaborates with patients to adapt treatment as their needs evolve, ensuring care remains effective and personalized.

Dr. Nieves-Alvarado is a Board-certified psychiatrist who completed medical training at Duke University Psychiatry Program. Originally from Puerto Rico, she is fluent in both English and Spanish, which allows her to connect deeply with a diverse patient population.

Her practice combines medication management with insight-oriented therapy during every visit, promoting a comprehensive approach to mental health care. She advocates for her patients to engage in therapy alongside medication management, as she believes this integrated approach leads to better outcomes and sustained improvement. Dr. Nieves-Alvarado's practice is rooted in a collaborative, team-based approach, working closely with her patients to achieve long-term mental wellness.

Dr. Nieves-Alvarado earned her medical degree from the Universidad Central del Caribe School of Medicine in Bayamon, PR. Afterward, she moved to North Carolina, where she completed her residency at Duke University Hospital. During her training, she was nominated for a fellowship in psychodynamic practice by the Psychoanalytic Center of the Carolinas, showcasing her expertise in this area. She is also a dedicated advocate against childhood sexual trauma.

Her diverse training includes significant experience in jail and forensic psychiatry, as well as the treatment of military veterans under the veteran affairs health care system. She has experience in medically assisted treatments (MAT) for substance use disorders, Electroconvulsive therapy (ECT), and family therapy, enabling her to care for patients with complex needs.

Dr. Nieves-Alvarado treats patients across a wide age range, from young adults to the elderly. Passionate about improving access to mental health care, she joined Talkiatry to help patients facing time or transportation challenges receive the care they need.  

In addition to her clinical practice, Dr. Nieves-Alvarado remains involved with her alma mater’s Behavioral Health Department, contributing to academic education and maintaining a connection with the next generation of medical professionals. She continues to seek ongoing improvement in her field, remaining engaged with medical associations including North Carolina Psychiatric Association, American Psychiatric Association, and Alpha Omega Alpha national medical honor society. Dr. Nieves-Alvarado is committed to working hand-in-hand with her patients to achieve mental wellness.”

Dr. Michael Fiori is Board Certified in Adult Psychiatry and Addiction Medicine. He has practiced general psychiatry for 37 years, and has also sub-specialized in Addiction Psychiatry for the past 20 years. Dr. Fiori's practice emphasizes Diagnostic Clarification, which is an ongoing process. He is highly trained and experienced in the biological and psychosocial underpinnings of psychiatric problems. He typically follows diagnostic evaluations with 30-minute follow up visits for medication adjustments and brief therapy. Dr. Fiori often enjoys collaborating with outside therapists when needed. Dr. Fiori graduated from Amherst College and received his medical degree from NY Medical College. He subsequently completed his residency in psychiatry at the Mount Sinai Medical Center in NYC. He excelled in Academic Psychiatry as both a teacher and a mentor. His practice has always combined medications with evidence-based therapies to alleviate suffering and maximize functioning. In addition to his work as a Board Certified Adult Psychiatrist, he has specialized in helping patients suffering from Substance Use Disorders. Dr. Fiori is Board Certified in Addiction Medicine, and helps patients understand the interrelationships between their Substance Use Disorders and their Psychiatric illnesses.

Severine Dondina, PMHNP-BC, is a board-certified psychiatric nurse practitioner with licensure in Washington and Florida. She holds a Master of Science in Nursing from the University of Alabama at Birmingham and graduated summa cum laude with dual bachelor’s degrees in nursing and biomedical science. Her background spans outpatient, community, forensic, and crisis psychiatry, including leadership roles with Florida’s Assertive Community Treatment (FACT) and Multi-Disciplinary Forensic Teams.

Currently serving patients in Washington, Severine treats adults with ADHD, anxiety, depression, PTSD, and bipolar disorder. She brings a trauma-informed, strengths-based approach to care and is deeply committed to creating affirming spaces for LGBTQ+ and gender-diverse individuals. Her clinical style combines evidence-based medication management with warm, collaborative support.

Trilingual in English, French, and Spanish, Severine is known for her cultural sensitivity, clinical rigor, and authentic presence. She approaches each patient with curiosity, humility, and respect—believing healing begins with connection.

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Dr. Juliet Nichols has been a diplomate of the American Board of Psychiatry and Neurology since 2002 and has been practicing psychiatry for over 25 years. While an expert in psychopharmacology, Dr. Nichols has an integrative approach to treatment and she often incorporates psychotherapeutic techniques when appropriate, tailoring every treatment to each patient's individual needs. She completed her Psychiatry residency at Stony Brook-SUNY and Geriatric Psychiatry Fellowship at the Albert Einstein School of Medicine. Over the last two decades, Dr. Nichols served as an attending psychiatrist at JT Mather Hospital in Port Jefferson, NY, where she became proficient in delivering stellar psychiatric care in a variety of settings. She specializes in treating adult and geriatric mental illnesses, including: Depression, Anxiety Disorders (eg, OCD, Panic Disorder, GAD, PTSD), ADHD, and Cognitive Disorders in the elderly. Dr. Nichols strives to help her patients gain insights into their inner conflicts, unveil their strengths, accept their limitations, and build their coping skills. Her approach is dynamic, straightforward, and empathic so patients always feel safe, understood, and at ease. She engages the patient to be an active participant in treatment decision-making, creating a strong therapeutic alliance.‍

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.