Maria Orejarena, MD, PhD

Dr. Kira Posteraro is double board-certified in Adult and Addiction Psychiatry and has over 10 years of clinical experience. She completed her General Adult Psychiatry Residency at Allegheny General Hospital in Pittsburgh, PA, followed by a fellowship in Addiction Psychiatry at Beth Israel Medical Center in New York, NY.

Dr. Posteraro’s career has included serving as Director of Psychiatric Services at an addiction treatment center in Pittsburgh, PA, where she provided care across the full continuum of substance use disorder treatment—including residential, acute PHP, IOP, outpatient, and aftercare services. She later held the role of Section Chief Psychiatrist for the Center for Treatment of Addictive Disorders at VA Pittsburgh Healthcare System, offering both residential and outpatient services and acting as Medical Director for the SAMHSA-certified Opioid Treatment Program. Most recently, she served as Chief of Psychiatry for the Behavioral Health Service Line at VA Pittsburgh, where she had the honor of caring for our nation’s Veterans.

While her clinical expertise centers on the diagnosis and treatment of substance use disorders, Dr. Posteraro also has extensive experience treating a wide range of psychiatric conditions, including depressive and bipolar spectrum disorders, anxiety disorders, and trauma-related disorders.

Dr. Posteraro uses a collaborative, supportive approach to care, incorporating motivational interviewing to help guide patients on their journey to wellness. She integrates holistic strategies alongside medication management and is dedicated to meeting patients where they are in treatment to build individualized, effective recovery plans.

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Leah E. Clary is a Licensed Professional counselor at Talkiatry. She has years of experience working with individuals of all ages from childhood to older adults. Leah E. Clary utilizes an eclectic counseling style. She understands that each and every person is unique and has individual needs, and is willing to adapt to what would benefit the individual. Leah believes that coordinating with all providers is important to achieving successful therapeutic experiences for the length of the engagement. After receiving her master's degree from Liberty University, Leah participated in an internship in Philadelphia working with first responders for crisis debriefing. While participating in this program, Leah also actively worked as an older adult protective services investigator within the city limits. In order to achieve her goal of becoming an LPC, Leah began working with families in a community-based program focusing on relational components. In this program, Leah worked with therapists of different backgrounds, building on her knowledge of communication techniques and team-based therapy, and even training new team members as needed. Throughout her professional career, Leah has worked with individuals with various diagnosed and undiagnosed conditions and adapted to their individual needs. Her passion is to assist the underserved demographic of individuals working through infertility issues and processing the idea of adoption.

Dr. Nieves-Alvarado is a recent psychiatry graduate from Duke Psychiatry Residency program. She is board eligible and has experience with psychodynamic and supportive therapy. Dr. Nieves-Alvarado is originally from Puerto Rico and practices psychiatry in both English and Spanish.

Dr. Nieves-Alvarado practice focuses on medication management with adjunct insight oriented therapy on all of her visits. She works on a team-based approach and advocates for most of her patients to engage in some type of therapy for better outcomes and sustained symptom improvement. She received her medical degree from the Universidad Central del Caribe School of Medicine in Bayamon, PR, before moving to North Carolina to complete her residency at Duke University Hospital. During training, she was nominated for a fellowship in psychodynamic practice by the Psychoanalytic Center of the Carolinas. She was also an advocate against childhood sexual trauma. Her training was well rounded including experience at the jail and forensics psychiatry. She also worked with patients on substance use disorders treatment centers and holds experience with medically assisted treatment.

Dr. Nieves-Alvarado treats a wide age range from young adults to elderly. After completing training, she joined Talkiatry to improve mental health access to patients who are time constricted or have transportation issues. She continues to seek for constant improvement and working hand on hand with her patients to achieve mental wellness.

Alicia Lakin has been counseling for over 20 years. She possesses an LPC-MHSP license. Alicia earned her Bachelor's degree in Psychology at the University of Tennessee. She then went on to earn her Master's Degree, with a focus on Guidance and Counseling, at Lincoln Memorial University. Alicia has been trained in Trauma Focused � Cognitive Behavioral Therapy (TF-CBT) and Motivational Interviewing. Alicia's professional career has provided her with the opportunity to work with individuals in a variety of settings. She has provided treatment in residential care programs for children and adolescents, in the family home, community-based mental health center, and substance abuse treatment outpatient services. In these settings, Alicia has been afforded the opportunity to treat all ages, dealing with a wide range of issues including trauma, substance abuse and recovery, and mood disorders such as anxiety, depression and post-traumatic stress disorder (PTSD). Therapeutically, Alicia describes her approach as "person-centered”, strength-based, and collaborative. She believes in providing a safe space for individuals to be able to express themselves openly, as well as explore any changes they desire to make in their lives. She believes in building a trusting relationship so that she and the individual can work together to help create change. Her style is reality-based, and she views herself as having many roles as a therapist, including that of a support, teacher, advocate, facilitator, and listener in the treatment relationship.

Dr. Morales is a board-certified psychiatrist who is dedicated to the bio-psycho-sociocultural model. This has been reflected in Dr. Morales' pursuit of treating patients suffering from diverse medical and psychiatric conditions, respective psychological mindedness, and varied socio-economic and cultural backgrounds. As an individual, Dr. Morales is fascinated by the human mind, its mechanisms to pursue goals, and the cyclical patterns seen in maladaptation and suffering. He believes in understanding patients' experiences and developing comprehensive treatment plans towards reconciliation. After completing his medical education at the East Carolina Brody School of Medicine, as a Brody Scholar, he subsequently completed psychiatry residency at Jackson Health System/University of Miami. Dr. Morales has had the opportunity to work with a diverse array of patients including high-functioning patients, veterans, trafficking victims, the severely mentally ill of low socio-economic status, and cancer patients across three distinct hospital systems via telemedicine and face-to-face interactions. His experience includes working with patients suffering from post-traumatic stress disorder, adjustment disorder, mood disorders, generalized anxiety disorder, panic disorder, and more. He honors active listening, analytic understanding, supportive psychotherapy techniques, and evidence-based and methodological treatment for patient care and actualization. His goal is to assist patients in navigating short- and long-term goals as well as improved quality of life. As a result, Dr. Morales focuses on medication management, which is offered in conjunction with supportive therapy, which is offered in 1-hour initial and 30-minute follow-up visits. Dr. Morales believes that appropriate patients can benefit from additional exploratory and self-actualizing therapy from other valued and specialized therapists to support targeted goals. He will not hesitate to recommend and promote consultations with therapists for such patients who are ready to pursue. Ultimately, Dr. Morales seeks to understand, validate, and treat patients in a collaborative therapeutic alliance.

Background and credentials

Dr. Lisa Ekeanyanwu is a board-eligible psychiatrist who completed her psychiatry residency training at Stanford University. She has gained experience in a wide range of clinical environments, including inpatient and outpatient care, community mental health settings, emergency rooms, telehealth services, and international clinical fieldwork.

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Treatment approach

Dr. Ekeanyanwu’s practice is centered on pharmacotherapy, which she integrates with supportive therapy, cognitive behavioral therapy (CBT), and psychodynamic therapy to provide comprehensive psychiatric care. She takes a collaborative and individualized approach, tailoring treatment to meet each patient’s unique goals and improve their overall quality of life. She has a special interest in cultural and micro-cultural influences on mental health and strives to provide culturally competent care that respects each patient’s life experiences and values. When she believes additional therapy may be beneficial, she may recommend incorporating a therapist into the care team.

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What you can expect in a first visit

During the first visit, patients can expect a thorough evaluation where Dr. Ekeanyanwu carefully assesses their symptoms, medical history, and personal treatment goals. She fosters a collaborative and patient-centered environment, ensuring that each treatment plan aligns with the patient’s individual needs. She provides medication management along with therapeutic support and, when appropriate, may recommend additional therapy to optimize outcomes. Her approach prioritizes safe, effective, and culturally sensitive care that evolves to support patients throughout different stages of their lives.

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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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