Mary O'Malley, MD

Dr. Carmen Orellana is a Staff Psychiatrist at Talkiatry who has been in practice for over 6 years, both in the U.S. and abroad. She is double board-certified in child and adolescent psychiatry and adult psychiatry. Dr. Orellana's practice focuses on medication management. She strives to provide exceptional medical care and has extensive experience in treating persons with diverse behavioral disorders and backgrounds. Dr.Orellana involves her patients in all decisions about their health, and provides care that is respectful of patient preferences, needs, and values. Typically, she would recommend evidence-based treatments to her patients and may, occasionally, believe that concurrent therapy is also needed. She would ask that you bring a therapist into your care team to provide the best outcome. Dr.Orellana received her medical degree from Universidad Evang�lica de El Salvador. Dr. Orellana completed a residency in Psychiatry and a fellowship in child and adolescent psychiatry at the Southern University School of Medicine in Springfield, Illinois. After completing her training, Dr. Orellana remained in the school, where she worked as an Assistant Professor of Child and Adolescent Psychiatry, supervising and teaching medical students, residents, and fellows, and treating patients with various psychiatric conditions. Dr. Orellana has experience in treating treatment-resistant mood disorders with electroconvulsive therapy (ECT) and transcranial magnetic stimulation (TMS).‍

Dr. Mandel received his Bachelor of Arts and Doctor of Medicine degrees from the University of Pennsylvania. He completed his Residency in Psychiatry at Mount Sinai Medical Center in Manhattan. He has been board certified in psychiatry since 2001 and is a Life Fellow of the American Psychiatric Association. He has held numerous clinical and academic appointments including serving as Chairperson of Psychiatry at Huntington Hospital in Huntington, New York, and Assistant Professor of Psychiatry at Hofstra North Shore-LIJ School of Medicine.

Dr. Mandel has over 25 years of clinical experience treating all mental health conditions. He has a strong interest in mood and anxiety disorders, including work-related anxiety. He authored a section on the pharmacology of social anxiety in the book Work Makes Me Nervous. Dr. Mandel also has expertise working with clients diagnosed with borderline personality disorder. He has lectured on the pharmacologic management of this condition, including a presentation at the NIMH International Think Tank for the More Effective Treatment of Borderline Personality Disorder.

Dr. Mandel continually seeks to streamline complex medication regimens. He has completed a fellowship in integrative psychiatry and carefully considers the potential contributions of lifestyle and nutrition to overall mental health and well-being. By taking an eclectic approach, Dr. Mandel is able to achieve the best possible outcome for all whom he is privileged to serve.

Dr. Tsujimoto-Ryzewski is a board-certified adult psychiatrist. She received her medical degree from the University of Nevada, Reno School of Medicine. She completed her residency at the University of Nevada, Reno School of Medicine, where she served as a chief resident during her last year of training. Dr. Tsujimoto-Ryzewski has treated patients with a wide variety of diagnoses both during her residency and after her training while working at a busy private practice clinic as well as for the Veterans Administration. Dr Tsujimoto-Ryzewski focuses on medication management and supportive psychotherapy. If she feels that additional therapy is needed, she will ask that you bring in a therapist as part of the treatment team. Dr. Tsujimoto-Ryzewski will work collaboratively with you in a caring environment to assist you in reaching your goals.

Shawn Edgington, MA, LPC, is a licensed professional counselor passionate about helping clients find clarity, connection, and healing during life’s most challenging times. She offers a warm, judgment-free space where individuals can feel safe to show up authentically. Shawn values trust, open communication, and collaboration to ensure every client feels heard, respected, and supported in their journey.

Shawn specializes in anxiety, trauma, depression, parenting, women’s mental health, and neurodivergent support. She works with children, teens, adults, and families through both telehealth and in-person settings. Drawing from evidence-based methods like CBT, TF-CBT, CPT, and Motivational Interviewing, she tailors treatment to each individual’s needs, always centering compassion and clinical integrity.

Shawn begins by gaining a clear understanding of each client’s history, concerns, and goals. She collaborates to create a personalized, goal-oriented treatment plan rooted in proven therapeutic approaches. Sessions blend structure with flexibility, offering psychoeducation, coping tools, reflective conversation, and self-compassion techniques to promote meaningful progress and personal growth.

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Joel Witherspoon is a licensed Clinical Mental Health Counselor with over 20 years of clinical experience working in various mental health settings, working directly with clients from diverse backgrounds living with a broad range of mental health conditions. Joel earned his Undergraduate degree at California State University Long Beach, Graduate School at East Carolina University, Greenville, NC, and completed his internship in Raleigh, NC. Joel has been practicing for 19 years as a Licensed Clinical Mental Health Counselor, focusing on mood disorders, trauma, situational adjustment disorders, and any life challenge that interferes with a client's happiness. Working with Joel, treatment is specific to the individual with the focus on modalities that are specific to each person's challenges. Joel uses an eclectic approach with a foundation in person-centered therapy, cognitive behavioral therapy, dialectical behavioral therapy, interpersonal therapy, and trauma therapy combined with somatic interventions such as mindfulness.

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. ‍