Matthew Hamilton, MD

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.

Getting to know me...
Dr. David Weber is a highly experienced psychiatrist and medical doctor with dual specialties in psychiatry and primary care medicine. His comprehensive approach integrates both disciplines, allowing him to address mental health concerns with a deep understanding of their medical and psychological aspects.

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Dr. Weber earned his Doctor of Medicine (MD) from Southern Illinois University School of Medicine and pursued advanced training at Walter Reed Army Medical Center, Harvard University, and Georgetown University Medical Center. He is Board-Certified in General Psychiatry and Fellowship-Trained in Forensic Psychiatry and Occupational Medicine, equipping him with the expertise to diagnose and treat a broad spectrum of mental health conditions, considering both medical and psychiatric factors.

What should a new patient know about working with you?
Believing that each patient is more than a diagnosis, Dr. Weber takes a personalized approach, collaborating closely with individuals to develop tailored treatment plans. He views himself as an advisor and facilitator, empowering patients to take charge of their recovery.

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Areas of Focus:
ADHD (Focus & Cognitive Function)
Anxiety & Depression (Mood, Sleep, & Energy Concerns)
Stress & Brain Fog (Cognitive & Emotional Well-Being)

What is your typical process for working with patients?
Dr. Weber is an experienced, compassionate, and dedicated advocate for his patients' mental and physical health. He strongly believes in a collaborative, patient-centered approach to treatment, helping individuals achieve their personal and professional goals.
Committed to a well-balanced life, Dr. Weber is married and has two married daughters, two grandsons and three dogs. His wife, a clinical psychologist, helps ground his therapeutic approach, emphasizing the importance of integrating therapy with medication to enhance overall well-being. Guided by the ethos, "Treat them like you would your own family," he is dedicated to providing compassionate, high-quality care.

Dr. Angela Durham is a licensed psychiatrist with over 15 years of experience providing compassionate care in both outpatient and telehealth settings. She has a strong background in treating a wide range of mental health conditions, including mood disorders, anxiety disorders, and ADHD. Dr. Durham earned her medical degree from the University of Louisville and completed her psychiatry residency at the University of Kentucky. She maintains an active medical license and DEA registration.

Dr. Durham creates a supportive, nonjudgmental environment where patients feel comfortable sharing their experiences. She values collaboration and open communication throughout the treatment process, focusing on empowering individuals with education and tools to better manage their mental health. Her approach emphasizes tailoring care to each person’s unique needs and goals to promote long-term wellness.

Dr. Durham begins each therapeutic relationship with a thorough assessment of the patient’s history, symptoms, and goals. She works collaboratively to develop an individualized treatment plan that may include medication management, lifestyle strategies, and coordination with therapists or other healthcare providers. Dr. Durham regularly reviews progress, adjusts treatment plans as needed, and encourages patients to take an active role in their care and decision-making.

Dr. Marcia Morris is a psychiatrist with over thirty years of experience providing medication management as well as supportive psychotherapy to adult patients. She takes a positive psychiatry approach to treatment, prescribing medication while supporting patient strengths, social connections, and healthy habits. She has worked with university students as well as employees in an employee assistance program. She provides care for patients with depression, anxiety, OCD, PTSD, and ADHD. In her previous role as an Associate Professor at the University of Florida, she has done research on the increase in depression and anxiety as well as the increased use of psychiatric medications among university students. She has published academic papers and given national talks in these topics with the goal of decreasing stigma and improving mental health care for young adults. She is a founding member of the Association for College Psychiatry and a member of the American Psychiatric Association college mental health caucus. Dr. Morris provides education to the public about mental health as a writer and public speaker. Her articles have appeared in the New York Times, the Tampa Bay Times, and the Huffington Post. She also has been interviewed on NPR and several podcasts. She currently writes a Psychology Today parenting blog "College Wellness: Promoting Happiness & Health in the College Years.” Her book, "The Campus Cure: A Parent's Guide to Mental Health & Wellness for College Students,” was published January 2018. Dr. Morris has an undergraduate degree from Harvard, a medical degree from Yale, and psychiatry residency training at New York Hospital Cornell Medical Center. She is a Distinguished Life Fellow of the American Psychiatric Association.

Tiffany Vickers is a board-certified Psychiatric Nurse Practitioner who earned her Master of Science Degree from Southeastern Louisiana University. She takes a holistic approach to mental health by recognizing the essential connection between the mind and body. Tiffany has 26 years of diverse experience in the clinical, home, and telepsychiatry settings.

Tiffany is committed to creating a safe, supportive, and nonjudgmental space where clients feel heard. She is especially passionate about reducing the stigma surrounding mental illness and believes in partnering closely with clients to help them achieve meaningful and lasting progress.

New patients working with Tiffany can expect a collaborative, respectful, and goal-oriented approach to care. She specializes in treating adults with ADHD, anxiety, bipolar disorder, depression, OCD, and PTSD. Tiffany's treatment approach utilizes a combination of medication management, lifestyle modifications, supportive therapy, and solution-focused techniques.

Her approach is grounded in empathy, clinical expertise, and a commitment to helping each individual achieve their mental health goals.

Tiffany follows a multi-stage, personalized approach when working with clients. She begins by gathering a comprehensive history, understanding the client's primary concerns, and identifying both short- and long-term goals. From there, she collaborates with each individual to develop a tailored treatment plan that includes client-specific interventions.

Tiffany's process is dynamic and adaptive! She monitors each client's progress and adjusts care as needed to ensure it remains aligned with their needs and goals. This thoughtful, individualized approach supports lasting outcomes and empowers clients to take an active role in their mental health journey.

Dr. Bianca Fleming is a double board-certified psychiatrist in Adult and Child and Adolescent Psychiatry. She completed her undergraduate studies at the University of Georgia, earned her MD from Morehouse School of Medicine, completed psychiatry residency at the University of North Carolina at Chapel Hill, and a child and adolescent fellowship at Emory University School of Medicine. She has experience across inpatient, outpatient, and integrative community health settings.

Dr. Fleming values gathering thorough information through a warm, conversational interview style. She strives to create a supportive therapeutic space while maintaining a balanced sense of patient accountability to promote meaningful progress.

Her approach emphasizes shared agenda setting at every visit to ensure both patient and provider needs are met. Dr. Fleming takes a detailed history to guide clinical decisions, prioritizes patient education, and delivers evidence-based, patient-centered care. She integrates psychotherapy into all medication management appointments to support holistic treatment.

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