Mayra Cabrera Dean, MD

Dr. Viga Naik takes a holistic approach when practicing, understanding the importance of an integrative treatment care model. She believes optimal patient care goes beyond psychopharmacology and requires incorporation of psychotherapy and psychosocial intervention. She is a strong advocate for her patients, dedicated to being an educator of mental illness to break self, societal, and systemic stigmas. She believes that a strong therapeutic alliance between clinician and patient is essential. She works on creating a safe and empathetic environment while providing psychoeducation to patients, empowering them to play an active role in their treatment. Dr. Naik is an adult psychiatrist with specializations in Addiction Psychiatry and Consultation-Liaison Psychiatry, also known as psychosomatic medicine. She completed her residency training at New York Medical College and fellowship training at the Mount Sinai Health Systems located at Bronx Care and Beth Israel Hospital. She has worked in both inpatient and many outpatient specialty clinics such as psych/oncology, transplant, collaborative-care, medication assistance treatment, music and medicine, and gender affirmation surgery treating patients with comorbid mental illness and substance use disorders as well as comorbid mental illness and general medical conditions. Her practice focuses on medication management in combination with supportive therapy and providing psychoeducation to patients. She treats depression, anxiety, bipolar disorder, obsessive compulsive disorder, post-traumatic stress disorder, general anxiety disorder, substance use disorders and other associated psychiatric disorders.

Dr. Sarita Sharma is a board-certified adult psychiatrist dedicated to providing personalized psychiatric treatment that addresses the mind, body, and spirit for optimized health and healing. Born and raised in Toronto, Ontario, she earned her medical degree from Avalon University School of Medicine in Curacao and completed her residency at Southern Illinois University in Springfield, Illinois. Dr. Sharma has extensive experience working with underserved patients from diverse backgrounds and with varying severities of psychiatric disorders. She has a genuine interest in treating mood and anxiety disorders like depression and anxiety. She views medication as one of many tools to aid patients, emphasizing the importance of therapy and lifestyle changes aligned with each patient's goals. Believing in a holistic approach, she incorporates mindfulness techniques, lifestyle optimization (sleep, diet, movement), Dialectical Behavioral Therapy (DBT), Cognitive Behavioral Therapy (CBT), and Acceptance and Commitment Therapy (ACT) to target the root causes of unease. She enjoys helping patients navigate meaning and purpose, relationship dynamics, and self-image. With a sincere, direct, and practical approach, Dr. Sharma values empathy and understanding as vital components of effective care. In her free time, she enjoys spontaneous adventures, connecting with fellow human beings, and just being in nature. She is committed to helping you achieve a balanced, fulfilling life.

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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Dr. Kotadia is a board-certified psychiatrist who completed his psychiatry residency training program at Nassau University Medical Center in Long Island, NY. After completing training, he has been practicing outpatient psychiatry and specializes in the evaluation and management of major psychiatric disorders, including depression, and anxiety. He uniquely combines his education, training, and practical experiences into specialized treatment plans. Typically, he offers this in conjunction with supportive or emotionally focused therapy in 30-minute follow-up visits. However, occasionally Dr. Kotadia may believe that additional therapy is also needed and ask that you bring a therapist into your care team to provide the best outcome. A story that Dr. Kotadia came across years back still inspires him each day. A man was taking a morning walk at the beach. He saw that along with the morning tide, came hundreds of starfish. When the tide receded, the starfish were left behind and would die in the morning sun. While the tide was fresh, and the starfish were alive, the man took a few steps, picked one up and threw it into the water and continued throwing starfish back into the ocean. Behind him was a stranger who couldn't understand what this man was doing. He caught up with him and asked, "What are you doing? There are hundreds of starfish. How many can you help? What difference does it make?” The man did not reply, rather he took two more steps, picked up another one, threw it into the water, and said, "It makes a difference to this one.”With this story as his motivation and ultimate objective, it has always been Dr. Kotadia's goal, with each patient, to provide superior services.

Dr. Ernesto Gonzalez is a board certified adult psychiatrist. He completed his undergraduate training at Yale University and received his medical degree from the University of Pennsylvania School of Medicine. He completed his residency training at the Cambridge Health Alliance/Harvard Medical School Adult Psychiatry Training Program. Dr. Gonzalez prefers a holistic approach that takes the time to know the whole patient, incorporating biological, psychological, social, and cultural perspectives in crafting a comprehensive, individualized, treatment plan. He practices medication management combined with supportive therapy, typically delivered within 30 minute sessions. Elements of psychodynamic, dialectical behavior and cognitive-behavioral therapy will also be incorporated into sessions based on a patient's individual needs. If additional therapy is needed, Dr. Gonzalez will recommend the addition of an individual therapist to the patient's treatment team. Having dedicated his career to adult outpatient psychiatry, Dr. Gonzalez has worked with patients from a wide range of ages, cultures, ethnicities, and social settings across the New York City area. His primary focus is working with patients with depression, anxiety, ADHD, and PTSD. He also values working with people adjusting to changes in their lives, whether it be grieving the loss of a loved one, changes in employment, relationships, or adjusting to changes that come with age. Prior to joining Talkiatry, Dr. Gonzalez was an Assistant Professor at the NYU Grossman School of Medicine and served as Director of the Adult Outpatient Psychiatric Department, Assertive Community Treatment (ACT) Team, and Collaborative Care Departments at Woodhull Hospital in Brooklyn, New York. He also had a small practice near his home. Dr. Gonzalez has also had a lifelong interest in meeting new people and experiencing different cultures. This interest has taken him as far away as the townships of Cape Town, South Africa and as close as his local diner, and it edifies the work he does with patients.

Background and credentials

Dr. Escamilla is a board-certified psychiatrist with over 20 years of experience in treating mental health conditions. He is a graduate of Harvard College and earned his medical degree from the University of Texas Southwestern Medical School. He completed his psychiatry training at the University of California at San Francisco and further specialized through a research fellowship with the American Psychiatric Association. In addition to his clinical work, he is a Jungian Analyst and holds academic positions as an adjunct professor at Rutgers University Department of Psychiatry and as the Frank McMillan Jr. Scholar at the Jung Center of Houston.

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Treatment approach

Dr. Escamilla brings a deeply analytical and research-driven approach to psychiatry, integrating traditional psychiatric treatment with Jungian analysis. He has a strong background in academic research and clinical psychiatry, contributing extensively to the field through research publications. His expertise spans a wide range of mental health challenges, and he is committed to understanding the complexities of each patient’s experience to tailor a treatment plan that best suits their needs.

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What you can expect in a first visit

During the first visit, patients can expect a comprehensive psychiatric evaluation that takes into account their personal history, psychological patterns, and treatment goals. Dr. Escamilla’s approach emphasizes thoughtful analysis and evidence-based care, ensuring that each patient receives a personalized and insightful treatment plan. His sessions may incorporate medication management, psychotherapy, and Jungian analytical techniques to provide a holistic and individualized treatment experience.

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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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