Megan Freeman, MD

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.

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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Mekayla Davila is a Licensed Mental Health Counselor (LMHC) who has been in practice for 6 years. She has experience working with many diverse populations and mental health conditions. Mekayla attended graduate school at Teachers College Columbia University where she received an M.A. and M.Ed. in Mental Health Counseling. Her education and experience span both psychology and criminal justice fields as she has always been interested in their intersectionality. In previous roles, Mekayla has worked mostly with children, adolescents, and adults of minority populations, with focuses on treating anxiety, depression, trauma, and other stressor-related disorders. Mekayla strongly believes that every therapeutic interaction is unique, so she uses an eclectic approach, with foundations in Cognitive Behavioral Therapy and Psychodynamic Therapy, to tailor treatment to the specific needs of each individual. Mekayla puts emphasis on the therapeutic relationship and finds it important to provide a safe and comforting environment for all.

Alanna Montalvan is a Board-Certified Psychiatric Mental Health Nurse Practitioner (PMHNP) with over 15 years of nursing experience, including 10+ years as a PMHNP. She has supported individuals with anxiety, depression, ADHD, trauma-related disorders, bipolar disorder, and chronic mental health needs across outpatient, inpatient, and psychiatric emergency settings. Alanna holds a Master of Science in Nursing from Hunter College with a PMHNP concentration and is expanding her clinical expertise through Family Nurse Practitioner training. She values patient-centered care and multidisciplinary collaboration.

Alanna prioritizes creating a warm, non-judgmental space where patients feel heard, respected, and supported. She takes a collaborative approach, partnering with patients to identify goals, explore treatment options, and build long-term wellness strategies. Open communication, transparency, and a holistic perspective that integrates emotional and physical health guide her practice. Patients can expect thoughtful, evidence-based care that considers life stressors, identity, family dynamics, and wellness behaviors.

Alanna begins with a comprehensive assessment to understand each patient’s history, concerns, strengths, and goals. She develops individualized treatment plans, including medication management, psychotherapy-informed strategies, lifestyle recommendations, and coordination with other providers as needed. Treatment goals are regularly revisited to ensure care evolves with the patient. She emphasizes empowerment and education, helping patients feel confident and informed throughout their mental health journey.

Dr. Kristin Ratz is a Board-Certified psychiatrist who is an expert in the diagnosis, treatment, and prevention of mental, emotional and behavioral disorders. She specializes in medication management combined with supportive therapy during 30-minute follow-up sessions. Dr. Ratz recognizes that each patient is unique and believes in an environment of collaboration, in which the patient and psychiatrist work together in order to develop the best individualized treatment plan. A California local, Dr. Ratz obtained her undergraduate education at University of California, Davis, graduating magna cum laude with a degree in Human Development. She then attended medical school at Loma Linda University School of Medicine, obtaining her Medical Doctorate. Following this, she completed her adult psychiatry residency training at the distinguished University of California, Irvine. Dr. Ratz has worked in a diverse range of healthcare settings, including county and community clinics, and is very experienced in telepsychiatry. She pays close attention to not only an individual's emotional state, but also their physical, spiritual, and social well-being, in order to provide her patients with exceptional holistic care.

Dr. Desir is a Board-Certified Psychiatrist who completed her undergraduate training at The University of Scranton followed by medical school at the New York Institute of Technology College of Osteopathic Medicine. She completed psychiatry residency at Nassau University Medical Center where she served as the Administrative Chief Resident in her final year. Dr. Desir has been in practice for 4 years and has provided patients with compassionate psychiatric care. She has worked in community mental health settings throughout her career, in which she served a wide variety of patient populations. Dr. Desir is experienced in treating various psychiatric illnesses including mood disorders, anxiety disorders, OCD, PTSD, and ADHD. At the heart of Dr. Desir's clinical approach is a strong emphasis on establishing trust and building a therapeutic relationship. She also provides psychoeducation to help patients make informed decisions regarding their care. She works collaboratively with patients to develop individualized treatment plans to help them achieve their goals. Dr. Desir's practice focuses on medication management. Typically, she offers this in conjunction with supportive or emotionally focused therapy in 30-minute follow-up visits. Occasionally, Dr. Desir may believe that additional therapy is also needed and ask that you bring a therapist into your care team to provide the best outcome. Talkiatry takes medication management seriously. All state-controlled substance databases are reviewed and taken into consideration during your initial evaluation.