Mekayla Davila, LMHC

Dr. Michael Padua is a graduate from the University of Nevada, Reno School of Medicine and completed his psychiatry residency training at Loyola University Medical Center at Maywood, IL. He is trained and experienced in diagnosing and treating various psychiatric disorders including depression, anxiety, psychosis, and bipolar disorder with a focus on posttraumatic stress disorder, women's mental health, and cultural psychiatry. He combines his clinical expertise with a passion for working with underserved populations and the LGBTQIA+ population to address mental health needs across various communities. Dr. Padua has experience working in a variety of settings, which includes working as an outpatient psychiatrist at a federally qualified health center (FQHC), and as a correctional psychiatrist at the Washoe County Sherriff's Office in Reno, NV. In addition to his clinical work, Dr. Padua has also participated in research and education, and has co-authored peer-reviewed articles in the fields of psychiatry and biology.

Dr. Caitlin Tillberg (she/her) is a board-certified psychiatrist. She has a BA in musicology and cognitive science from Oberlin College, an MD from Quinnipiac University in Connecticut, and completed general adult psychiatry residency at Duke University. Dr. Tillberg practices patient-centered and trauma-informed care, valuing patient autonomy and collaborative decision-making, acknowledging the burden many people carry from intersecting oppressions. She believes therapy is important � often equally important as medication, or more � and will work together with you to make a realistic treatment plan that will fit into your life. Dr. Tillberg also has a niche working with people with complicated relationships with their bodies, whether due to disordered eating, gender dysphoria, chronic illness/disability, or trauma. She welcomes LGBTQ+ patients, including trans and non-binary adults. She also enjoys working with patients with OCD, as well as autistic/neurodivergent adults (including those seeking adult autism evaluation). Please note Talkiatry is most appropriate for autistic patients with Level 1 (or case-by-case Level 2) support needs and who are verbal. Regarding eating disorders: Please note that for patient safety, per Talkiatry policy, Dr. Tillberg is unable to work with patients with current active anorexia nervosa or bulimia nervosa (or significant relapse in the last 6 months), or with patients requiring current regular medical or lab monitoring for complications of binge-eating disorder or ARFID. Bariatric surgery patients are welcome if medically stable. Patients with current disordered eating that does not rise to the level of a formal diagnosis of anorexia or bulimia, or with a past history of anorexia or bulimia in sustained remission, will be evaluated on a case-by-case basis at the first appointment. Dr. Tillberg looks forward to meeting you.

Justin Hampton is a Licensed Clinical Social Worker with over 15 years of experience across a wide range of mental health and social service settings, including academic outpatient clinics, community health centers, residential programs, clinical research, the VA, EAP services, and HIV/AIDS service organizations. He earned a Bachelor of Arts in Psychology from Saint Louis University and a Master of Social Work in Clinical Social Work/Mental Health from Washington University in St. Louis.

Justin has a particular passion and specialty in working with the LGBTQ population. He also enjoys helping patients address depression and mood concerns, anxiety disorders, trauma, self-criticism and shame, grief and loss, major life transitions, social discontent, and medical conditions such as HIV/AIDS. He works with adults across the lifespan and strives to create an affirming and inclusive therapeutic environment.

Justin’s work with each patient is individualized and guided by their needs and collaboratively defined goals. Patients can expect a warm, authentic, and direct therapeutic style. His approach is primarily skills-based, most often drawing from Cognitive Behavioral Therapy, within a client-centered and attachment-focused relationship. Therapy often explores how perspective, assumptions, and self-narratives contribute to distress, with practical action plans to support growth. Justin views therapy as a collaborative process aimed at meaningful change and a more fulfilling, values-driven life.

Melissa Sims, MSN, APRN, PMHNP-BC, is a board-certified psychiatric mental health nurse practitioner who is passionate about delivering high-quality, compassionate, and comprehensive mental health care. She earned her Master of Science in Nursing from the University of Alabama at Birmingham in 2022 and has since worked in both community mental health and correctional settings.

Melissa takes a collaborative approach to care, working closely with other mental health professionals, medical providers, families, and relevant support systems to ensure well-rounded treatment. She emphasizes a patient-centered, individualized approach, combining medication management with psychotherapy to meet each person’s unique needs.

Patients working with Melissa can expect a thorough evaluation, accurate diagnosis, and a personalized treatment plan tailored to their mental health goals. One of her core priorities is to empower individuals to make informed decisions about their care by providing education grounded in research, evidence-based practices, and clinical experience.

‍

Dr. Perington is a Staff Psychiatrist with Talkiatry. She previously served in the US Air Force, where she completed her residency training in psychiatry (Lackland AFB) and was the medical director for a small-sized mental health clinic (Hill AFB). Dr. Perington uses a person-centered approach to tailor treatment to the individual, with an emphasis on shared decision making. She prefers to focus on psychotherapy and behavioral interventions as a primary part of the treatment plan, in addition to any indicated medication.

Motivation for change is a large part of the healing process, and for many people recovery doesn't happen with medication alone. Dr. Perington asks all her patients to play an active role in their treatment.

A thorough diagnostic assessment with discussion of the best treatment setting and modality, then regular follow up visits with emphasis on psychotherapy in addition to medication management (if indicated).

Mary Poupon is an experienced board certified psychiatric APRN/psychiatric nurse practitioner with over 30 years' experience in her field. She completed her graduate work at Columbia University and is published in her field. Her practice sites have included inpatient hospital treatment, partial hospital programs, in-home programs, outpatient clinics and alternative therapy including equine assisted therapy.  She was the program director and clinician with the Ryan White Mental Health Program in New York providing innovative mental health treatment for adolescents and adults living with HIV/AIDS in the boroughs of Manhattan, Queens, Brooklyn and the Bronx.  In 2013 she became certified as an equine assisted psychotherapist and served as the Director of Mental Health at Embrace Hope in Sandy Hook, CT. She was appointed as the Executive Director of Embrace Hope in 2017. Embrace Hope provided treatment to children, adolescents and adults who were victims of trauma related to the shooting at the Sandy Hook Elementary School. She presented a TED x talk in 2018 regarding her work with victims of trauma. She has provided treatment in the outpatient setting for children, teens, and adults. She has provided treatment to young adults at the Covenant House New York shelter program for homeless young adults.

Mary believes the human spirit is resilient. There are many challenges in the lifespan and self-care is paramount to success.

Mary provides psychiatric consultation and assessment and provides a pathway to change. Treatment may include medication management, therapy, and coping skills to assist with life challenges. Mary believes treatment is a partnership and believes in establishing mutually agreed upon goals.

Mary's process for working with patients begins with active listening. The assessment begins with the patient describing why they are seeking engagement in behavioral health treatment at this time. She will complete a psychiatric assessment and evaluation and establish mutually agreed upon goals for treatment. She offers medication management in conjunction with supportive therapy in 30-minute follow-up visits. Mary believes therapy and medication management if indicated together provides the best treatment outcomes.