Michael Escamilla, MD

Maria-Anne Duncan, LCSW-R holds the position of psychotherapist at Talkiatry. She has over twenty years of experience working with individuals, families, and groups addressing symptoms of anxiety, depression, and trauma. Before joining Talkiarty, Ms. Duncan worked as a Director of Clinical Services for a not-for-profit in the Hudson Valley Region of New York State. Prior to that, Ms. Duncan worked for a local hospital in the psychiatric department providing treatment to the Inpatient and Outpatient units. She has held several positions as a clinician and program director. Additionally, Ms. Duncan has taught parenting classes, Mental Health First Aid and provides training on Trauma-Informed Care. Ms. Duncan started her career as a clinician in a Crime Victims' Assistance Program funded by New York State. Through this experience she began to explore the effects of trauma on individuals, their families, and the community. Ms. Duncan has been trained in both EMDR (Eye-Movement Desensitization and Reprocessing) and SE (Somatic Experiencing). She utilizes these body-focused therapies to help her clients be released from years of painful energies locked in their systems. Ms. Duncan received her Bachelor's Degree from Marist College and her Master's from Fordham University. She has been trained to supervise Social Work Students in their field placements. Ms. Duncan appeared in the Vassar College student-developed training video, "He said, She said" which is used to train peer sexual assault counselors. In April of 2022, she became a trainer for LivingWorks "SafeTALK" program. Additionally, Ms. Duncan has a trained therapy dog, Monkey, who goes with her to local hospitals and nursing homes to provide comfort and affection.

Akili’s approach is centered around the individual. His goal is to help people embrace their authentic self. He believes that counseling and the therapeutic process is experiential. He has been through most of the life struggles we all have been through. Akili has also written several books - the latest of which, “Be an Anomaly”, is about the autism spectrum. Beyond his passion for helping others, Akili is passionate about his family, drawing, music, and basketball.

Akili utilizes multimedia resources, oftentimes with an emphasis on writing and creativity. He works to create a warm atmosphere of welcoming energy and connection. Therapeutic modalities used include REBT, CBT, Positive Psychology, ACT, and Gottman Method.

The tools that Akili uses are those hidden within you. He uses creative therapy and behavioral techniques to help you get where you want to be. Your collaboration is a trip that you will embark on together. Akili will help you find the best solutions to the answers you have.

Dr. Thomas Spina is an adult psychiatrist who began his practice at Talkiatry after completing his psychiatry residency at the Eastern Long Island branch of Stony Brook University, where he treated a diverse patient population. Dr. Spina received his undergraduate degree from St. John's University in Queens where he studied Philosophy. Initially interested in a career in law, Dr. Spina decided to change gears and pursue a career in medicine after watching a relative struggle with her diagnosis of Diabetes Mellitus. Dr. Spina then completed medical school at Tel Aviv University in Israel, where he fell in love with psychiatry during his clerkship at Ichilov medical center. During that rotation, he came to appreciate how each patient has his or her own unique story, regardless of their diagnosis. Dr. Spina favors a holistic and integrative approach to psychiatry, combining medication management with supportive therapy, elements of cognitive behavioral therapy, while remaining open to other treatment modalities depending on the needs of his patients. When more focused therapy is indicated, Dr. Spina may recommend that his patient work with a provider specializing in a particular modality of therapy as part of their treatment. Dr. Spina treats adult patients with mood disorders including major depressive disorder and bipolar disorder, anxiety spectrum disorders, OCD, PTSD and specific phobias. In his spare time, Dr. Spina enjoys a variety of hobbies, including Brazilian Jiu-Jitsu, running, baseball, and exploring new eateries and shops.

Dr. Alexander Van-Den-Ende is a board-certified adult psychiatrist who recently completed his psychiatry residency training at Authority Health in Detroit, Michigan. Beyond his proficiency in medication management, Dr. Van-Den-Ende has training in talk therapy and novel treatments like Transcranial Magnetic Stimulation. He is pleased with the increase in access to mental healthcare that comes through telemedicine, and is committed to providing high quality care to his patients. Dr. Van-Den-Ende's approach emphasizes patient insight and mindfulness, guiding individuals on a journey towards self-awareness and mental well-being.

Dr. Thomas Simeone is Board Certified by the American Board of Psychiatry and Neurology in Psychiatry.  Following his completion of medical school at Universidad Autonoma de Guadalajara, he completed his Fifth Pathway Clinical Training at New York Medical College.  He then completed his Psychiatry Residency at Tuft's University in Boston, MA, and went on to complete a Child and Adolescent Fellowship Program at the University of Florida in Gainesville FL.  He has since worked in both hospital inpatient and outpatient settings, as well as in Residential Treatment for adolescents. Dr. Simeone has treated a wide spectrum of mental health conditions including Anxiety and Depression Disorders, as well as Mood Disorders and Post Traumatic Stress Disorder. He has also treated ADHD, OCD and Eating Disorders in adults and adolescents. Dr. Simeone has worked in Telehealth Practice for the past 4 years. He is a Fellow of the American Psychiatric Association (APA) and a member of the American Medical Association (AMA).

Dr. Simeone utilizes medication management and psychotherapy practices to achieve treatment goals for his patients.  During an initial assessment and evaluation, a thorough review of the patient's previous mental health treatment is considered.  Dr. Simeone assesses patients' acute symptoms including recent stressors and exacerbating factors and then establishes a comprehensive treatment plan with the patients' goals in mind.  Psychotherapy with medication is incorporated into the treatment plan of all patients.  Dr. Simeone always aims to achieve full remission of symptoms for his patients.

Dr. Simeone's practice focuses on medication management with facets of various psychotherapeutic techniques.  He conducts 30 medication management follow up sessions. Dr. Simeone is a sincere and empathic physician who advocates for patient autonomy and believes in a direct and transparent approach to patient treatment. He encourages active patient participation in their treatment plans.

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Brittiny enjoys helping patients reach their full potential and helping them navigate through life, especially during difficult times. Brittiny believes in achieving high-quality work as a therapist, which means meeting an individual where they are. This looks like listening to someone, without judgment, to understand/analyze their wants and needs. This also means understanding where they are on their journey and trying to find ways in which she can assist them in reaching their goals.

Brittiny's therapeutic focus includes Cognitive Behavioral Therapy, Person-Centered Therapy, Holistic Therapy, and Mindfulness. Brittiny utilizes a collaborative and holistic approach with patients.

She's here to meet you where you are in your journey and looks forward to helping you reach your goals.

In your first session together, you and Brittiny start by getting to know each other and getting some background information. You'll then discuss what brings you to therapy and your goals, which will help you and Brittiny create a treatment plan, customized for you. Depending on the client, she might assign homework in between session. Which can include worksheets, journaling exercises, a little research on different disorders, or self-help books to help you better recognize and manage your diagnosis. However, it is always up to the client.

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