Michael Fiori, MD

Dr. Clara Kim is a board-certified psychiatrist trained in Adult Psychiatry. She received her medical degree from Yale University and completed her residency training at Cambridge Health Alliance - Harvard Medical School, where she served as Chief Resident of Quality Improvement. Dr. Kim treats each patient with a holistic, evidence-based approach that incorporates psychopharmacological and psychotherapeutic best practices. Her priority is to build a safe and trusting working relationship with each patient, keeping in mind their unique biological, psychological, social, and spiritual contexts. Dr. Kim has extensive experience treating depression, anxiety, trauma-related disorders, personality disorders, OCD, and perinatal conditions such as postpartum depression. Other professional interests include forensic psychiatry, combined psychopharmacological and psychotherapy treatment, and ECT, in which she was certified by the Beth Israel Deaconess Medical Center. She has worked with individuals from diverse backgrounds and all socioeconomic strata.

Dr. Alejandra Vivas is board-certified in adult psychiatry and board-eligible in child and adolescent psychiatry. She completed her general psychiatry residency at Montefiore Medical Center and a child and adolescent fellowship at Mount Sinai School of Medicine. Dr. Vivas brings extensive experience from outpatient, emergency, and telepsychiatry settings. She has advanced training in CBT, Motivational Interviewing, and Psychodynamic Therapy. Fluent in English and Spanish, she is committed to culturally sensitive, individualized care.

Dr. Vivas fosters a warm, respectful, and professional space where patients feel seen and empowered. She values open communication and builds collaborative relationships to align treatment with each person’s values, goals, and lifestyle. Her approach is integrative and flexible, grounded in evidence-based methods to support lasting, meaningful change.

Dr. Vivas begins with a thorough evaluation to understand each patient’s history and goals. She creates customized treatment plans that may include therapy, medication, or both. Drawing on CBT, Motivational Interviewing, and Psychodynamic Therapy, she adapts care to meet evolving needs, aiming to relieve symptoms, foster resilience, and support long-term well-being.

‍

Dr. Sophia Monsour holds the position of Chief Psychiatrist for Pennsylvania at Talkiatry. After completing residency in 2013 at Albany Medical Center, she has spent the past 9 years fulfilling her passion for integrated and specialty care for adults suffering from mental illness. Her years of experience have included working as an integrated care Psychiatrist at a community health center, a medical director of a Partial Hospital and Intensive Outpatient Program (PHP/IOP), and also working for an Assertive Community Treatment Team (ACT) specializing in the Serious Mentally Ill (SMI) population. Most recently, she has been serving our veterans as the Outpatient Section Chief, Primary/Mental Health Integration Medical Director and Resident/Medical Student Coordinator at VA Pittsburgh. Dr. Monsour has an approachable style when treating individuals who suffer from various diagnoses, especially those with prior trauma. She provides supportive psychotherapy and at times uses psychodynamic therapy skills to address her patient's current stressors and to identify the root cause of their ailment. She believes in a holistic approach and utilizes mindfulness as a technique along with medication management.

Dr. Malone is an adult psychiatrist with a passion for the patient-centered nature of psychiatry, specializing in treating anxiety, depression, ADHD, bipolar disorder and women’s health.

Dr. Malone maintains a holistic approach that considers the whole person. Their treatment philosophy centers on empowering patients to take charge of their mental health journey, incorporating comprehensive wellness strategies that help patients actively feel their progress toward better mental health. Dr. Malone completed both medical school and residency training at UT Houston McGovern Medical School, along with additional training in psychotherapy.

Dr. Malone integrates therapeutic techniques with medication management, recognizing that meaningful healing often requires both approaches working together to support each patient’s unique path to wellness.

‍

Dr. Romanow is double board-certified in Adult Psychiatry and Forensic Psychiatry. He graduated summa cum laude from the University of Pittsburgh with a Bachelor of Science degree in Sports Medicine/Athletic Training and then attended Drexel University College of Medicine. After medical school, he completed his residency in Adult Psychiatry at the University of Virginia, where he obtained a certificate in additional psychotherapy training. After residency, Dr. Romanow completed a fellowship in Forensic Psychiatry at the University of Virginia. During his fellowship, he trained at the prestigious Institute of Law, Psychiatry, and Public Policy (ILPPP) and Western State Psychiatric Hospital where he performed criminal and civil forensic evaluations. He also provided clinical care at a maximum security prison. Prior to joining Talkiatry, Dr. Romanow worked at a healthcare system in Montana providing inpatient and outpatient psychiatric care involving medication management and psychotherapy. Additionally, he operates a private forensic psychiatry practice that conducts mental health evaluations for the legal system. Dr. Romanow has extensive experience treating various mental health disorders including depression, bipolar disorder, anxiety and obsessive-compulsive disorders, post-traumatic stress disorder, and ADHD. His clinical work includes assisting patients who experience mental health disorders with co-occurring substance use problems. He has training in various schools of psychotherapy including cognitive behavioral therapy (CBT), CBT for insomnia, motivational interviewing and supportive psychotherapy. Dr. Romanow incorporates treatment focusing on the importance of exercise, diet, and good sleep habits as a part of comprehensive mental health care.‍

Background and credentials

Dr. James is a board-certified adult psychiatrist with 32 years of clinical experience. She earned her medical degree from Tufts University, Boston’s affiliated program and completed her residency training at Steward St. Elizabeth Medical Center in Boston, where she initiated the residency program and received the Resident Teaching Award for excellence in teaching. Throughout her career, she has served in various leadership roles, including as Chief of Psychiatry at Pro Medica Healthcare Company.

‍

Treatment approach

Dr. James specializes in community adult psychiatry and is deeply invested in providing comprehensive care for individuals and families. She has extensive experience working in outpatient, inpatient, consult-liaison, and emergency room settings, allowing her to tailor treatment to diverse patient needs. Her approach prioritizes holistic, patient-centered care, ensuring that each treatment plan aligns with a patient’s specific challenges and goals.

‍

What you can expect in a first visit

During the first visit, patients can expect a thorough psychiatric evaluation where Dr. James carefully reviews their symptoms, medical history, and treatment objectives. She fosters a compassionate and collaborative environment, ensuring that patients feel supported in their journey toward better mental health. Her extensive experience allows her to provide personalized treatment strategies, which may include medication management and therapeutic interventions tailored to each individual’s needs.

‍

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.

‍