Michael Fiori, MD

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.

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Dr. Carrie Ramos is a compassionate and skilled adult general psychiatrist with a commitment to providing comprehensive mental health care. A native of Texas, Dr. Ramos embarked on her medical journey at the Burrell College of Osteopathic Medicine in New Mexico, where she obtained her medical degree. Following her passion for psychiatry, she completed her residency at HCA Florida Woodmont Hospital, honing her expertise in adult psychiatric care. Dr. Ramos brings a diverse background to her practice, having earned her Bachelor's degree in Exercise Science from the University of Mary Hardin-Baylor. This foundational knowledge underscores her holistic approach to mental health, recognizing the interconnectedness of physical and emotional well-being. As a board eligible psychiatrist, Dr. Ramos is dedicated to staying current with the latest advancements in psychiatry and utilizing evidence-based treatments to support her patients. Her approach is characterized by empathy, active listening, and a commitment to fostering a therapeutic alliance with each individual under her care. With a deep-rooted passion for helping others, Dr. Ramos is driven to empower her patients on their journey toward mental wellness. Her Texas roots, coupled with her diverse educational background and clinical experiences, uniquely position her to understand and address the diverse needs of her patients. In her role as a psychiatrist, Dr. Ramos is poised to make a meaningful impact in the lives of those she serves, offering hope, healing, and support to individuals seeking guidance on their path to mental health recovery.

Background  and credentials    

Dr. Christine Reyes is a bilingual Spanish-speaking adult psychiatrist with  25 years of experience. She completed her residency in Adult Psychiatry at  Saint Vincent's Hospital and Medical Center in New York City and subsequently  completed a Child Psychiatry fellowship at the University of Pennsylvania in  Philadelphia. Dr. Reyes has extensive experience practicing in outpatient and  community mental health settings.    

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Treatment approach    

Dr. Reyes provides compassionate psychiatric care using pharmacotherapy  combined with supportive psychotherapy. She specializes in treating anxiety,  depression, bipolar disorder, post-traumatic stress disorder (PTSD), and  numerous other psychiatric conditions. Additionally, Dr. Reyes emphasizes  nutritional counseling, assisting patients in achieving and maintaining a  healthy weight as part of their overall wellness plan.    

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What you can expect in a first visit    

Patients can expect a compassionate and thorough initial assessment aimed  at understanding their psychiatric symptoms, personal health goals, and  lifestyle considerations. Dr. Reyes combines medication evaluation with  supportive psychotherapy and may discuss nutritional guidance as part of a holistic  treatment plan. She prioritizes creating a supportive environment for  bilingual (English/Spanish) patients to openly discuss their mental health  concerns.    

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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.

Background and credentials    

Dr. Catherine Cashman is triple board-certified by the American Board of  Psychiatry and Neurology in Adult Psychiatry, Child & Adolescent  Psychiatry, and Forensic Psychiatry. She holds two Bachelor’s degrees: one in  Finance from New York University, and another in Biology from the University  of New Orleans. She earned her medical degree from Nova Southeastern  University and completed an Adult Psychiatry residency at LSU Health Sciences  Center in New Orleans. Dr. Cashman subsequently completed two fellowships:  the first in Child & Adolescent Psychiatry at LSU New Orleans, along with  a certification in Infant Mental Health (working with children ages 0–6 years  and their caregivers); the second fellowship was in Forensic Psychiatry at  the University of Rochester and the Rochester Regional Forensic Unit.    

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Treatment approach    

Dr. Cashman brings an extensive and specialized skillset to psychiatry,  informed by her triple board-certifications. Her treatment approach  integrates clinical expertise from adult, child and adolescent, and forensic  psychiatry, emphasizing accurate diagnosis, risk assessment, and  evidence-based care. With specialized expertise in forensic psychiatry and  competency assessments, she employs rigorous evaluation methods to accurately  inform treatment planning and risk management, particularly in complex or  legally-involved cases.    

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What you can expect in a first visit    

Patients visiting Dr. Cashman for the first time can expect a detailed and  comprehensive psychiatric evaluation. Given her forensic and clinical  experience, initial assessments are thorough, focusing on clear diagnostic  understanding, individualized risk assessment, and appropriate treatment  planning. Patients can anticipate a collaborative, professional, and  structured environment aimed at clarifying diagnoses and addressing their  unique mental health needs effectively.    

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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.

What has motivated Dr. Wheatley over the course of her career as a caregiver? Dr. Wheatley is a native Houstonian who grew up in a working-class community. Through curiosity and hard work, she was able to attend a university that included people of vastly different life experiences. She was molded by both communities to appreciate the commonalities of humanity. That broad exposure extended her empathetic spectrum to grasp the needs of the American diaspora.

Dr. Wheatley uses a biopsychosocial approach to evaluate the patient. She gathers patient history with a mindset that considers the neuroscience that chemically shapes mood, thoughts, and behavior. She is able to uncover factors that can inhibit psychological growth and development. She has experience in seeing how the social conditions of the “then” can influence the resiliency of the “now”. Dr. Wheatley appreciates, and is proficient in, advances in technology, but prioritizes the analog relationship between doctor and patient.

Meeting people where they are. It is an old trope, but describes how one allows a patient to set the path forward. An open-ended interview is conducted with an open mind towards resolution. When being evaluated and treated by Dr. Wheatley, a patient can expect to be met in a cordial but professional manner. Treatments are discussed and considered based on the mental state of the patient and the clinical efficacy and scientific evidence of benefit. The patient is invited to ask questions and consider whether they wish to pursue the suggested treatment plan.

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Dr. Mark Sundahl is a board-certified adult psychiatrist. He was born and raised in the suburbs of Kansas City, Kansas. He has always been fascinated by the natural world and received a bachelor’s degree in biology at Kansas State University where he was active in a research lab investigating protein function in the human body. He completed medical school training and residency at the University of Kansas School of Medicine in Kansas City, Kansas along with Wichita, Kansas. Dr. Sundahl has experience working with a broad range of mental health symptoms and a diverse patient population

Dr. Mark Sundahl is a board-certified adult psychiatrist. He was born and raised in the suburbs of Kansas City, Kansas. He has always been fascinated by the natural world and received a bachelor’s degree in biology at Kansas State University where he was active in a research lab investigating protein function in the human body. He completed medical school training and residency at the University of Kansas School of Medicine in Kansas City, Kansas along with Wichita, Kansas. Dr. Sundahl has experience working with a broad range of mental health symptoms and a diverse patient population

Dr. Sundahl understands the importance of collaboration and the therapeutic alliance when working with patients. He will clearly explain his findings and discuss treatment options he feels are reasonable. Dr. Sundahl thinks it is important for patients to have all the necessary information to make informed decisions when it comes to their psychiatric treatment.

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