Michael Padua, MD

Algion Seals is a LMHC who received his Master's degree in Clinical Mental Health Counseling from Southern New Hampshire University. He has worked with families, couples, and individuals of varying ages and focused on grief, LGBTQIA+ related issues, anxiety, depression, as well as mood and personality disorders. Mr. Seals has a person-centered approach to therapy along with incorporating CBT, DBT, Adlerian Theory, and elements of trauma therapy as well as elements of sex therapy.

Tiffany Reilly is a Licensed Mental Health Counselor with 8 years of experience providing therapeutic services to children, adolescents, and families in Seattle and New York City. She received her Master's in Counseling from Northwest University in 2015. Before coming to Talkiatry, Tiffany worked as a Family Therapist and Supervisor at Children's Aid. This role gave her experience navigating the complexities of adolescence, young adulthood, marriage, and other interpersonal stressors. She was also able to pursue additional trainings in motivational interviewing, trauma systems, and LGBTQIA supportive counseling. Tiffany focuses on treating mood and anxiety disorders, as well as the complexities of grief and loss. She has additional experience working with trauma, conduct disorder, ODD, and personality disorders. She utilizes a variety of therapeutic modalities including Cognitive Behavior Therapy, Psychoanalytic Theory, and Person-Centered Counseling. Tiffany approaches each therapeutic relationship with empathy and compassion, understanding the uniqueness of personal experience. She believes that all behavior maintains something for each individual and that when we bravely uncover our patterns, we can use our inherent strengths to work towards change.

Background and credentials

Dr. Seicarescu is a board-certified adult psychiatrist with over 12 years of experience. She received her medical degree from Carol Davila University of Medicine in Romania and completed her psychiatry residency at Wayne State University in Detroit. Following residency, she gained extensive clinical experience practicing psychiatry in diverse outpatient settings, including a multi-specialty center in North Dakota and community mental health centers in Ohio and Michigan. Dr. Seicarescu has also served as an assistant professor at the University of North Dakota and Michigan State University, where she taught and supervised medical students and residents.</p>

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Treatment approach

Dr. Seicarescu employs a collaborative, supportive, and patient-centered approach to psychiatric care, integrating medication management with therapy tailored specifically to each patient. She utilizes supportive therapy along with cognitive behavioral therapy (CBT), adjusted according to individual patient needs. Her specialty areas include the treatment of depression, bipolar disorder, psychotic disorders, PTSD, and a broad range of mental health conditions.</p>

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What you can expect in a first visit

Patients can expect an initial appointment with Dr. Seicarescu to include a thorough evaluation focusing on their unique psychiatric symptoms, personal experiences, and treatment goals. She offers a supportive and compassionate atmosphere, carefully combining medication management with individualized therapy recommendations. Her patient-centered approach ensures the creation of a personalized treatment plan to effectively address each patient’s specific needs.</p>

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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.</p>

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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.

Darcie Farrell is an ANCC Board Certified Family Psychiatric Nurse Practitioner.  She has worked exclusively in the field of psychiatry during her forty-year nursing career.  She has worked in many care settings, including as a psychiatric Home Health Nurse and as a Certified Case Manager (CCM) in Psychiatry at Blue Cross Blue Shield. During her time at Excellus Blue Cross Blue Shield, she realized the urgent need for psychiatric nurse practitioners, so enrolled in the BSN/MSN program at the University of Rochester, graduating in 2016 with her BSN and in 2018 with her MSN.  She has strong skills and experience in Motivational Interviewing, having worked as a Motivational Counselor for a University of Rochester's Pediatric Research Program.   She has worked for the past seven years as a Nurse Practitioner in Geriatric Outpatient Psychiatry.

Darcie Farrell is a compassionate provider who is client centered. I rely on evidence-based scientific research when determining the best treatment options for clients.  

Darcie Farrell has a very relaxed process for working with patients which allows the client to provide information that is pertinent to their goals for care.  Then, together, we determine which treatment options are likely to be best for the client.

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Dr. Alicia Garcete is a board-certified child, adolescent, and adult psychiatrist in practice for over 12 years. Her practice focuses on medication management, recognizing  family involvement is extremely important and is an integral part of treatment. Dr Garcete has treated a wide variety of patients. Her primary focus is treating depression, anxiety disorders, ADHD, PTSD and OCD. Additionally, she can provide supportive therapy and elements of cognitive-behavioral therapy but on occasions more therapy support may be needed, and the recommendation to bring a psychotherapist on the care team may occur to provide an optimal outcome. Dr. Garcete is bilingual and provides care in both Spanish and English.

Prior to Talkiatry, Dr Garcete treated children, adolescents, and adults was at the intensive outpatient and partial hospitalization levels of care with focus on behavioral approaches in the Depression recovery and Anxiety/OCD programs.

Dr. Garcete earned her Medical Degree from the Universidad Nacional de Asuncion, Facultad de Ciencias Medicas in Paraguay. She completed her general psychiatrist residency at Maimonides Medical Center in New York. She was also a Fellow in Psychoanalysis at the Psychoanalytic Institute, Affiliate to New York University School of Medicine, and completed her child and adolescent psychiatrist fellowship at Elmhurst Hospital Center, affiliate to Mount Sinai Hospital. Dr. Garcete also held a clinical assistant professor appointment from the department of psychiatry at SUNY Downstate Medical Center.