Michael Underriner, MD

Dr. Kira Posteraro is double board-certified in Adult and Addiction Psychiatry and has over 10 years of clinical experience. She completed her General Adult Psychiatry Residency at Allegheny General Hospital in Pittsburgh, PA, followed by a fellowship in Addiction Psychiatry at Beth Israel Medical Center in New York, NY.

Dr. Posteraro’s career has included serving as Director of Psychiatric Services at an addiction treatment center in Pittsburgh, PA, where she provided care across the full continuum of substance use disorder treatment—including residential, acute PHP, IOP, outpatient, and aftercare services. She later held the role of Section Chief Psychiatrist for the Center for Treatment of Addictive Disorders at VA Pittsburgh Healthcare System, offering both residential and outpatient services and acting as Medical Director for the SAMHSA-certified Opioid Treatment Program. Most recently, she served as Chief of Psychiatry for the Behavioral Health Service Line at VA Pittsburgh, where she had the honor of caring for our nation’s Veterans.

While her clinical expertise centers on the diagnosis and treatment of substance use disorders, Dr. Posteraro also has extensive experience treating a wide range of psychiatric conditions, including depressive and bipolar spectrum disorders, anxiety disorders, and trauma-related disorders.

Dr. Posteraro uses a collaborative, supportive approach to care, incorporating motivational interviewing to help guide patients on their journey to wellness. She integrates holistic strategies alongside medication management and is dedicated to meeting patients where they are in treatment to build individualized, effective recovery plans.

‍

Helen Fitzpatrick, LCSW, is a Licensed Clinical Social Worker with over 20 years of experience supporting individuals and families through life’s challenges. She earned her Master’s in Social Work from Loyola University–Chicago and has worked in diverse settings, including crisis centers, hospitals, senior services, and the VA. Helen has extensive experience with adults and children with disabilities, caregivers, and veterans, as well as those managing trauma, medical recovery, or ongoing health issues.

Helen believes that therapy should be a collaborative and supportive process. She takes time to truly listen and understand her clients’ experiences, helping them identify goals that feel meaningful and attainable. Helen creates a space where clients can speak freely—especially when it feels difficult to open up to family or friends—and she brings compassion, patience, and understanding to every session.

Helen begins by exploring what her clients would like to focus on and works together with them to develop realistic and personalized goals. She values open communication and mutual respect, adjusting her approach to meet each person’s unique needs and pace. Her process emphasizes healing, empowerment, and helping clients build confidence as they move toward greater emotional well-being.

Ronda T. Alaniz, LPC, is a Licensed Professional Counselor with extensive experience providing therapy and case management for children, adolescents, and adults. She currently serves as a Remote Therapist with Hazel Health Services, conducting evaluations and offering evidence-based counseling for clients ages 4–25. With over nine years as a School Mental Health Counselor at Edgewood ISD, Ronda developed and implemented individual and group counseling programs for PK–12 students. She also brings valuable leadership experience as a former Program Director and Case Manager in nonprofit and social service settings. Ronda earned her Master of Arts in Psychology from Stephen F. Austin State University and her Bachelor of Science in Psychology from Texas A&M University.

Ronda creates a warm, supportive, and collaborative environment where clients feel heard and respected. She values open communication and works closely with clients to establish meaningful, achievable goals. Her approach integrates evidence-based methods tailored to each client’s developmental stage and individual needs. Ronda empowers clients through education, self-awareness, and practical coping skills, fostering growth, resilience, and emotional well-being.

Ronda begins with a comprehensive assessment to understand each client’s history, strengths, and challenges. She then collaborates on a personalized treatment plan centered on the client’s goals and progress. Utilizing Cognitive Behavioral Therapy (CBT) and Trauma-Focused CBT, Ronda ensures care remains effective and responsive. Her sessions emphasize emotional regulation, skill-building, and positive self-talk to promote lasting well-being.

Dr. Dhaliwal is an integrative psychiatrist with an MPH, a 1-year fellowship through Psychiatry Redefined, as well in intensive inpatient and outpatient training. A Boston University School of Medicine graduate and former Chief Resident at FAU, she blends research-based care, emotional insight, and life optimization. She treats depression, bipolar, anxiety, ADHD, PTSD, substance use, and psychotic-spectrum disorders with a holistic, results-driven approach.

Dr. Dhaliwal works with individuals who feel stuck—functioning on the outside but "not like myself" inside. Her warm, structured, and research-driven approach combines medication when needed with integrative tools such as CBT, lifestyle changes, "24-hour approach", and a bio-psycho-social-spiritual lens. She focuses on root causes and helps individuals gain clarity, momentum, and purpose to function at their highest level across home, career, and life.

Dr. Dhaliwal begins with a 360-degree assessment exploring emotional patterns, routine, physical health, neurobiology, and values. Her 24-hour optimization model supports intentional living, clarity, and structure. She fine-tunes medications and augments with an integrative tools to enhance mood, resilience, and wellbeing. Her care is shaped by years in psychiatry and over a decade of coaching future physicians, researchers, and life coaches to reach their highest academic and career potential.

Background and credentials

Dr. Jenny Joseph is a board-certified adult psychiatrist. She earned her medical degree from St. George's University School of Medicine and completed her adult psychiatry residency at New York Medical College at Metropolitan Hospital Center. She has experience working with diverse patient populations and treating a range of psychiatric conditions.

‍

Treatment approach

Dr. Joseph specializes in medication management for various psychiatric conditions, including mood, anxiety, and psychotic disorders. She employs a patient-centered approach that emphasizes empathy, open communication, and collaboration. In addition to pharmacological treatment, she incorporates psychoeducation and supportive therapy to help patients better understand and manage their conditions. When beneficial, she may recommend additional therapy and coordinate care with a therapist to ensure comprehensive treatment.

‍

What you can expect in a first visit

During the first visit, patients can expect a thorough evaluation that explores their symptoms, treatment history, and personal goals. Dr. Joseph takes the time to listen and understand each patient's needs, ensuring that their treatment plan is tailored to their specific concerns. She provides a compassionate and structured approach to medication management while fostering a collaborative environment where patients feel supported in their mental health journey.

‍

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.

‍

Dr. Sabish Balan is a Board-Certified Psychiatrist with subspecialty certifications in Geriatric Psychiatry, Psychosomatic Medicine, and Addiction Medicine. He completed his medical education in India at Government Medical College, Kozhikode, followed by psychiatry training at the All India Institute of Medical Sciences (AIIMS), New Delhi. After relocating to the United States, he pursued residency at St. Luke’s Roosevelt Hospital Center and advanced fellowships at The Zucker Hillside Hospital and St. Luke’s Roosevelt Hospital Center. With over 17 years of psychiatry experience in the U.S., he has held leadership roles at NYC Health + Hospitals – Harlem and currently provides care at Northwell Health Phelps Hospital Addiction Treatment Services and the BeHealth Program. Fluent in English, Hindi, Urdu, and Malayalam, Dr. Balan brings a global perspective to patient care.

Dr. Balan strives to meet patients where they are, offering a warm and supportive environment that values the whole person. He integrates a bio-psycho-social approach to care, ensuring that patients feel heard, respected, and understood throughout their treatment journey.

In initial sessions, Dr. Balan takes a detailed history to understand each patient’s concerns, background, and goals. From there, he collaborates with patients to develop individualized treatment plans that align with their personal values and objectives, fostering partnership and long-term wellness.