Michael Underriner, MD

Dr. Molly Fels is a board-certified psychiatrist. She completed her undergraduate education at Barnard College followed by medical school at Rutgers-Robert Wood Johnson Medical School. Dr Fels then completed her psychiatry residency training at Mount Sinai Beth Israel. She has previously worked in the Mount Sinai health system in the psychiatric emergency department and inpatient psychiatric unit. Dr. Fels has an interest in treating patients with a wide variety of psychiatric disorders including depression, anxiety, ADHD, and in working with patients who have experienced trauma. She believes in addressing holistic and lifestyle factors with her patients, including nutrition and sleep, in addition to pharmacology. Dr. Fels combines medication management and supportive psychotherapy to provide well-rounded and comprehensive care to her patients and prioritizes involving patients actively in each step of their psychiatric treatment.

Dr. Tyler Alderette is a board-certified psychiatrist with experience treating patients in outpatient and telehealth settings. He earned his medical degree from the American University of the Caribbean School of Medicine and completed his psychiatry residency at Larkin Community Hospital in Miami, Florida. His clinical interests include depression, bipolar disorder, anxiety disorders, ADHD, trauma-related conditions, psychotic disorders, and substance use concerns. Dr. Alderette provides evidence-based medication management integrated with psychotherapy-informed care and is committed to staying current with advances in psychiatric treatment to ensure safe and effective care.

Dr. Alderette strives to create a warm, nonjudgmental, and respectful environment where patients feel comfortable sharing their experiences. His approach is collaborative and patient-centered, working closely with patients to set clear goals and select treatments aligned with their values. He takes a whole-person approach, considering mental health alongside sleep, relationships, medical conditions, culture, and life stressors, and provides affirming, inclusive care for patients of all ages and backgrounds.

Dr. Alderette begins with a comprehensive evaluation to understand each patient’s history, current concerns, and personal goals. Treatment plans are individualized and may include medication management along with supportive therapy, cognitive behavioral therapy (CBT), and motivational interviewing. Follow-up visits focus on progress, side effect management, and ongoing adjustments, with an emphasis on education, open dialogue, and long-term stability.

Background and credentials

Dr. Diane Lewis is board-certified in general psychiatry by the American Board of Psychiatry and Neurology. She earned both her undergraduate and medical degrees at Texas A&M University (College Station and Temple, TX) before completing her general psychiatry residency at UT Southwestern - Austin Programs (now Dell Medical School residency programs). After her residency, she practiced for eight years as a staff psychiatrist at the University of Texas' student counseling center. She also has experience working in hospital admissions and emergency department settings.

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Treatment approach

Dr. Lewis employs a medication-management-focused approach typically paired with supportive therapy during 30-minute follow-up visits. She strongly values a collaborative treatment approach, frequently encouraging patients to incorporate additional therapy for the best outcomes. Her primary specialty is college mental health, treating patients aged 18-45 with a range of mental health conditions from mild to complex. Dr. Lewis emphasizes authenticity, compassion, and recognizing patients beyond their diagnoses, providing care tailored to individual circumstances and goals.

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What you can expect in a first visit

During a first visit, patients can expect Dr. Lewis to conduct a thorough evaluation, carefully listening to their concerns, and considering their symptoms within the broader context of their lives. Her patients appreciate her down-to-earth and compassionate communication style. She aims to create an environment where patients feel understood, respected, and actively involved in shaping their personalized treatment plan, often recommending additional therapy support when beneficial for achieving optimal outcomes.

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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.

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Dr. Desir is a Board-Certified Psychiatrist who completed her undergraduate training at The University of Scranton followed by medical school at the New York Institute of Technology College of Osteopathic Medicine. She completed psychiatry residency at Nassau University Medical Center where she served as the Administrative Chief Resident in her final year. Dr. Desir has been in practice for 4 years and has provided patients with compassionate psychiatric care. She has worked in community mental health settings throughout her career, in which she served a wide variety of patient populations. Dr. Desir is experienced in treating various psychiatric illnesses including mood disorders, anxiety disorders, OCD, PTSD, and ADHD. At the heart of Dr. Desir's clinical approach is a strong emphasis on establishing trust and building a therapeutic relationship. She also provides psychoeducation to help patients make informed decisions regarding their care. She works collaboratively with patients to develop individualized treatment plans to help them achieve their goals. Dr. Desir's practice focuses on medication management. Typically, she offers this in conjunction with supportive or emotionally focused therapy in 30-minute follow-up visits. Occasionally, Dr. Desir may believe that additional therapy is also needed and ask that you bring a therapist into your care team to provide the best outcome. Talkiatry takes medication management seriously. All state-controlled substance databases are reviewed and taken into consideration during your initial evaluation.

Dr.Gusta Shurdut is a board-certified adult psychiatrist with 8 year experience. She completed her medical training at SUNY Downstate Medical center in Brooklyn, and psychiatric residency at Mount Sinai Beth Israel, NYC. After her residency, she worked as an assistant professor at Mount Sinai Psychiatric Ambulatory Services. Dr.Shurdut graduated magna cum laude from Columbia University with an undergraduate degree in biology. Prior to moving to New York, she obtained a degree in communications and public relations and worked as a journalist at her hometown in Latvia.

Dr.Shurdut believes in individual, empathetic, and collaborative treatment approach. Through her residency and work experiences, Dr.Shurdut has developed expertise to treat various mental health conditions including mood disorders, anxiety, OCD, ADHD, PTSD. While her primary focus is medication management, she also incorporates CBT, psychodynamic and supportive psychotherapy.

Dr.Shurdut’s goal is empowering patients to participate in their healthcare choices. As a psychiatrist, she feels honored to witness the complexity of the human experience, and curious to explore the factors that contribute to it.  On intake appointment, she will take time to understand your concern, provide assessment, discuss treatment options and collaboratively decide on most appropriate action. The follow up appointments are usually 30 minutes and include a psychotherapy modality.

Dr. Perington is a Staff Psychiatrist with Talkiatry. She previously served in the US Air Force, where she completed her residency training in psychiatry (Lackland AFB) and was the medical director for a small-sized mental health clinic (Hill AFB). Dr. Perington uses a person-centered approach to tailor treatment to the individual, with an emphasis on shared decision making. She prefers to focus on psychotherapy and behavioral interventions as a primary part of the treatment plan, in addition to any indicated medication.

Motivation for change is a large part of the healing process, and for many people recovery doesn't happen with medication alone. Dr. Perington asks all her patients to play an active role in their treatment.

A thorough diagnostic assessment with discussion of the best treatment setting and modality, then regular follow up visits with emphasis on psychotherapy in addition to medication management (if indicated).