Michelle Hamilton, PMHNP

Dr. Alexandre is a board-certified psychiatrist who completed his psychiatry training both in Brazil and in the United States, where he served as Chief Resident in both programs. He is fluent in both English and Portuguese and is especially attuned to the unique challenges faced by international and immigrant populations. Dr. Alexandre is passionate about helping patients achieve meaningful and sustained improvements in their mental health.

He brings over a decade of experience in mental health care and has a strong foundation in evidence-based treatment. His clinical interests include mood and anxiety disorders, ADHD, and cross-cultural psychiatry.

Dr. Alexandre incorporates a collaborative and compassionate approach to care, combining medication management with elements of cognitive behavioral therapy, behavioral activation, and interpersonal strategies when appropriate.

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Roel Sepulveda is a board-certified psychiatric mental health nurse practitioner (PMHNP-BC) with a Master of Science in Nursing from the University of Alabama at Birmingham. Certified by the American Nurses Credentialing Center (ANCC), he has over 10 years of experience providing mental health care in psychiatric emergency rooms, outpatient psychiatry, and telehealth settings. Roel is committed to delivering comprehensive and accessible care that supports patients across diverse needs and backgrounds.

As a provider, Roel values creating a compassionate and collaborative environment where patients feel comfortable sharing their experiences. He takes a patient-centered approach, meeting individuals where they are and working together to identify treatment goals. Patients can expect a nonjudgmental space where their concerns are heard, respected, and addressed with empathy and understanding.

When working with patients, Roel begins by taking time to understand their history, symptoms, and current challenges. He develops individualized treatment plans that may include a combination of medication management, lifestyle strategies, and coordination with therapy or other supports. His goal is to provide evidence-based care while empowering patients to actively participate in their mental health journey and achieve lasting well-being.

Board-Certified General Psychiatrist | Board-Eligible Child and Adolescent PsychiatristLicensed in New York, Illinois, and Arkansas

Dr. Holly Hunter is a dedicated child and adolescent psychiatrist, licensed to practice in New York, Illinois, and Arkansas. She earned her medical degree from LSU Health Sciences Center in Shreveport, Louisiana, and completed her psychiatry residency at the University of Arkansas for Medical Sciences (UAMS). Dr. Hunter went on to complete a fellowship in child and adolescent psychiatry at UAMS, where she also participated in the Leadership Education in Neurodevelopmental and Related Disabilities (LEND) Program, specializing in neurodevelopmental disorders.

While Dr. Hunter has treated a wide variety of psychiatric conditions, her primary clinical focus is on children, adolescents, and young adults dealing with trauma and co-occurring mental health disorders. Her approach centers on providing medication management in conjunction with supportive therapy, typically through 30-minute follow-up visits. In cases where additional therapeutic intervention is needed, Dr. Hunter may suggest involving a therapist as part of a comprehensive care team to ensure the best possible outcomes.With experience at Burrell Behavioral Health, Arkansas Children’s Hospital, and UAMS, Dr. Hunter brings a wealth of expertise to her practice.

She is committed to a collaborative, evidence-based approach to treatment, emphasizing individualized care and a holistic understanding of each patient’s unique needs.

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.

Dr. Michael Underriner is an adult psychiatrist. His approach to treatment is holistic, taking into account the entire person, and emphasizes the importance of the therapeutic bond to help people reduce suffering and achieve their goals. He is a member of the Gold Humanism Honor Society. Dr. Underriner's practice focuses on a mix of medication management, offered in conjunction with supportive therapy in 30-minute follow-up visits, and insight-oriented psychotherapy offered in weekly 45-minute visits. He works with people struggling with ADHD, depression, anxiety, obsessive-compulsive and related disorders, and difficulties with self-esteem and relationships. Occasionally Dr. Underriner may believe that additional therapy is warranted and recommend a separate therapist to provide the best outcome. He received his medical degree from the University of Chicago Pritzker School of Medicine and completed his residency training at New York University. During training, he gained experience treating patients with various psychiatric illnesses in several different clinics and hospital-based settings. He worked with experts in the field of depression and provided consultations for patients considering transcranial magnetic stimulation. He also published a review article on long-term injectable medications for psychosis. Dr. Underriner has maintained an interest in teaching and remains connected to the psychiatry department at NYU. He has supervised and taught junior residents and medical students. Additionally, he is interested in global health and disparities in access to care and has traveled to Ghana to teach medical students rotating through psychiatry at the university there.

Dr. Ankila S. Chandran is a board certified general psychiatrist at Talkiatry with over 20 years of experience treating a diverse population of patients. After graduating with her doctorate in Communication Theory and Research from the University of Southern California she attended the Touro University College of Osteopathic Medicine in Northern California and then completed her residency in Psychiatry at the University of Medicine and Dentistry of New Jersey and became board certified by the American Osteopathic Board of Neurology and Psychiatry in 2006. Dr. Chandran has spent the past 20 years fulfilling her passion for practicing integrated and holistic care for adults suffering from mental illness. Her years of experience include working as a Clinical Psychiatrist and Assistant Professor at Rowan University School of Osteopathic Medicine, being an examiner for the oral boards for psychiatrists seeking board certification, engaging in longer term inpatient treatment for chronically ill patients and facilitating consultation-liaison psychiatry with other medical specialties as well as practicing general outpatient psychiatry. Dr. Chandran has an informal and approachable style when treating individuals who suffer from a variety of complex diagnoses, she explains conditions well and helps educate her patients about how to be actively engaged in living their best lives. Concurrent with medication management, Dr. Chandran provides supportive psychotherapy and she has psychodynamic therapy skills that help address the root causes of her patients' distress. If Dr. Chandran feels you would benefit from working separately with a weekly to every other week therapist in conjunction with getting medication management, she welcomes collaboration with your therapist to achieve optimal results. Dr. Chandran strives to empower her patients in advocating for themselves and in achieving an optimal integration of their mental and physical health.