Michelle Hamilton, PMHNP

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.

Patricia Grendell is a board-certified Psychiatric-Mental Health Nurse Practitioner who provides mental health care using a personalized, holistic approach. Patricia specializes in psychiatric evaluation and medication management along with psychotherapy and integrative interventions. Prior to receiving education and training in Nursing at New York University and Case Western Reserve University, Patricia earned a Master of Social Work from Boston College with a focus on health and mental health.  

Patricia specializes in working with adults experiencing a wide range of acute and chronic stressors and mental health symptoms. Patricia tailors' treatment to the goals, needs, and comfort level of each individual at her or his own pace. Patricia builds connections with patients so that they feel heard and understood, and partners with each individual to determine the most appropriate treatment strategies that maximize comfort, safety, and positive results.  

Over the past ten years as a Nurse Practitioner in outpatient and inpatient environments, Patricia has helped patients improve and overcome conditions including depression, anxiety, OCD, PTSD, ADHD, and insomnia. Using a combination of medication management, individual therapy, and psychoeducation, Patricia develops individualized treatment plans centered around patients’ priorities and safety to achieve improvements in health and quality of life.

Dr. Gamberino is a board certified adult psychiatrist who has been in practice for over 25 years. He has always been fascinated by how the brain works, especially in the setting of stress, anxiety, and trauma. He completed his training at the Pennsylvania State University College of Medicine MD/PhD program and earned his PhD in Neuroscience. He subsequently completed a Residency in Adult Psychiatry including an Anxiety Disorder Research Fellowship at the University of Florida. Dr. Gamberino had a private practice for over 10 years with a focus on providing psychotherapy integrated with pharmacological management. He worked for 25 years with adult and geriatric Veterans at Department of Veterans Affairs with focus on treating PTSD, as well as a full range of anxiety and mood disorders including 7 years of providing care through telehealth treatment. Dr. Gamberino also has 10 years of experience working with adolescents in the juvenile justice system.

Dr. Gamberino is experienced and comfortable treating a wide variety of psychiatric conditions including PTSD, mood disorders such as major depression and bipolar disorder, and all anxiety disorders such as generalized anxiety disorder, social phobia, panic disorder, and OCD. He enjoys sharing knowledge with patients to help them better understand the origins of their symptoms and a range of strategies to manage them.

Dr. Gamberino utilizes a non-paternalistic approach respecting the autonomy of his patients while helping them gain insight into their presenting problems utilizing a collaborative shared decision making approach to help reduce symptoms and optimize functioning. His practice combines evidence-based medication management with psychotherapy utilizing elements of supportive, cognitive behavior, and insight-oriented therapy. Dr. Gamberino utilizes a patient, caring approach, meeting patients where they are to empower them with making changes that lead toward improvement and optimization of their wellness.

Sherra St. Clair is a board-certified Psychiatric Mental Health Nurse Practitioner with over a decade of experience supporting individuals with a wide range of mental health concerns. Her areas of expertise include attention deficit hyperactivity disorder (ADHD), depressive and anxiety disorders, obsessive-compulsive disorder (OCD), bipolar disorder, and trauma-related conditions.

She completed her advanced nursing degree at the University of Wyoming, where she was recognized for her compassionate and welcoming approach to patient care. Before becoming a nurse practitioner, Sherra was inspired to pursue further education while working as part of an inpatient treatment team that included psychiatrists, psychologists, patients, and their families. Witnessing the profound improvements patients experienced after a crisis motivated her to transition toward outpatient and preventative care.

Prior to her nursing career, Sherra worked as a medical illustrator and animator, having studied at the University of Michigan’s medical school. She enjoyed creating educational materials for patients, physicians, and attorneys.

Sherra is passionate about working with individuals of all genders and socioeconomic backgrounds. She uses a collaborative, strengths-based approach that incorporates evidence-based medication management, psychotherapy, and patient education. She believes each person is the expert in their own life and strives to empower individuals to build on their self-worth, progress, and potential.

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Dr. Laura Mayol is double-boarded in child and adolescent psychiatry and adult psychiatry. She has been practicing for over 12 years. Dr. Mayol practice focuses on medication management, which is offered in conjunction with supportive therapy offered in 30 min visit follow-up visits. However occasionally Dr. Mayolmay believe additional therapy is needed and ask you to bring a therapist into your care team to provide the best outcome.

Dr. Mayol received her medical degree from the University of Puerto Rico School of Medicine in San Juan, Puerto Rico. She completed her residency in adult psychiatry at Jackson Memorial Hospital in Miami, FL. She pursued her fellowship in child and adolescent psychiatry at the University of Florida, in Gainesville. After completing training, Dr. Mayol worked with children and adult in a variety settings including Community Mental Health Centers and hospitals, providing both inpatient and outpatient services.

Dr. Mayol then became a Clinical Assistant Professor for the University of Florida Department of Psychiatry and provided clinical services for UF Student Mental Health at the Counseling and Wellness Center. While treating a wide variety of patients, her clinical focus has been on treating adolescents and young adults with mood and anxiety disorders

Dr. Osaji is an Adult Psychiatrist who completed her psychiatry training at Texas Tech University Health Sciences Center, Lubbock, Texas. She served her program as a chief resident, which helped to build her leadership and interpersonal skills. She also dedicated herself to leading her resident team and fostering a supportive learning environment. She received the award of excellence in psychiatry knowledge during her residency training. She also has a Master's in Public Health from Texas Tech University Health Sciences Center and is a Phi Kappa Phi Honor Society member.

Dr. Osaji is an adult outpatient psychiatrist who provides care via telehealth. She strives to create a supportive, collaborative space where patients can explore what's bringing them in and work together to determine the best path forward. Whether someone is new to mental health care or returning after some time away, Dr. Osaji recognizes that it's normal to feel a mix of emotions at the start. She takes a thoughtful, personalized approach to treatment that may include medication, therapy recommendations, or simply creating space to talk. While telehealth offers flexibility and convenience, Dr. Osaji is committed to building a meaningful connection with each patient. She does not provide emergency services between sessions but ensures patients can access the appropriate resources when needed. As someone early in her career, Dr. Osaji brings fresh training and a strong commitment to transparency, lifelong learning, and evidence-informed care. She values open communication and believes deeply in each person's capacity for meaningful change.

Dr. Osaji creates a supportive, collaborative space to help patients explore their mental health concerns and goals. She takes a personalized approach that may include medication, therapy referrals, or check-ins, always valuing patient input. Follow-up visits are 20 to 30 minutes, focusing on monitoring progress and adjusting care as needed. She offers convenient access through telehealth while building meaningful, transparent relationships rooted in respect and growth. Dr. Osaji also values collaborative care and often coordinates with therapists or refers patients to therapy when additional support can enhance outcomes.

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