Michelle Kotte, PMHNP

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Biography

Michelle Kotte is a board-certified Psychiatric Nurse Practitioner with over 13 years of nursing experience. She creates a warm, supportive environment and values open communication. Michelle is passionate about focusing on the whole person and tailoring care to each client’s unique needs.

Michelle’s approach is direct, collaborative, and centered on partnership. She works closely with clients to develop a personalized plan, emphasizing transparency and shared decision-making throughout treatment.

Michelle begins with an in-depth initial assessment covering physical, mental, emotional, social, and environmental well-being. She focuses on medication management, supportive therapy, and lifestyle modifications to help clients reach their goals.

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Expertise and specialties

Medication Management

ADHD

Anxiety

Bipolar Disorder

Depression

Eating Disorders

Obsessive-compulsive disorder (OCD)

Personality Disorders

PTSD/Trauma

Self-harm

Substance Use

LGBTQIA+

Education and training

Duke University ( Doctor of Nursing Practice )

Location

Timezone

Eastern

Licensed in

Minnesota

Maine

Languages spoken

English

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Dr. Barbara Lampert is a board certified psychiatrist, diplomat of The American Board of Addiction Medicine, and Fellow of the American Society of Addiction Medicine. She trained at the Downstate School of Medicine in Brooklyn, NY, completed her internship at Georgetown University in Washington, DC, and her residency in Psychiatry at the David Geffen School of Medicine at UCLA in Los Angeles. Over 30 years, she has worked in inpatient and outpatient settings, taught 3rd-year residents psychopharmacology in the Mood Disorder clinic she created, consulted in the prison system, and volunteered in the aftermath of natural disasters. She joined the New Mexico Medical Reserve Corps and was active in the Corps while working in her private practice. She continued to study the effects of trauma when she returned to California in 2008. She received specialized training in EMDR and Dialectic Behavior Therapy. In addition, she studied substance abuse problems and became a Diplomate of the American Board of Addiction Medicine. Empathy forms the core of Dr. Lampert's approach to treating patients. Working with trauma survivors, she believes that the goal is not to dwell on "the story” because patients often need time to reconstruct an accurate history. Rather, helping patients manage the challenge of living in the present moment is a worthy goal. Dr. Lampert has been named one of the Best Doctors in America for the treatment of mood disorders and one of the Best Doctors in California. She has remained dedicated to the dual path she's followed for years: excellence in Biological Psychiatry and psychology. She looks forward to working with you to help you achieve your treatment goals.

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Dr. Luna Sanchez Rivera holds the position of Staff Psychiatrist at Talkiatry. After completing residency in 2016 at the Ponce Medical School Psychiatry Residency in Puerto Rico, she then moved to North Carolina to complete a subspecialty in Child and Adolescent Psychiatry at Duke University Health System. There, she transitioned into an assistant professor position, focused on structuring pediatric emergency psychiatric services, and helped support the consult and liaison pediatric service. Her years of experience have included working as an integrated care child psychiatrist within outpatient clinics at Duke University Health System, and she trained and worked as a staff psychiatrist at the Inpatient State Facility in North Carolina. She also served in the Dayton Children's Hospital outpatient clinics in Dayton, Ohio, the Appalachian Health System outpatient clinics in Linville, North Carolina, and more recently has been serving the Child and Adolescent inpatient population in Bangor, Maine. Dr. Sanchez Rivera has an approachable style aimed at providing a comprehensive evaluation for all age ranges and is comfortable managing various levels of diagnostic complexities. She provides supportive psychotherapy while using psychodynamic therapy skills to clarify her patient's constellation of symptoms, identify unifying themes and provide thorough psychoeducation throughout the process to drive positive outcomes. She integrates psychodynamic medication management approaches and is adept at family therapy interventions.

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Lemaire Pierre, MD

Dr. Lemaire Leo Pierre is a board certified adult psychiatric provider with over 10 years of experience. He has additional years working in the medical field as a physician assistant. Dr. Pierre's practice entails medication management accompanied by supportive psychotherapy. He frequently encourages other forms of psychotherapy with a counselor to maximize treatment outcomes. After completing medical school at Central America Health Science University, he returned to New York City and completed his psychiatry residency at New York Medical College Program at Metropolitan Hospital Center. Subsequently, he moved to Minnesota and worked with Park Nicollet Health Service/HealthPartners. He had been there for 10.5 years, where he oversaw a successful psychiatric practice and helped his patients who had been struggling with their conditions. Dr. Pierre is a member of the American Board of Psychiatry and Neurology, in addition to the American Psychiatry Association and State Psychiatry Association. He also enjoys attending conferences and reading journals to learn about cutting-edge treatments so that he is updated on the most recent FDA-approved medications.

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Allison Holt, MD

Dr. Allison Holt is an experienced, board-certified child, adolescent, and adult psychiatrist who has worked in mental health care in a variety of settings, including health care administration, academia, inpatient psychiatry, private practice outpatient care, forensic and disability evaluations, correctional psychiatry, eating disorder care, and ECT. Dr. Holt is dedicated to providing patients with a relaxed, trusting environment that encourages dialogue and instills the freedom to pursue healing and growth. With empathy, patience and an approachable style, she helps patients see their future with fresh eyes � and develop a plan that will accomplish their goals for change. While medical expertise forms the foundation of Dr. Holt's treatment, her warmth and a sense of compassion are often key motivating factors for patient change and success. Dr. Holt treats a wide variety of needs and illnesses in children, adolescents, and adults, including depressive disorders, bipolar disorders, anxiety disorders, substance-related and addictive disorders, attention disorders, trauma related disorders, and obsessive-compulsive disorders. Through a patient-centered mix of evidence-based treatments, including medication, psychotherapy, and patient education, she helps her patients understand their options and create appropriate treatment plans that empower them to move toward positive change. Dr. Holt received her medical degree from Ohio State University. She completed a General Psychiatry Residency Program (with extra emphasis in addiction and forensic psychiatry), and a Child and Adolescent Psychiatry Fellowship, at the University of Minnesota. Prior to joining Talkiatry, Dr. Holt was the Physician Chief of the Mental Health and Addiction Service Line at M Health Fairview, the largest provider of mental health care in Minnesota. At the same time she was the Vice Chair of Clinical Affairs at the University of Minnesota Department of Psychiatry. Dr. Holt has been awarded "Top Doctor" by Minneapolis-St. Paul Magazine every year from 2014 to 2022. She was president of the Minnesota Psychiatric Society 2020-2021, and was also the co-editor of the Minnesota Psychiatric Society's newsletter, Ideas of Reference, from 2010-2019.

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Stephen Byrd, MD

Dr. Stephen Byrd is a clinical psychiatrist at Talkiatry. He is board-certified in both psychiatry and addiction medicine. He has been practicing for over 31 years in a wide variety of settings, including working with inpatients and outpatients in private practice, community mental health, geriatric, VA, and community hospital/medical center settings. Dr. Byrd's practice focuses on evidence-based medication management, usually provided in conjunction with 30-minute supportive psychotherapy, which is informed by cognitive behavior therapy, psychodynamic psychotherapy, and motivational enhancement. When more intensive therapy is needed, Dr Byrd may ask you to include a therapist as part of your care team. He received his medical degree from the University of Cincinnati College of Medicine in Ohio and completed his residency training in psychiatry at Case Western Reserve University School of Medicine, University Hospitals of Cleveland. Throughout his career, he has treated patients with a wide variety of conditions in both inpatient and outpatient settings. Additionally, He has served as director of inpatient geropsychiatry at Lutheran Hospital in Cleveland, Ohio, program manager of the substance abuse treatment program at the Charlie Norwood Veterans Affairs Medical Center in Augusta, Georgia, and medical director of outpatient behavioral health at Saint Alphonsus Regional Medical Center in Boise, Idaho. Throughout his career, Dr. Byrd has been active in training medical students and psychiatry residents, and he has held clinical teaching appointments at Case Western Reserve University School of Medicine, Northeastern Ohio Universities College of Medicine, Medical College of Georgia, University of Washington School of Medicine, Idaho College of Osteopathic Medicine and Pacific Northwest University of Health Sciences College of Osteopathic Medicine.�.�

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Kevin DiCesare, MD

Dr. Kevin DiCesare is a board-certified psychiatrist, treating adults. He received his undergraduate degree at Harvard University, his medical degree at the University of Massachusetts Medical School, and then went on to train at Maine Medical Center for his psychiatric residency. He has 22 years of expertise in diagnosing and treating psychiatric conditions, including depression, anxiety, Bipolar spectrum disorders, adjustment problems, ADHD and other disorders. He is well versed in psychopharmacological interventions, but is a proponent of patients also being active in psychotherapy whenever appropriate. He prides himself in collaboratively arriving at treatment decisions with his patients, and taking the time to listen to their concerns and answer their questions.

Dr. DiCesare has worked in various settings, including community mental health centers and large hospital systems, with experience in inpatient, outpatient, and consultative roles. Prior to joining Talkiatry, he most recently served as an attending psychiatrist on the staff of Southern New Hampshire Health System, where he provided consultative care to referrals made from primary care providers and various specialists.

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Sumaiyah Qureshi, MD

Dr. Qureshi is a Board-Certified General Psychiatrist. She was born and raised in Hyderabad, India. She underwent her medical training at Mamata Medical College, India and completed residency at Maimonides Medical Center, Brooklyn, NY. Dr. Qureshi has gained extensive training in psychiatric inpatient, outpatient, and emergency settings and has worked with diverse populations. She has practiced Telepsychiatry since her graduation, including working at community mental health centers serving the serious mentally ill in underserved areas. Dr. Qureshi's practice includes management of psychiatric disorders in adults including Depression, Anxiety, Bipolar disorder, PTSD, OCD, and others. She is interested in treating issues related to women's health as well. Dr. Qureshi has an empathetic and culturally sensitive approach that is patient-centered and focused on building a strong therapeutic alliance. She believes in collaborating with other providers involved in the patient's care. Her approach involves medication management in tandem with therapy techniques like CBT, Supportive therapy, IPT, and motivation therapy.

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Jennifer Snowden, MD

Dr. Jennifer Snowden completed medical school at the University of Arkansas for Medical Sciences in Little Rock, Arkansas in 1995. She then completed a residency in general psychiatry at Emory University in Atlanta, Georgia, followed by a fellowship in forensic psychiatry also at Emory University in Atlanta, Georgia from 1995-2000. She spent ten years practicing forensic psychiatry at a state hospital in Atlanta. She then decided that she wanted to travel and spent eighteen months as a locum tenens psychiatrist primarily practicing in New England. During this time, she met her future husband and they decided together that they eventually wanted to live in the New England area. In 2013, she officially became a telepsychiatrist, which eventually provided her with the opportunity to move to Rhode Island and practice out of the home she and her husband bought there. She initially saw patients via telepsychiatry at a community mental health center in rural Georgia and later took a position as a remote consultant telepsychiatrist at Acadia Hospital in Bangor, Maine. Dr. Snowden uses a practical and realistic approach with patients to assist them in identifying small, attainable goals and then motivating them to achieve those goals. She prefers to work with adults and relishes the opportunity to work with patients who are highly motivated for change.

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Jane Eisen, MD

Dr. Jane Eisen comes to Talkiatry from her previous position at McLean Hospital, in Boston, where she was Clinical Director of the Depression and Anxiety Division, overseeing the integration of clinical work, faculty development, and research in the division. Clinically, she has experience working with people with significant mood and anxiety difficulties. Dr. Eisen's practice focuses on using an integrated approach to the understanding and treatment of individuals' psychosocial stresses and psychiatric symptoms. Her sessions are usually 30 minutes. She frequently suggests including a family member or friend in at least one session to get a comprehensive sense of each person's strengths and challenges. She received her medical degree from NYU and completed her psychiatric residency at Mt. Sinai Hospital. She spent a number of years in the Brown system, as Training Director for the Brown Psychiatry Residency and as Vice-Chair of the Brown Department of Psychiatry. For several years, she served as Chair of the Department of Psychiatry at Mt. Sinai West/St. Lukes' prior to her position at McLean, as Clinical Director of the McLean Hospital Depression and Anxiety Division. She has worked primarily with outpatients with the exception of a recent period of residential work at the Pavilion at McLean Hospital. Dr. Eisen is a general psychiatrist with a focus on anxiety disorders, OCD, and mood disorders. She is interested in the impact of trauma and personality and has extensive experience working with young adults.

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Michael Fiori, MD

Dr. Michael Fiori is Board Certified in Adult Psychiatry and Addiction Medicine. He has practiced general psychiatry for 37 years, and has also sub-specialized in Addiction Psychiatry for the past 20 years. Dr. Fiori's practice emphasizes Diagnostic Clarification, which is an ongoing process. He is highly trained and experienced in the biological and psychosocial underpinnings of psychiatric problems. He typically follows diagnostic evaluations with 30-minute follow up visits for medication adjustments and brief therapy. Dr. Fiori often enjoys collaborating with outside therapists when needed. Dr. Fiori graduated from Amherst College and received his medical degree from NY Medical College. He subsequently completed his residency in psychiatry at the Mount Sinai Medical Center in NYC. He excelled in Academic Psychiatry as both a teacher and a mentor. His practice has always combined medications with evidence-based therapies to alleviate suffering and maximize functioning. In addition to his work as a Board Certified Adult Psychiatrist, he has specialized in helping patients suffering from Substance Use Disorders. Dr. Fiori is Board Certified in Addiction Medicine, and helps patients understand the interrelationships between their Substance Use Disorders and their Psychiatric illnesses.

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Thayanne Delima-Tokarz, DO

Dr. Delima-Tokarz is double Board Certified in Psychiatry and Lifestyle medicine. She completed her psychiatry residency training at the University of Maryland/Sheppard Pratt, where she served as the chief resident. She has practiced in various settings over her career, including working for the Department of Defense, private practice, and community mental health. Dr. Delima-Tokarz is fluent in Portuguese, English, and Spanish. Dr. Delima-Tokarz has more than five years of experience treating patients with anxiety, depression, PTSD, Bipolar, OCD, ADHD, and other mental health issues. She employs pharmacotherapy along with supportive therapy and integrative approaches. Dr. Delima-Tokarz is currently working on completing her Ph.D. in Integrative Medicine and is passionate about a holistic and integrative approach to mental health. Her philosophy includes a healing-oriented approach that considers the whole person, including all lifestyle aspects. Dr. Delima-Tokarz aims to provide collaborative and comprehensive care, which may include medication management, lifestyle interventions, stress reduction techniques, and other integrative approaches. She believes building a strong therapeutic relationship where the patient feels empowered is the key to healing.‍

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