Miranda Morgan, DO

*THIS PROVIDER CANNOT PRESCRIBE CONTROLLED SUBSTANCES FOR NH PATIENTS* Dr. Kevin DiCesare is a board-certified psychiatrist who treats 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, and other disorders. He is well versed in psychopharmacological interventions, but is a proponent of patients also seeing a therapist whenever appropriate. He prides himself on 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.

Dr. Ruchir Arvind is an Adult General psychiatrist. He is a Diplomat of the American Board of Psychiatry and Neurology. He has been practicing for 4 years.

Dr. Arvind believes in collaborative and educational approaches to address his client’s needs. He believes that therapy is a foundational part in building a long term therapeutic relationship with his clients. He tries to put some educational part in helping his client’s to have a deeper understanding about their illness and related struggles and needs. He likes to follow up closely regarding progress towards his client’s goals. He integrates psycho education in all sessions into explaining his reasoning behind the choice of treatment options based on evidence based medicine. He also provides a brief supportive psychotherapy and Cognitive Behavioral Therapy to aid in treatment for depression, anxiety and insomnia.

Dr. Arvind received his medical degree from PramukhSwami Medical College in India and completed his residency training at University of Texas Health Science Center in his Hometown of Houston, Texas. He held an academic position as a faculty with University of Texas Health Science Center – McGovern Medical School in Houston as assistant professor and enjoyed teaching opportunities.

During his pursuit for residency training in psychiatry Dr. Arvind had been extensively involved in clinical research understanding neurobiological and psychological aspects of development of different anxiety disorders and bipolar disorders as early as in childhood populations. He has had Publications for several peer-reviewed articles and manuscripts and presentations at annual conferences.

Dr. Arvind has experience in treating versatile patient populations. His areas of focus have been anxiety disorders, Acute stress and Post traumatic stress disorder, Attention Deficit Hyperactivity Disorder( ADHD ) and Attention Deficit Disorder ( ADD ) , Tics  and Tourette Syndrome ,Insomnia and depression. He has also worker with adults with Bipolar illness and pregnancy related anxiety and depression and helping clients with any psychiatric illness due to underlying neurological issues like Seizures, Multiple Sclerosis and NeuroCognitive Issues along with addressing Caregiver Burden for some clients.

Patients looking for a psychiatric provider will find Dr. Arvind’s approach in a gentle, friendly and educational way with a composed demeanor. He tends to approach Individualized treatment plans based on different needs for different clients and will always welcome any questions regarding the plan to reach Client’s Goals.

Michelle Scott is a dual board certified Psychiatric, Family, and Emergency Nurse Practitioner with 16 years experience. Michelle Scott has extensive experience working in Psychiatry across the lifespan, Emergency Medicine, and Internal Medicine. Psychiatric experience specifically includes a focus on adult outpatient and inpatient psychiatry. Michelle Scott has additionally provided care as an acute care hospitalist and as an Assistant Medical Director, in multiple acute care psychiatric facilities. Michelle has additional experience in addiction treatment, CBT, motivational, and problem focused therapy. She provides holistic care, addressing the needs of mood disorders, anxiety disorders, autism, genetic disabilities, and adult mood, anxiety, and adult addiction issues. With 16 years of experience treating all ages in the areas of acute and chronic medical conditions and psychiatry, I have seen the difference the right provider can make in the lives of patients. Her goal is positive and sustainable outcomes, with an emphasis on combined treatment modalities, treating the whole person, and concurrent issues.

Background and credentials

Dr. Nereida Gonzalez-Berrios is a general psychiatrist fluent in English and Spanish. She earned her bachelor’s degree in Microbiology from the University of Puerto Rico and her medical doctorate from Ponce School of Medicine (now Ponce Health Sciences University). She completed her General Psychiatry Training Program at the University of Puerto Rico Medical Sciences Campus, graduating in 2008. After practicing privately in Puerto Rico, she relocated to Texas, where she worked for over five years at the Michael E. DeBakey VA Health System, providing mental health care to veterans. She has also gained extensive experience in telemedicine, working both within the VA system and as a locum tenens provider.

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Treatment approach

Dr. Gonzalez-Berrios has extensive experience treating a wide range of psychiatric conditions, including mood disorders, anxiety disorders, psychotic disorders, intellectual impairment, ADHD, eating disorders, PTSD, and personality disorders. She integrates traditional psychiatric treatment with a holistic wellness approach, drawing on her background as a motivational speaker, wellness coach, certified personal fitness trainer, nutrition coach, and weight-loss specialist. Her approach emphasizes improving overall mental and physical well-being through personalized treatment plans that incorporate psychiatric care, wellness strategies, and lifestyle modifications.

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What you can expect in a first visit

Patients can expect a comprehensive psychiatric evaluation where Dr. Gonzalez-Berrios carefully assesses their symptoms, medical history, and personal wellness goals. She takes a collaborative and patient-centered approach, ensuring that treatment is tailored to each individual’s mental and physical health needs. As an experienced telemedicine provider, she offers accessible and flexible mental health care, combining medication management and holistic wellness strategies to help patients achieve lasting well-being.

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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. Iris Guerrero Urena is double board-certified in psychiatry and consultation-liaison psychiatry. She received her medical degree from Universidad Iberoamericana in the Dominican Republic and went on to complete psychiatric residency at Lincoln Hospital in New York City. Dr. Guerrero then completed a consultation liaison fellowship at Morningside and West Mount Sinai Hospital in New York, further acquiring proficiency in caring for patients with complex medical and psychiatric comorbidities. After completing training, Dr. Guerrero worked in an acute inpatient unit and as a psychiatric consultant for patients admitted to medical units in Oregon. Dr. Guerrero Urena focuses on medication management while also implementing elements of supportive, dialectical behavioral, and cognitive behavioral therapy within each session to fully address individual needs. At times, Dr. Guerrero Urena may recommend a therapist for additional therapy. Dr. Guerrero Urena is experienced in treating a wide range of psychiatric conditions including depression, bipolar disorder, anxiety, PTSD, OCD.

Lily Mudry is a Licensed Mental Health Counselor Supervisor, a Certified Clinical Supervisor with the Substance Abuse Board, a Licensed Clinical Addictions Specialist, a Master in Addictions Counselor, and a National Certified Counselor. Lily specializes in mental health practice and addictions counseling, with a particular focus on trauma-informed care. She offers individual, couples, and family counseling, utilizing a variety of evidence-based treatment interventions, including Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), and Motivational Interviewing.

Lily has extensive training in trauma-related therapies, including Eye Movement Desensitization Reprocessing (EMDR), Polyvagal Theory, Emotional Freedom Technique, Brain Spotting and Mindfulness-Based Strategies. She believes in a holistic approach to therapy, recognizing the importance of understanding the brain and the autonomic nervous system, as well as the role of symptom management and prevention. Lily’s therapeutic philosophy emphasizes body awareness and the cyclical patterns of thoughts and emotions that influence overall well-being. Her focus is not only on healing and stability but also on inspiring and empowering clients to continue growing and evolving into their true authentic selves.

Lily’s approach integrates trauma-focused therapy, CBT, Solution-Focused Therapy, Reality Therapy, Motivational Interviewing, and EMDR to help clients make meaningful progress in their therapeutic journey. She works primarily with clients experiencing depression, anxiety, substance use disorders, and trauma-related issues. Lily strongly believes in empowering clients through psychoeducation, self-advocacy, and collaboration, ensuring that therapy is driven by motivation, direction, and progress.

Her first sessions with clients are focused on establishing a safe and comfortable environment, building rapport, and understanding each client’s challenges and goals. By creating a space for open communication, Lily works alongside clients to identify their needs and develop a personalized approach to therapy.