Myleka Garnett, LMFT

Dr. Alfers is a board-certified psychiatrist specializing in adult psychiatry. He has been practicing for over 11 years. He completed his undergraduate education at Virginia Tech, graduating Cum Laude with degrees in Biology and Chemistry. Following graduation, he attended a research internship at the National Institutes of Health where he received a Post-baccalaureate Intramural Research Training Award. Dr. Alfers completed his medical degree from the Western University of Health Sciences in Pomona, CA. He completed his General Psychiatry Residency at Georgetown University, where he served as Chief Resident. After residency, he entered private practice in McLean, VA. Dr. Alfers takes a comprehensive approach to patient care. He integrates biological, psychological, and environmental factors into treatment planning. He focuses on developing a meaningful therapeutic relationship and providing medication interventions for specific treatment goals. Dr. Alfers provides interpersonal psychotherapy in conjunction with medication management services. Dr. Alfers has a special interest in the treatment of multiple mental health conditions, including depression, anxiety, bipolar disorder, PTSD, ADHD, and OCD. Dr. Alfers treats adults ages 18 to 65 years old. For established patients of Dr. Alfers, please call 917-634-5311 to schedule an appointment and let the care coordinator know you are an established patient.

Dr. Nicole Martinez received her Master's and Doctorate from the Illinois School of Professional Psychology and completed her pre-doctoral and post-doctoral fellowship at Gateway Foundation in Lake Villa, Illinois. She earned a double major in Psychology and Therapeutic Recreation at the University of St. Francis. Dr. Martinez has extensive experience working with children, adolescents, and adults in individual, family, and group treatment. Her therapeutic approach is integrative, combining Cognitive Behavioral Psychotherapy (CBT) with holistic methods, emphasizing Solution Focused Therapy, Reality Therapy, and Positive Psychology. She believes in the mind-body connection and that exploring various areas of an individual's functioning is essential for optimum physical and emotional health. Dr. Martinez emphasizes a collaborative therapist-client relationship, where both act as partners in designing treatment goals. She values identifying ineffective past modalities to avoid frustration and ensure personalized care. Recognizing that each person is unique, she adapts to the patient's evolving needs, ensuring they feel heard and supported for positive outcomes. Her areas of expertise include health psychology, complex trauma, PTSD, depression, anxiety, social anxiety, bipolar disorder, ADHD, autism spectrum disorders, LGBTQIA populations, bereavement, forensics, substance abuse, couples work, MISA, co-occurring disorders, domestic violence, sex offenders, special needs populations, and chronic medical issues and rare diseases. She is skilled in the evaluation and assessment of these populations.

Dr. Lauren McClairen is a psychiatrist board certified in General Psychiatry and Addiction Medicine. She completed her medical and psychiatric training at Meharry Medical College in Nashville, TN and a fellowship in Addiction Medicine at Baptist Memorial Hospital in collaboration with IAC (Integrated Addiction Care) in Memphis, TN. Dr. McClairen has clinical experience and practice working with other specialties and disciplines in treatment teams and integrated care models both in the inpatient and outpatient setting. She has held an academic appointment at Baptist Memorial Hospital where she enjoyed teaching and supervising medical residents and fellows in training. She most recently served as the Regional Behavioral Health Medical Director for a group of mental health clinics throughout Tennessee, and as the Chief of Psychiatric Services for a residential treatment facility in Mississippi that also had Partial Hospital and Intensive Outpatient Programming (PHP/IOP). She is experienced in treating patients with a variety of mental health diagnoses including but not limited to depression, bipolar disorder, anxiety disorders, ADHD, OCD, PTSD, and those with a history of substance use disorders. Dr. McClairen works collaboratively with her patients to provide treatments tailored to each patient's individualized needs. She prioritizes building trusting relationships and fostering open communication. Patients can expect a compassionate approach often with utilization of supportive therapy, mindfulness, and at times cognitive behavioral and psychodynamic psychotherapy techniques to address their psychosocial stressors and unique needs.

Cassandra Thomas-Jingles is a dedicated board-certified Psychiatric Nurse Practitioner, who also holds dual certification as a Family Nurse Practitioner. She is very passionate about helping others, she takes a holistic and evidence-based approach to mental healthcare, empowering her patients to live life to their fullest potential. Her practice specializes in medication management and supportive therapy, offering 30-minute follow-up sessions. She recommends incorporating a therapist into the care team to ensure the best possible outcomes if additional therapy is needed. With extensive experience in both outpatient and inpatient settings, Cassandra has worked with adults and children facing a range of mental health conditions, including ADHD, anxiety, depression, and psychotic disorders. She strongly believes in prioritizing the client’s involvement and interprofessional collaboration.

Your mental health journey is unique, and Cassandra is here to listen with compassion and without judgment. Our conversations are confidential, and Cassandra's goal is to create a space where you feel comfortable sharing your thoughts and concerns. During our first appointment, Cassandra will go over your mental health history, current symptoms, lifestyle factors, and any previous treatments to get a full picture of your needs. We will develop a treatment plan that may include therapy, medication, or other supportive strategies. Cassandra believes in shared decision-making, meaning your input is important in every process step. If medication is part of your treatment, Cassandra will provide clear information about its benefits and potential side effects and how we will monitor your progress. Adjustments can be made as needed to ensure the best possible outcome. Healing takes time, and Cassandra will support you throughout the process. Follow-up appointments help us track progress, make any necessary adjustments, and ensure you receive the care you need.

Your mental health journey is unique, and Cassandra is here to listen with compassion and without judgment. Our conversations are confidential, and Cassandra's goal is to create a space where you feel comfortable sharing your thoughts and concerns. During our first appointment, Cassandra will go over your mental health history, current symptoms, lifestyle factors, and any previous treatments to get a full picture of your needs. We will develop a treatment plan that may include therapy, medication, or other supportive strategies. Cassandra believes in shared decision-making, meaning your input is important in every process step. If medication is part of your treatment, Cassandra will provide clear information about its benefits and potential side effects and how we will monitor your progress. Adjustments can be made as needed to ensure the best possible outcome.
Healing takes time, and Cassandra will support you throughout the process. Follow-up appointments help us track progress, make any necessary adjustments, and ensure you receive the care you need.

Dr. Duy Tran is a board-certified adult psychiatrist. He received his medical doctorate degree from the University of Texas Southwestern Medical School and completed his residency training in general psychiatry at the University of Michigan. Dr. Tran aims to provide mental health care that helps patients live more fulfilling lives. In his training, Dr. Tran gained extensive experience treating psychiatric disorders in diverse populations, including college students, LGBTQ+ individuals, perinatal women, veterans, and those with socioeconomic disadvantages. He has worked with experts on cases of treatment-resistant depression and provided consultations for patients considering procedural interventions, such as transcranial magnetic stimulation (TMS), electroconvulsive therapy (ECT), and ketamine infusion therapy. Although Dr. Tran's practice primarily focuses on medication management, he uses a holistic approach in developing individualized treatment plans. He typically incorporates elements of various psychotherapy modalities, including supportive, cognitive behavioral (CBT), dialectical behavioral (DBT), and insight-oriented therapy, in 30- or 45-minute follow-up visits. Occasionally, Dr. Tran may believe that more intensive therapy is needed and recommend that you bring a dedicated therapist into your care team for an optimal outcome.

Background and credentials

Dr. Agarwal is a board-certified adult psychiatrist. He obtained his bachelor's degree in Biological Sciences from the University of California at Irvine and graduated cum laude with his medical degree from the American University of Antigua. Dr. Agarwal completed his psychiatry residency training at the University of Central Florida, where he was elected chief resident.

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Treatment approach

Dr. Agarwal employs a collaborative and patient-centered approach, primarily focusing on medication management in combination with supportive therapy. He is a strong advocate of psychoeducation, believing it to be an integral part of effective psychiatric care. Dr. Agarwal specializes in treating adults experiencing depression, anxiety, PTSD, and insomnia. He is also experienced in managing patients with psychiatric conditions complicated by medical comorbidities such as obesity, hypertension, chronic pain, and diabetes.

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What you can expect in a first visit

Patients visiting Dr. Agarwal for the first time can anticipate a comprehensive evaluation conducted in a collaborative and supportive environment. Dr. Agarwal prioritizes understanding each patient's individual needs and concerns, creating a personalized treatment plan that integrates medication, supportive therapy, and psychoeducation. Follow-up visits typically last about 30 minutes, allowing time to adjust treatment and reinforce therapeutic strategies.

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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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