Naomi Bloom, MD

Dr. Robert Dugger is a board-certified psychiatrist in General Psychiatry and Child & Adolescent Psychiatry. Born and raised in Miami to a Virginian father and Cuban mother, he is bilingual in English and Spanish. He earned a B.A. in Biology and Political Science from the University of Miami, a Master of Public Health in Health Policy from New York Medical College, and his M.D. from Stony Brook University School of Medicine. He completed residency and fellowship training in New York through the Northwell Health System and BronxCare Health System, where he served as Chief Fellow in Child Psychiatry. He has also worked as a researcher at institutions including Columbia University. Outside of work, he enjoys gaming, sci-fi fantasy, Brazilian Jiu-Jitsu, hiking, sailing, and sportfishing.

Dr. Dugger strives to create a supportive and respectful environment where patients feel genuinely heard and understood. He values careful listening, curiosity, and follow-through, and takes a practical, individualized approach to care. Rather than relying on one-size-fits-all solutions, he collaborates with patients to clarify goals, track progress, and focus on changes that meaningfully improve daily life.

Dr. Dugger begins by developing a thorough understanding of each patient’s history, current concerns, strengths, and goals. Early visits focus on understanding context—what is happening now, what has been tried, and what the patient hopes to change. Treatment plans are developed collaboratively and adjusted over time, with follow-up visits emphasizing steady, sustainable improvement through integrated and comprehensive care.

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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Dr. Amada holds the position of staff psychiatrist at Talkiatry. She was born and raised in Queens, NY. She completed her undergraduate education at New York University, followed by medical school at SUNY Downstate College of Medicine in Brooklyn, NY. She went on to complete her psychiatry residency at Stony Brook University Hospital, where she received an award for academic achievement. Dr. Amada believes in a holistic approach to mental health that addresses lifestyle factors alongside medication management. She values the importance of both therapy and medication in treating mental illness.

Dr. Amada takes a collaborative approach to care and strives to involve her patients in every step of the treatment process. She believes in creating a safe, supportive, and nonjudgmental space where patients can openly discuss their concerns. While her focus is on medication management, she often recommends incorporating additional therapy into the treatment plan and may ask that patients work with a therapist to help achieve the best outcomes.

Dr. Amada works closely with her patients to develop personalized treatment plans. She believes in open communication, shared decision-making, and taking into account the whole person when addressing mental health concerns. Her goal is to ensure that patients feel heard, supported, and actively engaged in their care.

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Dr. Albert Fernandez is a board-certified physician who specializes in adult psychiatry. He has expertise in medication management and psychotherapy. His practice emphasizes a holistic approach to treatment and his style is empathic, insight-oriented, and flexible. He has particular interests in helping individuals struggling with depression, difficulty functioning at work or school, life transitions, bipolar spectrum disorders, ADHD, obsessive-compulsive disorders, relationship struggles, anxiety disorders, sleep disturbances, low self-esteem, and more. He received his bachelor's degree in psychology from Princeton University with a certificate in neuroscience. He earned his M.D. from Renaissance School of Medicine at Stony Brook University and completed his residency training in psychiatry at the Mount Sinai Morningside and West Hospitals. He has supervised junior residents and medical students. He also worked as a staff psychiatrist at Fordham University and published a review article on the effects of residential relocation on mental health. He is currently a Post-Doctoral Candidate in the Adult Analytic Training Program at the New York Psychoanalytic Society and Institute.

Dr. Troy Grantham is a board-certified staff psychiatrist who treats adult patients. A former engineer, Dr. Grantham has developed a passion for guiding patients along the road to recovery. He completed his undergraduate studies at The University of Texas at Austin and later completed medical school and residency in General Psychiatry at The University of Texas Medical Branch at Galveston. Dr. Grantham's practice focuses on medication management. He utilizes a systematic approach to ensure diagnoses are accurate and treatment plans are optimized to each individual patient. His approach is also holistic in nature, often incorporating therapy and lifestyle modification into the treatment plan. Dr. Grantham employs multiple therapeutic approaches in his practice depending on the needs of the patient including supportive therapy, Cognitive Behavioral Therapy (CBT), and Acceptance and Commitment Therapy (ACT). He places great emphasis on psychoeducation so that patients are aware of the nature and prognosis of their conditions as well as the treatment options available. When multiple treatment options are reasonable, Dr. Grantham takes patient preference into account, offering flexibility to the patient experience. He treats a variety of psychiatric disorders with a particular focus on mood disorders, anxiety disorders, obsessive-compulsive disorders, and trauma-related disorders.

Please note: Dr. Grantham does not prescribe long-term, daily benzodiazepine medications, however he is happy to help you taper off of these medications and transition to a safer, long-term medication regimen.

Dr. Steve Paschos is a board-certified Psychiatrist at Talkiatry. He attended Loyola University Chicago on the Lake Shore campus, completing a bachelor's degree in science and a Degree in Classical Studies. He then attended Medical School at Rush Medical College in Chicago and completed a 5-year combined Internal Medicine & Psychiatry residency in 2011. Dr. Paschos subsequently completed a 1-year fellowship in Geriatric Medicine at Rush University Medical Center. He has spent the last 12 years fulfilling his passion for integrating Internal Medicine & Psychiatry, working with a diverse range of patients suffering from severe mental illnesses. ‍Dr. Paschos' years of experience have included working at Cook County Health Services � Cermak Health Services at Cook County Department of Corrections with an extremely diverse patient population with varying psychiatric illnesses. He has also worked as an inpatient psychiatric hospitalist and as the director of the Intensive Care Unit at Chicago Behavioral Hospital in Illinois. Dr. Paschos also acted as a medical director of an IOP and established an outpatient psychiatric practice in conjunction with the Intensive Outpatient Program. He has had the opportunity and privilege of treating individuals who suffer from various diagnoses, especially challenging patients who have suffered from integrated or Med-Psych concerns involving primary mood disorders, Bipolar Affective disorders, prior trauma, severe medical problems/diagnoses along with concurrent personality pathology. ‍Dr. Paschos utilizes supportive psychotherapy, brief cognitive behavioral therapy, and at times psychodynamic therapy to address his patients' current complaints and to identify the locus of their symptoms. He believes in utilizing an all-encompassed approach using mindfulness and various psychotherapies along with comprehensive medication management. To quote Hippocrates "Where there is love for the art of medicine there is a love of humanity.”