Natalie Cummings, MD

Dr. Michele Wiener is a psychiatrist with over 35 years of experience treating patients with mental health issues. Dr. Wiener's practice has historically focused on treating patients with varying mood disorders, anxiety disorders, psychotic disorders, and post-traumatic stress disorder, often complicated by substance use disorders. Dr. Wiener enjoys working with patients of all ages. She is skilled in both psychotherapy and medication management. While the emphasis will generally be on medication management, Dr Wiener will utilize insight-oriented, cognitive behavioral, and supportive psychotherapy skills to help her patients reach their treatment goals. She completed her internship at Bronx Lebanon Hospital, her residency at Montefiore Medical Center and a two-year fellowship in biological psychiatry, psychopharmacology and geriatric psychiatry at Albert Einstein College of Medicine. She served for over 20 years as Chief of Psychiatric Services for Behavioral Health Services at St John's Riverside Hospital Park Care Pavilion formerly Yonkers General Hospital. Here she was also able to enjoy teaching medical students from The Lake Erie College of Osteopathic Medicine in their psychiatric rotation. She has been Assistant Medical Director for Arms Acres, in Carmel, NY for over five years.

Dr. Alejandra Vivas is board-certified in adult psychiatry and board-eligible in child and adolescent psychiatry. She completed her general psychiatry residency at Montefiore Medical Center and a child and adolescent fellowship at Mount Sinai School of Medicine. Dr. Vivas brings extensive experience from outpatient, emergency, and telepsychiatry settings. She has advanced training in CBT, Motivational Interviewing, and Psychodynamic Therapy. Fluent in English and Spanish, she is committed to culturally sensitive, individualized care.

Dr. Vivas fosters a warm, respectful, and professional space where patients feel seen and empowered. She values open communication and builds collaborative relationships to align treatment with each person’s values, goals, and lifestyle. Her approach is integrative and flexible, grounded in evidence-based methods to support lasting, meaningful change.

Dr. Vivas begins with a thorough evaluation to understand each patient’s history and goals. She creates customized treatment plans that may include therapy, medication, or both. Drawing on CBT, Motivational Interviewing, and Psychodynamic Therapy, she adapts care to meet evolving needs, aiming to relieve symptoms, foster resilience, and support long-term well-being.

‍

Gabrielle Delarose is a dually boarded Psychiatric Mental Health and Family nurse practitioner with over ten years of clinical experience. Gabrielle is dedicated to providing culturally competent and evidence-based medication management and psychotherapy to assist individuals in achieving their goals to live their best life. I believe in holistic treatment of individuals, and focus on the individual’s overall well-being, including how they are functioning socially and professionally. In addition to medication and psychotherapy, she is a proponent of incorporating research-supported alternative modalities, including dietary changes, exercise, social interaction, and yoga. She also advocates of forest bathing (“shinrin-yoku”), a practice of spending time in nature that yields both medical and mental health benefits as discovered in research trials from around the world. As a professionally trained cellist, she also frequently incorporates art and music into appointments and treatment plans with patients. Her goal for all her patients is to improve all facets of a person’s life with treatment. Gabrielle is an LGBTQ+ affirming provider and has extensive experience working with diverse populations.

New patients should know that the initial appointment will consist of obtaining their social history in addition to their medical history. This is an important part of establishing a therapeutic relationship in addition to obtaining health information to use in formulating treatment plans. A person’s identity and life experiences are a significant influence on a person’s health and well-being, and Gabrielle believes in discussing these experiences in order to best understand a patient’s background and incorporate that into their care. Patients are encouraged to write down any questions they may have prior to the appointment, as well as any significant points they want to discuss. This is encouraged because, as patients, we may forget to address these points without a prompt from the provider. Gabrielle also encourages patients to actively participate in their care and firmly believes in a patient’s right to autonomy and agency. This patient-centered approach empowers patients to help guide treatment plans that best fit the patient’s needs and abilities at any given time. Patients are also encouraged to discuss any concerns about medications or treatment, particularly if there are concerns about side effects.

Gabrielle works collaboratively with patients to determine appropriate and preferred treatment plans, including medication and therapy. She uses cognitive behavioral therapy (CBT) as the primary therapy modality, in conjunction with existential therapy, depending on the patient’s needs and preferences. She prefers to allow patients flexibility in their treatment, so the process may look less structured depending on the immediate needs of the patient. Other times, particularly while working through a specific problem in therapy, appointment agendas may be planned out for several weeks. If at any time, however, a need arises to deviate from preplanned appointment agenda, patients are encouraged to discuss this at the beginning of the appointment. Above all, patients’ needs will guide the agenda.

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.

Dr. Caitlin Tillberg (she/her) is a board-certified psychiatrist. She has a BA in musicology and cognitive science from Oberlin College, an MD from Quinnipiac University in Connecticut, and completed general adult psychiatry residency at Duke University. Dr. Tillberg practices patient-centered and trauma-informed care, valuing patient autonomy and collaborative decision-making, acknowledging the burden many people carry from intersecting oppressions. She believes therapy is important � often equally important as medication, or more � and will work together with you to make a realistic treatment plan that will fit into your life. Dr. Tillberg also has a niche working with people with complicated relationships with their bodies, whether due to disordered eating, gender dysphoria, chronic illness/disability, or trauma. She welcomes LGBTQ+ patients, including trans and non-binary adults. She also enjoys working with patients with OCD, as well as autistic/neurodivergent adults (including those seeking adult autism evaluation). Please note Talkiatry is most appropriate for autistic patients with Level 1 (or case-by-case Level 2) support needs and who are verbal. Regarding eating disorders: Please note that for patient safety, per Talkiatry policy, Dr. Tillberg is unable to work with patients with current active anorexia nervosa or bulimia nervosa (or significant relapse in the last 6 months), or with patients requiring current regular medical or lab monitoring for complications of binge-eating disorder or ARFID. Bariatric surgery patients are welcome if medically stable. Patients with current disordered eating that does not rise to the level of a formal diagnosis of anorexia or bulimia, or with a past history of anorexia or bulimia in sustained remission, will be evaluated on a case-by-case basis at the first appointment. Dr. Tillberg looks forward to meeting you.

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.