Nicole Parrish, MD

Dr. Krithika Mittakanti is a board-certified psychiatrist with experience in both outpatient and inpatient settings. She earned a Bachelor of Science in Biomedical Engineering from The University of Texas at Austin and her medical degree from the University of Texas Southwestern Medical Center in Dallas. She completed her psychiatry residency at Baylor College of Medicine Menninger Department of Psychiatry and Behavioral Sciences in Houston, TX. Dr. Mittakanti previously served as a Staff Psychiatrist at the Michael E. DeBakey Veterans Affairs Medical Center for over seven years, where she evaluated and treated veterans with a wide range of psychiatric conditions including depression, anxiety and panic disorders, PTSD, bipolar-related disorders, ADHD, and substance use disorders.

Dr. Mittakanti practices with empathy, compassion, and active listening, maintaining a non-judgmental approach to create a safe and respectful environment. She values open communication and works closely with patients to establish clear, shared treatment goals.

Dr. Mittakanti begins by gaining a thorough understanding of each patient’s history, concerns, and goals. She takes a holistic approach, considering biological, psychological, social, and environmental factors. Treatment plans are individualized and may include medication, psychotherapy, and lifestyle changes, with a collaborative team-based approach when appropriate.

Dr. Bryant graduated from Mount Sinai School of Medicine to complete her adult training and the Yale Child Study Center/Riverview Hospital for Children Program to complete her fellowship in Child and Adolescent Psychiatry. A native Texan, she returned to Tyler, TX in 2020 to accept the position of Chair of the Department of Psychiatry and Behavioral Medicine at the University of Texas Health Science Center at Tyler. She also established an accredited child and adolescent psychiatry fellowship in Tyler. Prior to that, she served as the Director of the Child and Adolescent Psychiatry Division at the University of Mississippi Medical Center where she was also the Program Director of the Child and Adolescent Psychiatry Fellowship. She received her medical degree from the University of Texas Southwestern Medical School. Working with survivors of trauma has always been an important part of Dr. Bryant's practice. She currently serves as the co-chair of the American Academy of Child and Adolescent Psychiatry's Committee on Child Maltreatment and Violence and she is a representative for the National Health Collaborative on Violence and Abuse. Dr. Bryant also served as the program director of the Eating Disorders and Trauma Recovery program at Menninger Clinic in Topeka. She is board certified in adult, child and adolescent psychiatry and she has over 32 years of experience as a practicing psychiatrist. Dr. Bryant specializes in the treatment of anxiety disorders, obsessive-compulsive disorder, mood disorders, developmental disorders, Post-Traumatic Stress Disorder, Attention Deficit Hyperactivity Disorder, and family relational problems for both children and adults. She believes that "knowledge is power" and that the more a person can understand about how the brain is affected by various mental health conditions, the more treatment makes sense.

Dr. Borad is a Board Certified Psychiatrist and has specialized in Addiction Psychiatry. She finished her residency at the WVU campus of Charleston, WV, and finished the Addiction Psychiatry Fellowship at UPMC/Western Psychiatry Institute in Pittsburgh, PA. She has previously worked as an Assistant Professor at WVU of Charleston, where she was involved in working with residents in inpatient and outpatient settings, provided psychiatric consult services to hospitalized patients, and was part of the Outpatient Comprehensive Opioid treatment program where she provided Medication Assisted Treatment for patients with substance use disorders. She has an interest in treating patients with mood, anxiety, and psychotic disorders. Dr. Borad has a special interest in treating individuals having a substance use history and struggling to quit, and has expertise in treating patients with a dual diagnosis of substance use with other psychiatric conditions. She primarily does medication management, in addition to providing some supportive therapy and motivational interviewing to her patients in her 30-minute follow-up appointments. In addition, she may suggest bringing in a therapist to add to your care if clinically necessary.

Dr. Thomas Spina is an adult psychiatrist who began his practice at Talkiatry after completing his psychiatry residency at the Eastern Long Island branch of Stony Brook University, where he treated a diverse patient population. Dr. Spina received his undergraduate degree from St. John's University in Queens where he studied Philosophy. Initially interested in a career in law, Dr. Spina decided to change gears and pursue a career in medicine after watching a relative struggle with her diagnosis of Diabetes Mellitus. Dr. Spina then completed medical school at Tel Aviv University in Israel, where he fell in love with psychiatry during his clerkship at Ichilov medical center. During that rotation, he came to appreciate how each patient has his or her own unique story, regardless of their diagnosis. Dr. Spina favors a holistic and integrative approach to psychiatry, combining medication management with supportive therapy, elements of cognitive behavioral therapy, while remaining open to other treatment modalities depending on the needs of his patients. When more focused therapy is indicated, Dr. Spina may recommend that his patient work with a provider specializing in a particular modality of therapy as part of their treatment. Dr. Spina treats adult patients with mood disorders including major depressive disorder and bipolar disorder, anxiety spectrum disorders, OCD, PTSD and specific phobias. In his spare time, Dr. Spina enjoys a variety of hobbies, including Brazilian Jiu-Jitsu, running, baseball, and exploring new eateries and shops.

Dr. Kristen Clark earned her medical degree from Jefferson Medical College and completed her psychiatry residency at Rutgers Robert Wood Johnson. She has extensive experience practicing primarily in outpatient settings, along with additional experience in inpatient, consultation, and emergency psychiatry. Dr. Clark has also served in academic roles, teaching and mentoring trainees in both medical school and residency. She is board-certified in Psychiatry and in Addiction Medicine.

Dr. Clark prioritizes creating a welcoming environment where patients feel comfortable sharing their experiences. She values building strong rapport and approaches care holistically, recognizing that each patient is unique and deserves an individualized treatment plan. She appreciates the ongoing nature of outpatient care and adapts her approach as patients’ goals and priorities evolve over time.

Dr. Clark takes a collaborative approach to treatment, working closely with patients to ensure their understanding of all available options. She empowers patients to make informed choices and partners with them to develop plans that best align with their needs, values, and goals for treatment.

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Dr. Harmeeta Singh was born and raised in St. Louis, MO and is board certified with ABPN (American Board of Psychiatry & Neurology). Dr. Singh has been in practice for 15 years and focuses on an individualized treatment plan, not only using pharmacotherapy when needed, but also implementing insight-oriented, supportive, motivational, and brief psychotherapy. Dr. Singh is a firm believer in combining psychotherapy with medication management when warranted to manage and treat a wide variety of mental health conditions including, but not limited to - Depressive Disorders, Bipolar Disorders, Psychotic Disorders, Anxiety Disorders, Trauma related disorders, Substance use disorders, Personality disorders, Sleep Disorders and Eating Disorders. Her dynamic approach is client focused, involving the client throughout their treatment and care plan, taking careful consideration to the individual's needs and goals. ‍Upon completion of her residency through St. Louis University, St.Louis, Dr. Singh joined her parents' Internal Medicine practice. She learned firsthand that implementing mental health awareness, screening, and education into a primary medically focused practice led to more favorable outcomes. Many mental health conditions can manifest as and/or exacerbate a variety of medical/physical conditions and thereby go undiagnosed and untreated. Dr. Singh has worked closely and coordinated care within the medical field and with other specialists in treating and diagnosing comorbid mental health conditions. While in private practice for over 10 years, she was also an attending and consultant for inpatient mental health care and provided mental health services for residents in various residential care facilities, group homes, and skilled nursing facilities. Over the past 5 years she has consolidated her practice and presently is employed with Compass Health Network in Missouri helping bridge the gap in mental health care by coordinating and providing care to the underserved community.