Nirupama Natarajan, MD

Melissa Sims, MSN, APRN, PMHNP-BC, is a board-certified psychiatric mental health nurse practitioner who is passionate about delivering high-quality, compassionate, and comprehensive mental health care. She earned her Master of Science in Nursing from the University of Alabama at Birmingham in 2022 and has since worked in both community mental health and correctional settings.

Melissa takes a collaborative approach to care, working closely with other mental health professionals, medical providers, families, and relevant support systems to ensure well-rounded treatment. She emphasizes a patient-centered, individualized approach, combining medication management with psychotherapy to meet each person’s unique needs.

Patients working with Melissa can expect a thorough evaluation, accurate diagnosis, and a personalized treatment plan tailored to their mental health goals. One of her core priorities is to empower individuals to make informed decisions about their care by providing education grounded in research, evidence-based practices, and clinical experience.

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Dr. Jane Eisen comes to Talkiatry from her previous position at McLean Hospital, in Boston, where she was Clinical Director of the Depression and Anxiety Division, overseeing the integration of clinical work, faculty development, and research in the division. Clinically, she has experience working with people with significant mood and anxiety difficulties. Dr. Eisen's practice focuses on using an integrated approach to the understanding and treatment of individuals' psychosocial stresses and psychiatric symptoms. Her sessions are usually 30 minutes. She frequently suggests including a family member or friend in at least one session to get a comprehensive sense of each person's strengths and challenges. She received her medical degree from NYU and completed her psychiatric residency at Mt. Sinai Hospital. She spent a number of years in the Brown system, as Training Director for the Brown Psychiatry Residency and as Vice-Chair of the Brown Department of Psychiatry. For several years, she served as Chair of the Department of Psychiatry at Mt. Sinai West/St. Lukes' prior to her position at McLean, as Clinical Director of the McLean Hospital Depression and Anxiety Division. She has worked primarily with outpatients with the exception of a recent period of residential work at the Pavilion at McLean Hospital. Dr. Eisen is a general psychiatrist with a focus on anxiety disorders, OCD, and mood disorders. She is interested in the impact of trauma and personality and has extensive experience working with young adults.

Dr. Alicia Garcete is a board-certified child, adolescent, and adult psychiatrist in practice for over 12 years. Her practice focuses on medication management, recognizing  family involvement is extremely important and is an integral part of treatment. Dr Garcete has treated a wide variety of patients. Her primary focus is treating depression, anxiety disorders, ADHD, PTSD and OCD. Additionally, she can provide supportive therapy and elements of cognitive-behavioral therapy but on occasions more therapy support may be needed, and the recommendation to bring a psychotherapist on the care team may occur to provide an optimal outcome. Dr. Garcete is bilingual and provides care in both Spanish and English.

Prior to Talkiatry, Dr Garcete treated children, adolescents, and adults was at the intensive outpatient and partial hospitalization levels of care with focus on behavioral approaches in the Depression recovery and Anxiety/OCD programs.

Dr. Garcete earned her Medical Degree from the Universidad Nacional de Asuncion, Facultad de Ciencias Medicas in Paraguay. She completed her general psychiatrist residency at Maimonides Medical Center in New York. She was also a Fellow in Psychoanalysis at the Psychoanalytic Institute, Affiliate to New York University School of Medicine, and completed her child and adolescent psychiatrist fellowship at Elmhurst Hospital Center, affiliate to Mount Sinai Hospital. Dr. Garcete also held a clinical assistant professor appointment from the department of psychiatry at SUNY Downstate Medical Center.

Dr. Emily Goncalves is a board-certified adult psychiatrist who earned her undergraduate degree at Syracuse University and medical degree from the American University of Antigua. She holds an MBA from Plymouth State University focusing on health care administration. She completed her adult psychiatry residency at Delaware Division of Substance Abuse and Mental Health, where she was chief resident and completed her fellowship in consultation liaison psychiatry at Jackson Memorial Hospital/University of Miami. Dr. Goncalves specializes in treating patients with psychiatric disorders with complex medical illnesses, cancer, and also has expertise in reproductive psychiatry. She is experienced in treating mood disorders, anxiety disorders, PTSD, psychosis, substance use disorders, and adult ADHD. Dr. Goncalves had the opportunity to work in various settings with a diverse patient population including veterans, inmates, cancer patients, and perinatal and postpartum patients. Dr. Goncalves provides medication management along with psychotherapy.

Svetlana Schwartz, PMHNP, is a board-certified psychiatric nurse practitioner with 18 years of experience in outpatient psychiatry. She provides care for individuals with a wide range of mental health conditions, including depression, anxiety, substance use disorders, ADHD, bipolar disorder, OCD, schizoaffective disorder, and schizophrenia.

Her practice focuses on medication management, often combined with supportive or cognitive behavioral therapy. Svetlana earned her Master of Science in Nursing with a specialty in adult psychiatry from the University of Massachusetts Lowell and her Bachelor of Science in Nursing from the University of Massachusetts Boston. She is trained in psychiatric diagnosis, medication management, and both psychodynamic and cognitive-behavioral therapies.

Over the past 18 years, Svetlana has gained extensive experience evaluating and treating adults in outpatient settings. She previously worked at Arbour HRI Outpatient Clinic in Massachusetts and, for the past decade, has served patients at Memorial Healthcare System in Florida.

Svetlana believes that addressing mental health is just as important as addressing physical health. At Memorial Healthcare System, she collaborated with the Mind-Body Wellness Clinic to support both the medical and psychiatric needs of her patients. She has also contributed to the training of psychiatric and internal medicine residents in outpatient psychiatry. Her approach emphasizes the integration of medication management with individual therapy to provide comprehensive, patient-centered care.

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Wayne R. McIntosh, PMHNP-BC, is a dedicated mental health professional with over a decade of experience in psychiatric care. He earned his advanced nursing degree with distinction from Arizona State University and also holds a Bachelor of Science in Nursing from Grand Canyon University and an Associate of Science in Nursing from Harry S. Truman College. He has been a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) since 2015.

Wayne specializes in family-centered care, working with individuals aged 18 to 65. Whether supporting patients through anxiety, depression, ADHD, or life transitions, he develops personalized diagnostic and treatment plans that may include therapy, coping strategies, and, when appropriate, medication. His approach emphasizes clear communication and collaboration, empowering patients to understand their challenges, apply practical tools, and achieve lasting change.

Throughout his career, Wayne has served as a Psychiatric Nurse Practitioner and Associate Director of Medical Services, leading multidisciplinary teams and promoting accessible, high-quality care. As a Faculty Associate at Arizona State University, he has mentored future nurse leaders, focusing on clinical excellence and patient advocacy. His military background and volunteer work further reflect his commitment to serving diverse populations with compassion and respect.

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