Patricia Michel-Garrison, DO

Dr. Ioana Horotan-Enescu is a board-certified Psychiatrist. Before joining Talkiatry, she was an Active-Duty staff psychiatrist at Blanchfield Army Community Hospital, Fort Campbell, KY. Her military service also included roles such as Medical Director of Behavioral Health and Interim Clinic Chief for Embedded Behavioral Health Clinic. She completed her internship and residency at Walter Reed National Military Medical Center and earned her Doctor of Osteopathy Degree from the University of New England College of Osteopathic Medicine. Her clinical experience spanned from the inpatient to the outpatient setting and afforded her the opportunity to develop comprehensive skills in the treatment of PTSD, mood disorders, thought disorders, addiction and perinatal mood disorders. Her teaching experience spanned multiple institutions, where she has served as a preceptor and mentor for medical students, nurse practitioner and physician assistant students. In addition to medication management, she augments her practice by implementing mindfulness, psychodynamic and supportive therapy techniques in her everyday practice to enhance treatment and improve treatment response. Dr. Horotan-Enescu holds several certifications, including in Cognitive Behavioral Health Therapy for Suicide Prevention, Motivational Interviewing and Battlefield Acupuncture. She has delivered presentations at national and international conferences on various topics, reinforcing her commitment to advancing the field of psychiatry.

Dr. Alexandra Held is a general psychiatrist who holds a bachelor’s degree in psychology. She completed her psychiatry training at the University of Miami Miller School of Medicine. Her clinical interests include mood and anxiety disorders, PTSD, and OCD. She is passionate about incorporating psychotherapeutic tools into her practice, including supportive psychotherapy.

Dr. Held takes a warm, collaborative, and nonjudgmental approach to care. Her goal is to create a safe and supportive space where patients feel heard and empowered to take an active role in their treatment, using a combination of supportive psychotherapy and medication management.

During the first few sessions, Dr. Held will take time to get to know the patient—their history, current concerns, and what they hope to achieve through treatment. Together, they will develop a comprehensive plan that may include psychiatric medications and supportive therapy. Follow-up visits are typically focused on checking in, adjusting treatments if necessary, and continuing to build on progress.

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Dr. Perington is a Staff Psychiatrist with Talkiatry. She previously served in the US Air Force, where she completed her residency training in psychiatry (Lackland AFB) and was the medical director for a small-sized mental health clinic (Hill AFB). Dr. Perington uses a person-centered approach to tailor treatment to the individual, with an emphasis on shared decision making. She prefers to focus on psychotherapy and behavioral interventions as a primary part of the treatment plan, in addition to any indicated medication.

Motivation for change is a large part of the healing process, and for many people recovery doesn't happen with medication alone. Dr. Perington asks all her patients to play an active role in their treatment.

A thorough diagnostic assessment with discussion of the best treatment setting and modality, then regular follow up visits with emphasis on psychotherapy in addition to medication management (if indicated).

Justin Stone is a board-certified Psychiatric-Mental Health Nurse Practitioner (PMHNP) with experience in both outpatient and inpatient psychiatric settings, including in-person and telehealth care. He completed his undergraduate and master’s programs at Southern Adventist University in Collegedale, Tennessee. Justin is committed to providing compassionate, patient-centered care that addresses the whole person—mind, body, and environment.

Justin works collaboratively with patients to reach personal goals and support a more fulfilled life. He strives to create an open, judgment-free relationship where patients can be completely themselves. His aim is to provide a safe space for vulnerability without fear of judgment, fostering trust and partnership in the therapeutic process.

Patients can expect a thorough initial evaluation to ensure the correct diagnosis is addressed from the start. Justin prioritizes safety and evidence-based best practices while tailoring treatment plans to individual goals. His approach is focused on developing personalized strategies that help patients achieve meaningful improvements in mental health and overall well-being.

Dr. Candice Hacker is a board-certified Psychiatrist at Talkiatry. She completed her Psychiatry residency and a fellowship in Consultation Liaison Psychiatry at Mount Sinai/St. Luke's Hospital. She is passionate about a holistic approach to patient care, trained in psychosomatic medicine, and she has a deep appreciation for the intricate connection between the mind and body. With over 20 years of experience, Dr. Hacker has facilitated excellent outcomes in the treatment of various mental health conditions, including anxiety disorders, mood disorders, and trauma-related conditions. Dr. Hacker believes in creating a safe, nurturing and non-judgmental environment where patients can openly explore their emotions and experiences. By integrating evidence-based psycho-pharmacological modalities with mindfulness and cognitive-behavioral techniques, she empowers her patients to challenge a negative mindset and reach their goals. Beyond her clinical practice, Dr. Hacker is deeply committed to community mental health advocacy and the destigmatization of mental illness.

Carla Delcambre is a bilingual (English/Spanish) Psychiatric Mental Health Nurse Practitioner who provides mental health care in both outpatient and inpatient settings. She works with diverse populations across the lifespan and brings a strong foundation in psychiatric assessment, diagnosis, and psychopharmacologic management. Her clinical practice is grounded in evidence-based medicine, ethical standards, and culturally responsive care to meet each patient’s unique needs.

Carla values open and honest communication and believes effective treatment is built on trust and collaboration. Her patient-centered approach places each individual’s experiences, goals, and perspectives at the heart of care. She is committed to creating a warm, supportive, and nonjudgmental environment where patients feel heard, respected, and empowered to actively participate in their mental health treatment.

Carla begins treatment by gaining a thorough understanding of each patient’s history, current concerns, strengths, and goals. Initial visits focus on comprehensive assessment and developing a shared understanding of treatment objectives. She then creates individualized treatment plans that may include medication management, psychoeducation, and ongoing evaluation, adjusting care as needs and goals evolve over time.