Patricia Michel-Garrison, DO

Ashlyn Tellers is a board-certified Psychiatric Mental Health Nurse Practitioner. She earned her nursing degree with an emphasis in psychiatry in 2020 from the University of Arizona. With over twelve years of experience, she has cared for mental health patients across long-term care, inpatient, residential, and outpatient settings.

Ashlyn specializes in treating adults with depression, anxiety disorders, bipolar disorder, ADHD, and OCD through medication management and supportive therapy. She emphasizes patient education and works collaboratively to build therapeutic and safe treatment plans. She encourages open discussions about past mental health history and current stressors to help identify root causes and develop healthy coping strategies. When appropriate, she refers patients to therapists for more specialized care.

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Amanda Rivera, PMHNP, is a board-certified Psychiatric Mental Health Nurse Practitioner through the lifespan, certified by the ANCC in 2020. She earned a Bachelor of Science in Psychology with a biology minor from Clarkson University, followed by a Bachelor of Science in Nursing and a Master of Science in Nursing from St. John Fisher College. Amanda has over 15 years of experience in mental health, beginning in 2010 as a Therapy Aide at Rochester Psychiatric Center. She has practiced across inpatient hospitals, state psychiatric facilities, outpatient community clinics, correctional settings, group homes, and telehealth/private practice. She works with patients ages 16 and older and is highly experienced in trauma, mood and anxiety disorders, ADHD, autism, psychotic and personality disorders, substance use, and parenting challenges. She values working with families to strengthen the family unit.

Amanda values open communication and collaborates with patients to establish clear, meaningful treatment goals. She provides a warm, supportive environment where patients feel heard, respected, and empowered to take ownership of their mental wellness. Treatment is individualized, with medication decisions guided by a careful balance of safety and symptom relief. Appointments are conversational in nature, allowing care to be more personalized as patients share openly.

Amanda begins each visit by ensuring privacy and safety, then explores the concerns prompting care before gathering a biopsychosocial history through collaborative discussion. She provides education throughout sessions to help patients understand diagnoses and lived experiences. Medication options are discussed based on comfort level and clinical need. Follow-ups are scheduled at the end of each visit, with frequency adjusted as stability is achieved.

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Christina Delos Reyes, MD, earned her medical degree from Northeast Ohio Medical University and completed Psychiatry Residency and Addiction Psychiatry Fellowship at University Hospitals Cleveland Medical Center. She has practiced in inpatient, intensive outpatient, and outpatient settings and has subspecialty training in Addiction Psychiatry, Addiction Medicine, and treatment of co-occurring mental health and substance use disorders. She is also a Gestalt Professional Certified Coach through the Gestalt Institute of Cleveland.

Dr. Delos Reyes values honesty and authenticity and believes meaningful progress comes from sharing what is truly happening in one’s life. She brings her full humanity to treatment and honors the role of spirituality, recognizing body, mind, and spirit as essential to healing. She embraces creativity and encourages openness to new perspectives and solutions.

She spends more time listening than talking and views herself as a guide and teacher rather than a director. She works to build a collaborative partnership focused on the patient’s goals and may offer recommendations, while emphasizing that each person remains responsible for their own growth and progress.

Dr. Samuel Russell is a psychiatrist at Talkiatry. He is board certified in Addiction Psychiatry and Adult Psychiatry. His particular clinical focus is on the treatment of Obsessive Compulsive Disorder, and behavior addictions, as well as trauma, mood, and anxiety disorders. Dr. Russell's practice focuses on evidence-based treatments for psychiatric illness that utilizes a combination of medications and psychotherapy modalities best suited for an individual patient and their needs. He offers this in conjunction with supportive or emotionally focused therapy in 30-minute follow-up visits. Weekly hour-long psychotherapy may be available if indicated. However, occasionally, Dr. Russell may believe that different therapies are also needed and ask that you bring a therapist into your care team to provide the best outcome. He received his medical education at the University of Washington in Seattle after completing undergraduate studies in psychology and later a post-baccalaureate at Boston University. After residency at the University of Chicago where he specialized in addiction psychiatry and psychotherapy, he completed an Addiction Psychiatry Fellowship at the University of Washington in Seattle.

Dr. Malone is an adult psychiatrist with a passion for the patient-centered nature of psychiatry, specializing in treating anxiety, depression, ADHD, bipolar disorder and women’s health.

Dr. Malone maintains a holistic approach that considers the whole person. Their treatment philosophy centers on empowering patients to take charge of their mental health journey, incorporating comprehensive wellness strategies that help patients actively feel their progress toward better mental health. Dr. Malone completed both medical school and residency training at UT Houston McGovern Medical School, along with additional training in psychotherapy.

Dr. Malone integrates therapeutic techniques with medication management, recognizing that meaningful healing often requires both approaches working together to support each patient’s unique path to wellness.

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Dr. Fatemeh Safian is a board-certified psychiatrist with experience in outpatient, inpatient, and telepsychiatry settings. She completed her residency at Larkin Community Hospital, caring for a diverse range of patients. Dr. Safian diagnoses and treats a wide variety of conditions, including depression, anxiety, OCD, PTSD, trauma-related disorders, phobias, personality disorders, ADHD, bipolar disorder, postpartum depression, and concerns across all age groups. She is dedicated to creating a safe, supportive space where people feel truly heard—believing good psychiatry starts with listening.

Dr. Safian fosters a warm, respectful, and judgment-free environment where patients can share openly. She takes time to understand each person’s symptoms, story, values, and goals. Medication is just one option; she also considers therapy, lifestyle changes, and other supports. Collaboration and trust are central to her approach, with patients guiding the care decisions.

During the first appointment, Dr. Safian conducts an in-depth, unhurried conversation to explore the patient’s history and goals. Together, they develop a personalized treatment plan that may include medication, therapy referrals, and practical strategies. Ongoing follow-ups provide space to track progress, make adjustments, and ensure the patient feels comfortable and empowered.