Paul Pennington, LPC

Karla Bidstrup, LCSW, is a licensed clinical social worker who was drawn to the field by a deep interest in human behavior and a desire to help others find meaning, balance, and inner peace. She brings a thoughtful, creative, and motivating presence to her work, while honoring personal differences and diversity. Karla values the therapeutic relationship as the foundation for meaningful change and personal growth.

Karla’s style blends behavioral and psychodynamic theories, allowing her to address present-day behaviors while also exploring deeper emotional and psychological patterns. She creates a warm, safe, and respectful environment where clients feel understood and supported. Her approach is empathetic and versatile, fostering both immediate progress and long-term self-awareness.

Karla works collaboratively with clients to clarify their needs, values, and goals. Together, they identify the most effective path forward and adjust goals as needed over time. The first session focuses on building rapport while gathering important background information, setting the stage for a shared therapeutic journey.

Dr. Claudia Cao is a board-certified psychiatrist. She earned her medical degree and completed her general psychiatry residency at the University of Michigan, followed by a fellowship in psychodynamic psychotherapy through the Michigan Psychoanalytic Institute. Prior to psychiatry, Dr. Cao was a board-certified anesthesiologist and completed her anesthesia residency at UCLA and an obstetric anesthesia fellowship at Mass General Brigham.

Dr. Cao takes a multimodal approach to mental health care, integrating medication management, psychotherapy, lifestyle changes, and integrative methods. She values personal connection and believes that understanding each patient’s story is central to effective treatment. Her goal is to support patients in improving their quality of life in a collaborative and compassionate environment.

Dr. Cao spends the first several visits listening closely to understand each patient’s concerns, goals, and experiences. She then partners with patients to develop a personalized treatment plan. Ongoing visits are tailored to each individual’s needs and may evolve as treatment progresses.

Dr. Santos is a psychiatrist with more than 4 years of experience practicing in a variety of settings with an emphasis on psychiatric outpatient care. She is experienced in treating several psychiatric disorders including but not limited to: Bipolar and Related Disorders, Depressive Disorders, Anxiety Disorders, Trauma and Stressor Related Disorders, Obsessive-Compulsive and Related Disorders, and Substance Related and Addictive Disorders. Dr. Santos received her medical degree from the University of Queensland in Brisbane, Australia / Ochsner Clinical School in New Orleans, Louisiana. She completed her residency training at Louisiana State University in Shreveport, Louisiana. Dr. Santos tailors her approach to the individual patient. She focuses on medication management and incorporates several therapeutic techniques including supportive therapy, cognitive behavioral therapy, acceptance therapy and mindfulness.

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. Nieves-Alvarado is a Board-certified psychiatrist who completed medical training at Duke University Psychiatry Program. Originally from Puerto Rico, she is fluent in both English and Spanish, which allows her to connect deeply with a diverse patient population.

Her practice combines medication management with insight-oriented therapy during every visit, promoting a comprehensive approach to mental health care. She advocates for her patients to engage in therapy alongside medication management, as she believes this integrated approach leads to better outcomes and sustained improvement. Dr. Nieves-Alvarado's practice is rooted in a collaborative, team-based approach, working closely with her patients to achieve long-term mental wellness.

Dr. Nieves-Alvarado earned her medical degree from the Universidad Central del Caribe School of Medicine in Bayamon, PR. Afterward, she moved to North Carolina, where she completed her residency at Duke University Hospital. During her training, she was nominated for a fellowship in psychodynamic practice by the Psychoanalytic Center of the Carolinas, showcasing her expertise in this area. She is also a dedicated advocate against childhood sexual trauma.

Her diverse training includes significant experience in jail and forensic psychiatry, as well as the treatment of military veterans under the veteran affairs health care system. She has experience in medically assisted treatments (MAT) for substance use disorders, Electroconvulsive therapy (ECT), and family therapy, enabling her to care for patients with complex needs.

Dr. Nieves-Alvarado treats patients across a wide age range, from young adults to the elderly. Passionate about improving access to mental health care, she joined Talkiatry to help patients facing time or transportation challenges receive the care they need.  

In addition to her clinical practice, Dr. Nieves-Alvarado remains involved with her alma mater’s Behavioral Health Department, contributing to academic education and maintaining a connection with the next generation of medical professionals. She continues to seek ongoing improvement in her field, remaining engaged with medical associations including North Carolina Psychiatric Association, American Psychiatric Association, and Alpha Omega Alpha national medical honor society. Dr. Nieves-Alvarado is committed to working hand-in-hand with her patients to achieve mental wellness.”

Background and credentials

Dr. Joyln Ferrell is a board-certified psychiatrist with specialized training in treating depression and anxiety disorders. She earned her medical degree from Howard University College of Medicine and also holds a doctorate in pharmacy from the University of Georgia. She completed her residency training in psychiatry at VA Boston/Harvard Medical School and gained significant clinical experience at McLean Hospital. Additionally, she completed a fellowship in psychoanalytic psychotherapy at Columbia University Center for Psychoanalytic Training and Research.

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Treatment approach

Dr. Ferrell focuses on providing patient-centered care, emphasizing improving quality of life and helping patients reach their specific treatment goals. Her approach integrates medication management with supportive therapy. She believes in a collaborative treatment process and may recommend additional therapy support when necessary to optimize outcomes. She takes a cautious and limited approach to the use of controlled medications, ensuring responsible medication management.

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What you can expect in a first visit

During the first visit, patients can expect a comprehensive assessment of their symptoms, medical history, and treatment goals. Dr. Ferrell takes a thoughtful and individualized approach to care, working with patients to develop a treatment plan that incorporates medication management and supportive therapy. Follow-up visits typically last 20-30 minutes and focus on monitoring progress and adjusting treatment as needed. In some cases, she may recommend involving an additional therapist to further enhance the effectiveness of the treatment plan.

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Why Talkiatry?

We’re a virtual mental health practice that makes it easy to find great care. We combine quality and convenience to help you thrive—faster. Our providers, like this one, are highly trained experts who specialize in medication management and collaborate with you on a treatment plan that fits your needs and comfort level.

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