Priya Mukhopadhyay, MD

Dr. Michael Fiori is Board Certified in Adult Psychiatry and Addiction Medicine. He has practiced general psychiatry for 37 years, and has also sub-specialized in Addiction Psychiatry for the past 20 years. Dr. Fiori's practice emphasizes Diagnostic Clarification, which is an ongoing process. He is highly trained and experienced in the biological and psychosocial underpinnings of psychiatric problems. He typically follows diagnostic evaluations with 30-minute follow up visits for medication adjustments and brief therapy. Dr. Fiori often enjoys collaborating with outside therapists when needed. Dr. Fiori graduated from Amherst College and received his medical degree from NY Medical College. He subsequently completed his residency in psychiatry at the Mount Sinai Medical Center in NYC. He excelled in Academic Psychiatry as both a teacher and a mentor. His practice has always combined medications with evidence-based therapies to alleviate suffering and maximize functioning. In addition to his work as a Board Certified Adult Psychiatrist, he has specialized in helping patients suffering from Substance Use Disorders. Dr. Fiori is Board Certified in Addiction Medicine, and helps patients understand the interrelationships between their Substance Use Disorders and their Psychiatric illnesses.

Background and credentials

Dr. Tyler Josephs is a staff psychiatrist at Talkiatry. He earned his medical degree from Kansas City University in 2017 and completed his psychiatric residency at the University of Kansas Medical Center in 2021. During his residency, he served as Chief Resident at both the University of Kansas Medical Center and the Kansas City VA Medical Center. Most recently, Dr. Josephs worked at the Kansas City VA Medical Center, where he was the psychiatric director of the outpatient mental health clinic and served as Psychiatry Executive for behavioral health services.

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Treatment approach

Dr. Josephs believes in a holistic approach to mental health treatment, integrating medication management, supportive psychotherapy, and collaboration with therapists and support staff. He tailors treatment to each patient's unique needs, ensuring a comprehensive and individualized approach to care. His expertise includes treating a variety of psychiatric diagnoses, such as depression, anxiety disorders (including OCD), ADHD, and PTSD.

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What you can expect in a first visit

In a first visit, patients can expect a thorough evaluation, where Dr. Josephs takes the time to understand their medical history, symptoms, and treatment goals. He emphasizes open communication and collaborative decision-making, ensuring that patients feel heard and supported. Based on this initial assessment, he will develop a personalized treatment plan, which may include medication management and referrals to therapy or other supportive services as needed.

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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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Dr. Sophia Mikityanskiy is a board-certified psychiatrist with extensive experience in outpatient and psychiatric emergency settings in Brooklyn, where she served a diverse patient population. She earned her medical degree from the New York Institute of Technology College of Osteopathic Medicine and completed her adult psychiatry residency at Maimonides Medical Center, where she was Chief of Outpatient Psychiatry. Dr. Mikityanskiy spent six years as Associate Program Director and Director of Medical Student Education, mentoring future clinicians and leading initiatives to support mental health professionals.

Dr. Mikityanskiy creates a warm, supportive environment where patients feel heard and understood. She is collaborative, culturally sensitive, and integrates talk therapy with lifestyle interventions to address mental health holistically. She is thoughtful, detail-oriented, and values open communication to develop clear, personalized treatment plans with each patient.

Dr. Mikityanskiy begins with a comprehensive initial evaluation, listening closely to patient concerns, medical and psychiatric history, and treatment goals. She then develops an individualized plan, incorporating lifestyle modifications and shared decision-making. Throughout care, she remains actively involved, continuously adjusting plans to ensure patients feel informed and empowered.

Dr. Mary Lou Gutierrez is board-certified in both Child & Adolescent Psychiatry and General Psychiatry, with over 20 years of clinical experience. She earned her M.D. from Loyola University Medical Center, where she also completed her residency in Adult Psychiatry. She pursued fellowship training in Child and Adolescent Psychiatry at Northwestern University’s Children’s Memorial Hospital. Her past roles include Medical Director for Compass Health Center’s Under 18 Program and Attending Psychiatrist at Loyola. She has been recognized as a “Top Doctor” in Child and Adolescent Psychiatry by US News and World Report and Negocios Now.

Dr. Gutierrez fosters a warm, collaborative environment where patients and families feel supported and understood. She emphasizes open communication and works closely with patients to define meaningful, realistic treatment goals. Her holistic, family-centered approach integrates medication management, therapy, and psychoeducation with a deep commitment to cultural sensitivity and compassionate care.

Dr. Gutierrez begins by learning each patient’s personal story, clinical history, and goals through a comprehensive evaluation. She creates individualized, evidence-based treatment plans tailored to each child’s unique needs and family context. She continuously collaborates with patients, families, and care teams to ensure treatment remains effective, combining psychotherapy, medication management, and coordination with other providers and resources.

Background and credentials

Dr. Nilesh Tannu is a board-certified psychiatrist by the American Board of Psychiatry and Neurology. He earned his medical degree from B.J. Medical College in Pune and completed his adult psychiatry residency at the University of Texas Medical School at Houston, where he served as chief resident. During his training, he received awards from the Society of Biological Psychiatry, the American Academy of Addiction Psychiatry, and the American Psychiatric Institute for Research and Education. He has been practicing General Psychiatry and Consultation-Liaison Psychiatry for the past seven years at Texas Medical Center in Houston, Texas. Additionally, he has served as an assistant professor of psychiatry at the Texas Medical Center, working at UT Physicians Clinics and Memorial Hermann Hospital. He is also a member of the Editorial Board for BMC Genomics Journal.

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Treatment approach

Dr. Tannu follows the bio-psycho-social model to provide evidence-based psychopharmacologic treatment. He integrates supportive therapy and cognitive-behavioral therapy (CBT) modalities into his practice to create personalized and comprehensive treatment plans. He is committed to mental health care, education, and helping patients achieve optimal functioning in their personal and professional lives. His clinical expertise includes ADHD, anxiety disorders, depressive disorders, bipolar disorder, psychotic disorders, insomnia, eating disorders, and complex medical comorbidities.

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What you can expect in a first visit

During the first visit, patients can expect a comprehensive assessment where Dr. Tannu takes the time to understand their symptoms, treatment history, and personal goals. He employs a collaborative approach to develop a tailored treatment plan that may include medication management and therapy interventions. His focus is on evidence-based care, ensuring that patients receive treatments that are scientifically backed and aligned with their individual needs.

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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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Dr. Ana Lilian Reyes is a board-certified psychiatrist that earned her M.D. from the University of Florida, where she served as a chief resident. She received multiple academic honors, including the Peter Regan, M.D. Award for academic excellence in psychiatry and the John E. Adams academic achievement award throughout her course of training. She also holds a B.A. in Psychology with a neuroscience focus from Harvard University.

Dr. Reyes is passionate about outpatient psychiatry and values the long-term, collaborative relationships formed in the clinic setting. She has a particular interest in women’s and reproductive mental health and has been involved in research and protocol development focused on perinatal depression. She also brings additional training in cognitive behavioral therapy and psychodynamic psychotherapy to her work. Additionally, she has worked with underrepresented college-aged populations pursuing careers in STEM.

Her approach is rooted in blending psychotherapy and psychopharmacology. She emphasizes a full lifestyle approach and a therapeutic space wherein patients can engage in self-reflection and expression.

Fluent in English and Spanish, Dr. Reyes is dedicated to providing culturally responsive care that supports patients in achieving lasting emotional health.