Richard Hess, MD

Dr. Ernesto Gonzalez is a board certified adult psychiatrist. He completed his undergraduate training at Yale University and received his medical degree from the University of Pennsylvania School of Medicine. He completed his residency training at the Cambridge Health Alliance/Harvard Medical School Adult Psychiatry Training Program. Dr. Gonzalez prefers a holistic approach that takes the time to know the whole patient, incorporating biological, psychological, social, and cultural perspectives in crafting a comprehensive, individualized, treatment plan. He practices medication management combined with supportive therapy, typically delivered within 30 minute sessions. Elements of psychodynamic, dialectical behavior and cognitive-behavioral therapy will also be incorporated into sessions based on a patient's individual needs. If additional therapy is needed, Dr. Gonzalez will recommend the addition of an individual therapist to the patient's treatment team. Having dedicated his career to adult outpatient psychiatry, Dr. Gonzalez has worked with patients from a wide range of ages, cultures, ethnicities, and social settings across the New York City area. His primary focus is working with patients with depression, anxiety, ADHD, and PTSD. He also values working with people adjusting to changes in their lives, whether it be grieving the loss of a loved one, changes in employment, relationships, or adjusting to changes that come with age. Prior to joining Talkiatry, Dr. Gonzalez was an Assistant Professor at the NYU Grossman School of Medicine and served as Director of the Adult Outpatient Psychiatric Department, Assertive Community Treatment (ACT) Team, and Collaborative Care Departments at Woodhull Hospital in Brooklyn, New York. He also had a small practice near his home. Dr. Gonzalez has also had a lifelong interest in meeting new people and experiencing different cultures. This interest has taken him as far away as the townships of Cape Town, South Africa and as close as his local diner, and it edifies the work he does with patients.

Sonya R. Isler, PMHNP-BC, began her nursing journey over 30 years ago in a state psychiatric hospital in Goldsboro, NC, inspired by the poised nurse she admired at church as a child. Her path includes roles as LPN, RN, BSN, and multiple advanced practice degrees. Sonya has worked in inpatient and outpatient settings, VA clinics, and private practices. She also serves as a preceptor for PMHNP students at her alma mater, the University of North Carolina at Chapel Hill.

Sonya creates a welcoming, respectful space where patients feel safe to communicate openly. She practices active listening and values patient input when setting therapy goals. Her approach is holistic—treating the whole person—and she encourages collaboration, helping patients feel seen, heard, and empowered in their care.

Sonya reviews a patient's history before each session and begins with clear introductions and goal setting. She invites open discussion of concerns and tailors' treatment plans with patient input. She often incorporates CBT, motivational interviewing, and solution-focused therapy into care, promoting growth through supportive, personalized strategies.

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. Mendez obtained his medical degree from the University of Texas Medical School in Houston. He subsequently completed his Psychiatry residency training at the same institution, UT Medical School in Houston. Dr. Mendez has extensive training in the field and is board certified in Adult Psychiatry by the American Board of Psychiatry and Neurology. After professional training, Dr. Mendez has had vast experience of 15 years primarily in the outpatient setting including ample experience with telemedicine services to patients. He has extensive experience in diagnosing and treating adult patients dealing with attention deficit disorders and a wide spectrum of adjustment and anxiety disorders. Dr. Mendez has a special interest in the treatment of mood disorders from Major Depression to Bipolar spectrum disorders. Dr. Mendez prioritizes the development of great communication, mutual understanding and trust with his patients as he finds these elements to be key to a successful treatment. He establishes his treatment plans upon evidence-based guidelines and encourages a holistic approach for optimal well-being. Through effective medication management and supportive psychotherapy, Dr. Mendez leads his patients to optimal mental health. He encourages patients to strive to develop fulfillment and optimal functionality in their life's roles.

Dr. Komal Shah, M.D. is double board certified in adult & geriatric psychiatry. She did her residency at Nassau University Medical Center, New York & then did fellowship in geriatric psychiatry at LIJ-Albert Einstein school, New York. She has been practicing psychiatry for over 25 years.  

Dr. Shah has extensive experience in evaluating & managing a variety of psychiatric disorders such as mood disorders, anxiety disorders, psychotic disorders, dementia, etc. She held an academic position as a clinical assistant professor at Rutgers-UBHC for several years. Dr. Shah has worked in various clinical settings including inpatient, outpatient clinics, partial hospital programs, nursing homes, thus serving vast variety of patient populations. She has also volunteered her services at NAMI (National Alliance for mental illness)-SAMHAJ to create & promote awareness of mental health issues in the community. All this makes her a very well experienced & efficient psychiatrist.  

Dr. Komal Shah believes in creating a strong therapeutic alliance first with her patients based on mutual trust & honesty. Her primary modality of treatment is medication management, but she may also provide supportive psychotherapy and education, practicing evidence-based medicine. Dr. Shah likes to collaborate patient care with their medical providers and/or therapist.

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Dr. Lauren McClairen is a psychiatrist board certified in General Psychiatry and Addiction Medicine. She completed her medical and psychiatric training at Meharry Medical College in Nashville, TN and a fellowship in Addiction Medicine at Baptist Memorial Hospital in collaboration with IAC (Integrated Addiction Care) in Memphis, TN. Dr. McClairen has clinical experience and practice working with other specialties and disciplines in treatment teams and integrated care models both in the inpatient and outpatient setting. She has held an academic appointment at Baptist Memorial Hospital where she enjoyed teaching and supervising medical residents and fellows in training. She most recently served as the Regional Behavioral Health Medical Director for a group of mental health clinics throughout Tennessee, and as the Chief of Psychiatric Services for a residential treatment facility in Mississippi that also had Partial Hospital and Intensive Outpatient Programming (PHP/IOP). She is experienced in treating patients with a variety of mental health diagnoses including but not limited to depression, bipolar disorder, anxiety disorders, ADHD, OCD, PTSD, and those with a history of substance use disorders. Dr. McClairen works collaboratively with her patients to provide treatments tailored to each patient's individualized needs. She prioritizes building trusting relationships and fostering open communication. Patients can expect a compassionate approach often with utilization of supportive therapy, mindfulness, and at times cognitive behavioral and psychodynamic psychotherapy techniques to address their psychosocial stressors and unique needs.