Richard Rise, MD

Dr. Leslie Chavez is a board-certified adult psychiatrist with a diverse background in clinical and academic medicine. She completed her medical school and residency at the University of New Mexico, where she later served as a psychiatrist and assistant professor, treating high-need patients and teaching residents and medical students. During the pandemic, she transitioned to telehealth and has been dedicated to this field for the past four years. Dr. Chavez is known for making her patients feel seen and heard, using both medication management and supportive psychotherapy. Dr. Chavez began her academic journey as a physics major at UNM and then studied biophysics at the University of San Diego, California. During her postdoctoral fellowship at Los Alamos National Laboratories, she was inspired by presentations about professionals working with patients in African countries, which sparked her interest in medicine. During this time, her father died of cancer, and she saw the impact of mental health therapy on his quality of life, further solidifying her motivation to attend medical school. Witnessing the profound impact of mental health on her patients and family, she specialized in psychiatry. Dr. Chavez is a seasoned psychopharmacologist and emphasizes the importance of nutrition, exercise, and community in mental health. She enjoys all aspects of medicine and combines her extensive knowledge with a patient-centered approach.

Dr. Michael Gravenstein earned his medical degree from the University of Florida College of Medicine, where he also completed his psychiatry residency. During training, he was recognized with multiple awards, including the Malcom Randall VA Resident of the Year Award, the Ross A. McElroy Psychotherapy Award, and the John “J.D.” Dorian Award for best sense of humor. He has worked across outpatient, inpatient, and consult liaison settings, and has experience treating a wide range of conditions including depression, anxiety, ADHD, OCD, personality disorders, and transitional age concerns. He also has expertise working with LGBTQIA+ patients and provides psychodynamic, CBT, and supportive therapies.

Dr. Gravenstein believes in a comprehensive approach to treatment that integrates medications, therapy, and lifestyle interventions. While medications can be very effective, he views them as just one part of a broader treatment plan tailored to each patient’s needs. He emphasizes individualized care and sees treatment as a team effort, meeting patients where they are and progressing at a pace they feel ready for.

Dr. Gravenstein strives to create a warm, collaborative environment that fosters open communication and genuine connection. He may challenge patients therapeutically but always with careful attention to their readiness and comfort. His goal is to build trust so that meaningful conversations and progress can occur. For him, success is always shared—when patients succeed, they succeed together; when challenges arise, they regroup and move forward together.

Dr. Desir is a Board-Certified Psychiatrist who completed her undergraduate training at The University of Scranton followed by medical school at the New York Institute of Technology College of Osteopathic Medicine. She completed psychiatry residency at Nassau University Medical Center where she served as the Administrative Chief Resident in her final year. Dr. Desir has been in practice for 4 years and has provided patients with compassionate psychiatric care. She has worked in community mental health settings throughout her career, in which she served a wide variety of patient populations. Dr. Desir is experienced in treating various psychiatric illnesses including mood disorders, anxiety disorders, OCD, PTSD, and ADHD. At the heart of Dr. Desir's clinical approach is a strong emphasis on establishing trust and building a therapeutic relationship. She also provides psychoeducation to help patients make informed decisions regarding their care. She works collaboratively with patients to develop individualized treatment plans to help them achieve their goals. Dr. Desir's practice focuses on medication management. Typically, she offers this in conjunction with supportive or emotionally focused therapy in 30-minute follow-up visits. Occasionally, Dr. Desir may believe that additional therapy is also needed and ask that you bring a therapist into your care team to provide the best outcome. Talkiatry takes medication management seriously. All state-controlled substance databases are reviewed and taken into consideration during your initial evaluation.

Dr. Luna Sanchez Rivera holds the position of Staff Psychiatrist at Talkiatry. After completing residency in 2016 at the Ponce Medical School Psychiatry Residency in Puerto Rico, she then moved to North Carolina to complete a subspecialty in Child and Adolescent Psychiatry at Duke University Health System. There, she transitioned into an assistant professor position, focused on structuring pediatric emergency psychiatric services, and helped support the consult and liaison pediatric service. Her years of experience have included working as an integrated care child psychiatrist within outpatient clinics at Duke University Health System, and she trained and worked as a staff psychiatrist at the Inpatient State Facility in North Carolina. She also served in the Dayton Children's Hospital outpatient clinics in Dayton, Ohio, the Appalachian Health System outpatient clinics in Linville, North Carolina, and more recently has been serving the Child and Adolescent inpatient population in Bangor, Maine. Dr. Sanchez Rivera has an approachable style aimed at providing a comprehensive evaluation for all age ranges and is comfortable managing various levels of diagnostic complexities. She provides supportive psychotherapy while using psychodynamic therapy skills to clarify her patient's constellation of symptoms, identify unifying themes and provide thorough psychoeducation throughout the process to drive positive outcomes. She integrates psychodynamic medication management approaches and is adept at family therapy interventions.

Dr. Giselle Brito is board-certified in adult psychiatry and has been practicing for over 4 years. She received her medical degree from San Juan Bautista, School of Medicine in Puerto Rico and continued her medical education at Jackson Memorial Hospital & University of Miami Hospital for her 4-year psychiatry residency training program. After completing her training, Dr. Brito worked at the Miami Veterans Affairs Hospital and then the Orlando Veterans Affairs Hospital in the primary care mental health integrated model. Dr. Brito also holds certification in Perinatal Mental Health. Dr. Brito's practice focuses on medication management and supportive psychotherapy in typically 30-min follow up visits. At times, additional psychotherapy is needed and a therapist may be added to provide the best outcome.‍

Mu Xu, MD is a Psychiatrist at Talkiatry. He obtained his medical doctorate degree from the University of Chicago Pritzker School of Medicine and PhD from New York University. He completed his psychiatry residency at New York University. Dr Xu is licensed to practice in California, New York, New Jersey, Connecticut, Pennsylvania, and Maryland. Dr. Xu provides both medication management for a variety of psychiatric conditions. Dr. Xu is fluent in English and Mandarin. Dr. Xu is a general adult psychiatrist specializing in medication management. He values building strong connections with patients from all walks of life and tailoring treatments to their unique needs. His working style is characterized by attentive listening, detailed follow-up questions, and straightforward communication, fostering a collaborative and empathetic environment.