Robert Smeed, DO

Dr. Joshua Kane is a board certified psychiatrist who completed his undergraduate studies at Yale University, medical school at SUNY Downstate and Psychiatry Residency at Brown. Dr. Kane also completed a five-year training program in psychoanalysis and psychodynamic therapy at the Boston Psychoanalytic Society and Institute. Dr. Kane has worked in a variety of treatment settings, including partial hospitals, outpatient community mental health clinics, and private practices. Dr. Kane also worked at Brown University Counseling and Psychological services providing medication management and supervision to therapists. Dr. Kane's extensive therapy training sets him apart as a psychiatrist, and his treatment approach reflects this knowledge. While medications play an important role in treatment, Dr. Kane believes that lasting change involves a patient working with a therapist to better understand themselves. Dr. Kane enjoys working with adults who face challenges with depression, anxiety and PTSD.

Dr. Arif Patel is a board-certified adult psychiatrist. He obtained his medical degree from Rowan University School of Osteopathic Medicine and completed his residency training at Authority Health, an affiliate of Michigan State University. In addition, he has completed a Psychoanalytic Psychotherapy Fellowship from the Michigan Psychoanalytic Institute. He has 4 years of clinical experience. Dr. Patel's practice focuses primarily on medication management. Follow-up appointments typically last 30 minutes and incorporate elements of supportive psychotherapy, CBT, and motivational interviewing. Dr. Patel utilizes a collaborative approach to treatment, ensuring that treatment plans align with patients' goals and values. Dr. Patel has extensive clinical experience in various psychiatric settings including inpatient, outpatient, and emergency settings. He has treated patients of various ages and of diverse cultural and spiritual backgrounds. He has extensive training in the community mental health system, where he has treated patients with severe mental illness and substance use disorders. Dr. Patel practices general adult psychiatry. His practice focuses on medication management in conjunction with supportive psychotherapy. Dr. Patel has experience in treating a wide array of psychiatric disorders including mood disorders, anxiety disorders, trauma, and ADHD.

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 Veterans 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.

Candice Charles is a Licensed Clinical Social Worker (LCSW), and Credentialed Alcoholism and Substance Abuse Counselor-Advanced (CASAC-A). She has worked with clients from diverse backgrounds, addressing a variety of mental health issues with co-occurring medical and substance use conditions. Candice earned a Bachelor's degree in her home country of Trinidad and Tobago, and her Master's in Social Work from Adelphi University in Garden City, New York, and has been practicing since 2016. Candice offers supportive, strengths-based, and solution-focused therapy to help clients evoke a sense of hope, strength, and determination during challenging times. Her approach is eclectic, incorporating Cognitive Behavioral Therapy, Motivational Interviewing, Harm Reduction, and mindfulness techniques, influenced by her personal practices. In addition to her clinical work, Candice teaches the Identity and Social Justice course at a University in New York, which keeps her attuned to how her clients, of various demographics, experience their environment, and its unique stressors.

Ashley LaBanca provides medication management and supportive psychotherapy services. She has worked in mental health for over 12 years. She graduated from the University of North Dakota and started in an outpatient setting, transitioning into a lead NP role, then moving on to telehealth services. Seeks to reach those in need when in-person settings are not realistic. Ashley lives in North Dakota with her family. She enjoys traveling, reading, and spending time with her family

Ashley sees medication as a tool, not a cure. She utilizes alternative treatments, assessing physical health, natural alternatives to medication, nutrition, and creating coping skills to manage daily life stressors.  The combination of therapy and medication management is her guiding principle to finding healing and growth. She encourages her clients to be active participants in treatment, striving for a collaborative approach. Aims to foster respect and open communication.

Ashley utilizes a collaborative approach to treatment, individualized to each person's needs. Ms. LaBanca utilizes Dialectical Behavioral Therapy and Cognitive Behavioral Therapy, among other treatment modalities, in conjunction with evidence-based prescribing to create a personalized treatment plan. She considers the social aspects of mental health, including addressing relationships, self-esteem and internal healing.

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Dr. Ritchie is trained in both adult and child & adolescent psychiatry, with a focus on the diagnosis and treatment of depressive disorders, anxiety disorders, trauma- and stressor-related disorders, and ADHD.  He received her bachelor's degree in biology with a minor in French, from The University of Central Florida. Dr. Ritchie completed medical school at Campbell University School of Osteopathic Medicine. Following medical school, he completed General psychiatry residency and Child and Adolescent Psychiatry Fellowship at Texas Tech University Health Sciences Center. His professional experiences include working in inpatient psychiatric hospitals, consult-liaison psychiatry, outpatient clinics, intensive outpatient programs (IOP), partial hospitalization programs (PHP), and emergency rooms. This broad range of experience allows her to provide comprehensive, individualized care to patients at all stages of life.

Dr. Ritchie emphasizes a holistic approach, combining medication management and psychotherapy. He utilizes principles from Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), and supportive psychotherapy This method is supported by research indicating improved patient outcomes.

Patients can anticipate a thorough initial evaluation during their first visit with Dr. Ritchie. He conducts a comprehensive assessment to understand the patient's symptoms, history, and personal circumstances. This session sets the foundation for collaboratively developing an individualized treatment plan focused on the patient's specific needs and goals.

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