Roshni Panchal, MD

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Avedon is an LPC with vast experience working in the mental health counseling field. Avedon has experience working with people of various backgrounds, which she believes is essential in a world of diverse communities with diverse cultures. She has 13 years of experience working with adults learning how to navigate and manage various behavioral health issues. Avedon received an undergraduate degree at Kennesaw State University in Kennesaw, GA; and her master's degree at Hodges University in Ft. Myers, FL. Avedon has been practicing for 8 years as a licensed clinical mental health counselor, and is a firm believer in the person-centered therapy philosophy of "meeting the client where they are at.” She believes in creating a safe environment for all of her clients in order for them to feel secure in expressing their present conflicts, while at the same time gaining and learning coping skills to improve their overall daily functioning. Avedon's preferred theoretical approach with her clients is Humanistic. She believes in being a resource of support for her clients while they are navigating through interruptions that have induced disorder in their daily lives. Avedon uses an integrative therapy approach tailored to each individual's concerns with the basis of CBT, Motivational Interviewing, and a variety of supportive psychotherapy techniques to aid in creating a therapeutic alliance, which leads to the client building skills to help manage emotional distress.

Shantale Williams-Jules, MD

Staff Psychiatrist

Dr. Williams-Jules is an adult psychiatrist who focuses primarily on medication management in conjunction with supportive therapy. She completed her undergraduate training at Spelman College in Atlanta, GA, followed by her master's in public health degree at New York Medical College. She has completed medical school at American University of Antigua and finished her residency in psychiatry at the University of Texas Southwestern. Dr. Williams-Jules has a passion for treating adults with mental health disorders, especially within the perinatal population. She has a genuine interest in management of trauma, while also treating a vast array of disorders including depression, anxiety, bipolar disorder and posttraumatic stress disorder. She has worked with clients of varying cultures and demographics, and has experience with treating patients with medical comorbidities. Dr. Williams-Jules takes a delicate approach to diagnosis and management and believes in holistic care, which incorporates mindfulness and deep breathing techniques to address the mind and body connection. She tailors individualized treatment to address the specific needs of patients. Dr. Williams-Jules is a member of the American Psychiatric Association and the Dallas County Medical Society. She has presented her research at the Annual APA conference and is co-author of many published psychiatric papers.

Amanda Carrera Alvarez, MD

Staff Psychiatrist

Dr. Amanda Carrera-Alvarez is double board-certified in Psychiatry and Consultation-Liaison Psychiatry. She received her medical degree from Universidad Central del Caribe in Puerto Rico, completed a 1-year Internship in Internal Medicine at the Ramon Ruiz Arnau University Hospital in PR, and went on to complete Residency in Psychiatry at Lincoln Medical and Mental Health Center in the Bronx. Dr. Carrera-Alvarez then completed a 1-year Fellowship in Consultation Liaison at St. Luke's and Roosevelt Medical Centers in New York City, further acquiring proficiency in caring for patients with complex medical and psychiatric comorbidities. After completing training, Dr. Carrera worked briefly as a Psychiatric Consultant for patients admitted to medical units and as an Electroconvulsive Therapy Psychiatrist to patients in the Inpatient Psychiatric Units, in Woodhull Hospital in Brooklyn. During this time and through training, she worked part-time/moonlighted in the Margaret Cochran Corbin VA Campus located on NYC and eventually moved to work there permanently in the roles of Outpatient Psychiatrist, Consultant Psychiatrist to outpatient medical specialties, and ECT Psychiatrist. More recently she held the position of Acting Program Manager and Outpatient Psychiatrist to the VA Mayagüez Outpatient Clinic in Puerto Rico. Dr. Carrera-Alvarez focuses on medication management while also implementing elements of supportive, psychodynamic, and cognitive behavioral therapy within each session to fully address individual needs. At times, Dr. Carrera-Alvarez may recommend a therapist for additional and/or more specialized therapy. Dr. Carrera-Alvarez is experienced in treating a wide range of psychiatric conditions including depression, bipolar disorder, anxiety, PTSD, OCD, among others.

Nina Jacobs, MD

Staff Psychiatrist

Background and credentials

Dr. Nina Jacobs is a board-certified psychiatrist specializing in child, adolescent, and adult psychiatry with over 20 years of clinical experience. She earned her medical degree from the University of Chicago, Pritzker School of Medicine and completed her adult, child, and adolescent psychiatry training at NYU School of Medicine. Additionally, she has specialized training in psychodynamic psychotherapy from the New York Psychoanalytic Institute. Before joining Talkiatry, she served as Chief of Adult Behavioral Health at a busy urban community health clinic.

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Treatment approach

Dr. Jacobs believes that understanding and compassion are fundamental to effective psychiatric care. She provides engaged, patient-centered treatment, focusing on reducing symptoms and restoring well-being. Her approach includes comprehensive evaluations, thoughtful medication management, supportive therapy, and the development of stress management skills. She treats youth ages 13-17 and adults with anxiety, depression, bipolar disorder, ADHD, PTSD, and other mental health conditions. For adolescent patients, she includes parental involvement during a portion of appointments to discuss progress and treatment plans.

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What you can expect in a first visit

During the first visit, patients can expect a comprehensive evaluation in which Dr. Jacobs takes time to understand their symptoms, history, and goals. She fosters a collaborative and compassionate environment, ensuring that treatment plans are personalized and patient-centered. Her approach may include medication management, therapy recommendations, and stress management techniques to support patients in achieving their mental health and well-being goals.

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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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Camille Mendez-Maldonado, MD

Staff Psychiatrist

Dr. Mendez-Maldonado is double board-certified in general psychiatry and geriatric psychiatry. She received her medical degree from the University of Puerto Rico School of Medicine. She then moved to New York to complete her residency training at Mount Sinai Beth Israel where she stayed to complete her fellowship in geriatric psychiatry. After her fellowship, she proceeded to work at Woodhull Hospital where she worked as an attending before becoming unit chief and running their Special Pathogens Unit during the COVID-19 pandemic. She focuses on medication management and offers this in conjunction with supportive therapy, cognitive-behavioral techniques, a focus on nutritional psychiatry, and 30-minute follow-up visits. Dr. Mendez-Maldonado focuses on integrating nutrition, physical activity, and mindfulness techniques alongside pharmacotherapy to achieve a well-rounded approach to mental health.‍

Absar Tahir, MD

Staff Psychiatrist

Dr. Absar Tahir is an adult psychiatrist double-boarded in psychiatry and internal medicine who specializes in evidence-based, holistic, and individualized care. He graduated from the University of Alabama at Birmingham, where he earned both his undergraduate and medical degrees. Dr. Tahir completed sequential residency training in both internal medicine at the Mayo Clinic in Rochester, Minnesota, followed by psychiatry at Emory University in Atlanta, Georgia. Dr. Tahir integrates his knowledge of psychiatry and internal medicine to address the complex interplay between mental and physical health, ensuring a comprehensive and thoughtful approach to diagnosis and treatment. Throughout his career, he has helped patients from all walks of life, from diverse backgrounds, with a compassionate and empathetic treatment style. He strives to ensure his patients feel their voice is heard while working collaboratively towards achieving their treatment goals. As a psychiatrist, he specializes in the treatment of depression, anxiety disorders, bipolar disorder, obsessive-compulsive disorder (OCD), post-traumatic stress disorder (PTSD), and attention-deficit/hyperactivity disorder (ADHD). He is also highly experienced in treating psychiatric problems in patients with medical comorbidities.

Peter McGowan, MD

Staff Psychiatrist

Dr. McGowan is a board-certified adult psychiatrist with over 14 years of experience, during which time he primarily treated active-duty US Navy sailors, their family members, and military retirees in the outpatient setting. His practice focuses on medication management in addition to supportive and cognitive-behavioral therapy in 30-minute follow-up visits. He is a strong advocate of multiple treatment modalities and, in certain situations, may suggest that therapy and/or regular physical exercise be included in your treatment plan to provide the best outcome. He received his B.S. in Physics from the United States Naval Academy. After serving as an Intelligence Officer in the Navy for eight years, he transitioned to medicine and earned his medical degree from the Uniformed Services University of the Health Sciences in Bethesda, MD. After completing an intern year in Family Medicine, Dr. McGowan completed residency training in Psychiatry at Naval Medical Center Portsmouth, VA, where he remained on staff for the next ten years and was primarily involved in resident training and education. He held academic appointments at the Uniformed Services University and Eastern Virginia Medical School and served as the Psychiatry Residency Program Director for six years. He served his final four years in uniform running the behavioral health department at Naval Air Station Whidbey Island, WA. He recently retired from the Navy after a 30-year career. Dr. McGowan has extensive experience in outpatient psychiatric care. In addition to the full spectrum of mood and anxiety disorders, he has treated a very large number of patients with PTSD stemming from combat, natural disasters, and sexual trauma. He believes that, like his service to the country, working alongside others in their journey to better mental health is an incredible privilege.

Tony Tu, MD

Staff Psychiatrist

Dr. Tony Tu is a board certified adult psychiatrist who emphasizes patient education and a psychodynamic approach to outpatient psychiatry. His passion for empowering patients with knowledge stems from his academic experience in psychiatry residency training. Dr. Tu's practice focuses on blending medication management together with psychotherapy. He also prioritizes collaboration with your therapist and encourages working together as a team. Dr. Tu is a graduate of the University of Chicago Pritzker School of Medicine where he completed an MD and PhD combined program which helped develop his "doctors as teachers” style of practice. Dr. Tu completed his psychiatry residency training at Loyola University Medical Center in Illinois. Dr. Tu served as an Associate Program Director of Loyola's Psychiatry residency training program for two years, and now maintains an Affiliate Assistant Professor of Psychiatry role with Loyola. He continues to contribute to residency training, as well as mentorship of medical students and psychology externs. Over the years, Dr. Tu has received several awards that demonstrate his affinity for teaching, including the Educator of the Year Award in 2022 from the Loyola Psychiatry Residency Program. Areas of specialization include psychopharmacology, patient-centered medicine, and combination treatment of psychiatry and psychotherapy. Dr. Tu understands that medications are not the end-all-be-all of treatment, but just the beginning. For trauma and acute stress, he understands that the journey starts at the tip of the iceberg, with much to explore as you feel more ready.

Maxine Zhou, MD

Staff Psychiatrist

Dr. Zhou is a board-certified psychiatrist who has more than 4 years of experience practicing in various clinical settings with an emphasis on mental health care in outpatient settings. She practices a holistic approach to developing an individualized plan to work toward a patient's goals. Dr. Zhou is experienced in treating depression, bipolar spectrum disorders, obsessive-compulsive disorders, post-traumatic stress disorder, generalized anxiety, and other related psychiatric disorders. Dr. Zhou received her medical degree from Texas Tech University Health Sciences Center School of Medicine and completed her adult psychiatry residency training at LSU Health Shreveport. Dr. Zhou's background and experiences have broadened her understanding of cultural stigmas and the relationship it plays in psychiatric care. She incorporates a multitude of treatment modalities such as supportive therapy, cognitive behavioral therapy, and mindfulness practices as an adjunct to pharmacotherapy. Dr. Zhou recognizes the value of a multifaceted approach to wellbeing and may recommend treatment modalities that are complementary to medication management.

Cheryl Dasler, MD

Staff Psychiatrist

Dr. Cheryl Dasler is a double board certified psychiatrist in General Psychiatry and Child and Adolescent Psychiatry. Following completion of her training, she spent the next 10 years fulfilling her passion for indigent care of children, working in a community mental health center. She went on to complete additional training in Functional Medicine, with the goal of offering patients greater insight into the physical factors contributing to their symptoms. She has also trained in Mindfulness Based Stress Reduction, and encourages mindfulness as a healing technique along with medication management. Over the following 10 years, Dr. Dasler treated a broad range of patients in a private practice setting, including children and adults. She is passionate about treating ADHD, and utilizes medications plus skill building in her sessions to help her patients maximize their potential. Her extensive experience also includes treating mood disorders, anxiety disorders, PTSD, and OCD. She believes in a mind-body interconnection, and strives to address both aspects to provide truly holistic care. Patients looking for a psychiatrist will find Dr. Dasler is a warm, compassionate provider who genuinely listens. She works in partnership with patients to find a treatment plan that will be effective, while also being sensitive to financial or insurance coverage factors that may impact care.

Jenny Joseph, MD

Staff Psychiatrist

Background and credentials

Dr. Jenny Joseph is a board-certified adult psychiatrist. She earned her medical degree from St. George's University School of Medicine and completed her adult psychiatry residency at New York Medical College at Metropolitan Hospital Center. She has experience working with diverse patient populations and treating a range of psychiatric conditions.

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Treatment approach

Dr. Joseph specializes in medication management for various psychiatric conditions, including mood, anxiety, and psychotic disorders. She employs a patient-centered approach that emphasizes empathy, open communication, and collaboration. In addition to pharmacological treatment, she incorporates psychoeducation and supportive therapy to help patients better understand and manage their conditions. When beneficial, she may recommend additional therapy and coordinate care with a therapist to ensure comprehensive treatment.

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What you can expect in a first visit

During the first visit, patients can expect a thorough evaluation that explores their symptoms, treatment history, and personal goals. Dr. Joseph takes the time to listen and understand each patient's needs, ensuring that their treatment plan is tailored to their specific concerns. She provides a compassionate and structured approach to medication management while fostering a collaborative environment where patients feel supported in their mental health journey.

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Why Talkiatry?

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Kevin DiCesare, MD

Staff Psychiatrist

*THIS PROVIDER CANNOT PRESCRIBE CONTROLLED SUBSTANCES FOR NH PATIENTS* Dr. Kevin DiCesare is a board-certified psychiatrist who treats adults. He received his undergraduate degree at Harvard University, his medical degree at the University of Massachusetts Medical School, and then went on to train at Maine Medical Center for his psychiatric residency. He has 22 years of expertise in diagnosing and treating psychiatric conditions, including depression, anxiety, Bipolar spectrum disorders, adjustment problems, and other disorders. He is well versed in psychopharmacological interventions, but is a proponent of patients also seeing a therapist whenever appropriate. He prides himself on collaboratively arriving at treatment decisions with his patients and taking the time to listen to their concerns and answer their questions. Dr. DiCesare has worked in various settings, including community mental health centers and large hospital systems, with experience in inpatient, outpatient, and consultative roles. Prior to joining Talkiatry, he most recently served as an attending psychiatrist on the staff of Southern New Hampshire Health System, where he provided consultative care to referrals made from primary care providers and various specialists.

Roshni Panchal, MD

Education and training

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