Samuel Russell, MD

Amanda Rivera, PMHNP, is a board-certified Psychiatric Mental Health Nurse Practitioner through the lifespan, certified by the ANCC in 2020. She earned a Bachelor of Science in Psychology with a biology minor from Clarkson University, followed by a Bachelor of Science in Nursing and a Master of Science in Nursing from St. John Fisher College. Amanda has over 15 years of experience in mental health, beginning in 2010 as a Therapy Aide at Rochester Psychiatric Center. She has practiced across inpatient hospitals, state psychiatric facilities, outpatient community clinics, correctional settings, group homes, and telehealth/private practice. She works with patients ages 16 and older and is highly experienced in trauma, mood and anxiety disorders, ADHD, autism, psychotic and personality disorders, substance use, and parenting challenges. She values working with families to strengthen the family unit.

Amanda values open communication and collaborates with patients to establish clear, meaningful treatment goals. She provides a warm, supportive environment where patients feel heard, respected, and empowered to take ownership of their mental wellness. Treatment is individualized, with medication decisions guided by a careful balance of safety and symptom relief. Appointments are conversational in nature, allowing care to be more personalized as patients share openly.

Amanda begins each visit by ensuring privacy and safety, then explores the concerns prompting care before gathering a biopsychosocial history through collaborative discussion. She provides education throughout sessions to help patients understand diagnoses and lived experiences. Medication options are discussed based on comfort level and clinical need. Follow-ups are scheduled at the end of each visit, with frequency adjusted as stability is achieved.

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Dr. Matthew Hamilton is a psychiatrist who works with adults at all stages of life in improving mental health. He emphasizes a holistic approach in collaboration with patients to help them identify and achieve their goals. He has experience helping adults from a diversity of backgrounds with depression, anxiety, bipolar disorder, PTSD, panic, OCD, ADHD, substance use and autism spectrum disorder. He offers one-hour initial consultation appointments, as well as 20 to 30 minutes for follow-up visits. Dr. Hamilton received his undergraduate education at the University of Texas at Austin, his medical degree at Texas Tech University Health and Sciences Center, and completed his residency training at the University of Texas Medical Branch. During training he worked primarily with adults in local clinics and acute care hospitals in the greater Houston area. He was honored with an award for his accomplishments in psychotherapy during his senior year of residency. Dr. Hamilton offers his expertise in both medication management and psychotherapy in his practice, including cognitive, behavioral, motivational, and supportive therapies. He will collaborate with your therapist when you are working with one and may offer a referral to a specialist therapist if indicated.

Dr. Coy Bolton was born and raised in South Texas, and was a teacher before becoming a physician. He completed medical school training and residency at Texas Tech Health Sciences Center in Lubbock, TX. Dr. Bolton has wanted to be a Psychiatrist for as long as he could remember. He will do his best to thoroughly and carefully work with his patients to determine the most accurate Psychiatric diagnosis/diagnoses possible.

While working together, Dr. Bolton may ask sensitive questions, but will do so in a nonjudgmental way with the only goal of helping his patients. He will also work in psychotherapy techniques during the sessions together. Dr. Bolton takes a holistic approach when working with patients, that focuses on multiple aspects of their lives.

Dr. Bolton prides himself on creating a safe and nonjudgmental space where the focus is simply on helping patients. He strives to work collaboratively with his patients, to ensure that he and the patient are both on the same page when it comes to their mental healthcare.

Dr. Iris Guerrero Urena is double board-certified in psychiatry and consultation-liaison psychiatry. She received her medical degree from Universidad Iberoamericana in the Dominican Republic and went on to complete psychiatric residency at Lincoln Hospital in New York City. Dr. Guerrero then completed a consultation liaison fellowship at Morningside and West Mount Sinai Hospital in New York, further acquiring proficiency in caring for patients with complex medical and psychiatric comorbidities. After completing training, Dr. Guerrero worked in an acute inpatient unit and as a psychiatric consultant for patients admitted to medical units in Oregon. Dr. Guerrero Urena focuses on medication management while also implementing elements of supportive, dialectical behavioral, and cognitive behavioral therapy within each session to fully address individual needs. At times, Dr. Guerrero Urena may recommend a therapist for additional therapy. Dr. Guerrero Urena is experienced in treating a wide range of psychiatric conditions including depression, bipolar disorder, anxiety, PTSD, OCD.

Dr. Travis Downey has experience in outpatient and medical hospital settings, providing care for patients with co-occurring medical conditions. He earned his undergraduate degree in Cell Biology and Neuroscience from Rutgers University, his DO from Rowan School of Osteopathic Medicine, and completed psychiatry residency at Rutgers – Robert Wood Johnson. Dr. Downey enjoys teaching and has received the Excellence in Medical Education Award from Sidney Kimmel Medical College.

Dr. Downey creates a warm, supportive environment where patients feel heard and respected. He is highly collaborative, offering treatment options rather than a single path, and values inclusivity, working with patients from diverse backgrounds. His experience spans diagnoses such as depression, bipolar disorder, OCD, anxiety, trauma, and ADHD, among others.

Dr. Downey begins with a comprehensive psychiatric evaluation, considering past treatments, family history, social and cultural context, and unique patient factors. He prioritizes understanding each individual, developing accurate diagnoses, and creating treatment plans that align with patient goals. Follow-up appointments integrate therapeutic interventions alongside medication management, ensuring thoughtful, ongoing care.

Dr. Krishna Divadeenam is a staff psychiatrist at Talkiatry. He trained in New York and earned his medical degree from Albany Medical College in 1997.  He finished his internship at Vanderbilt Medical Center and completed his psychiatric residency at the University of Kansas Medical Center in 2000. During his residency, he served as Chief Resident at the Kansas City VA Medical Center (KCVA).  His initial post-residency focus was with patients with serious and persistent mental illness (SPMI) when he worked at the Johnson County Mental Health Center.  He has served as a adjunct professor at the University of Kansas providing clinical supervision to residents and yearly lectures on Bipolar disorder, Tourette’s and Obsessive compulsive disorder for over 20 years.  He worked at Midwest Psychiatric associates in an outpatient private practice for nearly 3 years before returning to the KCVA.  There he oversaw care for combat veterans as a clinical psychiatrist and the supervisor for the PTSD Specialty outpatient clinic.  After 5 years he transitioned to the inpatient unit as the inpatient supervisor and one of the attending physicians of the acute inpatient psychiatric unit.  In addition, he served as the University of Kansas Site director for their psychiatric residency program.  

Dr. Divadeenam 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 mood disorders, anxiety disorders (including OCD), ADHD, and PTSD.

In a first visit, patients can expect a thorough evaluation, where Dr. Divadeenam 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.