Sara Mateo, MD

Diamond Junior received her bachelor’s degree in arts & psychology 2007 & two master’s degrees in science, one in Community Mental Health Counseling and the second one in School Counseling Education, in 2011 and 2018. Diamond Junior now has her License in Mental Health Counseling, her Credentialed Alcoholic & Substance Abuse Counseling Certification-Trainee, and her Permanent Certification in School Counseling. Diamond is also currently in doctoral school for her School Psychology degree. Diamond is a former Alcohol and Substance Abuse Preventive Worker & Treatment and Therapeutic Foster Care Family Specialist. Diamond is now currently, an on-line therapist and has her own Mental Health Counseling Private Practice in Buffalo. Diamond's treatment styles & modalities include Trauma-Informed Therapy, Cognitive-Behavioral Therapy, and Grief Therapy.

When working with Diamond, a new patient should know that she is very down to earth and professionally direct. Diamond practices individualism and treat each patient as their own person. Diamond develops treatment plans with the patient, that tailors to each of their individual needs. Diamond is also the co-founder of an All-girls mentoring & educational program called, "Unique Sisters. Unique Sister was started in 2014 and is owned by my mother, Rhodesia Jackson.

Diamond's typical process when working with patients is to first establish a therapeutic rapport by asking open-ended questions. Diamond asks questions such as, "Have you been in therapy before, including as a  child or teen (if the patient is over 18)"? This helps Diamond starting point to build a trusting & individualized relationship with the patient. Diamond's next question would be, "Why did you first enter therapy & we're you diagnosed with any mental health disorders"? Diamond continues to go on and ask if the client is or has been on psychotropic medications and what brings them back to therapy. Diamond gathers all of this information during the first two session and then ask the patient if any skills were built during their therapy journey & if they still utilize the skills. Finally, Diamond would administer the ACE Questionnaire to assess for childhood trauma, if the patient is over 18 years of age.

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Amy Bichsel Pacheco Piña is a compassionate and experienced psychotherapist dedicated to helping individuals navigate the complexities of life with resilience and confidence. Amy holds a Master's in Social Work from the University of Nebraska-Omaha in 2008 and is licensed as a Licensed Clinical Social Worker (LCSW). With 16 years of experience in the mental health field, Amy specializes in anxiety, depression, trauma (including Narcissistic Abuse), and grief. Amy prides herself on creating a non-judgmental and healing environment that allows for self-discovery and assists clients in identifying their authentic selves. She has experience in many methods and techniques, ensuring that her approach integrates evidence-based practices with experiential techniques which are tailored to each client's unique needs to allow for nervous system regulation and a sense of safety within themselves. She believes in fostering a collaborative therapeutic relationship where clients feel empowered to set and achieve meaningful goals. From a holistic perspective, Amy incorporates techniques such as identifying strengths, mindfulness, polyvagal techniques, challenging core belief systems, early childhood, and attachment types to heal the mind, body, and spirit. When not working with clients, Amy enjoys being outdoors, reading, and spending time with her husband, son, and two dogs.

Dr. Brenda Y. Camacho holds the position of Staff Psychiatrist at Talkiatry. She is board-certified in Adult Psychiatry. She has been practicing for over 25 years. While having treated a wide range of adult patients, Dr. Camacho's primary focus is treating adult outpatients with mood or psychotic disorders. Her practice focuses on medication management. Typically, she offers this in conjunction with supportive or insight-oriented therapy in 30-minute follow-up visits. On occasion, Dr. Camacho will believe additional therapy is also needed and asks that you bring a therapist into your care team to provide the best outcome. Dr. Camacho completed her undergraduate studies at Tufts University. She received her medical degree from Temple University School of Medicine in Philadelphia, PA and then continued with Temple for her residency in adult psychiatry. After completing training, Dr. Camacho worked at Cooper Hospital in Camden, NJ as Associate Director of Consultation/Liaison Service and Psychiatry Residency Training and Co-Director of the Neuropsychiatry Clinic. She then began working exclusively in outpatient settings, joined NewPoint Behavioral Health Care, and served as Medical Director before and after their merge with Acenda Integrated Health.

Dr. Alfers is a board-certified psychiatrist specializing in adult psychiatry. He has been practicing for over 11 years. He completed his undergraduate education at Virginia Tech, graduating Cum Laude with degrees in Biology and Chemistry. Following graduation, he attended a research internship at the National Institutes of Health where he received a Post-baccalaureate Intramural Research Training Award. Dr. Alfers completed his medical degree from the Western University of Health Sciences in Pomona, CA. He completed his General Psychiatry Residency at Georgetown University, where he served as Chief Resident. After residency, he entered private practice in McLean, VA. Dr. Alfers takes a comprehensive approach to patient care. He integrates biological, psychological, and environmental factors into treatment planning. He focuses on developing a meaningful therapeutic relationship and providing medication interventions for specific treatment goals. Dr. Alfers provides interpersonal psychotherapy in conjunction with medication management services. Dr. Alfers has a special interest in the treatment of multiple mental health conditions, including depression, anxiety, bipolar disorder, PTSD, ADHD, and OCD. Dr. Alfers treats adults ages 18 to 65 years old. For established patients of Dr. Alfers, please call 917-634-5311 to schedule an appointment and let the care coordinator know you are an established patient.

Dr. Clark is a board-certified adult psychiatrist. She is fellowship-trained in Child and Adolescent Psychiatry and has been in practice for 11 years. She received her medical degree from the Medical University of South Carolina. Dr. Clark then completed her residency training and continued her training in child and adolescent fellowship at the Medical College of Georgia. Dr. Clark works with patients to create an environment where they feel comfortable and supported. She focuses on medication management along with supportive therapy. Normally visits are 30-minute follow-ups that allow time to focus on areas of support needed. If additional therapy is recommended, she will request a therapist be added to your care team to meet all your needs. Dr. Clark has worked in both inpatient and outpatient settings with adult, child, and adolescent populations. She has worked in private practice as well as community mental health, where she worked with reaching under-served communities. Dr Clark has a passion for treating both adult and child and adolescent patients with anxiety and depression.

Background and credentials

Dr. James is a board-certified adult psychiatrist with 32 years of clinical experience. She earned her medical degree from Tufts University, Boston’s affiliated program and completed her residency training at Steward St. Elizabeth Medical Center in Boston, where she initiated the residency program and received the Resident Teaching Award for excellence in teaching. Throughout her career, she has served in various leadership roles, including as Chief of Psychiatry at Pro Medica Healthcare Company.

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Treatment approach

Dr. James specializes in community adult psychiatry and is deeply invested in providing comprehensive care for individuals and families. She has extensive experience working in outpatient, inpatient, consult-liaison, and emergency room settings, allowing her to tailor treatment to diverse patient needs. Her approach prioritizes holistic, patient-centered care, ensuring that each treatment plan aligns with a patient’s specific challenges and goals.

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What you can expect in a first visit

During the first visit, patients can expect a thorough psychiatric evaluation where Dr. James carefully reviews their symptoms, medical history, and treatment objectives. She fosters a compassionate and collaborative environment, ensuring that patients feel supported in their journey toward better mental health. Her extensive experience allows her to provide personalized treatment strategies, which may include medication management and therapeutic interventions tailored to each individual’s needs.

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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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