Sarah Debrey, MD

Avi Adri is a board-certified psychiatric nurse practitioner with a passion for helping others achieve their goals through medication management and psychotherapy. He is trained in cognitive behavioral therapy, psychodynamic therapy, and supportive therapy. Avi has experience supporting individuals with depression, anxiety, OCD, bipolar disorder, PTSD, and ADHD. He is an LGBTQIA+ affirming provider who believes in empowering individuals in their lives.

He earned his Master of Science in Nursing with a specialty in psychiatry from Stony Brook University and a nursing practice degree from Chatham University. Avi is committed to providing evidence-based, compassionate treatment for mental health conditions to enhance quality of life. His previous experience includes two years at Columbia University Medical Center on an inpatient psychiatric unit and four years on the medical consultation-liaison psychiatric team, where he treated patients with a range of acute and chronic medical conditions while providing medication management and psychotherapy. His work at Columbia involved treating a wide spectrum of psychiatric conditions with the goal of achieving symptom remission.

Additionally, Avi has practiced at a private clinic in New York City, focusing on interventional techniques such as TMS and ketamine therapy, alongside medication management and psychotherapy.

Through mindful techniques and compassionate care, Avi is dedicated to the well-being of his clients. He views each person as more than a diagnosis and approaches care through a client-centered, holistic lens.

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Education and training

Stony Brook University (Bachelor of Science)

American University of Integrative Sciences (MD)

Davenport University (MBA)

Bergen New Bridge Medical Center (residency)

University Hospitals Cleveland Medical Center/Case Western Reserve University (fellowship)

Dr. Mohammed Islam is board certified in both General Psychiatry and Child and Adolescent Psychiatry. He completed his undergraduate studies at Stony Brook University and attended medical school at the American University of Integrative Sciences. He completed his psychiatry residency training at Bergen New Bridge Medical Center followed by completion of a fellowship in Child and Adolescent Psychiatry at University Hospitals/Case Western Reserve University where he served as Chief Fellow. Prior to joining Talkiatry, he has trained/worked in a combination of various healthcare systems across New York, New Jersey, Ohio and Kentucky.

Dr. Islam treats patients of various ages- in addition to medication management he is a strong proponent of therapy in various forms. His approach to the treatment of adults and children/adolescents incorporates the impact of various things such as family history of mental health/medical conditions as well as any adverse childhood experiences/trauma. In addition to screening for common conditions such as bipolar disorder, anxiety and depression in all patients, he also emphasizes the importance of screening for conditions that can manifest in childhood (such as ADHD, Autism) as well as first-episode psychosis in young adults.

From the initial visit and onward, Dr. Islam prioritizes a collaborative effort with his patients (and at times their families). In addition to medication adjustments, he emphasizes the importance of optimizing additional tools such as therapy while making appropriate lifestyle changes. During every follow up visit, he takes care to ensure that the current treatment is not hindering his patient’s progress in any way.

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Dr. S. Taylor Williams is a psychiatrist with Talkiatry. She is board-certified in psychiatry and has been practicing over 14 years. Dr. Williams received her MD from the University of Alabama School of Medicine at UAB. She completed her psychiatry residency at the University of Tennessee Health Science Center. Prior to joining Talkiatry, she held an academic appointment at UTHSC as Assistant Professor of Psychiatry and was the Clinical Director of the Memphis Mental Health Institute. She specializes in the treatment of young adults and LGBTQ patients. Her practice focuses on medication management.‍

Cassandra Thomas-Jingles is a dedicated, board-certified Psychiatric Nurse Practitioner with dual certification as a Family Nurse Practitioner. She is deeply passionate about helping others and takes a holistic, evidence-based approach to mental healthcare, empowering patients to live life to their fullest potential.

Her practice focuses on medication management and supportive therapy, offering 30-minute follow-up sessions. When additional therapy is needed, she recommends including a therapist in the care team to ensure the best possible outcomes. With extensive experience in both outpatient and inpatient settings, Cassandra has worked with adults and children facing a wide range of mental health conditions, including ADHD, anxiety, depression, and psychotic disorders. She strongly believes in prioritizing client involvement and fostering interprofessional collaboration.

Your mental health journey is unique, and Cassandra is here to listen with compassion and without judgment. All conversations are confidential, and her goal is to create a safe, welcoming space where you feel comfortable sharing your thoughts and concerns.

During your initial appointment, Cassandra will review your mental health history, current symptoms, lifestyle factors, and any previous treatments to gain a comprehensive understanding of your needs. Together, you will develop a personalized treatment plan that may include therapy, medication, or other supportive strategies. She values shared decision-making, ensuring your input is considered at every step of the process.

If medication is part of your treatment, Cassandra will clearly explain its benefits, potential side effects, and how your progress will be monitored. Adjustments can be made as needed to achieve the best possible outcome.

Healing takes time, and Cassandra is committed to supporting you throughout the process. Follow-up appointments are essential for tracking progress, making necessary adjustments, and ensuring you receive the care you need.

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Dr. Seth Flesher is double board-certified in adult psychiatry and addiction medicine.  Dr. Flesher’s practice focuses on medication management of psychiatric illness without the use of controlled substances.  Typically, he offers this in conjunction with supportive or emotionally focused therapy in 30-minute follow-up visits. However, occasionally Dr. Flesher may believe that additional therapy is also needed and ask that you bring a therapist into your care team to provide the best outcome.

Before joining Talkiatry Dr. Flesher was Medical Director of Advanced Psychiatric Services [complex/high profile cases] at Kings County Hospital and Unit Chief of the Covid19 positive unit.  He was also a clinical professor at Downstate Medical College where he was voted educator of the year numerous times by psychiatric residents and medical students.  Dr. Flesher is a graduate of the prestigious combined 6-year BS/MD program at The Sophie Davis School of Biomedical Education.  He did research at the neuropsychiatric branch of the National Institute of Mental Health, completed his psychiatric residency at St. Lukes/Roosevelt Hospital, and he received his master’s degree in public health from Columbia University.

Dr. Flesher believes that psychiatry should start with a thorough assessment to arrive at an accurate diagnosis.  Then a discussion with the patient of the different evidence-based options available.  Followed by shared decision-making to arrive at an effective treatment plan to achieve the goals that the patient identifies as being important.  This should be done in an honest, open, non-judgmental, but realistic environment.  Understanding that the ultimate goal is to get the patient to a position where they will no longer need medication and/or therapy.

Kenneth Kavanagh is board certified as both a Psychiatric/Mental Health Nurse Practitioner and an Adult Nurse Practitioner.  His career has spanned 30 years with the last 17 years devoted exclusively to psychiatry.  He integrates his knowledge of psychiatry and primary care into evidence-based medication management strategies.  He also possesses a good working knowledge of alternative treatments and integrating alternative treatments into more traditional approaches.  When needed to enhance patient care outcomes, he frequently works collaboratively with psychotherapists, primary care providers, and/or medical specialists.  

Kenneth currently focuses on managing depressive disorders, anxiety disorders, adjustment disorders, ADHD, somatic disorders, OCD, and bipolar disorders.  Kenneth has significant experience in working with diverse groups, including urban and rural populations across socioeconomic spectrums, professionals and college students on all levels, members of the LGBTQ community, individuals confronting life stage transitions, and people living with chronic medical conditions.  

Kenneth’s psychotherapeutic methods are diverse and evolve to meet collaboratively developed treatment goals.  Kenneth’s interaction style is always empathic and respectful but can range from comforting and supportive to more directive and therapeutically confrontational strategies to maximize treatment goals, often with significant doses of humor throughout the therapeutic relationship.