Siera Kirkland, MD

Dr. Richard Rise has created a successful career as a psychiatrist over the past 30 years. He has participated in a variety of treatment settings and has developed a wealth of experience at both prescribing medications, providing therapy, counseling, and even coaching. He takes an individual approach to treating others, recognizing individuals as unique and worthy of love, respect, and acceptance. He is compassionate, non-judgmental, and truly enjoys helping others. He tends to gravitate towards a combination of medication management (if indicated) and psychotherapy where he treats all facets of the individual. Dr. Rise believes that we are all unique and should be treated as such. He spent most of his career in private practice until deciding to retire in 2014. After this he spent the next 3 1/2 years, reading, studying, traveling, and spending time with his loved ones. In 2018 he was offered a position as a consultant overseeing Ketamine infusion therapy for treating treatment-resistant depression. When the pandemic hit in March of 2020, Dr. Rise was asked to assist a local psychiatric hospital deal with the unique and often deadly consequences of the virus. This proved to be a wonderful opportunity for personal growth and to improve the quality of life of many others. After working at the hospital for the 2 years, Dr. Rise joined Talkiatry to continue providing high-quality psychiatric care to others in a very loving, supportive, creative, and collaborative environment.

Valene, pronounced (Val-leen), is a Licensed Mental Health Counselor who has worked in the mental health field for 7 years. During this time, she has worked with clients from various backgrounds and cultures with a variety of mental health conditions. Valene's experience ranges from an inpatient psychiatric facility to private practice to telehealth. Valene attended the University of South Florida for her undergraduate degree in Psychology and Florida International University for her graduate degree in Mental Health Counseling.‍Valene believes each therapeutic interaction should be individualized and client-centered, thus she uses an eclectic therapy approach. An eclectic approach means assisting clients by drawing from various therapeutic approaches and techniques, thus tailoring treatment to each client's needs. Valene considers the therapeutic relationship to be extremely important and strives to be a collaborative, empathetic, non-judgmental, person-centered therapist. Valene's professional interests include working with young adults, Caribbean Americans, and the BIPOC community. Within mental health she enjoys working with anxiety, depression, women's issues, adjustment disorders, and relationship issues, just to name a few.

Background and credentials  

Dr. Alexandra Baluna, MD, is board-certified by the American Board of  Psychiatry and Neurology. She received her medical degree from  LSUHC-Shreveport and completed her psychiatry residency training at  Montefiore/Albert-Einstein College of Medicine, where she served as chief of  the Consultation-Liaison (C/L) service. Following residency, Dr. Baluna  served as Senior Chief, during which she was honored with the Leo M. Davidoff  Award for Outstanding Achievement in the Teaching of Medical Students. Her  professional experiences include roles at Fordham University, Albert Einstein  Student Mental Health Counseling Center, and most recently, as an outpatient  psychiatrist at Maimonides Medical Center, where she enjoyed teaching and  supervising residents.  

Treatment approach  

Dr. Baluna emphasizes creating a warm, empathic, and nonjudgmental  therapeutic environment. She collaborates closely with patients to develop  personalized treatment plans that consider cultural, biological,  psychological, and social factors. With a strong interest in psychotherapy,  she frequently employs ego-supportive and insight-oriented therapy techniques  during follow-up sessions.  

What you can expect in a first visit    

During an initial visit, patients can expect a welcoming and supportive  atmosphere where Dr. Baluna conducts a comprehensive assessment. This  involves exploring the patient's history, current challenges, and individual  circumstances. The goal of the first session is to collaboratively build an  individualized treatment plan tailored specifically to the patient's unique  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 speciualize in  medication management and collaborate with you on a treatment plan that fits  your needs and comfort level.

Dr. Leslie Chavez is a board-certified adult psychiatrist with a diverse background in clinical and academic medicine. She completed her medical school and residency at the University of New Mexico, where she later served as a psychiatrist and assistant professor, treating high-need patients and teaching residents and medical students. During the pandemic, she transitioned to telehealth and has been dedicated to this field for the past four years. Dr. Chavez is known for making her patients feel seen and heard, using both medication management and supportive psychotherapy. Dr. Chavez began her academic journey as a physics major at UNM and then studied biophysics at the University of San Diego, California. During her postdoctoral fellowship at Los Alamos National Laboratories, she was inspired by presentations about professionals working with patients in African countries, which sparked her interest in medicine. During this time, her father died of cancer, and she saw the impact of mental health therapy on his quality of life, further solidifying her motivation to attend medical school. Witnessing the profound impact of mental health on her patients and family, she specialized in psychiatry. Dr. Chavez is a seasoned psychopharmacologist and emphasizes the importance of nutrition, exercise, and community in mental health. She enjoys all aspects of medicine and combines her extensive knowledge with a patient-centered approach.

Dr. Ankila S. Chandran is a board certified general psychiatrist at Talkiatry with over 20 years of experience treating a diverse population of patients. After graduating with her doctorate in Communication Theory and Research from the University of Southern California she attended the Touro University College of Osteopathic Medicine in Northern California and then completed her residency in Psychiatry at the University of Medicine and Dentistry of New Jersey and became board certified by the American Osteopathic Board of Neurology and Psychiatry in 2006. Dr. Chandran has spent the past 20 years fulfilling her passion for practicing integrated and holistic care for adults suffering from mental illness. Her years of experience include working as a Clinical Psychiatrist and Assistant Professor at Rowan University School of Osteopathic Medicine, being an examiner for the oral boards for psychiatrists seeking board certification, engaging in longer term inpatient treatment for chronically ill patients and facilitating consultation-liaison psychiatry with other medical specialties as well as practicing general outpatient psychiatry. Dr. Chandran has an informal and approachable style when treating individuals who suffer from a variety of complex diagnoses, she explains conditions well and helps educate her patients about how to be actively engaged in living their best lives. Concurrent with medication management, Dr. Chandran provides supportive psychotherapy and she has psychodynamic therapy skills that help address the root causes of her patients' distress. If Dr. Chandran feels you would benefit from working separately with a weekly to every other week therapist in conjunction with getting medication management, she welcomes collaboration with your therapist to achieve optimal results. Dr. Chandran strives to empower her patients in advocating for themselves and in achieving an optimal integration of their mental and physical health.

Frank Miller is a Licensed Professional Counselor with years of experience in a variety of mental health settings. Frank has worked in hospitals, community mental health care, a treatment center for clients struggling with co-occurring mental health and substance use disorders, as well as providing individual outpatient therapy to a wide variety of clients.

Frank attended graduate school at Midwestern State University in Wichita Falls, TX, while working in the mental health field, earning a Masters degree in their Clinical Mental Health Counseling Program in 2019. Frank has provided individualized, client-focused therapy for adults and adolescents since that time, helping others to find purpose and meaning in their lives.

Frank utilizes a combination of Cognitive Behavioral Therapy, Dialectical Behavior Therapy, and Reality Therapy, depending on the client’s needs. Frank believes that we can all benefit from eliminating distorted thinking leading to negativity and self-defeat, and becoming more emotionally regulated, stress tolerant, and mindful, putting us back into the driver’s seat of our daily lives. We may then achieve the freedom to positively fulfill our needs, pursue our goals, and feel confident in our journey towards balance and peace of mind.