Tamara McKlveen, LMHC

Amanda Favretto is a Licensed Mental Health Counselor who holds certificates as a Nationally Certified Counselor as well as a Certified Clinical Trauma Professional. Working with military service members and faith-based counseling are two of Amanda's passions. Amanda has worked in both inpatient and outpatient settings with individuals struggling with concerns such as low-self esteem, adjustment, anxiety, depression, PTSD, and relationship and communication issues, utilizing such treatment modalities as Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), EMDR, as well as others. Amanda believes in the importance of meeting each individual where they are at, focusing on all aspects of a person: heart, mind, body, and spirit. It has been Amanda's experience that focusing on each layer leads to long-lasting, deeper healing and growth. Believing that each person has it in them to heal and grow, Amanda considers it a unique privilege to assist people on that journey. At each individual's pace, striving to promote a comfortable environment, Amanda will gently encourage deeper self-reflection, mindfulness, challenging oneself, and skill-building. She would like you to feel free to reach out to set up an appointment and answer any questions you may have.

Dr. Thomas Spina is an adult psychiatrist who began his practice at Talkiatry after completing his psychiatry residency at the Eastern Long Island branch of Stony Brook University, where he treated a diverse patient population. Dr. Spina received his undergraduate degree from St. John's University in Queens where he studied Philosophy. Initially interested in a career in law, Dr. Spina decided to change gears and pursue a career in medicine after watching a relative struggle with her diagnosis of Diabetes Mellitus. Dr. Spina then completed medical school at Tel Aviv University in Israel, where he fell in love with psychiatry during his clerkship at Ichilov medical center. During that rotation, he came to appreciate how each patient has his or her own unique story, regardless of their diagnosis. Dr. Spina favors a holistic and integrative approach to psychiatry, combining medication management with supportive therapy, elements of cognitive behavioral therapy, while remaining open to other treatment modalities depending on the needs of his patients. When more focused therapy is indicated, Dr. Spina may recommend that his patient work with a provider specializing in a particular modality of therapy as part of their treatment. Dr. Spina treats adult patients with mood disorders including major depressive disorder and bipolar disorder, anxiety spectrum disorders, OCD, PTSD and specific phobias. In his spare time, Dr. Spina enjoys a variety of hobbies, including Brazilian Jiu-Jitsu, running, baseball, and exploring new eateries and shops.

Dr. Vargas is an adult psychiatrist who received her medical degree from the University of Texas Health Science Center of San Antonio. She subsequently completed her psychiatry residency training at UT Health San Antonio.

Dr. Vargas has a patient-centered and thorough approach to treatment. She has experience treating a broad spectrum of mental health disorders, with particular interest in depression, anxiety, and post-traumatic stress disorder. She has also worked in clinic with severely mentally ill patients at the South Texas VA in San Antonio.

Dr. Vargas's primary focus is medication management with an emphasis on shared decision-making; however, she frequently also utilizes supportive therapy, cognitive behavioral therapy, and psychodynamic therapy principles in her approach. She may refer patients to a therapist if further support would be beneficial.

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Dr. Bartek holds the position of Staff Psychiatrist at Talkiatry. She is board-certified in General Psychiatry, Pediatrics, and Child and Adolescent Psychiatry. She has been caring for children and adolescents as a physician for more than 15 years. Dr. Bartek's approach is holistic, collaborative, supportive, and patient-centered. Dr. Bartek draws on her years as a pediatrician working with families and children in her work as a psychiatrist. Dr. Bartek incorporates therapeutic techniques into medication management visits, but she may also recommend adding a therapist to your care team for the best results. She received her medical degree from the University of Washington School of Medicine in Seattle, WA, before moving to Memphis to complete her residency in Pediatrics at the University of Tennessee Health Sciences Center and Le Bonheur Children's Hospital. She completed her undergraduate studies at Haverford College in Pennsylvania. After completing training, she remained in Memphis and worked in the Le Bonheur Children's Hospital Emergency Department as a pediatrician. She then moved to Nashville to work at the Monroe Carell Jr. Children's Hospital at Vanderbilt in the Emergency Department Fast Track and After-Hours Clinics. Dr. Bartek transitioned to primary care pediatrics at Pediatric Associates of Davidson County for several years before returning to the University of Tennessee Health Science Center in Memphis to complete the Child and Adolescent Psychiatry Post-Pediatric Portal Fellowship program. Dr. Bartek's primary clinical focus is treating children and adolescents.

Dr. Elena Perea is a board-certified psychiatrist.  She completed her undergraduate training at Wake Forest University followed by medical school and residency training at The University of North Carolina at Chapel Hill (UNC).

Dr. Perea holds an adjunct academic appointment at UNC and has been involved in medical education for her entire career.  She most recently served as Residency Program Director for the Mountain Area Health Education Center (MAHEC) psychiatry residency in Asheville, NC.  She remains involved in didactic education there for both residents and medical students.

She has a genuine interest in treating a vast array of psychiatric disorders including depression, anxiety, bipolar disorders, post-traumatic stress disorders and obsessive compulsive and related disorders. She is a skilled psychopharmacologist and interested in the mind-body connection. She believes physical health greatly affects mental health and vice versa and loves helping patients with medical comorbidities to feel well.

Patients looking for a psychiatrist will find that Dr. Perea has a comprehensive approach to diagnosis and management of her patients. She believes in the principle that body and mind are interconnected and utilizes psychoeducation and psychotherapeutic approaches in addition to medications for total wellness.

Dr. Rae Insalaco is a board-certified psychiatrist who completed her residency in 2011 at the University of Rochester, where she served as the chief resident of ambulatory services. During this time, she also received the Richard Carl Albert Jaenike award for outstanding performance in clinical psychiatry. Dr. Insalaco uses the bio-psycho-social model as a blueprint to understanding her patients' challenges. Since residency, she has provided direct patient care in CPEP (Comprehensive Psychiatric Emergency Program) and outpatient, ambulatory clinics, treating a wide range of psychiatric illnesses. She has also served as the collaborating psychiatrist for psychiatric nurse practitioners, psychiatry residents, care managers, social workers, and therapists at a community mental health center affiliated with the University of Rochester. Dr. Insalaco completed medical school at the New York College of Osteopathic Medicine and continues to use the principles of osteopathic medicine in her care of patients. She believes that treating the whole person is important, and not simply treating your individual symptoms in isolation. Dr. Insalaco also examines how your habits of sleep, exercise, and nutrition can contribute to your overall wellness. She believes there are many paths that lead to healing, starting with hearing your story.