Thomas P. Crane, MD

Dr. Ayanna Swinton Jamison is a board-certified psychiatrist with over 18 years of experience in general, as well as child and adolescent psychiatry. She has extensive experience in counseling, and medication management. Dr. Jamison is committed to educating her patients about their illness and providing personalized care for each patient. Dr. Jamison received her undergraduate degree from Jackson State University. She graduated from Saint Louis University Medical School and completed her residency training in general psychiatry and child and adolescent psychiatry at the University of South Carolina. Dr. Jamison is a proud mom of four who enjoys spending time with her family, and attending her kids' sports events.

Dr. Carter chose the field of psychiatry with the goal of empowering her patients and equipping them with the skills and tools to improve their mental health. She strives to create a safe, nonjudgmental space where patients feel heard and supported. She strives to destigmatize mental illness and normalize seeking help when struggling. Her passion for psychiatry stems from a deep interest in connecting with people and understanding their unique stories.

Dr. Carter believes the patient-physician relationship should be a partnership, built on trust, empathy, and shared goals. She encourages honesty, collaboration, and open communication, and believes there are no wrong questions, and your voice matters. She encourages questions and feedback and tailors care to each person’s goals, comfort level, and pace.

Dr. Carter wants to get to know the whole person, not just their symptoms. Together, she works with patients to create a personalized and thoughtful treatment plan that may include therapy, lifestyle support, and/or medication, always with room to adjust based on your evolving needs and preferences.

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Background and credentials

Dr. Jessica Matthews is a board-certified general psychiatrist. She earned her medical degree from the University of Texas Health Science Center at San Antonio and completed her psychiatry residency at Tripler Army Medical Center in Honolulu, HI. After her training, she was stationed at Fort Hood, TX, where she worked as a staff physician in the inpatient unit at Carl R. Darnall Army Medical Center and later became the inpatient medical director. She subsequently transitioned to outpatient care, serving as a staff physician and later as clinic chief in the outpatient embedded behavioral health clinics. She continued working as a staff physician after leaving the military.

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Treatment approach

Dr. Matthews specializes in medication management, often incorporating supportive and cognitive-behavioral-focused therapy into treatment. Follow-up visits typically last 30 minutes, during which she evaluates progress and adjusts treatment as needed. She takes a collaborative approach and may recommend additional therapy when she believes it will optimize patient outcomes. Her primary areas of focus include treating adults with depression, anxiety, and stress/trauma-related disorders.

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What you can expect in a first visit

During the first visit, patients can expect a comprehensive evaluation where Dr. Matthews takes the time to understand their symptoms, history, and treatment goals. She prioritizes a structured yet patient-centered approach, discussing medication management options while considering therapeutic interventions tailored to individual needs. If necessary, she may recommend additional therapy as part of a well-rounded treatment plan.

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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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Dr. Alicia Garcete is a board-certified child, adolescent, and adult psychiatrist in practice for over 12 years. Her practice focuses on medication management, recognizing  family involvement is extremely important and is an integral part of treatment. Dr Garcete has treated a wide variety of patients. Her primary focus is treating depression, anxiety disorders, ADHD, PTSD and OCD. Additionally, she can provide supportive therapy and elements of cognitive-behavioral therapy but on occasions more therapy support may be needed, and the recommendation to bring a psychotherapist on the care team may occur to provide an optimal outcome. Dr. Garcete is bilingual and provides care in both Spanish and English.

Prior to Talkiatry, Dr Garcete treated children, adolescents, and adults was at the intensive outpatient and partial hospitalization levels of care with focus on behavioral approaches in the Depression recovery and Anxiety/OCD programs.

Dr. Garcete earned her Medical Degree from the Universidad Nacional de Asuncion, Facultad de Ciencias Medicas in Paraguay. She completed her general psychiatrist residency at Maimonides Medical Center in New York. She was also a Fellow in Psychoanalysis at the Psychoanalytic Institute, Affiliate to New York University School of Medicine, and completed her child and adolescent psychiatrist fellowship at Elmhurst Hospital Center, affiliate to Mount Sinai Hospital. Dr. Garcete also held a clinical assistant professor appointment from the department of psychiatry at SUNY Downstate Medical Center.

Dr. Rayal Gorrepati is double board certified in both adult and geriatric psychiatry. He has been practicing for over 12 years. Dr. Gorrepati's practice focuses on medication management. Typically, he offers this in conjunction with supportive psychotherapy in 30-minute follow-up visits. However, occasionally Dr. Gorrepati may believe that additional therapy is also needed and ask that you bring a therapist into your care team to provide the best possible outcome. He received his medical degree from the American University of the Caribbean School of Medicine. His general psychiatry residency was completed at Cooper University Hospital in New Jersey. He then completed a Geriatric Psychiatry Fellowship at the University of Hawaii. After completing training, he returned to his hometown of Chicago and began working at a Federally Qualified Health Center providing care to an underserved low-income population for nearly 12 years. While at the clinic, he treated a wide range of diagnoses, the most common ones being depression, anxiety, bipolar disorder, etc. His primary clinical focus is treating adults with depression, anxiety, and bipolar disorder.

Dr. Komal Shah, M.D. is double board certified in adult & geriatric psychiatry. She did her residency at Nassau University Medical Center, New York & then did fellowship in geriatric psychiatry at LIJ-Albert Einstein school, New York. She has been practicing psychiatry for over 25 years.  

Dr. Shah has extensive experience in evaluating & managing a variety of psychiatric disorders such as mood disorders, anxiety disorders, psychotic disorders, dementia, etc. She held an academic position as a clinical assistant professor at Rutgers-UBHC for several years. Dr. Shah has worked in various clinical settings including inpatient, outpatient clinics, partial hospital programs, nursing homes, thus serving vast variety of patient populations. She has also volunteered her services at NAMI (National Alliance for mental illness)-SAMHAJ to create & promote awareness of mental health issues in the community. All this makes her a very well experienced & efficient psychiatrist.  

Dr. Komal Shah believes in creating a strong therapeutic alliance first with her patients based on mutual trust & honesty. Her primary modality of treatment is medication management, but she may also provide supportive psychotherapy and education, practicing evidence-based medicine. Dr. Shah likes to collaborate patient care with their medical providers and/or therapist.

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