Thomas Spina, MD

Dr. Patricia Klaine is an attending physician working at Talkiatry. She is board certified in adult psychiatry. After completing her training in adult psychiatry, she continued her education by completing a fellowship in consultation-liaison psychiatry, which enables her to treat patients with a variety of medical comorbidities confidently. Dr. Klaine focuses on medication management. She offers this in addition to supportive psychotherapy in 30-minute follow up visits. For some patients, it may be important to bring in additional psychotherapy for well-rounded care. Dr. Klaine received her medical degree from St. George's University in Grenada, and after that, she completed her training in general adult psychiatry at Maimonides Medical Center in Brooklyn, New York. She went on to complete a fellowship in consultation-liaison psychiatry at Mount Sinai Hospital in New York. After completing her training, she worked on an inpatient psychiatric unit before deciding to transition into outpatient psychiatric care. She looks forward to a collaborative relationship with her patients.

Dr. Karla Garcia is a board-certified psychiatrist trained in Adult Psychiatry. She graduated from the University of Notre Dame with a Bachelor of Science and a Master of Education. She then went on to complete her medical education and residency training at the University of Chicago. She is board certified in Adult Psychiatry by the American Board of Psychiatry and Neurology.

Dr. Garcia believes in patient-centered care, seeking to care for the whole person.  She values the therapeutic relationship, working to guide patients in their treatment while also encouraging patients to take an active role in their care. Dr. Garcia cares about getting to know you as a person and helping you reconnect with your values. Her clinical approach is holistic, collaborative, and supportive.

Dr. Garcia focuses on evidence-based treatments for psychiatric illness that utilize a combination of medications and psychotherapy. Using a range of skills and interventions, Dr. Garcia believes in a multi-faceted approach to treatment.

Dr. Garcia has experience working in a wide variety of inpatient, emergency, partial hospitalization, intensive outpatient, and outpatient psychiatric settings and in treating a broad spectrum of psychiatric disorders including depression, anxiety, bipolar disorder, trauma, substance use disorders, personality disorders, ADHD, and OCD. She treats patients in English and Spanish.

Dr. Jenna Hartman is double board certified in General Psychiatry and Addiction Psychiatry. Dr. Hartman graduated from Tufts University before completing medical school at New York Institute of Technology College of Osteopathic Medicine. She then completed residency at Maimonides Medical Center, where she was a Chief Resident, and then pursued an addiction psychiatry fellowship at Mount Sinai Beth Israel. Dr. Hartman was also trained in psychodynamic psychotherapy by the Psychoanalytic Association of NY. Following her training, Dr. Hartman returned to Maimonides Medical Center, where she worked as an attending adult outpatient clinic, treating patients from many different backgrounds with a wide array of diagnoses. She holds a special interest in treating mood disorders, anxiety disorders, and OCD. Dr. Hartman uses a compassionate and thoughtful approach in order to form a collaborative partnership with her patients. She believes in treating the person as a whole and tailoring treatments to each individual's specific needs. Dr. Hartman works with patients in 30 30-minute follow up sessions, where in addition to medication management she provides supportive and at times psychodynamic therapeutic techniques.

Dr. Illise Perlmutter is the Director of Child and Adolescent Psychiatry at Talkiatry. She is double board-certified in child and adolescent psychiatry and adult psychiatry. Before joining Talkiatry, Dr. Perlmutter was the Chair of Behavioral Health and Addiction Services at Bergen New Bridge Medical Center. Prior to Bergen New Bridge, she was the Director of Inpatient Psychiatry at Montefiore Medical Center-Wakefield, in New York. Over 35 years, Dr. Perlmutter has held numerous leadership roles with some of the largest hospital systems in the New York Metro Area. Dr. Perlmutter is a Distinguished Life Fellow of the American Psychiatric Association, a Fellow of the American College of Psychiatrists, and a Distinguished Fellow of the American Academy of Child and Adolescent Psychiatry. She has received awards for her contributions both locally and nationally. Dr. Perlmutter was included in Castle Connolly's "America's Top Doctors” list from 2006-2011 and 2017, as well as "Best Doctors in America” from 2009- 2012. Dr. Perlmutter received her MD from George Washington University School of Medicine and Health Sciences. After an internship in pediatrics, she completed a residency in Psychiatry at Mt. Sinai Medical Center followed by a fellowship in Child and Adolescent Psychiatry at Columbia University/New York State Psychiatric Institute. Dr. Perlmutter has held leadership roles in several academic institutions and is a Clinical Associate Professor of Psychiatry and Behavioral Science at George Washington University School of Medicine and Health Sciences in Washington, D.C. Dr. Perlmutter has authored numerous publications and research articles and has lectured and presented extensively on clinical, epidemiologic, and psychopharmacologic issues in child and adolescent psychiatry. She has made frequent media appearances addressing topical issues in disaster psychiatry during the course of her work in disaster psychiatry outreach.

Dr. Michael Miller earned his medical degree with honors and completed his residency in Adult Psychiatry at the University of Kentucky College of Medicine. He has worked across a wide range of clinical settings, including inpatient, outpatient, community clinics, and state hospitals. Dr. Miller is also trained in multiple psychotherapy modalities, equipping him to meet diverse patient needs.

Dr. Miller values creating a safe and nonjudgmental space where patients can speak openly about their experiences and goals. He believes in a collaborative approach, working with patients to discover strategies that best suit their lives. He also takes into account lifestyle factors that may influence mental health, supporting a well-rounded and sustainable path to wellness.

Dr. Miller begins care with a comprehensive conversation about current concerns, past mental health, physical health, and life experiences. From there, he works with patients to create a personalized treatment plan—whether through therapy, medication, lifestyle adjustments, or a combination. Follow-ups focus on refining the plan to ensure it continues to support the patient’s journey.

Dr. Angela Durham is a licensed psychiatrist with over 15 years of experience providing compassionate care in both outpatient and telehealth settings. She has a strong background in treating a wide range of mental health conditions, including mood disorders, anxiety disorders, and ADHD. Dr. Durham earned her medical degree from the University of Louisville and completed her psychiatry residency at the University of Kentucky. She maintains an active medical license and DEA registration.

Dr. Durham creates a supportive, nonjudgmental environment where patients feel comfortable sharing their experiences. She values collaboration and open communication throughout the treatment process, focusing on empowering individuals with education and tools to better manage their mental health. Her approach emphasizes tailoring care to each person’s unique needs and goals to promote long-term wellness.

Dr. Durham begins each therapeutic relationship with a thorough assessment of the patient’s history, symptoms, and goals. She works collaboratively to develop an individualized treatment plan that may include medication management, lifestyle strategies, and coordination with therapists or other healthcare providers. Dr. Durham regularly reviews progress, adjusts treatment plans as needed, and encourages patients to take an active role in their care and decision-making.