Thomas Spina, MD

Dr. Alexandre is a board-certified psychiatrist who completed his psychiatry training both in Brazil and in the United States, where he served as Chief Resident in both programs. He is fluent in both English and Portuguese and is especially attuned to the unique challenges faced by international and immigrant populations. Dr. Alexandre is passionate about helping patients achieve meaningful and sustained improvements in their mental health.

He brings over a decade of experience in mental health care and has a strong foundation in evidence-based treatment. His clinical interests include mood and anxiety disorders, ADHD, and cross-cultural psychiatry.

Dr. Alexandre incorporates a collaborative and compassionate approach to care, combining medication management with elements of cognitive behavioral therapy, behavioral activation, and interpersonal strategies when appropriate.

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Dr. Cash attended Wright State University Boonshoft School of Medicine, where she developed a strong foundation in medicine and a passion for psychiatry. She completed her residency at Wright State University, honing her skills in understanding and treating mental health conditions.

Dr. Cash has worked in various outpatient settings, treating patients with mental health disorders including depression, anxiety, PTSD, ADHD, and mood disorders. She is board-certified in general psychiatry and addiction medicine, and believes in a holistic approach to care. Dr. Cash is committed to helping patients navigate their mental health journeys and to providing compassionate, personalized care.

Dr. Cash works closely with patients to develop treatment plans that combine medication, lifestyle changes, and psychotherapeutic strategies to address their unique needs.

Maegan Roberts, PMHNP, earned her MSN from Indiana University School of Nursing and her BSN from the University of Evansville. She worked as a Registered Nurse in inpatient psychiatry for five years before transitioning to outpatient care as a psychiatric nurse practitioner in 2017. Maegan has experience treating patients across the lifespan, from school-aged children to older adults. She is especially attuned to the challenges of young adulthood, parenting, and navigating complex family dynamics. Committed to lifelong learning, she values the insights and perspectives her patients bring to their care.

Maegan creates a therapeutic environment grounded in dignity, empathy, and respect. She empowers patients through education about diagnoses, symptoms, and medications while promoting autonomy and informed decision-making. Her approach blends psychopharmacology with supportive therapy, skill-building, and sustainable lifestyle strategies, helping patients build insight and resilience.

In the initial appointment, Maegan takes time to understand each patient’s history, concerns, and goals. From there, she collaborates with patients to create and adapt treatment plans that align with their evolving needs, always keeping the individual’s unique context and aspirations at the center of care.

Dr. Barbara Lampert is a board certified psychiatrist, diplomat of The American Board of Addiction Medicine, and Fellow of the American Society of Addiction Medicine. She trained at the Downstate School of Medicine in Brooklyn, NY, completed her internship at Georgetown University in Washington, DC, and her residency in Psychiatry at the David Geffen School of Medicine at UCLA in Los Angeles. Over 30 years, she has worked in inpatient and outpatient settings, taught 3rd-year residents psychopharmacology in the Mood Disorder clinic she created, consulted in the prison system, and volunteered in the aftermath of natural disasters. She joined the New Mexico Medical Reserve Corps and was active in the Corps while working in her private practice. She continued to study the effects of trauma when she returned to California in 2008. She received specialized training in EMDR and Dialectic Behavior Therapy. In addition, she studied substance abuse problems and became a Diplomate of the American Board of Addiction Medicine. Empathy forms the core of Dr. Lampert's approach to treating patients. Working with trauma survivors, she believes that the goal is not to dwell on "the story” because patients often need time to reconstruct an accurate history. Rather, helping patients manage the challenge of living in the present moment is a worthy goal. Dr. Lampert has been named one of the Best Doctors in America for the treatment of mood disorders and one of the Best Doctors in California. She has remained dedicated to the dual path she's followed for years: excellence in Biological Psychiatry and psychology. She looks forward to working with you to help you achieve your treatment goals.

Mary Birse is a board-certified Psychiatric Mental Health Nurse Practitioner (ANCC) with over 20 years of nursing experience. She graduated magna cum laude with a BSN from Florida Atlantic University and earned her MSN from the University of Florida. She completed a Psychiatric NP Residency at the VA in Charleston, SC. Mary has worked in a variety of settings including the West Palm Beach VA Medical Center, the Palm Beach County Firefighter’s Clinic, various outpatient telehealth platforms, and a child and adolescent inpatient facility. She was also an adjunct professor at Palm Beach State College.

Mary believes in empowering patients through education and collaboration so they can play an active role in their mental health journey. She works to create a warm and welcoming space where patients feel safe, heard, and understood. Whether the treatment path includes therapy, medication, integrative approaches, or a combination, she ensures that the plan reflects the patient's needs and goals.

Mary takes a thorough and holistic approach to care. She spends time understanding each patient’s history and past treatments—what has or hasn’t worked—and listens carefully to their current concerns and future goals. By factoring in lifestyle and preferences, she works with patients to build thoughtful, individualized treatment plans.

Dr. Mousavi holds the position of attending psychiatrist at Talkiatry. She is Board certified in adult psychiatry and has been practicing for over 6 years. Dr. Mousavi's practice focuses on medication management. Typically, she offers this in conjunction with supportive therapy in 30-minute follow up visits. Dr. Mousavi may believe that additional therapy is also needed and ask that you bring a therapist into your care team to provide the best outcome. She has completed her residency at Westchester Medical Center/New York Medical College. She has experience of working in private practice at the Institute for Family Therapy in Miami. She has also worked as an outpatient psychiatrist at Montefiore in NY and INOVA outpatient clinic in Virginia.