Thomas Spina, MD

Dr. Khandie Graham is a board-certified psychiatrist who completed her medical training at UCLA/Drew Medical Education and her psychiatry training at University of California, San Francisco/Fresno in 2013. She has served as a psychiatrist in the United States Air Force and prior to joining Talkiatry, was an inpatient psychiatrist. Dr. Graham's practice focuses on medication management. Typically, she offers this in conjunction with supportive therapy in 30-minute follow-up visits. However, occasionally Dr. Graham may believe that additional therapy is also needed and ask that you bring a therapist into your care team to provide the best outcome. Dr. Graham treats all adults and specializes in depression, bipolar disorder, anxiety disorders, ADHD, and life changes. She prides herself in partnering with patients to create individualized treatment plans. Dr. Graham is a great listener and spends time with her patients.

Dr. Wilt is board certified in adult psychiatry. She earned her medical degree from Louisiana State University in New Orleans, where she also completed her four-year residency in psychiatry. Dr. Wilt takes a biopsychosocial approach to mental health and has over 13 years of experience with an array of mental health diagnoses including Depression, anxiety, ADHD, PTSD, bipolar disorder, and sleep disorders. Dr. Wilt enjoys spending time getting to know her patients and working hand in hand with them to accurately diagnose and treat the symptoms they are experiencing. Dr. Wilt employs a holistic approach to mental health with a focus on incorporating medication management and supportive therapy to improve her patients' quality of life.‍

Dr. Zeynep Altun is board-certified in Psychiatry and holds a Ph.D. in Neuroscience. Dr. Altun graduated cum laude from Istanbul University, Istanbul Medical School. She completed her residency training in Neurology and is Turkish board-certified in clinical Neurology. Subsequently, she moved to the U.S. and finished her Ph.D. in cellular Neuroscience at Cornell University Graduate School of Medical Sciences. Dr. Altun completed her psychiatry residency training at Albert Einstein College of Medicine, Department of Psychiatry and after, her clinical fellowship in Comprehensive Psychiatric Emergency Program at Columbia University Medical College, New York Presbyterian Hospital. Dr. Altun has practiced in various settings including Bellevue Hospital, New York Presbyterian Hospital, Columbia Doctors Faculty Practice Office, Mount Sinai West and Mount Sinai Morningside Hospitals. Dr. Altun has held various academic appointments at New York University School of Medicine Department of Psychiatry; New York Presbyterian Hospital-Columbia University Medical College Department of Psychiatry; New York State Psychiatric Institute and Mount Sinai School of Medicine Department of Psychiatry. She spent most of her professional career supervising and teaching medical students, psychiatry residents and nurse practitioners. As an adult psychiatrist, Dr. Altun has extensive theoretical knowledge of the nervous system and its disorders and more than 10 years of experience in treating various mental illnesses including mood disorders, anxiety disorders, psychotic disorders, autism-spectrum and neuropsychiatric disorders, psychiatric emergencies and crisis management as well as cognitive behavioral and supportive psychotherapy. In Columbia Doctors, she collaborated closely with the Lieber Recovery Clinic, treating young adults with various mental illnesses. The philosophy of her practice is to collaborate with patients and work together with them so that they can lead symptom-free, productive, and stable lives.

Dr. Bianca Fleming is a double board-certified psychiatrist in Adult and Child and Adolescent Psychiatry. She completed her undergraduate studies at the University of Georgia, earned her MD from Morehouse School of Medicine, completed psychiatry residency at the University of North Carolina at Chapel Hill, and a child and adolescent fellowship at Emory University School of Medicine. She has experience across inpatient, outpatient, and integrative community health settings.

Dr. Fleming values gathering thorough information through a warm, conversational interview style. She strives to create a supportive therapeutic space while maintaining a balanced sense of patient accountability to promote meaningful progress.

Her approach emphasizes shared agenda setting at every visit to ensure both patient and provider needs are met. Dr. Fleming takes a detailed history to guide clinical decisions, prioritizes patient education, and delivers evidence-based, patient-centered care. She integrates psychotherapy into all medication management appointments to support holistic treatment.

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Dr. Elaine Kwok is a board-certified Adult Psychiatrist who has been practicing for 9 years. She specializes in depression and anxiety and believes in a holistic approach to the wellness of both the mind and body. Dr. Kwok conducts a comprehensive and individualized assessment for each patient utilizing a combination of medication management, lifestyle changes, and coping skills, creating a safe and therapeutic environment to facilitate healing and growth .Dr. Kwok received her undergraduate degree from New York University and her medical degree from St. George's University. She then completed her residency training at Seton Hall University. After training, she worked in the inpatient and outpatient units at Capital Health Medical Center in Trenton, New Jersey. She was a voluntary faculty member and trained residents and medical students from Rutgers Robert Wood Johnson Medical School. She has training in Cognitive Behavioral Therapy and Dialectical Behavioral Therapy. She actively participates in her local community to provide education and training for mental health providers. Dr. Kwok strives to collaborate and address hindrances that may interfere with an individual's best self. She focuses on creating a strong therapeutic relationship to support and facilitate balance, lifestyle enhancement, and emotional well-being. She looks forward to getting to know you and embarking on this journey together.

For the past 20 years, Dr. Lavin has worked at the University of Denver Health and Counseling Center, where she has treated undergraduate and graduate students. She also worked at a training clinic for students pursuing their PsyD degree. She has supervised and taught psychiatry residents. She taught a psychopharmacology and differential diagnosis course to psychology trainees. Dr. Lavin has a strong interest in functional medicine and alternative therapies. Dr. Lavin has been in practice for 35 years. She is board certified in adult psychiatry. Dr. Lavin focuses on a comprehensive medical assessment, medication management, psychoeducation, wellness, and alternative therapies. She enjoys treating young adults. Dr. Lavin did her undergraduate work at the University of Rochester. She earned her MD from Cornell University Medical College in New York City. Her psychiatry residency was at the University of Boston Medical Center. After training, Dr. Lavin held administrative and clinical positions at Kaiser Permanente in Denver, CO and at the Harvard Community Health Plan in Braintree, Massachusetts. She has written clinical triaging guidelines and patient information pamphlets.‍