Thomas Spina, MD

Dr. Mirica Sanders is a board-certified adult psychiatrist. She graduated from Tennessee State University and earned her medical degree from Ohio University College of Medicine. She completed her Psychiatry Residency as Chief Resident at The Cleveland Clinic and pursued advanced training in community and public psychiatry at Case Western Reserve University. Dr. Sanders has experience practicing in both outpatient and inpatient settings and holds a special interest in women’s mental health.

Dr. Sanders values creating a warm and inviting atmosphere where patients feel comfortable and heard. She encourages openness and authenticity, aiming for each patient to leave with a clear understanding of their treatment plan. She also welcomes questions to ensure patients feel fully informed and supported throughout their care.

Patients can expect a conversational interview in which Dr. Sanders gathers medical, social, family, and psychiatric history to inform a personalized treatment plan. Each session involves collaboration, with patients actively participating in shaping their care. Following appointments, patients receive an after-visit summary and instructions to guide them between sessions.

Dr. Mary O'Malley is board certified in Adult Psychiatry and Sleep Medicine. She received her medical degree from Weill Cornell Medical School and PhD in Neurobiology from The Rockefeller University. She completed her Psychiatry residency and Sleep Medicine Fellowship training at the New York University Medical Center. In her psychiatric practice, Dr. O'Malley uses an integrative approach to health, combining evidence-based concepts in neurobiology with psychological, social and spiritual/existential worldviews to understand and treat every patient. Her primary practice is medication management. She also integrates elements of psychotherapy into her work, typically within 30-minute follow-up visits. In addition to medication and psychotherapy, she incorporates wellness tools into visits, such as mindfulness exercises and sleep management strategies. If she believes that additional psychotherapy is needed, she will recommend that you add a therapist to your care team. Dr. O'Malley has extensive experience working with people from many stages of life, with diverse world views and cultural backgrounds. She has always had an inclusive practice and welcomes people who identify as LBGTQIA+. As part of her own life path she became an Interfaith Minister and enjoys including spirituality and the supportive role it can play in healing for her patients. Her primary focus is working with adults with mood and anxiety disorders, trauma symptoms, ADHD, and problems with sleep. She enjoys working with people facing life transitions, especially older adults and women who are struggling with mental health challenges related to pregnancy and post-partum health. Prior to joining Talkiatry, Dr. O'Malley was working at Hartford Healthcare with adults in intensive outpatient programs and at Hackensack Meridian Health outpatient clinics. She was the medical director of the Consultation Liaison Service at Berkshire Medical Center in Pittsfield, Massachusetts, and an assistant professor at UMass Medical School. She has published and presented widely on topics related to Wellness in Psychiatry, Ethics and Sleep Medicine. She is an advocate for finding your voice in medical decision-making and enjoys using sound healing for relaxation and stress management.

Dr. Wellin is a double board certified psychiatrist specializing in child and adolescent psychiatry and adult psychiatry. She has been in private practice and worked in community clinics for over 44 years. Dr. Wellin's practice focuses on medication management in conjunction with supportive psychotherapy in 30-minute follow-up visits. She encourages a team approach involving psychotherapists, medical doctors, and parents and family when appropriate, to provide holistic care for optimal outcomes. Dr. Wellin received her medical degree from the Albert Einstein College of Medicine, in Bronx, NY. She did her residency in adult psychiatry at the Jacobi Hospital Department of Psychiatry in Bronx, NY. Her fellowship in child and adolescent psychiatry at Columbia University St Luke's-Roosevelt Hospital NYC followed. For the last 5 years, she has been an assistant clinical professor at the Adolescent Health Center at Mt Sinai Hospital NY. During this period she was also a consulting psychiatrist at the McShane Center for Psychological Services at Pace University. Dr. Wellin trained at the Psychoanalytic Institute at NYU. She was certified in hypnosis by NYSEPH in NYC and she has also received training in EMDR. Dr. Wellin worked at a NYC rehab for substance abusers and was the medical director of a private program for children of substance abusers and their families. Her primary current focus is on adolescents and college-aged patients.

Dr. Agnes Tolentino is a board-certified adult psychiatrist with over 20 years of practice experience.  She obtained her undergraduate degree at the University of the Philippines and completed medical school at the University of the East.  She finished her psychiatry residency at the Harvard South Shore program as chief resident in her final year.  She has a strong background in psychotherapy as an adjunct to medication management.  She has extensive experience in treating PTSD, medically ill patients, elderly patients and those with terminal illnesses. She spent the last 15 years treating the geriatric population and those adjusting to co-morbid medical problems.  

She is an empathic listener and collaborative clinician, focused on treating the whole person.  She emphasizes the need to use healthy coping mechanisms as well as lifestyle changes to complement medication management.  In keeping with the “whole person” focus, the role of physical well-being is important. A thorough medical history will be obtained on your initial appointment.  

Gathering a thorough psychiatric and medical history is paramount in a successful therapeutic relationship.  And with time, a trusting therapeutic environment should be fostered.

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Dr. Kira Posteraro is double board-certified in Adult and Addiction Psychiatry and has over 10 years of clinical experience. She completed her General Adult Psychiatry Residency at Allegheny General Hospital in Pittsburgh, PA, followed by a fellowship in Addiction Psychiatry at Beth Israel Medical Center in New York, NY.

Dr. Posteraro’s career has included serving as Director of Psychiatric Services at an addiction treatment center in Pittsburgh, PA, where she provided care across the full continuum of substance use disorder treatment—including residential, acute PHP, IOP, outpatient, and aftercare services. She later held the role of Section Chief Psychiatrist for the Center for Treatment of Addictive Disorders at VA Pittsburgh Healthcare System, offering both residential and outpatient services and acting as Medical Director for the SAMHSA-certified Opioid Treatment Program. Most recently, she served as Chief of Psychiatry for the Behavioral Health Service Line at VA Pittsburgh, where she had the honor of caring for our nation’s Veterans.

While her clinical expertise centers on the diagnosis and treatment of substance use disorders, Dr. Posteraro also has extensive experience treating a wide range of psychiatric conditions, including depressive and bipolar spectrum disorders, anxiety disorders, and trauma-related disorders.

Dr. Posteraro uses a collaborative, supportive approach to care, incorporating motivational interviewing to help guide patients on their journey to wellness. She integrates holistic strategies alongside medication management and is dedicated to meeting patients where they are in treatment to build individualized, effective recovery plans.

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Dr. Jennifer Ruch is a board-certified psychiatrist who strives to understand her patients' lived experiences and aspirations to develop supportive therapeutic relationships through empathetic listening, mutual trust, and respect. She collaboratively creates individualized care plans that align with personal treatment goals in a safe and judgment-free environment. After completing her Bachelor of Science degree in Human Biology with a focus in psychology from the University of California, Merced, she earned her medical degree from Lake Erie College of Osteopathic Medicine. Dr. Ruch completed her General Psychiatry Residency at Arnot Ogden Medical Center in New York. Her clinical experience involves treating individuals of all age groups from diverse populations and socioeconomic backgrounds suffering from anxiety, depression, bipolar disorder, psychotic disorders, neurodevelopmental disorders, and neurocognitive disorders. She has provided care in inpatient and outpatient psychiatric facilities, the Veterans Affairs Medical Center, emergency rooms, state facilities, and an inpatient chemical dependency center. She also performed pre-procedure psychological evaluations for bariatric and spinal cord surgeries, and psychiatric consult liaison services on medical units and has clinical training in inpatient and outpatient neurology. Her clinical experience incorporated treatment modalities such as pharmacotherapy and interventional psychiatry, including Transcranial Magnetic Stimulation and Spravato. Dr. Ruch integrates a wide array of psychotherapy as needed; however, her practice primarily focuses on medication management while utilizing referrals to therapists and providing collaborative care for optimal outcomes.