Thy Vo, MD

Dr. Alejandra Vivas is board-certified in adult psychiatry and board-eligible in child and adolescent psychiatry. She completed her general psychiatry residency at Montefiore Medical Center and a child and adolescent fellowship at Mount Sinai School of Medicine. Dr. Vivas brings extensive experience from outpatient, emergency, and telepsychiatry settings. She has advanced training in CBT, Motivational Interviewing, and Psychodynamic Therapy. Fluent in English and Spanish, she is committed to culturally sensitive, individualized care.

Dr. Vivas fosters a warm, respectful, and professional space where patients feel seen and empowered. She values open communication and builds collaborative relationships to align treatment with each person’s values, goals, and lifestyle. Her approach is integrative and flexible, grounded in evidence-based methods to support lasting, meaningful change.

Dr. Vivas begins with a thorough evaluation to understand each patient’s history and goals. She creates customized treatment plans that may include therapy, medication, or both. Drawing on CBT, Motivational Interviewing, and Psychodynamic Therapy, she adapts care to meet evolving needs, aiming to relieve symptoms, foster resilience, and support long-term well-being.

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Erin Snider, PMHNP, brings more than seven years of experience as an Advanced Practice Registered Nurse at Lindner Center of HOPE, a full-service psychiatric facility affiliated with the University of Cincinnati and Cincinnati Children’s Hospital. Her work has spanned the full spectrum of psychiatric care, including inpatient crisis intervention, partial hospitalization, and outpatient services. She holds a bachelor’s degree in psychology from the University of Kentucky and both a BSN and MSN from Wright State University. Erin also recently earned a Mindfulness and Yoga-Studies Certificate from the University of Cincinnati.

Erin prioritizes building a strong therapeutic relationship and values open communication to create a supportive environment for healing. She views psychiatry as a holistic practice, integrating evidence-based approaches that address mental, emotional, physical, and spiritual well-being. Patients working with Erin can expect compassion, respect, and a collaborative partnership in their care.

Erin begins each appointment with open conversation to better understand each individual’s story and experiences. She works with patients to identify their concerns, explore barriers to growth, and highlight strengths. Together, she collaborates on a treatment plan that aligns with the patient’s personal goals, ensuring care is both personalized and empowering.

Dr. Delima-Tokarz is double Board Certified in Psychiatry and Lifestyle medicine. She completed her psychiatry residency training at the University of Maryland/Sheppard Pratt, where she served as the chief resident. She has practiced in various settings over her career, including working for the Department of Defense, private practice, and community mental health. Dr. Delima-Tokarz is fluent in Portuguese, English, and Spanish. Dr. Delima-Tokarz has more than five years of experience treating patients with anxiety, depression, PTSD, Bipolar, OCD, ADHD, and other mental health issues. She employs pharmacotherapy along with supportive therapy and integrative approaches. Dr. Delima-Tokarz is currently working on completing her Ph.D. in Integrative Medicine and is passionate about a holistic and integrative approach to mental health. Her philosophy includes a healing-oriented approach that considers the whole person, including all lifestyle aspects. Dr. Delima-Tokarz aims to provide collaborative and comprehensive care, which may include medication management, lifestyle interventions, stress reduction techniques, and other integrative approaches. She believes building a strong therapeutic relationship where the patient feels empowered is the key to healing.‍

Zakiyyah Weatherspoon is a dual-certified Family Nurse Practitioner and Psychiatric Mental Health Nurse Practitioner with over a decade of experience. Since 2011, she has worked in family medicine, and since 2013, she has focused on mental health care across the lifespan. Her background includes treating children, teens and adults in hospitals, private practices, and community settings.

Since 2017, Weatherspoon specialized in helping individuals manage depression, anxiety, bipolar disorder, OCD, PTSD, ADHD, ODD, eating disorders, and substance use. She uses supportive therapy, solution-focused therapy, and cognitive behavioral therapy to help clients feel heard, understood, and empowered.

Weatherspoon is passionate about breaking the stigma around mental health. She encourages her clients to speak up, get help, and take control of their mental wellness. Her approach is based on the Mental Health Recovery Model, which focuses on hope, healing, and building a life beyond diagnosis.

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Dr. Sujith Maracheril is a board-eligible psychiatrist who provides comprehensive patient care while building a physician-patient relationship centered on communication, empathy, and respect. His primary focus is medication management, and he also provides supportive psychotherapy to help patients work toward long-term improvements. While aligning treatment toward patient goals, he takes a practical approach to changes that can be made to empower patients in their lives. Dr. Maracheril is a graduate of the Sophie Davis Biomedical Education Program at the CUNY School of Medicine, a 7-year BS/MD program. He completed his residency training in psychiatry at the Zucker School of Medicine/Northwell Health at Mather Hospital. He has trained in many settings including inpatient psychiatric units, general and specialized outpatient clinics, and at a partial hospitalization program. Dr. Maracheril has experience treating a broad range of mental health conditions including depressive disorders, bipolar disorder, anxiety disorders, ADHD, and OCD. He understands that people may experience these conditions in different ways, and he aims to treat each patient in an individualized and holistic way.

Dr. Seth Flesher is double board-certified in adult psychiatry and addiction medicine.  Dr. Flesher’s practice focuses on medication management of psychiatric illness without the use of controlled substances.  Typically, he offers this in conjunction with supportive or emotionally focused therapy in 30-minute follow-up visits. However, occasionally Dr. Flesher may believe that additional therapy is also needed and ask that you bring a therapist into your care team to provide the best outcome.

Before joining Talkiatry Dr. Flesher was Medical Director of Advanced Psychiatric Services [complex/high profile cases] at Kings County Hospital and Unit Chief of the Covid19 positive unit.  He was also a clinical professor at Downstate Medical College where he was voted educator of the year numerous times by psychiatric residents and medical students.  Dr. Flesher is a graduate of the prestigious combined 6-year BS/MD program at The Sophie Davis School of Biomedical Education.  He did research at the neuropsychiatric branch of the National Institute of Mental Health, completed his psychiatric residency at St. Lukes/Roosevelt Hospital, and he received his master’s degree in public health from Columbia University.

Dr. Flesher believes that psychiatry should start with a thorough assessment to arrive at an accurate diagnosis.  Then a discussion with the patient of the different evidence-based options available.  Followed by shared decision-making to arrive at an effective treatment plan to achieve the goals that the patient identifies as being important.  This should be done in an honest, open, non-judgmental, but realistic environment.  Understanding that the ultimate goal is to get the patient to a position where they will no longer need medication and/or therapy.