Tiffany Abtahi, MD

Dr. Nieves-Alvarado is a board-certified psychiatrist who completed medical training at Duke University Psychiatry Program. Originally from Puerto Rico, she is fluent in both English and Spanish, which allows her to connect deeply with a diverse patient population. Her practice combines medication management with insight-oriented therapy during every visit, promoting a comprehensive approach to mental health care. She advocates for her patients to engage in therapy alongside medication management, as she believes this integrated approach leads to better outcomes and sustained improvement. Dr. Nieves-Alvarado's practice is rooted in a collaborative, team-based approach, working closely with her patients to achieve long-term mental wellness. Dr. Nieves-Alvarado earned her medical degree from the Universidad Central del Caribe School of Medicine in Bayamon, PR. Afterward, she moved to North Carolina, where she completed her residency at Duke University Hospital. During her training, she was nominated for a fellowship in psychodynamic practice by the Psychoanalytic Center of the Carolinas, showcasing her expertise in this area. She is also a dedicated advocate against childhood sexual trauma. Her diverse training includes significant experience in jail and forensic psychiatry, as well as the treatment of military veterans under the Veterans Affairs health care system. She has experience in medically assisted treatments (MAT) for substance use disorders, Electroconvulsive therapy (ECT), and family therapy, enabling her to care for patients with complex needs. Dr. Nieves-Alvarado treats patients across a wide age range, from young adults to the elderly. Passionate about improving access to mental health care, she joined Talkiatry to help patients facing time or transportation challenges receive the care they need. In addition to her clinical practice, Dr. Nieves-Alvarado remains involved with her alma mater's Behavioral Health Department, contributing to academic education and maintaining a connection with the next generation of medical professionals. She continues to seek ongoing improvement in her field, remaining engaged with medical associations including North Carolina Psychiatric Association, American Psychiatric Association, and Alpha Omega Alpha national medical honor society. Dr. Nieves-Alvarado is committed to working hand-in-hand with her patients to achieve mental wellness.

Background and credentials

Dr. Escamilla is a board-certified psychiatrist with over 20 years of experience in treating mental health conditions. He is a graduate of Harvard College and earned his medical degree from the University of Texas Southwestern Medical School. He completed his psychiatry training at the University of California at San Francisco and further specialized through a research fellowship with the American Psychiatric Association. In addition to his clinical work, he is a Jungian Analyst and holds academic positions as an adjunct professor at Rutgers University Department of Psychiatry and as the Frank McMillan Jr. Scholar at the Jung Center of Houston.

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Treatment approach

Dr. Escamilla brings a deeply analytical and research-driven approach to psychiatry, integrating traditional psychiatric treatment with Jungian analysis. He has a strong background in academic research and clinical psychiatry, contributing extensively to the field through research publications. His expertise spans a wide range of mental health challenges, and he is committed to understanding the complexities of each patient’s experience to tailor a treatment plan that best suits their needs.

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What you can expect in a first visit

During the first visit, patients can expect a comprehensive psychiatric evaluation that takes into account their personal history, psychological patterns, and treatment goals. Dr. Escamilla’s approach emphasizes thoughtful analysis and evidence-based care, ensuring that each patient receives a personalized and insightful treatment plan. His sessions may incorporate medication management, psychotherapy, and Jungian analytical techniques to provide a holistic and individualized treatment experience.

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Why Talkiatry?

We’re a virtual mental health practice that makes it easy to find great care. We combine quality and convenience to help you thrive—faster. Our providers, like this one, are highly trained experts who specialize in medication management and collaborate with you on a treatment plan that fits your needs and comfort level.

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Dr Reddy is double board certified in adult as well as child and adolescent psychiatry. She has experience working at various levels of mental health care. Dr. Reddy has most recently served as the medical director for a partial hospitalization/intensive outpatient program (PHP/IOP) for adolescents in the Dallas/Fort Worth area. She completed her general psychiatry residency at the University of Illinois at Peoria and went on to pursue her child and adolescent psychiatry fellowship at the University of Texas Southwestern. She is knowledgeable in treating patients of all ages and a wide variety of diagnoses including depression, bipolar disorder, anxiety, ADHD, OCD, PTSD, and eating disorders. Dr. Reddy is passionate about working with LGBTQIA+ populations, providing culturally informed care, and taking a person-centered approach to providing comprehensive and individualized treatment to her patients. She is well versed in incorporating psychotherapy in conjunction with medication management. She has experience in incorporating supportive, cognitive behavioral, and dialectical behavioral therapeutic approaches in her care.

Dr. Shari Sengupta attended the University of OK as a National Merit Scholar and went on to graduate with her MD from Eastern Virginia Medical School. She specialized in Adult Psychiatry at the University of NC Hospitals where she was a chief resident. She received psychotherapy training in insight-oriented and cognitive-behavioral approaches and trained at the Psychoanalytic Institute of the Carolinas. She has 18 years of experience providing medication management and psychotherapy in both private practice and community mental health settings and over 10 years of experience in telepsychiatry providing care to underserved communities. Dr. Sengupta has experience treating a variety of mental health concerns but has a particular interest in depression, anxiety, and mental health in the perinatal period. Her practice focuses on medication management from a holistic perspective. She believes that mental health is the cornerstone of overall well-being and that treatment is a collaborative journey toward improved health and function in life, work, and relationships. She offers culturally sensitive treatment to people from all backgrounds and sexual orientations. As a staff psychiatrist at Talkiatry, her treatment approach focuses on medication management informed by a background in psychotherapy.‍

Dr. Alexandra Hamlyn is a board-certified adult psychiatrist and board-certified child and adolescent psychiatrist. She completed her medical education at Cooper Medical School of Rowan University and then completed her residency in adult psychiatry at Icahn School of Medicine at Mount Sinai Beth Israel. She then went on to complete her child and adolescent psychiatry fellowship at NYU Langone and Bellevue Hospital. During this time, she also taught a course titled Love Actually at NYU School of Arts and Science. During training, Dr. Hamlyn gained extensive clinical experience in psychiatric inpatient, outpatient, and emergency settings, allowing her the opportunity to treat patients of all ages and backgrounds in numerous busy hospitals in New York City. Dr. Hamlyn's primary focus is on medication management, though she also has experience working in four different outpatient clinics where she has gained expertise in multiple different therapy modalities. If appropriate, Dr. Hamlyn will refer you for psychotherapy and collaborate with your therapist to support your care. She appreciates the importance of fostering a meaningful therapeutic relationship, and her goal is to make every patient feel welcomed in a non-judgmental treatment environment. She also takes a holistic approach as she understands that good health creates a sense of overall well-being and improved mental health. She strongly emphasizes the importance of mindfulness, self-compassion, exercise, nutrition, and interpersonal relationships throughout treatment. She looks forward to meeting and working with you.

Dr. Thistlethwaite is a board eligible adult psychiatrist and internal medicine physician. He completed his medical education at West Virginia University School of Medicine. Following completion of medical school, Dr. Thistlethwaite completed residency training at WVU/Charleston Area Medical Center with a dual specialization in internal medicine and psychiatry. Dr. Thistlethwaite's training included treatment of patients both in the inpatient and outpatient setting as well as management of patients with comorbid medical conditions. During his training Dr. Thistlethwaite became passionate about approaching patients in a holistic manner that addressed both their physical and mental health. He is especially passionate about ensuring that patients with mental health disorders are provided with appropriate general medical care as they are a marginalized and underserved group. Dr. Thistlethwaite's practice focuses on medication management for a wide array of conditions including depression, anxiety disorders, bipolar disorder, obsessive compulsive disorder, tic disorder/Tourette's, and post traumatic stress disorder. Dr. Thistlethwaite incorporates supportive psychotherapy, cognitive behavioral therapy interventions, and some psychodynamic therapy skills in his practice as well. Dr. Thistlethwaite believes in a collaborative and holistic approach to mental healthcare that incorporates the patient as well as all members of the healthcare team in every aspect of care.