Tulsie Patel, MD

Dr. Mendez-Maldonado is double board-certified in general psychiatry and geriatric psychiatry. She received her medical degree from the University of Puerto Rico School of Medicine. She then moved to New York to complete her residency training at Mount Sinai Beth Israel where she stayed to complete her fellowship in geriatric psychiatry. After her fellowship, she proceeded to work at Woodhull Hospital where she worked as an attending before becoming unit chief and running their Special Pathogens Unit during the COVID-19 pandemic. She focuses on medication management and offers this in conjunction with supportive therapy, cognitive-behavioral techniques, a focus on nutritional psychiatry, and 30-minute follow-up visits. Dr. Mendez-Maldonado focuses on integrating nutrition, physical activity, and mindfulness techniques alongside pharmacotherapy to achieve a well-rounded approach to mental health.‍

Gisela Ayub, DNP, PMHNP-BC is a Nationally Certified Psychiatric Nurse Practitioner who received her first master's in nursing from Point Loma Nazarene University (PLNU) and her second Masters of Nursing with emphasis in Psychiatry from Gonzaga University. Gisela also completed her Doctorate in Nursing Practice Degree from PLNU. Gisela’s passion for helping those most in need started when she was just a young girl with a dream of becoming a physician someday. Life did not work the way it was planned for Gisela and she decided to become a nurse. Gisela worked as a registered nurse for over 13 years in different areas of nursing before focusing solely in the area of psychiatry. She has experience working in the areas of medical surgical, medical rehab, cardiac, oncology, labor and delivery and kidney dialysis. But her inspiration to help psychiatric patients was born from seeing the unmet needs of those patients, and the desire to be able to provide more compassionate care. Gisela's desire to become a Psychiatric Nurse Practitioner grew stronger with time, with the only idea in her mind to provide better care for those patients.

During the 1990’s, Gisela served her country proudly and spent 4yrs in the Navy. While attending her first master's in nursing at PLNU, she volunteered at the PLNU city clinic for the uninsured and under-privileged, providing mental health assessments and therapy. After graduating PLNU, Gisela continued providing free therapy to patients at the clinic. In addition, due to her strong background in nursing, Gisela has been able to identify other medical issues that correlate to patients' mental health, and through the use of an extensive questionnaire and ongoing assessment of presenting problems, she has been able to refer patients for additional care. Gisela has also worked as a preceptor, helping other new nurse practitioners understand how to provide the best care possible and communicate with patients.

Gisela believes that it is very important to help the patient feel they are in a safe space, establish a therapeutic environment that builds trust and openness, she listens fully, and uses a comprehensive questionnaire to obtain as much information as possible from the patient, in order to make an accurate diagnosis and select the correct treatment plan. Gisela always works with the collaboration of the patient, as this is the most important part of the treatment plan. Educating patients is also one of her strong suits. Gisela wants to make sure all of her patients are aware of the type of medications they are taking, explore options if needed, and the pros and cons of medications.

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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Kenny Londono is a Staff Psychotherapist at Talkiatry and been practicing in the mental health field since 2008. Kenny studied psychology at the University of Central Florida and received his master's degree in Marriage and Family Therapy from Nova Southeastern University. Kenny has worked directly with adults adjusting to life transitions related to medical issues, relationships, work, becoming a parent, and other life cycle changes. Kenny's services address stress management, relational health, effective communication, and conflict resolution.

Kenny fully embraces whole-person care and is passionate about understanding and supporting a client's lifestyle by exploring the six pillars associated with a client's well-being: healthy eating habits, physical activity, stress management, avoidance of risky substances, restorative sleep, and social connection. This passion for lifestyle medicine stems from his personal story of living with a chronic medical condition and overcoming many challenging obstacles.

Over the years, Kenny has enjoyed seeing clients grow in confidence, experience new levels of peace, and start to flourish in their relationships and careers. Kenny is Gottman Level One and Two trained and is a certified relationship educator. Other modalities that Kenny uses includes solution focused therapy, cognitive behavioral therapy, and mindfulness coaching.

Kenny's mission is to be a source of hope for his clients, while walking with them and exploring the roads that illuminate their life story.

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Dr. Aisling Rea is a dedicated therapist with an extensive educational background and experience in the field of psychology. She earned a Bachelor of Science at Florida Atlantic University, completed a Master of Science at Florida International University and a Doctorate in Psychology at Walden University. During her internship at Youth Automotive Training Center and The Humanistic Center for Counseling Services, Dr. Rea worked with individuals, families, couples, first responders and high-risk populations, having the opportunity to work with a variety of clients. As a professional, Dr. Rea gained valuable experience working in inpatient and outpatient programs and settings. Dr. Rea has a passion in helping clients heal from depression, anxiety, mood disorders, psycho-spiritual and relationship challenges. She believes open, empathetic understanding and taking a collaborative approach are the keys to a client-centered practice, and an important part of the healing and wellness of clients. In addition to Dr. Rea's clinical practice, she loves the ocean, enjoying photography, SCUBA diving, participating in beach clean-ups, and spending time with her family, dog and cat.

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