Vanessa Leger, LCSW

Alana Ward is a board certified psychiatric mental health nurse practitioner (PMHNP). Alan has been practicing since 2018 and has experience with individuals of all ages. Prior to becoming a PMHNP, Alana worked as a registered nurse in critical care and psychiatry. As a PMHNP, she has experience working on inpatient adult and geriatric psychiatric units, as well as providing psychiatric evaluations and consultations to individuals on medical units and emergency rooms at hospitals. Alana is very experienced working in outpatient settings managing various psychiatric diagnoses. She has also helped manage individuals in long term care facilities and assisted living facilities. When Alana is not providing direct patient care, she will on occasion help with instructing future nurses at Kent State University. Alana graduated with her Master's of Science in Nursing from Kent State University, and is board certified as a Psychiatric Mental Health Nurse Practitioner through the American Nurse Credentialing Center. Alana enjoys treating a variety of mental health diagnoses including depression, anxiety, obsessive compulsive disorder, mood disorders such as bipolar disorder, and various psychotic disorders. She believes in client-centered care, where clients get a say in their treatment in order to help make them feel their best. Alana truly believes that therapy is a crucial part of successfully treating any mental health diagnosis, in combination with medication management when warranted. Alana likes to add mindfulness and cognitive behavioral therapy techniques to her medication management appointments to help individuals receive effective, quality care.

Dr. Catherine Shim is a board-certified psychiatrist and completed her training at the University of Washington, where she received additional certifications in Psychotherapy and Community Psychiatry.  Prior to joining Talkiatry, she spent years serving the mental health needs of underserved communities as well as our Veteran population.  Dr. Cat is excited to bring that same dedication and selfless service to her Talkiatry patients!

Dr. Cat is experienced in managing a multitude of mental health conditions, but her specialty is providing behaviorally oriented trauma-informed care.  Her approach is to treat primarily through psychotherapy and behavioral change, with medication management serving as an important (and often essential) adjuvant to optimizing mental health.

Dr. Cat tends to have a very casual engagement style, so expect a frank but open conversation during your first meetings with her.  Following that initial screening, anticipate a candid discussion about her approach to your condition and an initial treatment plan.  Please feel free to bring up any questions or concerns at any time during this process, and note-taking is highly encouraged!

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Dr. Hess is double board-certified in Adult and Geriatric Psychiatry. He completed his psychiatry internship and residency training at St. Vincent's Hospital and Medical Center in New York City, and then completed a geriatric psychiatry fellowship at Mount Sinai Beth Israel Medical Center. Dr. Hess has practiced inpatient psychiatry at the Long Island College Hospital, NYU Langone Brooklyn, and Kingsbrook Jewish Medical Center. He has also worked in emergency rooms, day hospitals, and consultation-liaison settings, as well as seeing geriatric outpatients at a naturally-occurring retirement community (NORC) on the Lower East Side of Manhattan. Dr. Hess has taught St. George's University medical students during their clinical rotations in psychiatry. Dr. Hess has more than 24 years of experience providing patients with compassionate psychiatric care for depressive and bipolar disorders, anxiety, obsessive-compulsive disorder, post-traumatic stress disorder, and dementia. He uses pharmacotherapy as well as supportive psychotherapy. Dr. Hess may believe that additional therapy is also needed and ask that you bring a therapist into your care team to provide the best outcome. The philosophy of his practice is to collaborate with patients to meet their specific needs and make an impact in various stages of their lives.

Dr. Diane Papke holds the position of staff psychiatrist at Talkiatry. After graduating from medical school, she completed internship year in Internal Medicine at St. Joseph's Hospital in Phoenix, AZ, followed by two years of neurology residency at Barrow Neurological Institute before completing Psychiatric residency at Maricopa Medical Center in 2005. She then spent the majority of her time caring for SMI/seriously mentally ill patients with a mantra "propelling people forward to wellness.” Working on the supportive level of care for this population honed her skills to care for the highest level of outpatient care through ACT/assertive community treatment. She has a genuine interest in treating psychiatric disorders including anxiety, depression, PTSD, OCD, ADHD, and most specifically bipolar. She has experience treating medical comorbidities including neurologic disorders. In 2023, she extended her expertise and skills to the general population to include telehealth management of her patients. With a nonsense approach, she prides herself on collaborating with patients to attain their goals of optimum psychiatric health, believing that the cornerstone of a healthy partnership with any patient is a holistic approach. Listening with an open mind and heart while collaborating with her patients to provide the correct medication management and supportive care has always been the key for her. She is looking forward to meeting you!

Michelle E. Vásquez has been a Licensed Professional Counselor for over 27 years. She has been specializing in grief work since 2012. Many of her clients are living with the loss of loved ones or experiencing other types of non-death loss, such as divorce, job loss, and other significant life changes. Her primary goal is to truly listen to your experience and help you work through it, creating a plan of action together. It is your therapy, and your active involvement is crucial. When dealing with grief, you may still be in pain and need to talk about it long after others want you to stop talking. This is when therapy can be helpful. Your grief journey is at your pace. Michelle uses Cognitive Behavioral Therapy and Solution-Focused Therapy, along with other approaches that help you address loss and trauma in unique ways to begin to write your healing story. She has also worked with domestic violence survivors and child abuse survivors. Michelle works with clients both in English and Spanish and has experience with immigrant populations from many countries. Michelle graduated from Our Lady of the Lake University in 1993. She is currently studying Internal Family Systems Therapy to help her provide you with new ways to address the challenges that bring you to therapy.

Nisha Saintelus Deratus, LPC, is a proud HBCU graduate of Prairie View A&M University with a Master’s in Counseling and over eight years of experience in the mental health field. She has provided care in inpatient psychiatric hospitals, partial and intensive outpatient programs, community mental health, and private telehealth practice. Nisha supports clients facing anxiety, depression, trauma, grief, bipolar disorder, life transitions, anger management, and relationship challenges.

Nisha offers a warm, approachable, and nonjudgmental space where clients feel seen and supported. She believes in a collaborative approach to therapy, working alongside clients to identify the root of their struggles and develop a personalized plan for growth and healing. Her personable nature and tailored care help clients feel comfortable and empowered throughout the process.

In the first session, Nisha reviews teletherapy expectations and confidentiality, and conducts a psychosocial assessment to better understand your background and goals. Together, you’ll explore current challenges, create a vision for your future, and build a practical plan. Using CBT and ACT, she helps you develop tools and insights to apply between sessions for continued progress.