Viga Naik, MD

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.

Dr. Carder has been practicing for over 20 years in general adult psychiatry. She is board certified by the American Board of Psychiatry and Neurology and has a certification in Elder Law. She has advanced training in psychopharmacology, which she earned with distinction. Dr. Carder's practice focuses on medication management. Typically, she offers this in conjunction with supportive therapy in 30-minute follow-up visits. However, occasionally Dr. Carder may believe that additional therapy is also needed and ask that you bring a therapist into your care team to provide the best outcome. She received her medical degree from the University of Toledo, College of Medicine and Life Sciences, where she was given the outstanding medical student award by the Department of Head and Neck Surgery. She completed her internship with the Department of Family Medicine and completed her residency with the Department of Psychiatry both at the University of Toledo, College of Medicine and Life Sciences. Throughout her career, she has been the Medical Director of two Community Mental Health Centers and is also the Corporate Medical Director for a company providing neuropsychiatric and general psychiatric care to patients residing in nursing facilities. She received her certification in Elder Law through the Mitchell Hamline School of Law. She has also been a preceptor for numerous universities and has trained advanced practice providers in psychiatry. In addition to general adult and geriatric psychiatry, Dr. Carder's areas of interest include complex psychiatric and medical conditions, neuropsychiatric issues, and treatment-resistant cases. She enjoys using her medical expertise to solve difficult cases. She has an interest in exploring combined traditional psychiatric practice with complementary and holistic approaches to treatment and believes in keeping her patients healthy rather than only addressing illness.

Background and credentials

Dr. Sinner is board-certified in Psychiatry. He completed his psychiatry residency training at Dartmouth-Hitchcock Medical Center. With over 14 years of experience, he has worked in a variety of settings, including five years in inpatient psychiatry in Vermont, where he served as Medical Director for a state hospital psychiatric unit and taught medical students. He then spent five years working in an outpatient community mental health center in Pennsylvania before transitioning to telepsychiatry, providing care to individuals in Pennsylvania, Florida, and New York.

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Treatment approach

Dr. Sinner employs a collaborative, patient-centered approach, tailoring treatment plans to meet each individual's specific needs. His practice integrates pharmacotherapy with cognitive behavioral therapy (CBT) and supportive therapy as needed. He specializes in treating a wide range of psychiatric conditions, including depression, bipolar disorder, anxiety, ADHD, neuropsychiatric disorders, developmental disorders, and personality disorders. His philosophy is to provide personalized care that makes a meaningful impact at different stages of a patient’s life.

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What you can expect in a first visit

During the first visit, patients can expect a comprehensive evaluation focused on understanding their mental health concerns, history, and treatment goals. Dr. Sinner takes a compassionate and collaborative approach, working closely with patients to create individualized treatment plans. He ensures that each patient receives a balanced and effective combination of medication management and therapeutic interventions suited to their unique needs.

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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. Dennis Valerstain is a board-certified Adult and Child and Adolescent Psychiatrist. After completing his undergraduate education at Emory University, he attended medical school at the Northwestern University Feinberg School of Medicine. He subsequently completed psychiatry residency at University of Miami/Jackson Health System and further sub-specialized at University of Miami/Jackson Health System with a fellowship in Child and Adolescent Psychiatry. Dr. Valerstain has had the opportunity of working with a diverse array of patients including children, adolescents, the severely mentally ill, veterans, and cancer patients across three distinct hospital systems. Dr. Valerstain has had varied clinical experiences in specialty inpatient psychiatry units, emergency psychiatry, consultation liaison psychiatry, psycho-oncology, and outpatient clinics via telemedicine and face to face interactions. Dr. Valerstain has experience working with patients of all ages, particularly those with depression, anxiety, bipolar disorder, ADHD, Tic disorders, substance use disorders, and more. Dr. Valerstain's practice focuses on medication management and also employs empathic listening, supportive psychotherapy techniques, and a comprehensive and methodological approach to his visits. Given his broad and diverse training experiences, he enjoys problem solving and working collaboratively with patients (and their families) to navigate their complex issues and jointly focusing on simple solutions to work towards improving their mental health.

Dr. Kyra Munzenmaier is a board-certified psychiatrist dedicated to providing compassionate, personalized mental health care. A graduate of the University of South Florida's College of Medicine and former Chief Resident at St. Luke’s in Pennsylvania, Dr. Munzenmaier brings extensive training and experience in outpatient psychiatry. She particularly enjoys helping individuals dealing with insomnia, ADHD, anxiety, OCD, mood disorders, and medical trauma. As a Perinatal Mental Health-certified expert, she advocates for women’s mental health needs and supports individuals navigating mental health concerns during pregnancy and beyond.

Dr. Munzenmaier’s treatment approach is rooted in shared decision-making, prioritizing patient goals and preferences to create customized care plans, which typically include psychotherapy in combination with medication. She often integrates evidence-based lifestyle modifications and natural treatments to optimize personal well-being. By taking a holistic view of her patients’ challenges, Dr. Munzenmaier empowers her patients to lead their most fulfilling lives.

Dr. Triston Wong is a board-certified adult psychiatrist who emphasizes a collaborative approach and strong therapeutic alliance in the treatment of psychiatric conditions. Though his practice focuses on medication management, Dr. Wong advocates for a holistic approach to treatment. He may incorporate elements of various psychotherapies, including supportive, cognitive-behavioral (CBT), and insight-oriented therapy. At times, Dr. Wong may believe that additional therapy is needed for the best outcome and recommend that you bring a dedicated therapist into your care team. Dr. Wong completed his undergraduate studies at Tulane University. He received his medical degree from Louisiana State University New Orleans School of Medicine, then completed his residency training in general psychiatry at Thomas Jefferson University Hospital in Philadelphia, PA. Dr. Wong has experience working with patients of widely varying backgrounds and socioeconomic statuses. He works primarily with adult patients struggling with depression, anxiety, trauma, and grief. ‍