Walter Piddoubny, MD

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Dr. Solomon is a double board-certified psychiatrist in Psychiatry and Child and Adolescent Psychiatry. He completed medical school in his home state at Ohio University Heritage College of Osteopathic Medicine, where the focus on mind-body connection now fits seamlessly into holistically minded patient care. Dr. Solomon then completed General Psychiatry residency and Child and Adolescent Psychiatry fellowship at the University of Colorado, where he was Chief Fellow focused on improving resident/fellow experiences and ensuring all medical students took a firm grasp of psychiatry into their futures. Having worked with patients across their lifespans allows Dr. Solomon to take a well-rounded approach to identifying issues with his patients, especially in family settings. Prior to joining Talkiatry, Dr. Solomon worked in a residential treatment center for teenagers with eating disorders, gaining significant experience with challenging patients and their families. Dr. Solomon uses a variety of therapeutic approaches (supportive, CBT, DBT, psychodynamic) in combination with medication management to help patients identify and develop treatment plans towards their own unique goals. No problem too big nor too small, Dr. Solomon looks forward to helping you get there!

Adeeb Yacoub, MD

Staff Psychiatrist

Dr. Yacoub received his medical degree from Alexandria University and completed his psychiatry residency at Stony Brook University Hospital. He is double board certified in both general adult psychiatry and consultation & liaison psychiatry with over 20 years of clinical experience. After serving as chief resident, he joined Stony Brook University and became Associate Professor in clinical psychiatry. During his tenure at Stony Brook, Dr. Yacoub was director of the ECT service treating many patients with complex psychiatric disorders, which include treatment-resistant depression, severe bipolar disorders, psychotic disorders, anxiety disorders, obsessive compulsive disorder, and post traumatic stress disorder. He also served as director of the medical student psychiatry clerkship where he received numerous teaching awards like Alpha Omega Alpha and Aesculapius Award for Excellence in Medical Education. Dr. Yacoub is an excellent diagnostician with expertise in complex mood disorders, psychotic disorders, interventional psychiatry, and advanced psychopharmacology. He has multiple publications and abstracts presented. Dr. Yacoub focuses on the interconnectivity of the mind, body, and soul. His care is only exceeded by his vast medical knowledge. In addition to medication management, he is proficient in supportive and interpersonal psychotherapy. He has treated adults, geriatric patients, and diverse populations including but not limited to LGBTQ+ and veterans. He is dedicated and empathetic to all his patients.

Steven Atkins, MD

Staff Psychiatrist

Dr. Atkins is a staff psychiatrist at Talkiatry. He is board-certified in adult psychiatry and has been in practice for the past 2 years. He has received several awards for teaching and the treatment of chronically ill patients, including Stony Brook University's "William Turner Award" for excellence in education and leadership. Dr. Atkins has focused his practice primarily on medication management. He combines medication management with a therapeutic style that is a blend of supportive therapy, cognitive behavioral therapy, and motivational interviewing. Follow‐up appointments with Dr. Atkins typically last 20‐30 minutes. While Dr. Atkins is trained in a variety of therapeutic techniques, he works collaboratively with therapists and may recommend their inclusion as part of your treatment team, depending on your individualized treatment plan .Dr. Atkins attended the University of Connecticut School of Medicine where he received his medical degree. He completed his psychiatry residency at Stony Brook University Hospital in New York. Post residency, he worked with general adult patients as well as older adults at Manchester Memorial Hospital where he served as both an outpatient psychiatrist and Director of the Geriatric Intensive Outpatient Program. Although Dr. Atkins does not treat child or adolescent patients, he has experience working with people of all ages, from young adults to adults. He has experience treating mood disorders, anxiety disorders, obsessive-compulsive disorder, patients in the perinatal period, and patients with co‐co-occurring substance use disorders. He has regularly managed behavioral problems in adults with autism spectrum disorders as well as dementia. He particularly enjoys working with patients dealing with life or role transitions, older adults, and patients with bipolar or other affective disorders.

Steven Wilkening, MD

Staff Psychiatrist

Dr. Steven Wilkening is a board-certified adult psychiatrist.He completed his Bachelor of Arts degree at Cornell University followed by a neuroscience researchfocused Masters degree at the University of Mississippi. He then attended medical school at theUniversity of Mississippi School of Medicine, graduating with his MD degree as a Medical StudentResearch Scholar and member of the Alpha Omega Alpha Honor Medical Society. He completed adultpsychiatry residency training at the University of Cincinnati and has since been working primarily intelepsychiatry.He has experience treating a wide variety of psychiatric conditions and also recognizes that lifestylefactors such as sleep, physical activity and stress-reduction are foundations of good mental health.Alongside medication management, he provides brief supportive psychotherapy, psychoeducation, aswell as elements of cognitive behavioral and solution-focused therapies to assist patients in meetingtheir goals. He often encourages patients to see a therapist in addition to a psychiatrist.

Cecilia Fitz-Gerald, MD

Staff Psychiatrist

Dr. Cecilia Fitz-Gerald is a board-certified psychiatrist trained in adult psychiatry and consultation-liaison psychiatry, formerly known as psychosomatic medicine. She has been practicing for over five years and has extensive experience working in a variety of clinical settings, including inpatient, outpatient, and emergency psychiatry. In addition, she specializes in working with patients with acute and chronic medical conditions that may be affecting their mental health, such as cancer, stroke, or a heart condition. She provides patient-centered care utilizing a collaborative approach to help her patients reach their goals. She is a native of Louisiana and a graduate of the LSU School of Medicine in Shreveport. She was elected to the prestigious medical honor society, Alpha Omega Alpha, during her fourth year of medical school and was awarded the John W. Bick Excellence in Psychiatry award. She completed her psychiatry residency training at the University of Texas Southwestern Medical Center where she served as Chief Resident and was a PRITE Fellow. Afterwards, she completed a fellowship in consultation-liaison psychiatry at Yale-New Haven Hospital. Dr. Fitz-Gerald has multiple scholarly publications, particularly in the fields of emergency psychiatry and hospital delirium and has presented at the annual conference for the Academy of Consultation-Liaison Psychiatry. She is passionate about academic medicine and enjoys teaching medical students and residents. Her other areas of clinical interest include ICU delirium and cardiac psychiatry.

Xiomara Nieves Alvarado, MD

Staff Psychiatrist

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.

Paul Pennington, LPC

Staff Therapist

Paul Pennington is a Licensed Professional Counselor with over 15 years of mental health experience in a variety of settings ranging from schools, private practice, residential facilities, and crime scene crisis counseling. Paul has had the privilege of helping people with various situations including depression, anxiety, stress, anger, trauma, abuse, life transitions, relationships, integration, existential issues, and other obstacles that have caused an imbalance in their lives. Paul specializes in working with teachers, first responders, young parents, and individuals that just want to be seen as who they truly are.‍Paul earned a Bachelor of Science in Psychology with a minor in Sociology from Texas State University and a Master of Education in Guidance and Counseling from Angelo State University. A few of the certifications Paul has earned over the years are: Residential Staff from the Texas Department of Criminal Justice, Certified Anger Resolution Therapist (C.A.R.T.), AgriSafe Farm Response, Trust Based Relational Intervention (TBRI) Practitioner Trainer, Texas Education Agency: EC-12 SpEd, 4-8 Generalist, EC-12 School Counselor, SAFE EMDR, Mental Health First Aid, and Ketamine Assisted Psychotherapy.‍Paul believes everyone is different and takes an individualized approach with each client. He operates from a foundation in Cognitive Behavioral Therapy, Trust-Based Relational Intervention, Solution Focused Therapy, and Mindfulness.

Sabera Saklayen, MD

Staff Psychiatrist

Background and credentials

Dr. Sabera Saklayen is a board-certified psychiatrist licensed in Adult Psychiatry. She earned her bachelor’s degree from Ohio State University and her medical degree from Wright State University Boonshoft School of Medicine. She completed her psychiatry training at Stony Brook University Hospital, where she served as chief resident and was awarded the William Turner Award for outstanding performance in psychiatry residency. She has extensive experience treating diverse populations, including vulnerable and underserved communities, having worked as an outpatient psychiatrist at Bellevue Hospital for two years.

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Treatment approach

Dr. Saklayen specializes in medication management but takes a holistic, patient-centered approach that integrates supportive therapy, cognitive-behavioral therapy (CBT), and motivational interviewing (MI). She has extensive experience treating depression, bipolar disorder, generalized anxiety, panic disorder, social anxiety, OCD, insomnia, and substance use disorders. She is particularly skilled in treating college students and individuals navigating difficult life transitions. If more in-depth therapy is needed, she may refer patients to a therapist as part of a comprehensive care plan.

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What you can expect in a first visit

During the first visit, patients can expect a thorough and compassionate evaluation, where Dr. Saklayen carefully assesses symptoms, history, and treatment goals. She prioritizes collaboration and individualized treatment planning, ensuring that patients feel comfortable and supported in their mental health care. Follow-up visits are typically 30 minutes and focus on medication management and therapy integration, with referrals to additional therapy when needed for the best possible outcome.

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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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Vanessa Valdes, MD

Staff Psychiatrist

Dr. Vanessa Valdes is an adult psychiatrist specializing in medication management and psychotherapy, with a strong focus on nutrition, wellness, and mindfulness. She earned her combined MD/MPH degree from the University of Miami Miller School of Medicine and completed her psychiatry residency at the University of Miami/Jackson Health System, one of the nation's leading public healthcare systems.‍During her residency, Dr. Valdes gained broad experience in diverse areas of psychiatry, including inpatient psychiatry, emergency psychiatry, outpatient care, psychotherapy, hypnosis, child and adolescent psychiatry, consultation-liaison psychiatry, psycho-oncology, and addiction psychiatry.‍Dr. Valdes primarily provides supportive psychotherapy and acceptance and commitment therapy to help patients better understand and address their stressors. She takes a holistic approach to care, emphasizing the emotional, spiritual, and physical well-being of her patients. Her goal is to inspire meaningful, sustainable changes in patients' lives through compassionate, comprehensive treatment.

Jessica Grimes, DO

Staff Psychiatrist

Dr. Jessica Grimes is a board-eligible child and adolescent and adult psychiatrist. She is originally from Sylva, NC. She earned a bachelor's degree in religion and minored in biology at The University of the South in Sewanee, TN. She graduated cum laude and was inducted into the order of the gownsmen, an honor society. She earned her doctorate from the West Virginia School of Osteopathic Medicine in Lewisburg, WV. Dr. Grimes completed a traditional rotating internship through WVSOM at Our Lady of Bellefonte Hospital in Ashland, KY and completed residency training in psychiatry at Lake Erie College of Osteopathic Medicine in Erie, Pennsylvania. While in residency, she earned a master's degree in medical education from LECOM. She completed a fellowship in child and adolescent psychiatry at the University of South Carolina School of Medicine, Greenville. During her second year of fellowship at USC-Greenville, she received the "Child & Adolescent Psychiatry Fellow of the Year� award.

Tetyana Tarnavsky, MD

Staff Psychiatrist

Dr. Tetyana Tarnavsky is a board-certified psychiatrist trained in Adult Psychiatry. She attended Dnipropetrovsk State Medical Academy in Ukraine where she received her M.D., M.S. and Ph.D. degrees in Psychiatry. Dr. Tarnavsky completed her residency at Harvard South Shore Psychiatry Residency Training Program in MA, where she was elected chief resident. Dr. Tarnavsky has an extensive research experience in Ukraine and the USA. She had studied computer addiction for her dissertation; had multiple abstracts and presentations; published several articles in peer-reviewed psychiatric journals as well as a book entitled Computer Addiction: Formation, Diagnosis, Correction and Prophylaxis. She has helped organize international conferences with the goal of improving access to and quality of healthcare in Dnipropetrovsk, Ukraine, and providing a national model for health care reform. Dr. Tarnavsky has worked with a variety of patients with diverse backgrounds in a Community Health Center and in the Partial Hospitalization Program as well as supervised medical students, psychiatry residents, and nurse practitioners. She has been a lecturer on psychiatry at Harvard Medical School and was involved in the training of psychiatry residents in the Harvard South Shore Psychiatry Training Program. Her primary focus has been on treating adults with depression, anxiety, post traumatic stress disorder, adjustment disorder, ADHD and other disorders. Dr. Tarnavsky strives to provide quality and compassionate treatment to individuals and their families.‍

Leora Golan, LCSW

Staff Therapist

Leora Golan serves as a dedicated mental health professional with a Master of Social Work degree from Loyola University of Chicago, specializing in mental health. She completed her undergraduate studies at Stockton University, earning a Bachelor of Science in Social Work with a minor in Childhood Studies. Leora brings a rich and diverse clinical background, having worked with children, adolescents, adults, seniors, and active-duty service members/veterans.

Specializing in Anxiety Disorders, Mood Disorders, low self-esteem, stress management, trauma, and addictions, Leora employs a trauma-informed lens, enhanced by her certification in the Neurosequential Model of Therapeutics. This approach allows her to better understand and address each client’s unique needs through thorough assessment.

Believing in the importance of individualized care, Leora adopts an eclectic therapeutic method tailored to the specific requirements of her clients. She integrates various clinical orientations, including strength-based approaches, solution-focused therapy, mindfulness therapy, cognitive-behavioral therapy, dialectical behavior therapy, narrative therapy, and exposure therapy.

Leora emphasizes the significance of building a strong therapeutic alliance, offering a safe, non-judgmental, and collaborative environment for clients to explore their emotions and navigate their challenges. Her compassionate approach fosters meaningful change, empowering clients to achieve their therapeutic goals.

Walter Piddoubny, MD

Education and training

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