Wayne McIntosh, PMHNP

Rebecca Kostopoulos, PMHNP, is a board-certified psychiatric nurse practitioner committed to helping individuals facing mental health challenges lead full and balanced lives.

Her practice primarily focuses on medication management, often combined with supportive or emotionally focused therapy during 30-minute follow-up visits. When appropriate, Rebecca may recommend involving an additional therapist to ensure the most effective and comprehensive care.

She earned her Master of Science in Nursing with a specialization in psychiatry from Columbia University and her Bachelor of Science in Nursing from Boston College. Her training includes psychiatric diagnosis, medication management, and both psychodynamic and cognitive-behavioral therapies.

With over a decade of experience, Rebecca has evaluated and treated adults in a variety of clinical settings. Her previous roles include working at Elmhurst Hospital’s Comprehensive Psychiatric Emergency Program, Gracie Square Hospital’s inpatient unit, as well as in community health centers and skilled nursing facilities.

As a nurse practitioner, Rebecca believes that mental health is just as vital as physical health. She values the therapeutic relationship and approaches treatment with empathy and collaboration, ensuring that each patient receives personalized and compassionate care.

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Dr. Borad is a Board Certified Psychiatrist and has specialized in Addiction Psychiatry. She finished her residency at the WVU campus of Charleston, WV, and finished the Addiction Psychiatry Fellowship at UPMC/Western Psychiatry Institute in Pittsburgh, PA. She has previously worked as an Assistant Professor at WVU of Charleston, where she was involved in working with residents in inpatient and outpatient settings, provided psychiatric consult services to hospitalized patients, and was part of the Outpatient Comprehensive Opioid treatment program where she provided Medication Assisted Treatment for patients with substance use disorders. She has an interest in treating patients with mood, anxiety, and psychotic disorders. Dr. Borad has a special interest in treating individuals having a substance use history and struggling to quit, and has expertise in treating patients with a dual diagnosis of substance use with other psychiatric conditions. She primarily does medication management, in addition to providing some supportive therapy and motivational interviewing to her patients in her 30-minute follow-up appointments. In addition, she may suggest bringing in a therapist to add to your care if clinically necessary.

Dr. Anne Rohs is board certified in both adult and geriatric psychiatry and has practiced psychiatry for over 10 years. She has extensive experience treating critically ill patients in hospital settings. This experience allowed her to hone skills necessary to care for individuals with complex psychiatric illnesses complicated by medical conditions. Dr. Rohs' approach to care involves providing a consistent, empathic, non-judgmental space to develop and attain shared treatment goals. She is committed to developing a partnership that is always respectful of patients' points of view, and she utilizes this knowledge to inform treatment plans that are safe, effective, and agreeable to patients. At the same time, she is sensitive to financial or insurance coverage factors that may impact treatment. After completing residency training at Montefiore Medical Center, Dr. Rohs was invited to serve an additional year as Senior Chief Resident for its adult psychiatry residency training program. She spent the next year as a fellow in Geriatric Psychiatry before her appointment as an attending physician on Montefiore's acute psychiatric inpatient unit. During her training years, Dr. Rohs made several trips to Uganda to serve as an attending physician with the Doctors for Global Health Project. Dr. Rohs subsequently transferred to Bronx Psychiatric Center (BPC), where she treated inpatients and outpatients suffering from severe mental disorders. At BPC, she expanded her knowledge base and became an expert in advanced psychopharmacology. Dr. Rohs also spent time prior to joining Talkiatry as an attending physician at NYU Langone Hospital. Dr. Rohs specializes in treating a variety of psychiatric conditions including mood disorders, psychotic disorders, anxiety disorders, PTSD, and dementia. She is attuned to the direct and indirect mental health impact of the pandemic and its aftermath on patients of all ages. Dr. Rohs does not usually treat ADHD patients. For the small number of patients she treats who have ADHD, Dr. Rohs requires comprehensive testing, multiple follow ups, and a full medical workup before confirming a diagnosis to ensure appropriateness and safety of chosen treatment.Dr. Anne Rohs is board certified in both adult and geriatric psychiatry and has been in practice for over ten years. She has an extensive background working in hospital settings treating critically ill patients. This experience has helped hone her skills in caring for individuals with complex psychiatric illnesses complicated by medical conditions. Dr. Rohs’ approach is to provide a consistent, empathic, non judgmental space to develop and attain shared treatment goals. Dr. Rohs is committed to developing a partnership which is always respectful of patients’ points of view, and she utilizes this knowledge to inform treatment plans that are safe, effective and agreeable to patients. She is sensitive to financial or insurance coverage factors that may impact treatment.

After completing residency training at Montefiore Medical Center, Dr. Rohs was invited to serve an additional year as Senior Chief Resident for their adult psychiatry residency training program. She spent the following year as a fellow in Geriatric Psychiatry before being appointed an attending physician on Montefiore’s acute psychiatric inpatient unit. Dr. Rohs subsequently transferred to Bronx Psychiatric Center, where she treated patients suffering from severe mental disorders in both inpatient and outpatient settings. As a result, she further expanded her knowledge base and became an expert in advanced psychopharmacology. Prior to joining Talkiatry, Dr. Rohs served as an attending physician at NYU Langone Hospital. She has also been an attending physician for the Doctors for Global Health Project in Uganda.

Dr. Rohs specializes in treating a variety of psychiatric conditions including schizophrenia, bipolar disorder, generalized anxiety disorder, depression, and dementia. She is attuned to the direct and indirect mental health impact of the pandemic on patients of all ages. As the Covid situation evolves, Dr. Rohs is available to see patients either in the office or via telehealth platforms.

Dr. Rohs does not usually treat ADHD patients. For the small number of patients she treats who have ADHD, Dr. Rohs requires comprehensive testing, multiple follow ups, and a full medical workup before confirming a diagnosis to ensure appropriateness and safety of chosen treatment.

Edmund Clark, MD, serves as Chief Psychiatrist at Talkiatry with over 17 years of board-certified experience, including more than 5 years delivering tele-psychiatric care to underserved areas. His career spans 23 years in public service, including leadership roles as Chief of the VA Mental Health Clinics in Jacksonville, FL, and program manager for the University of Florida’s Psychiatry Residency Training Program. A former U.S. Navy psychiatrist, he deployed multiple times, including to Iraq in support of an Army Combat Stress Control clinic, gaining expertise in evidence-based PTSD treatments. Dr. Clark earned his medical degree from the University of Florida and completed his psychiatry residency at the National Naval Medical Center and Walter Reed, serving as chief resident for over 50 military trainees. Before medicine, he served in the U.S. Peace Corps in Kenya.

Dr. Clark values a collaborative approach built on honesty, rapport, and ensuring patients feel heard. He helps patients identify and address multiple factors influencing their mental health, aiming for positive, lasting changes that improve function across life domains. He encourages evidence-based therapies and, when needed, involves other providers to support comprehensive care.

Dr. Clark uses measurement-based tools to assess medication efficacy and guide treatment decisions. He integrates supportive psychotherapy to strengthen coping skills and reduce negative thinking, while incorporating motivational interviewing techniques to promote recovery and self-improvement.

Background and credentials

Dr. Shama Milon is a triple-board eligible physician in Pediatrics, Psychiatry, and Child and Adolescent Psychiatry. She earned her undergraduate degree from Duke University and her medical degree from the University of Cincinnati College of Medicine. She completed her combined training in Pediatrics, Psychiatry, and Child and Adolescent Psychiatry at the Icahn School of Medicine at Mount Sinai in New York, where she served as chief resident during her final year of training.

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Treatment approach

Dr. Milon specializes in treating mood disorders, anxiety, PTSD, ADHD, OCD, and patients with co-occurring psychiatric and medical conditions. She is dedicated to outpatient care, focusing on long-term relationships with her patients. Her treatment approach is comprehensive, integrating medication management with psychotherapy, including psychodynamic psychotherapy, cognitive-behavioral therapy (CBT), dialectical behavior therapy (DBT), play therapy, dyadic therapy, and family therapy. She emphasizes creating an empathetic, judgment-free space where patients and families feel supported and understood. If she believes additional therapy is necessary, she may recommend adding a therapist to the care team.

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What you can expect in a first visit

During the first visit, patients can expect a comprehensive psychiatric evaluation, where Dr. Milon carefully assesses physical, emotional, and psychological needs. She takes a holistic and patient-centered approach, ensuring that treatment plans are tailored to each individual’s unique circumstances. She prioritizes open communication and collaboration with both patients and families to create a structured, effective treatment plan that may include medication management and therapy interventions.

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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. Alexa Hall is a board-certified adult psychiatrist with extensive training and experience across inpatient, partial hospitalization, intensive outpatient, and outpatient psychiatry settings. She earned her medical degree from Saint Louis University School of Medicine and completed her psychiatry residency at Harvard South Shore. Through her clinical work with the Harvard Medical School system and the Boston VA Healthcare System, Dr. Hall developed expertise in caring for diverse patient populations. She has also served as Medical Director for multiple psychiatry practices, overseeing services such as outpatient medication management, Spravato, IV Ketamine, and Transcranial Magnetic Stimulation (TMS). Outside of work, she enjoys cooking and spending time with her family.

Dr. Hall provides a supportive, non-judgmental environment where patients feel heard, respected, and understood. She takes a collaborative approach, working in partnership with patients to set and achieve individualized wellness goals. Her practice emphasizes whole-person care, integrating both mental and physical well-being into each treatment plan.

Dr. Hall begins by listening closely to understand each patient’s history, experiences, and concerns. From there, she collaborates with patients to identify their personal treatment and wellness goals. She develops individualized treatment plans tailored to these goals, focusing on supporting meaningful progress and long-term well-being.