Wayne McIntosh, PMHNP

Background and credentials  

Dr. Alexandra Baluna, MD, is board-certified by the American Board of  Psychiatry and Neurology. She received her medical degree from  LSUHC-Shreveport and completed her psychiatry residency training at  Montefiore/Albert-Einstein College of Medicine, where she served as chief of  the Consultation-Liaison (C/L) service. Following residency, Dr. Baluna  served as Senior Chief, during which she was honored with the Leo M. Davidoff  Award for Outstanding Achievement in the Teaching of Medical Students. Her  professional experiences include roles at Fordham University, Albert Einstein  Student Mental Health Counseling Center, and most recently, as an outpatient  psychiatrist at Maimonides Medical Center, where she enjoyed teaching and  supervising residents.  

Treatment approach  

Dr. Baluna emphasizes creating a warm, empathic, and nonjudgmental  therapeutic environment. She collaborates closely with patients to develop  personalized treatment plans that consider cultural, biological,  psychological, and social factors. With a strong interest in psychotherapy,  she frequently employs ego-supportive and insight-oriented therapy techniques  during follow-up sessions.  

What you can expect in a first visit    

During an initial visit, patients can expect a welcoming and supportive  atmosphere where Dr. Baluna conducts a comprehensive assessment. This  involves exploring the patient's history, current challenges, and individual  circumstances. The goal of the first session is to collaboratively build an  individualized treatment plan tailored specifically to the patient's 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 speciualize in  medication management and collaborate with you on a treatment plan that fits  your needs and comfort level.

Matthew is a board-certified psychiatric mental health nurse practitioner and received his education in this specialty at Maryville University of St. Louis, Missouri.  He has been working in the mental health field for over 20 years and has provided care to patients in diverse care settings including psychiatric hospitals, outpatient mental health centers, psychiatric home health, and telepsychiatry.  Matthew is passionate about expanding access to high quality mental health care to all in need and greatly enjoys collaborating with patients from diverse backgrounds.  In his free time, he enjoys hiking, camping, reading, traveling, and searching for the best Mexican food around.  

Patients working with Matthew should know that he utilizes a very collaborative approach to patient care.  He does not assume that he knows what's best for patients but works closely with them to find the most appropriate and effective treatment plan for the unique individuals that he treats.  For Matthew, safety is always the first priority, but he does not believe in a "one size fits all" approach to mental health care and is focused on tailoring the treatment to the patient.  Matthew utilizes an empathic approach to mental health treatment and patients will feel heard and valued.  

Matthew's process for working with patients includes a thorough psychiatric evaluation at the initial appointment to make sure we are getting to the right diagnosis and remaining on track to improve the patient's mental health. Follow-up appointments are focused on monitoring for progress or regression and working collaboratively to meet mutually agreed upon goals. Collaboration is key!

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Patricia Grendell is a board-certified Psychiatric-Mental Health Nurse Practitioner who provides mental health care using a personalized, holistic approach. Patricia specializes in psychiatric evaluation and medication management along with psychotherapy and integrative interventions. Prior to receiving education and training in Nursing at New York University and Case Western Reserve University, Patricia earned a Master of Social Work from Boston College with a focus on health and mental health.  

Patricia specializes in working with adults experiencing a wide range of acute and chronic stressors and mental health symptoms. Patricia tailors' treatment to the goals, needs, and comfort level of each individual at her or his own pace. Patricia builds connections with patients so that they feel heard and understood, and partners with each individual to determine the most appropriate treatment strategies that maximize comfort, safety, and positive results.  

Over the past ten years as a Nurse Practitioner in outpatient and inpatient environments, Patricia has helped patients improve and overcome conditions including depression, anxiety, OCD, PTSD, ADHD, and insomnia. Using a combination of medication management, individual therapy, and psychoeducation, Patricia develops individualized treatment plans centered around patients’ priorities and safety to achieve improvements in health and quality of life.

Dr. Niles Drake is a board certified psychiatrist skilled in prescribing medications and working in psychotherapy. He combines a warm demeanor with excellent clinical skills, and has over 15 years' experience working with adult patients of all ages and many walks of life. He has special expertise combining medication and psychotherapy to help patients reduce symptoms and grow as individuals. Dr. Drake's additional training and experience in psychological modes of treatment enhance the quality of care he provides to all his patients, to meet them where they are and prioritize their individual needs and goals. He also provides medication management-only treatments for people who aren't looking for psychotherapy or who already have therapists. Dr. Drake completed his psychiatric residency at Columbia University Medical Center in New York. He also completed psychoanalytic training at the Columbia Center for Psychoanalytic Training and Research. He went on to teach classes at the Center, educating candidates about the nuances of combining psychotherapy with other treatment modalities. In addition to providing outpatient psychiatric treatment for over 10 years in private practice, he has worked extensively in psychiatric emergency settings, supervising residents as attending physician at Columbia-New York Presbyterian Hospital and Long Island Jewish Hospital psychiatric emergency rooms. He also has special expertise treating college-aged and young adult patients, having served as staff psychiatrist at Barnard College's Furman Counseling Center and worked with many students from Barnard and Columbia in his private practice. Dr. Drake offers treatment for many psychiatric conditions, including but not limited to depression, anxiety disorders, bipolar disorder, ADHD, and personality disorders. He identifies helping people ease and overcome their psychiatric conditions as his calling, and approaches each patient with humility, diligence, and a collaborative spirit.

Background and credentials

Dr. Joyln Ferrell is a board-certified psychiatrist with specialized training in treating depression and anxiety disorders. She earned her medical degree from Howard University College of Medicine and also holds a doctorate in pharmacy from the University of Georgia. She completed her residency training in psychiatry at VA Boston/Harvard Medical School and gained significant clinical experience at McLean Hospital. Additionally, she completed a fellowship in psychoanalytic psychotherapy at Columbia University Center for Psychoanalytic Training and Research.

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Treatment approach

Dr. Ferrell focuses on providing patient-centered care, emphasizing improving quality of life and helping patients reach their specific treatment goals. Her approach integrates medication management with supportive therapy. She believes in a collaborative treatment process and may recommend additional therapy support when necessary to optimize outcomes. She takes a cautious and limited approach to the use of controlled medications, ensuring responsible medication management.

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What you can expect in a first visit

During the first visit, patients can expect a comprehensive assessment of their symptoms, medical history, and treatment goals. Dr. Ferrell takes a thoughtful and individualized approach to care, working with patients to develop a treatment plan that incorporates medication management and supportive therapy. Follow-up visits typically last 20-30 minutes and focus on monitoring progress and adjusting treatment as needed. In some cases, she may recommend involving an additional therapist to further enhance the effectiveness of the treatment plan.

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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. Thomas Simeone is Board Certified by the American Board of Psychiatry and Neurology in Psychiatry.  Following his completion of medical school at Universidad Autonoma de Guadalajara, he completed his Fifth Pathway Clinical Training at New York Medical College.  He then completed his Psychiatry Residency at Tuft's University in Boston, MA, and went on to complete a Child and Adolescent Fellowship Program at the University of Florida in Gainesville FL.  He has since worked in both hospital inpatient and outpatient settings, as well as in Residential Treatment for adolescents. Dr. Simeone has treated a wide spectrum of mental health conditions including Anxiety and Depression Disorders, as well as Mood Disorders and Post Traumatic Stress Disorder. He has also treated ADHD, OCD and Eating Disorders in adults and adolescents. Dr. Simeone has worked in Telehealth Practice for the past 4 years. He is a Fellow of the American Psychiatric Association (APA) and a member of the American Medical Association (AMA).

Dr. Simeone utilizes medication management and psychotherapy practices to achieve treatment goals for his patients.  During an initial assessment and evaluation, a thorough review of the patient's previous mental health treatment is considered.  Dr. Simeone assesses patients' acute symptoms including recent stressors and exacerbating factors and then establishes a comprehensive treatment plan with the patients' goals in mind.  Psychotherapy with medication is incorporated into the treatment plan of all patients.  Dr. Simeone always aims to achieve full remission of symptoms for his patients.

Dr. Simeone's practice focuses on medication management with facets of various psychotherapeutic techniques.  He conducts 30 medication management follow up sessions. Dr. Simeone is a sincere and empathic physician who advocates for patient autonomy and believes in a direct and transparent approach to patient treatment. He encourages active patient participation in their treatment plans.

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