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Xiomara Nieves-Alvarado, MD
Staff Psychiatrist
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Biography
I am a Board-certified psychiatrist who completed medical training at Duke University Psychiatry Program. My practice combines medication management with insight-oriented therapy during every visit, promoting a comprehensive approach to mental health care. I advocate for my patients to engage in therapy alongside medication management, as I believe this integrated approach leads to better outcomes and sustained improvement. My practice is rooted in a collaborative, team-based approach, working closely with my patients to achieve long-term mental wellness.
I earned my medical degree from the Universidad Central del Caribe School of Medicine in Bayamon, PR. Afterward, I moved to North Carolina, where I completed my residency at Duke University Hospital. During my training, I was nominated for a fellowship in psychodynamic practice by the Psychoanalytic Center of the Carolinas. I am also a dedicated advocate against childhood sexual trauma. My diverse training includes significant experience in jail and forensic psychiatry, as well as the treatment of military veterans under the veteran affairs health care system. I have experience in medically assisted treatments (MAT) for substance use disorders, Electroconvulsive therapy (ECT), and family therapy, enabling me to care for patients with complex needs. I treat patients across a wide age range, from young adults to the elderly.
Originally from Puerto Rico, I am fluent in both English and Spanish, which allows me to connect deeply with a diverse patient population. Passionate about improving access to mental health care, I joined Talkiatry to help patients facing time or transportation challenges receive the care they need. In addition to my clinical practice, I remain involved with my alma mater's Behavioral Health Department, contributing to academic education and maintaining a connection with the next generation of medical professionals. I continue to seek ongoing improvement in my field, remaining engaged with medical associations including the North Carolina Psychiatric Association, American Psychiatric Association, and Alpha Omega Alpha national medical honor society.
Expertise and specialties
Education and training
- University of Puerto Rico - Rio Piedras Campus, BS
- Universidad Central Del Caribe Escuela De Medicina, MD
- Duke University Medical Center, Residency