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Xiomara Nieves-Alvarado, MD

Staff Psychiatrist
Languages
English
Spanish
SPECIALTIES
Medication Management
ADHD
Anxiety
Bipolar Disorder
Depression
Obsessive-compulsive disorder (OCD)
PTSD/Trauma
LGBTQIA+

Education and training

  • University of Puerto Rico - Rio Piedras Campus, BS
  • Universidad Central Del Caribe Escuela De Medicina, MD
  • Duke University Medical Center, Residency

Get to know

Xiomara Nieves-Alvarado, MD

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 veteran 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.”

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Treatment approach

Dr. Ekeanyanwu’s practice is centered on pharmacotherapy, which she integrates with supportive therapy, cognitive behavioral therapy (CBT), and psychodynamic therapy to provide comprehensive psychiatric care. She takes a collaborative and individualized approach, tailoring treatment to meet each patient’s unique goals and improve their overall quality of life. She has a special interest in cultural and micro-cultural influences on mental health and strives to provide culturally competent care that respects each patient’s life experiences and values. When she believes additional therapy may be beneficial, she may recommend incorporating a therapist into the care team.

What you can expect in a first visit

During the first visit, patients can expect a thorough evaluation where Dr. Ekeanyanwu carefully assesses their symptoms, medical history, and personal treatment goals. She fosters a collaborative and patient-centered environment, ensuring that each treatment plan aligns with the patient’s individual needs. She provides medication management along with therapeutic support and, when appropriate, may recommend additional therapy to optimize outcomes. Her approach prioritizes safe, effective, and culturally sensitive care that evolves to support patients throughout different stages of their lives.

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. Weinberg approaches healing as both a science and an art. Her care is profoundly patient-centered, collaborative, and holistic, honoring the intricate connection between body, mind, and spirit. She believes in the quiet power of nourishment, restful sleep, joyful movement, and meaningful connection as essential threads in the fabric of wellness.

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With a heart rooted in empathy and a mind guided by clinical excellence, Dr. Weinberg walks beside her patients on the path to well-being—honoring their resilience and helping them rediscover their wholeness.

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Specialties
Medication Management
ADHD
Anxiety
Bipolar Disorder
Depression
Obsessive-compulsive disorder (OCD)
PTSD/Trauma
LGBTQIA+
States
Florida
North Carolina
Rhode Island
Languages
English
Spanish
Takes insurance
Virtual visits
years experience