Xiomara Nieves-Alvarado, MD

Dr. Telonis is a board-eligible adult psychiatrist who had been in practice for four years. Her focus is on using a collaborative approach and shared-decision making to help patients achieve their treatment goals. Dr. Telonis typically provides monthly 30-minute follow-ups with a focus on medication management and supportive therapy. In some instances, she may recommend a separate therapist to help facilitate the best care possible. Dr. Telonis earned her bachelor's degree in History of Art from Johns Hopkins University and then completed her master's at King's College London in international development with a focus on climate change. She received her medical degree from St. George's University School of Medicine and completed her psychiatry training at Mount Sinai Morningside and West Hospitals. Dr. Telonis has worked with a diverse patient population while training at Mount Sinai Morningside.‍

Douglas Brennan, MD, earned his medical degree from the University of Colorado School of Medicine and completed an adult psychiatry residency at Massachusetts General Hospital (MGH) and McLean Hospital. He also completed a forensic psychiatry fellowship at MGH. Dr. Brennan has experience in both outpatient and inpatient settings, supervising residents and mid-level practitioners, and working in emergency and inpatient facilities. He remains on staff at MGH as an instructor for Harvard Medical School and is double-board certified in adult and forensic psychiatry. His outpatient work includes several years treating patients at the Department of Veterans Affairs with post-traumatic stress disorder, depression, and anxiety.

Dr. Brennan enjoys collaborating with patients to understand their goals, set expectations, and provide education on treatment options. He offers medication management evaluations and follow-up visits while working alongside licensed therapists to provide behavioral support as needed.

Dr. Brennan begins by thoroughly reviewing each patient’s history, concerns, and goals in the initial session. He then develops individualized treatment plans tailored to the patient’s objectives, ensuring care aligns with their personal goals and needs.

Lisa Carroll is a Licensed Clinical Social Worker with 24 years of experience treating everything from adjustment disorders to Depressive Disorders, Anxiety disorders, and trauma, is eager to help others suffering from mental health issues or just adjusting to new circumstances. She has an eclectic approach to care and treatment based on strengths and person-centered care utilizing cognitive behavioral therapy, motivational interviewing, solution focused approaches, Rogerian theory, mindfulness, dialectal behavior therapy, narrative therapy, psychodynamic theory, cognitive processing therapy and many others. She is more eclectic in her approach because people are different and need a style that fits their individual needs. She is always seeking feedback from her clients to improve clinical outcomes. She does what is necessary and required to make this the best treatment anyone can get. She wants everyone she treats to reach their full potential. Lisa was trained as an undergraduate in psychology at the University of Alabama, graduating in 1991. She received her MSW in 1997 from the University of Alabama. She became licensed clinically in 2000. She has extensive experience and training in a variety of modalities and therapeutic interventions.

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.

Dr. Jennifer Ruch is a board-certified psychiatrist who strives to understand her patients' lived experiences and aspirations to develop supportive therapeutic relationships through empathetic listening, mutual trust, and respect. She collaboratively creates individualized care plans that align with personal treatment goals in a safe and judgment-free environment. After completing her Bachelor of Science degree in Human Biology with a focus in psychology from the University of California, Merced, she earned her medical degree from Lake Erie College of Osteopathic Medicine. Dr. Ruch completed her General Psychiatry Residency at Arnot Ogden Medical Center in New York. Her clinical experience involves treating individuals of all age groups from diverse populations and socioeconomic backgrounds suffering from anxiety, depression, bipolar disorder, psychotic disorders, neurodevelopmental disorders, and neurocognitive disorders. She has provided care in inpatient and outpatient psychiatric facilities, the Veterans Affairs Medical Center, emergency rooms, state facilities, and an inpatient chemical dependency center. She also performed pre-procedure psychological evaluations for bariatric and spinal cord surgeries, and psychiatric consult liaison services on medical units and has clinical training in inpatient and outpatient neurology. Her clinical experience incorporated treatment modalities such as pharmacotherapy and interventional psychiatry, including Transcranial Magnetic Stimulation and Spravato. Dr. Ruch integrates a wide array of psychotherapy as needed; however, her practice primarily focuses on medication management while utilizing referrals to therapists and providing collaborative care for optimal outcomes.

Background and credentials

Dr. Stefan is a psychiatrist with extensive experience in outpatient care, inpatient care, and assertive community treatment. She has served as a medical director for large institutions, overseeing the treatment of individuals with complex mental illnesses. Born and raised in Puerto Rico, she is fluent in both English and Spanish. She earned her medical degree from the University of Puerto Rico School of Medicine and completed her psychiatry residency at the University of Florida, where she received recognition for her skills as a psychotherapist.

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Treatment approach

Dr. Stefan is deeply committed to patient-centered care, adapting her role to the individual needs of each patient. She believes in treating the whole person, rather than just a diagnosis, recognizing that each patient has unique psychosocial circumstances. She has a strong foundation in psychotherapeutic interventions and is dedicated to providing engaging, compassionate, and meaningful therapy in every patient interaction. With over 10 years of experience as a psychiatrist, she has worked extensively in telemedicine since 2013, ensuring that remote care is as effective and personal as in-person visits.

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What you can expect in a first visit

Patients meeting Dr. Stefan for the first time can expect a comprehensive and holistic evaluation that considers their symptoms, personal history, and life circumstances. She takes the time to build strong therapeutic relationships, fostering a caring and engaging environment where patients feel understood and supported. Whether through telemedicine or in-person care, she prioritizes personalized treatment plans that integrate medication management and psychotherapy, ensuring the highest quality of care tailored to each patient’s 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 specialize in medication management and collaborate with you on a treatment plan that fits your needs and comfort level.

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