Ian Thistlethwaite, 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.”

Katherine Strasburger, LCSW, grew up in Colorado and moved to Waco in 2013 to attend Baylor University, where she later earned her MSW. She has extensive experience supporting children and adolescents ages 4–19, as well as their caregivers, across juvenile detention, PK–12 schools, and homeless outreach. She is completing full EMDR training and holds ADHD certification. Kat enjoys integrating nutrition-focused psychoeducation and creative expression through play and art-based strategies. She is also training her dog, Odin, for Therapy Dog certification.

Kat recognizes the stigma surrounding mental health and views seeking therapy as an act of resilience. She creates a safe, comfortable, and nonjudgmental space where clients can be themselves. She values autonomy, supports increased self-awareness, and genuinely celebrates each client’s progress and healing.

Kat begins by building rapport and gaining a thorough understanding of each client’s history, concerns, and goals. She collaborates with clients to create individualized treatment plans that reflect their needs and priorities. She feels honored to walk alongside clients as they grow, heal, and build skills for lasting well-being.

Dr. Megan Freeman is board certified by the American Board of Psychiatry and Neurology in Adult Psychiatry. She completed her residency training at Vidant Medical Center at East Carolina University in Greenville, North Carolina in 2021 where she was the chief resident. Since then, she has worked as an attending physician at an inpatient adult psychiatric unit in Burlington, North Carolina. As a resident and attending she has treated adults of all ages and in all areas of mental health. Dr. Freeman's talkiatry practice will mostly focus on medication management in conjunction with support or acceptance-based therapy during 30-minute follow-up visits. During this time, Dr. Freeman hopes to collaborate with her patients to help set treatment goals and ways to track progress in between appointments. Dr. Freeman is board certified in adult psychiatry. She enjoys seeing patients with a wide variety of diagnoses including, but not limited to, major depressive disorder, bipolar disorder, post-traumatic stress disorder, obsessive-compulsive disorder, and generalized anxiety disorder. She enjoys combining medication management with various therapy techniques.‍

Background and credentials

Dr. Sabera Saklayen is a board-certified psychiatrist licensed in Adult Psychiatry. She earned her bachelor’s degree from Ohio State University and her medical degree from Wright State University Boonshoft School of Medicine. She completed her psychiatry training at Stony Brook University Hospital, where she served as chief resident and was awarded the William Turner Award for outstanding performance in psychiatry residency. She has extensive experience treating diverse populations, including vulnerable and underserved communities, having worked as an outpatient psychiatrist at Bellevue Hospital for two years.

‍

Treatment approach

Dr. Saklayen specializes in medication management but takes a holistic, patient-centered approach that integrates supportive therapy, cognitive-behavioral therapy (CBT), and motivational interviewing (MI). She has extensive experience treating depression, bipolar disorder, generalized anxiety, panic disorder, social anxiety, OCD, insomnia, and substance use disorders. She is particularly skilled in treating college students and individuals navigating difficult life transitions. If more in-depth therapy is needed, she may refer patients to a therapist as part of a comprehensive care plan.

‍

What you can expect in a first visit

During the first visit, patients can expect a thorough and compassionate evaluation, where Dr. Saklayen carefully assesses symptoms, history, and treatment goals. She prioritizes collaboration and individualized treatment planning, ensuring that patients feel comfortable and supported in their mental health care. Follow-up visits are typically 30 minutes and focus on medication management and therapy integration, with referrals to additional therapy when needed for the best possible outcome.

‍

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.

‍

Dawn Schulze, LPC, has extensive experience practicing in both outpatient and residential treatment settings. She completed her Doctorate in Psychology at the University of St. Thomas in St. Paul, Minnesota, and has specialized training in grief and trauma counseling. Her clinical background allows her to support individuals facing complex emotional challenges with depth, insight, and professionalism.

Dawn offers a compassionate, client-centered approach that honors each person’s unique journey. She is passionate about supporting individuals through significant life changes, addressing interpersonal challenges, and helping clients develop deeper self-understanding and resilience. Patients can expect a respectful, collaborative environment where they feel heard, supported, and empowered.

Dawn begins by learning each patient’s best hopes for therapy while gaining an understanding of their personal history and current concerns. She works collaboratively with patients to develop an individualized treatment plan that aligns with their goals, values, and vision for growth, adjusting the approach as needed over time.

Dr. Varsha Narasimhan is a physician with experience working in outpatient integrated medical settings, where she has collaborated closely with primary care and obstetric providers to support patients’ mental health within the context of their overall health. She earned her medical degree from SUNY Downstate Medical Center and completed her psychiatry residency and integrated care fellowship at Montefiore Medical Center. Dr. Narasimhan also holds additional training in bioethics and medical humanities, which informs her thoughtful and reflective approach to care.

Dr. Narasimhan’s style is practical, respectful, and grounded in shared decision-making. She works collaboratively with patients to ensure they feel informed and empowered in their care. She treats depression, anxiety, PTSD, ADHD, bipolar disorder, and cognitive concerns, with a focus on patient-centered care and careful, individualized medication management.

Dr. Narasimhan tailors treatment to each patient’s unique concerns, values, and goals. She prioritizes compassion and a whole-person perspective during the initial assessment and throughout treatment, working with patients to develop plans that support both mental health and overall well-being.