Ilisse Perlmutter, MD

Dr. Akhtar is a board-certified psychiatrist specializing in compassionate and comprehensive mental health care. She focuses on medication management for a wide range of psychiatric conditions, providing supportive therapy to help individuals navigate life's challenges and enhance their overall well-being, while emphasizing lifestyle changes and the development of coping skills. Dr. Akhtar completed her medical degree at the American University of Antigua, gaining a profound understanding of the biological, psychological, and social aspects of mental health. Following her residency at Bergen, Newbridge Medical Center, where she was appointed Chief Resident in her fourth year, she worked for several years in both inpatient and outpatient hospital settings. Committed to holistic wellness, Dr. Akhtar believes in empowering individuals to make positive changes in their lives and offers guidance on nutrition, exercise, sleep hygiene, and stress management techniques. She is dedicated to fostering a therapeutic alliance built on trust, empathy, and collaboration. Her approach is rooted in evidence-based practices and tailored to meet the unique needs of each individual under her care.

Dr. Kira Posteraro is double board-certified in Adult and Addiction Psychiatry and has over 10 years of clinical experience. She completed her General Adult Psychiatry Residency at Allegheny General Hospital in Pittsburgh, PA, followed by a fellowship in Addiction Psychiatry at Beth Israel Medical Center in New York, NY.

Dr. Posteraro’s career has included serving as Director of Psychiatric Services at an addiction treatment center in Pittsburgh, PA, where she provided care across the full continuum of substance use disorder treatment—including residential, acute PHP, IOP, outpatient, and aftercare services. She later held the role of Section Chief Psychiatrist for the Center for Treatment of Addictive Disorders at VA Pittsburgh Healthcare System, offering both residential and outpatient services and acting as Medical Director for the SAMHSA-certified Opioid Treatment Program. Most recently, she served as Chief of Psychiatry for the Behavioral Health Service Line at VA Pittsburgh, where she had the honor of caring for our nation’s Veterans.

While her clinical expertise centers on the diagnosis and treatment of substance use disorders, Dr. Posteraro also has extensive experience treating a wide range of psychiatric conditions, including depressive and bipolar spectrum disorders, anxiety disorders, and trauma-related disorders.

Dr. Posteraro uses a collaborative, supportive approach to care, incorporating motivational interviewing to help guide patients on their journey to wellness. She integrates holistic strategies alongside medication management and is dedicated to meeting patients where they are in treatment to build individualized, effective recovery plans.

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Dr. Andrew Miller is a board-certified psychiatrist with extensive experience treating patients across Indiana. He earned his undergraduate degree in Biology with a minor in Chemistry from Indiana University, followed by his Doctorate of Medicine and residency training in psychiatry. He went on to complete a fellowship in child and adolescent psychiatry and maintains active involvement in professional organizations, including serving as past president of the Indiana Council of Child and Adolescent Psychiatry. Outside of medicine, Dr. Miller values time with his wife and two children and enjoys sports, Lego building, and supporting Indiana athletics.

Dr. Miller believes in building a collaborative therapeutic relationship grounded in respect and open communication. He strives to create a safe, supportive environment where patients of all ages—children, adolescents, and adults—feel heard and understood. He works to balance medical expertise with patient preferences, encouraging shared decision-making and honoring each individual’s goals in treatment.

Dr. Miller begins with a thorough evaluation to gain a complete understanding of each patient’s history, strengths, and challenges. From there, he develops a personalized treatment plan that may include therapy, medication management, and integration of other supportive resources. He is committed to ongoing follow-up, adjusting care as needed, and helping patients move toward lasting improvement in their mental health and overall well-being.

Dr. Patricia de la Cabada earned her medical degree from Ross University School of Medicine and completed her psychiatry residency at the University of Central Florida/HCA Consortium in Gainesville, where she served as outpatient chief resident and received the Excellence in Psychotherapy award. She holds a bachelor’s degree in Anthropology from the University of Florida and has experience in outpatient, inpatient, and consult-liaison psychiatry. Dr. de la Cabada is fluent in Spanish and has special interests in OCD, depression, perinatal depression, bipolar disorder, anxiety, and PTSD.

Dr. de la Cabada approaches care with empathy and compassion, creating a warm, supportive environment. She values strong therapeutic relationships and uses a holistic lens that considers lifestyle and psychosocial factors. Her collaborative, patient-centered style focuses on creating personalized treatment plans.

She begins with a thorough history and discussion of concerns and goals. Treatment plans include medication management, supportive therapy, and lifestyle strategies, with follow-up visits to monitor progress and adapt care as needed.

Dr. Niles (he/him) holds the position of Staff Psychiatrist at Talkiatry. He has four years of experience in outpatient psychiatry and is board-certified for adult psychiatry. He has received training in the use of cognitive behavioral therapy, supportive therapy, motivational interviewing, psychodynamic therapy, and dialectical behavioral therapy skills. He uses his training in therapy in tandem with medicine management to provide holistic, person-centered care. During his undergraduate studies at the University of Pittsburgh, while completing his pre-medical classes, he also pursued certification in the history and philosophy of medicine. Additionally, he studied the effect of culture and ethics on healthcare. He earned a Bachelor of Science in Psychology with a minor in Chemistry. He attended medical school at the West Virginia School of Osteopathic Medicine. His psychiatry residency training was completed at Charleston Area Medical Center. While in residency, he worked to improve cultural awareness in the outpatient setting. Dr. Niles is interested in treating patients with a wide variety of diagnoses. He treats mood disorders, anxiety disorders, trauma-related disorders, personality disorders, OCD, comorbid addiction, mild eating disorders, neurodevelopmental disorders such as autism spectrum disorder, and more. He also strives to provide care that affirms LGBTQIA+ identities and underwent additional training in transgender mental healthcare.

Jeanine Foley is a board-certified Psychiatric-Mental Health Nurse Practitioner (PMHNP-BC) with over a decade of experience in both inpatient and outpatient settings. She holds a Doctorate of Nursing Practice from the University of Colorado Denver, an MSN from Vanderbilt University, and a BS from Boston University. Her career includes service as an active duty PMHNP in the U.S. Air Force and roles in the VA and private psychiatric hospitals. She also serves as Adjunct Clinical Faculty for a PMHNP graduate program.

Jeanine believes in patient-centered care built on trust, collaboration, and respect for each individual’s life story. She integrates medication management with therapeutic techniques and creates a safe, inclusive space that is trauma-informed and aligned with each patient’s values. Jeanine emphasizes genuine connection and strives to help clients explore root causes of distress—not just manage symptoms.

Jeanine begins with a comprehensive, collaborative assessment of each patient’s medical, psychiatric, and psychosocial history. She partners with patients to develop flexible, personalized treatment plans that support holistic mental health. Her approach combines psychopharmacologic and psychotherapeutic interventions, continuously adjusting plans based on feedback and progress.