Iris Vanessa Guerrero Urena, MD

Dr. Alexandra ("Sasha”) Blaes is a board-certified psychiatrist. Before joining Talkiatry, she practiced consult-liaison psychiatry, seeing medically ill patients with psychiatric problems at the Department of Veterans Affairs, where she also treated veterans in nursing homes. Dr. Blaes graduated from New York University with a B.A. in philosophy and photography and worked in nonprofit marketing in New York before deciding she wanted to pursue a life in medicine. Following a post-baccalaureate, pre-medical program at Columbia University, Dr. Blaes completed medical school at The University of Maryland, followed by a psychiatry residency at The Johns Hopkins Hospital. While at Johns Hopkins, she mastered clinical assessment and treatment of general psychiatric problems. She also received specialized training in eating disorders, addiction, reproductive psychiatry, chronic pain, and geriatric psychiatry, an interest she pursued further with a fellowship at University of Pittsburgh Medical Center. In fellowship and in her subsequent experience at the VA, she developed expertise in caring for the difficulties that can accompany aging, including depression, anxiety, and memory loss, as well as the stress of medical illness. Dr. Blaes' practice focuses on medication management. She works to foster a safe and collaborative space in which patients can address psychiatric illness and other barriers holding them back from the lives they want to lead. Typically, she offers appointments for medication management coupled with supportive or emotionally focused therapy in 30-minute sessions. When Dr. Blaes feels that additional therapy is needed, she will suggest inviting a therapist to join the team for additional support and guidance. She welcomes collaborations with other clinicians, be they therapists or other physicians caring for her patients. She strives to build strong therapeutic relationships that help patients grow and meet their goals - whatever their situation, challenge, or life stage. Dr. Blaes welcomes patients from all walks of life and cultural backgrounds and is LGBTQ+ friendly. In addition to her background in geriatrics, she has experience working with peripartum women and enjoys working with patients navigating major life changes.

Michelle Hamilton is a Board-Certified Psychiatric Mental Health Nurse Practitioner with a special interest in the care of adults with mood disorders, anxiety disorders, and PTSD. She earned her Master of Science Degree from The Ohio State University and her Bachelor’s Degree in Nursing from The Oregon Health & Science University in Portland, Oregon. Her background includes both inpatient and outpatient psychiatry, crisis stabilization, and Consult-Liaison Psychiatry. Michelle has a passion for incorporating a holistic, evidenced-based approach to improve the mental health needs of each individual client through medication and therapy while emphasizing practical lifestyle changes such as the incorporation of exercise, healthy nutrition, and stress management techniques.

Dr. Amy Lowry is a board-certified psychiatrist who earned her medical degree from the University of Texas Medical Branch in Galveston after completing her undergraduate studies at Texas Lutheran University. She was commissioned as an officer in the U.S. Navy and completed her psychiatry residency at Naval Medical Center Portsmouth. She has provided psychiatric care in outpatient settings across Louisiana and North Carolina, focusing on adult and young adult populations. Dr. Lowry brings extensive experience in comprehensive psychiatric evaluations, medication management, and psychotherapy, utilizing cognitive-behavioral (CBT), psychodynamic, supportive, and dialectical behavioral (DBT) therapy approaches. Her passion lies in holistic, compassionate, and evidence-based care for a wide range of conditions including depression, anxiety, PTSD, ADHD, and life transitions.

Dr. Lowry creates a warm, respectful environment where patients feel heard and valued. She encourages autonomy through mental health education and open dialogue, working to ensure patients are informed and engaged in their treatment. She prioritizes empathy and trust, believing a strong doctor-patient relationship is key to achieving lasting therapeutic outcomes.

Dr. Lowry begins with a comprehensive understanding of each patient's history, concerns, and goals. She develops individualized treatment plans and incorporates psychotherapy into each session to align with patient goals and enhance treatment response. Patient goals are revisited regularly to adapt plans as progress is made.

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Dr. Wilbur is a Double Board Certified Psychiatrist in Adult and Addiction Psychiatry. He completed his undergraduate degree in Public Health Studies at Johns Hopkins University and his medical education at the UMass Chan Medical School. Dr. Wilbur completed his psychiatry residency training and addiction psychiatry fellowship training at Yale School of Medicine. His practice focuses on medication management, typically offered in conjunction with supportive therapy in 30-minute follow-up visits. Dr. Wilbur has an interest in treating patients with a wide range of psychiatric conditions including but not limited to depression, anxiety, obsessive compulsive disorder, trauma- and stressor-related disorders, and bipolar disorders. He also has experience treating psychiatric conditions in patients experiencing co-occurring medical illness. Dr. Wilbur believes that successful treatment begins with mutual trust between a patient and their doctor. He uses a warm, nonjudgmental, and collaborative approach. His assessments consider the biological, psychological, and social, and cultural factors that impact mental health. He implements a range of evidence-based treatments to alleviate psychiatric symptoms and improve wellbeing.

Dr. Perington is a Staff Psychiatrist with Talkiatry. She previously served in the US Air Force, where she completed her residency training in psychiatry (Lackland AFB) and was the medical director for a small-sized mental health clinic (Hill AFB). Dr. Perington uses a person-centered approach to tailor treatment to the individual, with an emphasis on shared decision making. She prefers to focus on psychotherapy and behavioral interventions as a primary part of the treatment plan, in addition to any indicated medication.

Motivation for change is a large part of the healing process, and for many people recovery doesn't happen with medication alone. Dr. Perington asks all her patients to play an active role in their treatment.

A thorough diagnostic assessment with discussion of the best treatment setting and modality, then regular follow up visits with emphasis on psychotherapy in addition to medication management (if indicated).

Dr. Caitlin Gardiner is a board-certified psychiatrist specializing in child and adolescent psychiatry and psychotherapy. Dr. Caitlin Gardiner's practice is based on the biopsychosocial model and believes that the foundation of healing is in psychotherapy and human connection. She is known for incorporating therapy into her medication management practice. Typically she offers 30-minute follow-up visits for medication management with focused therapy based on individual needs. As a known helper, Dr. Gardiner started her career with a bachelor's degree in social work from Cazenovia College in Cazenovia, NY. After changing career paths, she received her medical degree from SUNY Upstate Medical University in Syracuse, NY. She stayed upstate to complete her general psychiatry residency, where she was chief resident at the beginning of the COVID-19 pandemic. Following this, she completed her child and adolescent psychiatry fellowship at Upstate due to the high quality of training. Dr. Gardiner has completed 3 years of advanced training in Dynamic Deconstructive Psychotherapy as well as specialized training in DBT. Dr. Gardiner is a well-rounded psychiatrist who enjoys treating youth and young adults during transitional phases of life while providing a safe and supportive environment. She believes strongly in reducing polypharmacy and providing high-quality medication management through a therapeutic and developmental lens.