Patricia Michel-Garrison, DO

Dr. Taj Deen earned their medical degree from Dow Medical College in Karachi, Pakistan, and completed psychiatry residency training at Maimonides Medical Center in Brooklyn. They have over 20 years of experience at Jacobi Medical Center’s acute inpatient psychiatric unit, led an acute psychiatric unit for 10 years at Montrose VA Hospital in New York, and served for 25 years in the psychiatric emergency room at Westchester Medical Center.

Dr. Deen prioritizes building a genuine therapeutic alliance with all patients, fostering open communication and collaboration. They work closely with patients to set clear treatment goals and objectives while creating a warm, supportive environment in which patients feel heard, respected, and empowered.

Dr. Deen begins with a comprehensive interview to understand each patient’s history, concerns, and goals. From there, they develop individualized treatment plans tailored to the patient’s objectives, combining compassionate guidance with evidence-based psychiatric care to support meaningful progress.

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Donna is a Board-Certified Psychiatric Nurse Practitioner dedicated to breaking down mental health stigma and expanding access to compassionate, quality care. With over 20 years of nurse practitioner experience, she has supported patients and families through life’s emotional and physical challenges across outpatient, inpatient, and telepsychiatry settings. Donna is passionate about creating a safe, empowering space where individuals feel seen, heard, and valued on their mental health journey.

Donna helps patients become the best, healthiest version of themselves, both mentally and emotionally. She values open communication, mutual respect, and collaborative decision-making. Her treatment plans include medication management, healthy coping strategies, and tools to build self-awareness and resilience. Known for her warmth and empathy, Donna creates a judgment-free environment where every voice matters.

Donna begins by building trust through a compassionate, in-depth initial interview. Together with each patient, she develops a personalized treatment plan that blends medication management with lifestyle recommendations tailored to individual goals and values. Her holistic approach focuses not just on symptom relief, but on fostering lasting growth, confidence, and overall well-being.

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Lauren is a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) who earned her Master of Science in Nursing from Kent State University in 2020. She has experience treating a wide range of mental health conditions, including depression, anxiety, psychotic disorders, bipolar disorder, ADHD, OCD, PTSD, and substance use disorders.

Lauren’s approach combines medication management with psychotherapy to create a well-rounded, individualized treatment plan. She takes time to listen to her patients’ concerns, fostering a safe and open environment for dialogue. Her therapeutic methods include supportive therapy, motivational interviewing, and cognitive behavioral therapy. Recognizing that medication alone may not fully address the root causes of distress, she incorporates talk therapy, lifestyle changes, stress management, self-care strategies, supplements, and social health into her care plans.

With a laid-back, non-judgmental, and empathetic style, Lauren collaborates closely with patients to ensure their treatment aligns with their unique needs and goals. Every decision is grounded in evidence-based practices and patient-centered care.

Lauren begins with a comprehensive initial assessment, gathering detailed information about each patient’s mental and physical health history, lifestyle, symptoms, concerns, and goals. This assessment informs a potential diagnosis and serves as the foundation for a personalized treatment plan. Regular follow-up appointments are scheduled to monitor progress, make adjustments as needed, and provide ongoing support.

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Dr. Ernesto Gonzalez is a board certified adult psychiatrist. He completed his undergraduate training at Yale University and received his medical degree from the University of Pennsylvania School of Medicine. He completed his residency training at the Cambridge Health Alliance/Harvard Medical School Adult Psychiatry Training Program. Dr. Gonzalez prefers a holistic approach that takes the time to know the whole patient, incorporating biological, psychological, social, and cultural perspectives in crafting a comprehensive, individualized, treatment plan. He practices medication management combined with supportive therapy, typically delivered within 30 minute sessions. Elements of psychodynamic, dialectical behavior and cognitive-behavioral therapy will also be incorporated into sessions based on a patient's individual needs. If additional therapy is needed, Dr. Gonzalez will recommend the addition of an individual therapist to the patient's treatment team. Having dedicated his career to adult outpatient psychiatry, Dr. Gonzalez has worked with patients from a wide range of ages, cultures, ethnicities, and social settings across the New York City area. His primary focus is working with patients with depression, anxiety, ADHD, and PTSD. He also values working with people adjusting to changes in their lives, whether it be grieving the loss of a loved one, changes in employment, relationships, or adjusting to changes that come with age. Prior to joining Talkiatry, Dr. Gonzalez was an Assistant Professor at the NYU Grossman School of Medicine and served as Director of the Adult Outpatient Psychiatric Department, Assertive Community Treatment (ACT) Team, and Collaborative Care Departments at Woodhull Hospital in Brooklyn, New York. He also had a small practice near his home. Dr. Gonzalez has also had a lifelong interest in meeting new people and experiencing different cultures. This interest has taken him as far away as the townships of Cape Town, South Africa and as close as his local diner, and it edifies the work he does with patients.

Dr. Alexandra Held is a general psychiatrist who holds a bachelor’s degree in psychology. She completed her psychiatry training at the University of Miami Miller School of Medicine. Her clinical interests include mood and anxiety disorders, PTSD, and OCD. She is passionate about incorporating psychotherapeutic tools into her practice, including supportive psychotherapy.

Dr. Held takes a warm, collaborative, and nonjudgmental approach to care. Her goal is to create a safe and supportive space where patients feel heard and empowered to take an active role in their treatment, using a combination of supportive psychotherapy and medication management.

During the first few sessions, Dr. Held will take time to get to know the patient—their history, current concerns, and what they hope to achieve through treatment. Together, they will develop a comprehensive plan that may include psychiatric medications and supportive therapy. Follow-up visits are typically focused on checking in, adjusting treatments if necessary, and continuing to build on progress.

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Dr. Aneela Ali is a Board-certified Adult Psychiatrist. She completed medical school at Jinnah Sindh Medical University, Karachi, and her Psychiatry Residency training at Metropolitan Hospital Center, New York. After her residency, she pursued some additional training in consult liaison psychiatry, further developing her expertise in caring for patients with complex medical and psychiatric comorbidities. ‍She was part of the esteemed faculty at Stony Brook University as an Assistant clinical Professor and staff Psychiatrist. She has also gained experience in Telehealth, providing virtual care to patients and enjoying the flexibility and convenience it offers. She treats various mental health conditions including depression, anxiety disorders, Bipolar disorder, PTSD, and OCD. Dr. Ali takes time to explain complex concepts in a clear and accessible way, equipping her patients with the knowledge they need to make informed decisions about their care. Her compassionate approach puts patients at ease, allowing them to open up and embark on a journey of healing and recovery. By actively involving patients in their treatment, Dr. Ali empowers them to take an informed and active role in their care, fostering a collaborative relationship that promotes well-being and understanding.