Patricia Michel-Garrison, DO

Dr. Cheng is a board-certified psychiatrist who provides medication management alongside supportive therapy. She takes an individualized, patient-centered approach, creating comprehensive treatment plans tailored to each person's needs. With an approachable and caring demeanor, she helps patients address both immediate concerns and underlying stressors. Dr. Cheng believes in evidence-based practices while maintaining sensitivity to each patient's unique mental health journey.

Dr. Michele Wiener is a psychiatrist with over 35 years of experience treating patients with mental health issues. Dr. Wiener's practice has historically focused on treating patients with varying mood disorders, anxiety disorders, psychotic disorders, and post-traumatic stress disorder, often complicated by substance use disorders. Dr. Wiener enjoys working with patients of all ages. She is skilled in both psychotherapy and medication management. While the emphasis will generally be on medication management, Dr Wiener will utilize insight-oriented, cognitive behavioral, and supportive psychotherapy skills to help her patients reach their treatment goals. She completed her internship at Bronx Lebanon Hospital, her residency at Montefiore Medical Center and a two-year fellowship in biological psychiatry, psychopharmacology and geriatric psychiatry at Albert Einstein College of Medicine. She served for over 20 years as Chief of Psychiatric Services for Behavioral Health Services at St John's Riverside Hospital Park Care Pavilion formerly Yonkers General Hospital. Here she was also able to enjoy teaching medical students from The Lake Erie College of Osteopathic Medicine in their psychiatric rotation. She has been Assistant Medical Director for Arms Acres, in Carmel, NY for over five years.

Dr. Leslie Chavez is a board-certified adult psychiatrist with a diverse background in clinical and academic medicine. She completed her medical school and residency at the University of New Mexico, where she later served as a psychiatrist and assistant professor, treating high-need patients and teaching residents and medical students. During the pandemic, she transitioned to telehealth and has been dedicated to this field for the past four years. Dr. Chavez is known for making her patients feel seen and heard, using both medication management and supportive psychotherapy. Dr. Chavez began her academic journey as a physics major at UNM and then studied biophysics at the University of San Diego, California. During her postdoctoral fellowship at Los Alamos National Laboratories, she was inspired by presentations about professionals working with patients in African countries, which sparked her interest in medicine. During this time, her father died of cancer, and she saw the impact of mental health therapy on his quality of life, further solidifying her motivation to attend medical school. Witnessing the profound impact of mental health on her patients and family, she specialized in psychiatry. Dr. Chavez is a seasoned psychopharmacologist and emphasizes the importance of nutrition, exercise, and community in mental health. She enjoys all aspects of medicine and combines her extensive knowledge with a patient-centered approach.

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. Tyler Alderette is a board-certified psychiatrist with experience treating patients in outpatient and telehealth settings. He earned his medical degree from the American University of the Caribbean School of Medicine and completed his psychiatry residency at Larkin Community Hospital in Miami, Florida. His clinical interests include depression, bipolar disorder, anxiety disorders, ADHD, trauma-related conditions, psychotic disorders, and substance use concerns. Dr. Alderette provides evidence-based medication management integrated with psychotherapy-informed care and is committed to staying current with advances in psychiatric treatment to ensure safe and effective care.

Dr. Alderette strives to create a warm, nonjudgmental, and respectful environment where patients feel comfortable sharing their experiences. His approach is collaborative and patient-centered, working closely with patients to set clear goals and select treatments aligned with their values. He takes a whole-person approach, considering mental health alongside sleep, relationships, medical conditions, culture, and life stressors, and provides affirming, inclusive care for patients of all ages and backgrounds.

Dr. Alderette begins with a comprehensive evaluation to understand each patient’s history, current concerns, and personal goals. Treatment plans are individualized and may include medication management along with supportive therapy, cognitive behavioral therapy (CBT), and motivational interviewing. Follow-up visits focus on progress, side effect management, and ongoing adjustments, with an emphasis on education, open dialogue, and long-term stability.

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.