Paula Wilt, MD

Mekayla Davila is a Licensed Mental Health Counselor (LMHC) who has been in practice for 6 years. She has experience working with many diverse populations and mental health conditions. Mekayla attended graduate school at Teachers College Columbia University where she received an M.A. and M.Ed. in Mental Health Counseling. Her education and experience span both psychology and criminal justice fields as she has always been interested in their intersectionality. In previous roles, Mekayla has worked mostly with children, adolescents, and adults of minority populations, with focuses on treating anxiety, depression, trauma, and other stressor-related disorders. Mekayla strongly believes that every therapeutic interaction is unique, so she uses an eclectic approach, with foundations in Cognitive Behavioral Therapy and Psychodynamic Therapy, to tailor treatment to the specific needs of each individual. Mekayla puts emphasis on the therapeutic relationship and finds it important to provide a safe and comforting environment for all.

Dr. Pipalia is board-certified in both adult psychiatry and internal medicine. Since graduation from residency, he gained specialized experience in treating veterans with terminal illness, specifically Amyotrophic Lateral Sclerosis (aka Lou Gehrig's Disease), at the VA Medical Center in Portland, OR. He combines both psychotherapy and medication treatment to provide holistic care that addresses not only your mental health but also the parts of your life that surround and are deeply intertwined with your mental health. When more intensive psychotherapy is warranted, he collaborates with an experienced psychotherapist to serve you better. With his experience of internal medicine, he is also comfortable with navigating complex medical issues that may interact with your mental health. Dr. Pipalia is a graduate of St. George's University School of Medicine. He completed a combined Psychiatry & Internal Medicine residency training program at East Carolina University. He went on to complete a fellowship in Clinical Informatics at Oregon Health & Science University, learning how to use modern digital technologies and patient data to improve patient care. His academic activities include a presentation he has given multiple times on Illness Identity, teaching other clinicians how having an illness can change how we perceive our place in the world and how to help patients manage their relationship with illness.

Background and credentials    

Dr. Alexander Wittenberg is a board-certified adult psychiatrist. He received his undergraduate degree from Cornell University, majoring in Human Biology, Health, and Society. He earned his medical degree from the New York Institute of Technology College of Osteopathic Medicine, where he was a  member of the Psi Sigma Alpha Osteopathic Honor Society. As chief resident at  Mount Sinai Beth Israel, he gained extensive experience working in outpatient  settings and managing patient care at one of New York City's busiest clinics. Dr. Wittenberg has expertise in treating a wide range of mental health conditions, including depressive disorders, anxiety disorders, bipolar disorder, trauma and stressor-related disorders, and OCD.    

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Treatment approach    

Dr. Wittenberg offers highly individualized and empathic treatment, primarily focusing on medication management. He frequently recommends integrating therapy into treatment plans and may suggest collaborating with a therapist. Dr. Wittenberg prioritizes a holistic approach, emphasizing overall well-being alongside symptom relief. He encourages the incorporation of mindfulness, self-compassion, exercise, nutrition, and attention to interpersonal relationships into his treatment strategy.    

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What you can expect in a first visit    

During an initial visit with Dr. Wittenberg, patients can anticipate a collaborative, patient-centered, and non-judgmental environment designed to foster a meaningful therapeutic relationship. He will thoroughly discuss individual concerns and treatment goals, exploring potential therapeutic interventions, including medication management and holistic strategies to support mental health and overall wellness.

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.

Dr. Mathews is an adult psychiatrist who works with young adults and adults struggling with anxiety and depressive disorders. She uses a compassionate, non-judgmental, and reflective approach to listening and working with clients. Dr. Mathews' practice focuses on medication management, offered in conjunction with supportive therapy in 30-minute follow-up visits. Dr. Mathews completed medical school at Stony Brook University School of Medicine where she also earned her masters in Medical Humanities, Compassionate Care, and Bioethics. She completed her adult psychiatry residency training program at Montefiore/Albert Einstein College of Medicine. The philosophy of Dr. Mathews' practice is to help promote each individual's natural capacity for healing. She ultimately strives to help clients create rich and meaningful lives while also offering mindfulness skills to empower clients to effectively cope with the pain and suffering that life can bring.

Dr. Natalia Roque is a psychiatrist who received her BA in Biology from the University of Chicago and her medical degree from Loyola University Chicago Stritch School of Medicine. She returned to the University of Chicago to complete her psychiatry residency, where she served as Chief Resident of the outpatient psychiatry clinics and was a member of the Diversity, Equity, and Inclusion Committee. She has experience treating patients across inpatient, outpatient, and consultation-liaison psychiatry settings, with additional training in treatment-resistant depression, trauma, neuropsychiatry, ECT, ketamine, geriatric psychiatry, student counseling, LGBTQ+ mental health, women’s mental health, and culturally sensitive care.

Dr. Roque believes in building a strong therapeutic alliance grounded in empathy, respect, and curiosity. She values collaboration and open communication, ensuring that patients feel like active partners in their care. Her goal is to create a safe, supportive space where individuals feel understood as whole people, not defined solely by their symptoms. She also prioritizes incorporating cultural background and social determinants of health, including financial stressors and systemic barriers into treatment planning.

In her work, Dr. Roque begins by taking time to understand each patient’s unique story, experiences, and goals. She approaches care through a trauma-informed lens and with cultural sensitivity to ensure treatment feels safe, respectful, and relevant. Her process integrates evidence-based approaches, including psychodynamic therapy and cognitive behavioral therapy (CBT), while tailoring care plans to meet both clinical needs and patient preferences. Dr. Roque regularly checks in on progress, invites feedback, and adjusts treatment collaboratively to support an ongoing, responsive therapeutic process.

Dr. Melody Santos is dual-trained in Internal Medicine and Psychiatry, with experience in both outpatient and inpatient settings. She served as Chief Resident and Deputy Chief Resident in East Carolina University’s combined residency program, where she led academic and clinical initiatives. Dr. Santos has published research on topics including adult ADHD and metabolic psychiatry, with presentations at national conferences. She earned her MD from the American University of the Caribbean and a BS in Biology with a minor in Jazz Piano from the University of Tampa. A native Spanish speaker, she is active in community service and church-based outreach.

Dr. Santos values open and clear communication, creating a safe, non-judgmental space where patients feel heard and respected. She blends traditional and innovative approaches, including metabolic psychiatry and dietary strategies, to support wellness. Her care is culturally sensitive and patient-centered, always tailored to each individual’s needs and values. Through empathy and education, she empowers patients and fosters resilience.

Dr. Santos begins with a thorough assessment of each patient’s medical, psychiatric, and lifestyle history. She collaborates with patients to build personalized, evidence-based treatment plans that reflect their goals and preferences. Her holistic care model considers social, cultural, and environmental influences, and she ensures consistent follow-up to adjust care as needed, promoting informed, long-term wellness.