Dr. Milena Goldshmidt is double-boarded in Adult Psychiatry and Sleep Medicine and has been practicing for 10 years. She enjoys working from home after the new addition to her family.
Dr. Goldshmidt's focus is on medication management as well as supportive and emotionally focused therapy. She gives ample time in new patient appointments and has 30-minute follow up sessions. She is a believer of additional therapy and/or additional medical and procedural therapies, if needed, to provide the best care and outcomes to her patients.
Dr. Goldshmidt is a graduate of the American University of Antigua. She started her psychiatric career with residency at the University of Maryland Medical Center/Sheppard Pratt. She then moved up to New England to attend a Sleep Medicine at Dartmouth-Hitchcock Medical Center. She has since worked on an inpatient psychiatric unit in Lake Champlain NY. This was followed by an outpatient in both psychiatry and sleep medicine at St. Lukes University Health Network in the Lehigh Valley of Pennsylvania.
In addition to general psychiatry, Dr. Goldshmidt is board certified in Sleep Medicine. She also completed training in Transcranial Magnetic Stimulation at Duke University. She did her undergraduate studies at Hunter College in New York City. She has vast experience with the whole spectrum of psychiatric disorders, she concentrates on anxiety, depression, mood disorders, and all sleep disorders.
Dr. Hill is a recent graduate of the psychiatry residency program at the University of Colorado School of Medicine. During her residency, she sought out additional training in psychodynamic therapy and EMDR. She participated in the Psych Scholars track, which provided in-depth education and supervision around therapy and psychoanalytic theory. This allows her to better understand the role of both medication and therapy, which to utilize, when to couple them, and what limitations they may have. She has additional interests in trauma work; women’s mental health, specifically in the peripartum period; and in working with individuals facing progressive diseases or terminal diagnoses.
Dr. Romanow is double board-certified in Adult Psychiatry and Forensic Psychiatry.He graduated summa cum laude from the University of Pittsburgh with a Bachelor of Science degree in Sports Medicine/Athletic Training and then attended Drexel University College of Medicine. After medical school, he completed his residency in Adult Psychiatry at the University of Virginia, where he obtained a certificate in additional psychotherapy training.After residency, Dr. Romanow completed a fellowship in Forensic Psychiatry at the University of Virginia. During his fellowship, he trained at the prestigious Institute of Law, Psychiatry, and Public Policy (ILPPP) and Western State Psychiatric Hospital where he performed criminal and civil forensic evaluations. He also provided clinical care at a maximum security prison.
Prior to joining Talkiatry, Dr. Romanow worked at a healthcare system in Montana providing inpatient and outpatient psychiatric care involving medication management and psychotherapy. Additionally, he operates a private Forensic Psychiatry practice conducting mental health evaluations for the legal system.
Dr. Romanow has extensive experience treating various mental health disorders including depression, bipolar disorder, anxiety and obsessive-compulsive disorders, post-traumatic stress disorder, and ADHD. His clinical work includes assisting patients who experience mental health disorders with co-occurring substance use problems. He has training in various schools of psychotherapy including cognitive behavioral therapy (CBT), CBT for insomnia, motivational interviewing and supportive psychotherapy.
Dr. Romanow incorporates treatment focusing on the importance of exercise, diet and good sleep habits as a part of comprehensive mental health care.
Psychiatrists are medical doctors who specialize in diagnosing and treating mental health conditions through medication management and supportive therapy. Think of a psychiatrist as a doctor for your mind. If you’re struggling with your mental health and aren’t sure where to start, a psychiatrist can help.
Take our 10-minute assessment to see if Talkiatry is right for you and get matched with a psychiatrist in
who meets your needs.
You may not need to choose between a psychologist and a psychiatrist—although there are differences in the types of treatment and expertise mental health professionals can provide, they often collaborate on your care.
That said, here’s a quick guide to help you decide if a psychologist or psychiatrist is the best starting place.
See a psychiatrist if:
See a psychologist if:
Not sure if your symptoms are severe enough to warrant medication? We always recommend consulting with a psychiatrist first to discuss your options. Also, keep in mind that if you’re looking for virtual care, you need to be sure your doctor or psychologist is registered to practice in
(or, for non-
residents, the state where you live).
The term “therapist” can apply to a range of professionals including social workers, mental health counselors, psychologists, professional counselors, marriage and family therapists, and psychoanalysts. Working with a therapist generally involves regular talk therapy sessions where you discuss your feelings, problem-solving strategies, and coping mechanisms to help with your condition.
Psychiatrists are doctors who have specialized training in diagnosing and treating complex mental health conditions through medication management. If you are experiencing symptoms of a mental health condition such as depression, anxiety, bipolar disorder, PTSD, or similar, a psychiatrist may be a good place to start. Other signs that you should see a psychiatrist include:
While both therapy and psychiatry are both available online, you’ll still need to be sure that the therapist or clinician is licensed to practice in
(or, for non-
residents, the state where you live).
It’s ok to be a little nervous about your first visit with your psychiatrist. But remember, they’re there to help you feel better. Psychiatrists have years of experience working with new patients and will help you feel comfortable during your sessions.
Here’s what to expect in your first visit at Talkiatry:
Evaluation: During your first visit with a Talkiatry psychiatrist, you’ll get to meet each other and answer questions about your current symptoms, personal history, medical history, and mental health goals.
Diagnosis: Based on the information you’ve shared, your psychiatrist will be able to provide a diagnosis of your condition, if you have one. Getting a diagnosis can feel scary, but it can also feel validating to finally put a name to what you've been experiencing. Your psychiatrist will help you navigate any emotions that come up and work with you on a path to move forward.
Treatment plan: You’ll collaborate with your psychiatrist on the best way to manage your symptoms. If medication is appropriate, you’ll discuss your options, including the benefits and potential side effects of each medication. Your psychiatrist will provide supportive therapy throughout your session and may also recommend working with one of our therapists. Our therapists partner with our psychiatrists in a collaborative model to provide holistic care.
To get started, take our free online assessment, to see if Talkiatry is right for you and get matched with a psychiatrist.
Medication can be an effective part of your treatment plan but medication is not right for everyone. Your psychiatrist will work with you to determine if medication is right for you.
Ready to talk with a psychiatrist? Take our 10-minute online assessment
to see if Talkiatry is right for you and get matched with a psychiatrist who serves in
Also note that prescribing laws can vary from state to state. During your first visit, your doctor will be able to talk you through how it works in
(or, for non-
residents, the state where you live).
The main factor that determines the cost of your visit is your insurance coverage. The majority of our patients pay $25 or less per visit.* If you have a deductible plan and haven’t met your deductible yet, the average cost is between $325 and $414. The best way to get an estimate of your total cost is to contact your insurance company and ask about their coverage for outpatient psychiatric services.
*Includes all types of patient costs: copayment, deductible, and coinsurance. Excludes no-shows and includes $0 payments.
Medication and talk therapy (also called psychotherapy) are the gold standard for treating mental health conditions but treatment is highly personalized. A treatment that works for you may not work for someone else. Luckily, psychiatrists are experts in treating mental health conditions and can guide you through different treatment options and help you find one that’s right for you.
At Talkiatry, we make it easy to find a psychiatrist in
who matches your needs. Take our 10-minute online assessment to see if Talkiatry is right for you.
Our goal is to help you find the best treatment option for your needs and there may be some cases where virtual care isn't the right fit. If this is the case, your psychiatrist will be able to recommend other treatment options within your first visit. Our 10-minute online assessment will also help you determine whether or not Talkiatry is the right fit for your care.
What we can’t treat: Schizophrenia or schizoaffective disorders: This is a complex condition that responds best to treatments that aren’t safe to provide in an online-only setting. Since we’re a virtual practice, we aren’t able to treat patients with schizophrenia or schizoaffective disorders.
Certain personality disorders, like borderline personality disorder: Generally, borderline personality disorder doesn’t respond well to medication. As a psychiatry practice, one of our main focuses is medication management. One of the most effective treatments for borderline personality disorder is dialectical behavioral therapy, which is something our clinicians aren’t specialized in.
Patients who have been hospitalized or required to stay overnight in a clinic or in-patient setting for a mental health condition in the last 6 months: Our goal is to provide safe, effective care. For patients who have been required to stay overnight for a condition, a virtual practice can’t provide the right level of care.
Patients looking for therapy only: Our psychiatrists specialize in medication management. While we do have some therapists on staff to support patients who’d benefit from both medication and dedicated therapy, we don’t treat patients looking for talk therapy only.
We have excellent clinicians serving in
. Want to find a psychiatrist in
? We’ll match you with one through our online assessment. It just takes 10 minutes.