
Earl Andrew De Guzman, MD
Staff Psychiatrist
Dr. Earl De Guzman is a psychiatrist who values therapeutic partnership, working with patients to balance symptom relief with meaningful self-exploration. He earned his BS in Psychology from the University of California, Davis, and his MD from Ross University School of Medicine. He completed his psychiatry residency at Los Angeles County + University of Southern California Medical Center and a consultation-liaison psychiatry fellowship at Stanford University Medical Center. He is triple-board-certified in psychiatry, consultation-liaison psychiatry, and addiction medicine, and holds psychoanalytic psychotherapy training certification from the Psychoanalytic Center of California. Currently, he is a psychoanalyst-in-training at the New Center for Psychoanalysis. His expertise spans medication management, supportive therapy, and psychodynamic therapy.
Dr. De Guzman takes a collaborative, patient-centered approach, creating a warm and nonjudgmental environment. He listens deeply, asks thoughtful questions, and encourages honest exploration of symptoms and underlying patterns. He values authenticity, curiosity, and respect for each patient’s unique experiences. While symptom relief is important, his goal is to foster self-understanding and long-term growth. He works best with patients open to collaboration and motivated for change, whether through medication management, therapy, or both.
Dr. De Guzman begins with a consultation phase to ensure a good fit, listening carefully to understand each patient’s challenges and goals. Together, he and his patients build a working alliance by clarifying difficulties, identifying realistic changes, and exploring deeper patterns. When appropriate, he prescribes medication thoughtfully, aiming to support therapy rather than replace it. Each session integrates supportive and psychodynamic elements, combining medication review with therapeutic dialogue. Treatment plans are regularly revisited, allowing flexibility and growth, with the ultimate aim of empowering patients toward lasting change.
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Nilsa De Jesus Rosario, MD
Staff Psychiatrist
Dr. De Jesus is a bilingual psychiatrist, fluent in English and Spanish. She is a double board-certified psychiatrist in Adult Psychiatry and Child & Adolescent Psychiatry. Dr. De Jesus provides medication management services in combination with supportive therapy during 30-minute follow-up visits. Dr. De Jesus received her medical degree from the Universidad Central del Caribe School of Medicine in Bayamon, Puerto Rico. She completed her Adult Psychiatry residency at Jackson Memorial Hospital in Miami, FL. Subsequently, Dr. De Jesus pursued her fellowship in Child and Adolescent Psychiatry at Thomas Jefferson University Hospital in Pennsylvania and was a Chief Resident during her last year of training. Dr. De Jesus has been providing psychiatric services in the community mental health setting for 8 years. Her clinical focus has been in treating children, adolescents, and young adults with depression, anxiety, posttraumatic stress disorder, and ADHD. Dr. De Jesus believes in the importance of establishing an individualized treatment approach to meet each individual's need while providing comprehensive care to her patients.

Thayanne Delima-Tokarz, DO
Staff Psychiatrist
Dr. Delima-Tokarz is double Board Certified in Psychiatry and Lifestyle medicine. She completed her psychiatry residency training at the University of Maryland/Sheppard Pratt, where she served as the chief resident. She has practiced in various settings over her career, including working for the Department of Defense, private practice, and community mental health. Dr. Delima-Tokarz is fluent in Portuguese, English, and Spanish. Dr. Delima-Tokarz has more than five years of experience treating patients with anxiety, depression, PTSD, Bipolar, OCD, ADHD, and other mental health issues. She employs pharmacotherapy along with supportive therapy and integrative approaches. Dr. Delima-Tokarz is currently working on completing her Ph.D. in Integrative Medicine and is passionate about a holistic and integrative approach to mental health. Her philosophy includes a healing-oriented approach that considers the whole person, including all lifestyle aspects. Dr. Delima-Tokarz aims to provide collaborative and comprehensive care, which may include medication management, lifestyle interventions, stress reduction techniques, and other integrative approaches. She believes building a strong therapeutic relationship where the patient feels empowered is the key to healing.

Christina Delos Reyes, MD
Staff Psychiatrist
Christina Delos Reyes, MD, earned her medical degree from Northeast Ohio Medical University and completed Psychiatry Residency and Addiction Psychiatry Fellowship at University Hospitals Cleveland Medical Center. She has practiced in inpatient, intensive outpatient, and outpatient settings and has subspecialty training in Addiction Psychiatry, Addiction Medicine, and treatment of co-occurring mental health and substance use disorders. She is also a Gestalt Professional Certified Coach through the Gestalt Institute of Cleveland.
Dr. Delos Reyes values honesty and authenticity and believes meaningful progress comes from sharing what is truly happening in one’s life. She brings her full humanity to treatment and honors the role of spirituality, recognizing body, mind, and spirit as essential to healing. She embraces creativity and encourages openness to new perspectives and solutions.
She spends more time listening than talking and views herself as a guide and teacher rather than a director. She works to build a collaborative partnership focused on the patient’s goals and may offer recommendations, while emphasizing that each person remains responsible for their own growth and progress.

Carla Denham, MD
Staff Psychiatrist
Dr. Denham is board-certified in adult psychiatry and has 25 years of experience with depression and anxiety disorders, PTSD, substance use disorders, dementia, traumatic brain injury, mental symptoms associated with medical conditions, family care, and end-of-life treatment. Dr. Denham's practice combines medication management with functional and integrative medicine principles, combined with supportive therapy in 30-45 minute follow up visits. She strongly encourages her patients to continue learning about foundational health and wellness and can provide resources for obtaining quality information. Dr. Denham completed her medical education at the University of Arizona in Tucson and her residency training at Maricopa Medical Center in Phoenix, Arizona. She has worked in inpatient settings in both Arizona and New York, as well as with a large hospice in Arizona. Most recently she worked with veterans at the Phoenix VA Medical Center before leaving to focus on telehealth practice. Dr. Denham's lifelong interest in integrative medicine has led her to focus on functional psychiatry in her current practice, in which the effects of medication are strengthened with nutrition guidance, natural supplementation, lifestyle interventions, and supportive therapy.

Melissa Desa, MD
Staff Psychiatrist
Dr. Melissa Desa is a board-certified psychiatrist who completed her residency in 2011 at the University of Rochester, where she served as chief resident of acute services. She stayed on at the university working in both the emergency room, or Comprehensive Psychiatric Emergency Program (CPEP), and community mental health clinic for Severely Mentally Ill (SMI) patients. She enjoyed supervising both medical students and psychiatry residents in both settings, teaching psychopharmacology and psychotherapy. She's also experienced in treating patients in long-term residential treatment, both in a state hospital for Severely Mentally Ill patients, and as part of a coordinated effort to restore competency for incarcerated individuals with severe mood or psychotic disorders. She most recently worked as part of a collaborative mental health team that worked with incarcerated individuals with mental illness. She enjoys collaborative care, through the lens of the biopsychosocial model, and helping patients tell their story in a safe space.

Shaily Desai, MD
Staff Psychiatrist
Dr. Shaily C. Desai, MD is a board-certified psychiatrist who treats adults. She graduated Magna Cum Laude and with General Honors from University of Miami. She completed medical school at the University of Miami Miller School of Medicine in the prestigious Honors Program in Medicine. She continued her medical education at Jackson Memorial Hospital & University of Miami Hospital for her 4-year psychiatry residency training program. After completing her training, Dr. Desai held an academic appointment at the University of Miami while working at the Miami Veterans Affairs Hospital initially as a behavioral health consultant in the Primary Care Mental Health Integration (PCMHI) model and later as a Behavioral Health Interdisciplinary Program (BHIP) psychiatrist in the Mental Health Treatment Coordinator (MHTC) role.
Dr. Desai’s background spans clinical care, academic research, and community service, giving a comprehensive understanding of mental healthcare delivery across different settings. Dr. Desai developed expertise in quickly building rapport with patients, conducting medication management assessments, and implementing effective interventions. These experiences taught Dr. Desai how to maintain clinical excellence while showing patience and respect for each patient's unique circumstances. She understands the delicate balance of providing thorough care within the constraints of virtual sessions and she has developed strategies to ensure patients feel supported and understood, even though a screen.
By combining clinical expertise with genuine empathy and persistence, Dr. Desai helps her patients navigate their treatment journey with confidence and hope. Dr. Desai’s practice focuses on medication management and supportive psychotherapy in typically 30-minute follow up visits. At times, additional psychotherapy is needed, and a therapist may be added to provide the best outcome.

Beatrice Desir, DO
Staff Psychiatrist
Dr. Desir is a Board-Certified Psychiatrist who completed her undergraduate training at The University of Scranton followed by medical school at the New York Institute of Technology College of Osteopathic Medicine. She completed psychiatry residency at Nassau University Medical Center where she served as the Administrative Chief Resident in her final year. Dr. Desir has been in practice for 4 years and has provided patients with compassionate psychiatric care. She has worked in community mental health settings throughout her career, in which she served a wide variety of patient populations. Dr. Desir is experienced in treating various psychiatric illnesses including mood disorders, anxiety disorders, OCD, PTSD, and ADHD. At the heart of Dr. Desir's clinical approach is a strong emphasis on establishing trust and building a therapeutic relationship. She also provides psychoeducation to help patients make informed decisions regarding their care. She works collaboratively with patients to develop individualized treatment plans to help them achieve their goals. Dr. Desir's practice focuses on medication management. Typically, she offers this in conjunction with supportive or emotionally focused therapy in 30-minute follow-up visits. Occasionally, Dr. Desir may believe that additional therapy is also needed and ask that you bring a therapist into your care team to provide the best outcome. Talkiatry takes medication management seriously. All state-controlled substance databases are reviewed and taken into consideration during your initial evaluation.

Amareen Dhaliwal, MD
Staff Psychiatrist
Dr. Dhaliwal is an integrative psychiatrist with an MPH, a 1-year fellowship through Psychiatry Redefined, as well in intensive inpatient and outpatient training. A Boston University School of Medicine graduate and former Chief Resident at FAU, she blends research-based care, emotional insight, and life optimization. She treats depression, bipolar, anxiety, ADHD, PTSD, substance use, and psychotic-spectrum disorders with a holistic, results-driven approach.
Dr. Dhaliwal works with individuals who feel stuck—functioning on the outside but "not like myself" inside. Her warm, structured, and research-driven approach combines medication when needed with integrative tools such as CBT, lifestyle changes, "24-hour approach", and a bio-psycho-social-spiritual lens. She focuses on root causes and helps individuals gain clarity, momentum, and purpose to function at their highest level across home, career, and life.
Dr. Dhaliwal begins with a 360-degree assessment exploring emotional patterns, routine, physical health, neurobiology, and values. Her 24-hour optimization model supports intentional living, clarity, and structure. She fine-tunes medications and augments with an integrative tools to enhance mood, resilience, and wellbeing. Her care is shaped by years in psychiatry and over a decade of coaching future physicians, researchers, and life coaches to reach their highest academic and career potential.

Xavier Diao, MD
Staff Psychiatrist
Xavier Diao, MD (he/him) is a board-certified psychiatrist. He earned his undergraduate degrees in Psychology and Biological Sciences at the University of Maryland, where he also obtained his medical degree. Dr. Diao completed his psychiatry residency at the Icahn School of Medicine at Mount Sinai, received additional training in child and adolescent psychiatry at Columbia and Cornell, and finished a psychoanalytic fellowship at the New York Psychoanalytic Society & Institute. Prior to joining Talkiatry, he was an Assistant Professor of Clinical Psychiatry at the University of Pennsylvania, where he provided clinical care and teaching along the undergraduate-graduate medical education continuum.
Dr. Diao's therapeutic orientation is informed by psychodynamic, cognitive behavioral, and dialectical behavior modalities. He has expertise in the treatment of a diverse range of mental health conditions, including depression, anxiety, OCD, and PTSD. Dr. Diao uses a developmentally informed and LGBTQ-affirmative approach in his practice, with the aim of enriching meaning and alleviating suffering in the domains of work, play, and love.
Dr. Diao begins each encounter with gentle curiosity, inviting patients to share their stories without fear of judgment. Together, he crafts an individualized treatment plan with the patient that may include medication, psychotherapy, and/or referrals to subspecialty care, always in close collaboration with other members on the treatment team.
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Kevin DiCesare, MD
Staff Psychiatrist
Dr. Kevin DiCesare is a board-certified psychiatrist, treating adults. He received his undergraduate degree at Harvard University, his medical degree at the University of Massachusetts Medical School, and then went on to train at Maine Medical Center for his psychiatric residency. He has 22 years of expertise in diagnosing and treating psychiatric conditions, including depression, anxiety, Bipolar spectrum disorders, adjustment problems, ADHD and other disorders. He is well versed in psychopharmacological interventions, but is a proponent of patients also being active in psychotherapy whenever appropriate. He prides himself in collaboratively arriving at treatment decisions with his patients, and taking the time to listen to their concerns and answer their questions.
Dr. DiCesare has worked in various settings, including community mental health centers and large hospital systems, with experience in inpatient, outpatient, and consultative roles. Prior to joining Talkiatry, he most recently served as an attending psychiatrist on the staff of Southern New Hampshire Health System, where he provided consultative care to referrals made from primary care providers and various specialists.

Benita Dieperink, MD
Staff Psychiatrist
Dr. Benita Dieperink, MD, is board-certified in psychiatry by the American Board of Psychiatry and Neurology. She earned her medical degree from the University of Minnesota Medical School and completed residency at the University of Colorado Health Sciences Center. She has extensive experience in private practice, academic leadership, and faculty roles, with expertise in treating diverse adult populations. She specializes in perinatal and reproductive psychiatry, supporting patients through pregnancy, postpartum, PMS, infertility, and perimenopause/menopause, as well as mood, anxiety, trauma-related, and obsessive-compulsive disorders.
Dr. Dieperink values open communication and a collaborative approach, creating a warm, supportive environment where patients feel heard and respected. She integrates psychopharmacology and psychotherapy to help patients work toward clear treatment goals, while fostering a growth- and strengths-based perspective. She also draws on a wide range of interests—from medical science to psychology and history—to enrich patient education.
Dr. Dieperink begins by thoroughly understanding each patient’s history, concerns, and goals. She develops individualized treatment plans aligned with these goals and regularly reassesses progress to refine strategies as needed, ensuring care is responsive, personalized, and effective.

Stacey DiMartino, MD
Staff Psychiatrist
Dr. Stacey DiMartino is a board-certified psychiatrist with over 20 years of experience. She received her undergraduate education at the University of Rochester and her medical degree from the State University of New York at Buffalo, where she also completed her residency.
Her approach is individualized and focuses on collaborative care with shared decision-making. Dr. DiMartino specializes in the treatment of adults with a wide range of mental health concerns, including posttraumatic stress disorder, depressive disorders, anxiety disorders, and bipolar disorders. She has enjoyed working with veterans for over 19 years at the VA Healthcare System.
Her style of practice incorporates medication management and supportive psychotherapy with an emphasis on whole health wellness. She will provide a thorough assessment of your mental health needs and formulate a comprehensive treatment plan. She assists with bolstering insight, enhancing intrinsic coping skills, and attaining life goals. Dr. DiMartino enjoys spending time with family, including her rescue dogs, who may sometimes make a special guest appearance during appointments. She looks forward to meeting with you and working together on achieving a fulfilling, well-balanced life.

Krishna Divadeenam, MD
Staff Psychiatrist
Dr. Krishna Divadeenam is a staff psychiatrist at Talkiatry. He trained in New York and earned his medical degree from Albany Medical College in 1997. He finished his internship at Vanderbilt Medical Center and completed his psychiatric residency at the University of Kansas Medical Center in 2000. During his residency, he served as Chief Resident at the Kansas City VA Medical Center (KCVA). His initial post-residency focus was with patients with serious and persistent mental illness (SPMI) when he worked at the Johnson County Mental Health Center. He has served as a adjunct professor at the University of Kansas providing clinical supervision to residents and yearly lectures on Bipolar disorder, Tourette’s and Obsessive compulsive disorder for over 20 years. He worked at Midwest Psychiatric associates in an outpatient private practice for nearly 3 years before returning to the KCVA. There he oversaw care for combat veterans as a clinical psychiatrist and the supervisor for the PTSD Specialty outpatient clinic. After 5 years he transitioned to the inpatient unit as the inpatient supervisor and one of the attending physicians of the acute inpatient psychiatric unit. In addition, he served as the University of Kansas Site director for their psychiatric residency program.
Dr. Divadeenam believes in a holistic approach to mental health treatment, integrating medication management, supportive psychotherapy, and collaboration with therapists and support staff. He tailors treatment to each patient's unique needs, ensuring a comprehensive and individualized approach to care. His expertise includes treating a variety of psychiatric diagnoses, such as mood disorders, anxiety disorders (including OCD), ADHD, and PTSD.
In a first visit, patients can expect a thorough evaluation, where Dr. Divadeenam takes the time to understand their medical history, symptoms, and treatment goals. He emphasizes open communication and collaborative decision-making, ensuring that patients feel heard and supported. Based on this initial assessment, he will develop a personalized treatment plan, which may include medication management and referrals to therapy or other supportive services as needed.

Lee Dockery, MD
Staff Psychiatrist
Dr. Lee Dockery is a general psychiatry provider who joined Talkiatry in August 2022. He is board-eligible with expected certification in fall 2022, with further addiction psychiatry board-certification expected in 2023. He has been training and practicing psychiatry since 2018. Dr. Dockery's practice emphasizes medication management within a therapy-informed framework, utilizing skills from Acceptance and Commitment therapy, mindfulness-based therapies, motivation interviewing, and supportive therapy. He typically offers 60-minute new visits and 30-minute follow-up visits. Dr. Dockery received his medical degree from the Medical College of Georgia in 2014. He then moved to Nashville, TN to complete his general psychiatry residency at Vanderbilt University Medical Center, where he served as chief resident of inpatient services. He expects to complete the addiction psychiatry fellowship in spring 2023 .Dr. Dockery has experience treating most general adult psychiatry complaints, including mood disorders, anxiety disorders, and substance use disorders. He has a particular focus in the treatment of young adults, and co-occurring mood disorders and substance use disorders.

Alexandra Dodd, MD
Staff Psychiatrist
Dr. Dodd, a Board-Certified psychiatrist, graduated from the University of Georgia Honors Program with a B.S. in Chemistry, and earned her M.D. from the Medical College of Georgia. During her psychiatry residency in Greenville, SC, she was chief resident and gained extensive experience through moonlighting. She joined the faculty of Gateway’s Savannah residency program in 2021, where she served as Assistant Program Director, and continues to teach residents and students as an Assistant Professor at Mercer University and the Medical College of Georgia. In her community psychiatry practice, she specialized in Assertive Community Treatment, worked with First Episode Psychosis programs, a forensic Diversion-Reentry clinic, telehealth, and outpatient psychiatry, particularly serving graduate students, professionals, and their families in the Savannah area.
Dr. Dodd fosters a comfortable environment for patients at any stage of treatment. As a passionate educator, she enjoys providing psychoeducation and supportive therapy to help patients understand themselves, their relationships, and their motivations.
Dr. Dodd tailors treatment to each individual’s goals, preferences, and strengths. She uses her expertise in diagnosis and pharmacology to optimize care, monitor treatment success, and maintain progress, with the ultimate goal of helping patients feel and function at their best.

Sheena Dohar, MD
Staff Psychiatrist
Dr. Sheena Dohar is a board certified general psychiatrist. Before joining Talkiatry, she practiced extensively in community mental health with adults of all ages in both outpatient and inpatient settings and as the medical director of several intensive outpatient and dialectical behavioral therapy (DBT) based programs. She has experience in private practice and in the dual diagnoses of mental health and substance abuse disorders. Dr. Dohar graduated from Carnegie Mellon University with a Bachelor of Science in Biology and Psychology and then completed medical school at West Virginia University School of Medicine. She trained during her residency at WVU, where she served as a chief resident and received the Brandon K. Fuller Award for Physician Empathy in 2017. Dr. Dohar's practice focuses on medication management. Her goals include helping people feel comfortable seeking treatment as well as promoting an understanding of the purpose and reasoning behind the use of various medications to treat psychiatric disorders. Typically, she offers this in conjunction with supportive or emotionally focused therapy in 30-minute follow-up visits. When Dr. Dohar may believe that additional therapy is also needed, she will ask that you bring a therapist into your care team to provide the best outcome. Dr. Dohar appreciates and values working with therapists within the Talkiatry practice and in the community in a collaborative effort to promote wellness. She strives to build strong therapeutic relationships with the people that she sees in her practice. Her passions include working in the community at large to encourage a better understanding of mental health disorders and to promote suicide awareness and prevention. She has interests in pharmacogenomics as well as treatment resistant approaches to depression. Dr. Dohar appears in several professional publications.
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Feng Dong, MD
Staff Psychiatrist
Dr. Frank Dong is a general psychiatrist at Talkiatry. He is board-certified in psychiatry. He has been providing medication management to people with mental health/behavioral issue for over 13 years.
Dr. Dong' practice focuses on medication management. He believes both biological and psychological components on mental health. Occasionally, Dr. Dong provides combined psychotherapy in addition to medication management. Drawing on 17 years-experience in psychiatry, Dr. Dong now focuses mainly on continuing life-long stabilization and maintenance treatment for the patients with chronic mental health illness at outpatient setting.
He received Medical Degree at one of the most prestigious medical school in China and Ph.D. in Medical Sciences At University of South Florida. He completed residency training in both Internal Medicine and Psychiatry.
Dr. Dong is board-certified in psychiatrist. He also completed fellowship program in psychodynamic psychotherapy at Washington Baltimore Center for Psychoanalysis. He is specialized in Psychopharmacology and his focus has been in treating a range of patients with Anxiety, Depression, Mania, Psychosis, ADHD, Substance Addiction, Dementia, and Insomnia.
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Laurence Dopkin, MD
Staff Psychiatrist
Dr. Dopkin is a board-certified adult and child psychiatrist dedicated to helping patients feel well and stay well. A Long Island native, he earned his bachelor’s degree from Cornell University before attending St. George’s University School of Medicine. He completed his adult and child psychiatry training at Brown University. For over two decades, Dr. Dopkin has served New York City communities across Queens, Manhattan, and the Bronx, primarily within the public hospital system. He has held clinical, academic, and administrative leadership roles and has been recognized for his excellence in teaching and mentoring psychiatry residents. He also serves as Assistant Dean of Students for the U.S. clinical program at St. George’s University
Dr. Dopkin provides patient-centered care grounded in a biopsychosocial approach. He collaborates with each patient to tailor treatment plans that integrate evidence-based medication options with interpersonal and supportive therapy. He has worked with patients of all ages and backgrounds, including individuals from marginalized communities and those coping with trauma, depression, anxiety, and comorbid medical conditions.
With warmth and respect, Dr. Dopkin meets each patient where they are, helping them find the path that works best for their unique needs and goals.

Suzanne Doubrava, MD
Staff Psychiatrist
Dr. Suzanne Doubrava is double-board certified in Psychiatry and Consultation-Liaison Psychiatry, a branch of medicine which explores the connection between the physical body and emotional health. She has been practicing for over 15 years after completing psychiatry residency at Montefiore/Albert Einstein College of Medicine. Dr. Doubrava then received additional fellowship training at Memorial Sloan Kettering Cancer Center and Weill Cornell Medical Center. She has held academic appointments at both Rutgers Medical School and Fox Chase Cancer Center, as well as cultivating a private practice for 10 years in Princeton, New Jersey. Dr. Doubrava believes that achieving emotional wellness extends beyond addressing one's symptoms and hopes to guide her patients toward feeling more aware, empowered, and in touch with their authentic selves. She recognizes that true healing occurs when all aspects of a person's being are nurtured and aligned. Drawing upon her extensive training in psychiatry, along with a deep appreciation of the mind-body-spirit connection, Dr. Doubrava integrates traditional therapeutic techniques including the use of medications when necessary, psychodynamic, cognitive behavioral, and supportive psychotherapies, along with holistic mind-body techniques, lifestyle modifications, nutrition, and psycho-spiritual aspects of care. On some occasions, Dr. Doubrava may believe that additional therapy is needed and ask to incorporate a therapist into your care team for the best outcome. Dr. Doubrava approaches each patient as a unique individual and works with them in a process of discovery. She has a genuine interest and experience working with people during life transitions, those who experience anxiety, depression, and traumatic stress reactions, as well as those living with medical issues, particularly cancer. At the heart of her practice is creating a warm, empathic, nonjudgmental space, allowing for connection and vulnerability, and a collaboration with her patients to help them achieve their goals, both in treatment and in life.

Valentina Doumanian, MD
Staff Psychiatrist
Dr. Valentina Doumanian is a board-certified psychiatrist. She completed her psychiatry residency training at Vanderbilt University in Nashville. She has practiced in various settings over her career, including in-patient and community mental health as well as Veteran Affairs out-patient clinics. Dr. Doumanian has held leadership and teaching positions where she instructed medical students, residents & and fellows. Dr. Doumanian has more than 17 years of experience treating patients with anxiety, depression, OCD, grief, PTSD, adjustment disorders, and other mental health issues. She uses pharmacotherapy along with cognitive behavioral therapy, psychodynamic psychotherapy, and supportive therapy as needed. The philosophy of her practice is to collaborate with patients to meet their specific needs and make an impact in various stages of their lives.

Travis Downey, DO
Staff Psychiatrist
Dr. Travis Downey has experience in outpatient and medical hospital settings, providing care for patients with co-occurring medical conditions. He earned his undergraduate degree in Cell Biology and Neuroscience from Rutgers University, his DO from Rowan School of Osteopathic Medicine, and completed psychiatry residency at Rutgers – Robert Wood Johnson. Dr. Downey enjoys teaching and has received the Excellence in Medical Education Award from Sidney Kimmel Medical College.
Dr. Downey creates a warm, supportive environment where patients feel heard and respected. He is highly collaborative, offering treatment options rather than a single path, and values inclusivity, working with patients from diverse backgrounds. His experience spans diagnoses such as depression, bipolar disorder, OCD, anxiety, trauma, and ADHD, among others.
Dr. Downey begins with a comprehensive psychiatric evaluation, considering past treatments, family history, social and cultural context, and unique patient factors. He prioritizes understanding each individual, developing accurate diagnoses, and creating treatment plans that align with patient goals. Follow-up appointments integrate therapeutic interventions alongside medication management, ensuring thoughtful, ongoing care.

Niles Drake, MD
Staff Psychiatrist
Dr. Niles Drake is a board certified psychiatrist skilled in prescribing medications and working in psychotherapy. He combines a warm demeanor with excellent clinical skills, and has over 15 years' experience working with adult patients of all ages and many walks of life. He has special expertise combining medication and psychotherapy to help patients reduce symptoms and grow as individuals. Dr. Drake's additional training and experience in psychological modes of treatment enhance the quality of care he provides to all his patients, to meet them where they are and prioritize their individual needs and goals. He also provides medication management-only treatments for people who aren't looking for psychotherapy or who already have therapists. Dr. Drake completed his psychiatric residency at Columbia University Medical Center in New York. He also completed psychoanalytic training at the Columbia Center for Psychoanalytic Training and Research. He went on to teach classes at the Center, educating candidates about the nuances of combining psychotherapy with other treatment modalities. In addition to providing outpatient psychiatric treatment for over 10 years in private practice, he has worked extensively in psychiatric emergency settings, supervising residents as attending physician at Columbia-New York Presbyterian Hospital and Long Island Jewish Hospital psychiatric emergency rooms. He also has special expertise treating college-aged and young adult patients, having served as staff psychiatrist at Barnard College's Furman Counseling Center and worked with many students from Barnard and Columbia in his private practice. Dr. Drake offers treatment for many psychiatric conditions, including but not limited to depression, anxiety disorders, bipolar disorder, ADHD, and personality disorders. He identifies helping people ease and overcome their psychiatric conditions as his calling, and approaches each patient with humility, diligence, and a collaborative spirit.

Robert Dugger, MD
Staff Psychiatrist
Dr. Robert Dugger is a board-certified psychiatrist in General Psychiatry and Child & Adolescent Psychiatry. Born and raised in Miami to a Virginian father and Cuban mother, he is bilingual in English and Spanish. He earned a B.A. in Biology and Political Science from the University of Miami, a Master of Public Health in Health Policy from New York Medical College, and his M.D. from Stony Brook University School of Medicine. He completed residency and fellowship training in New York through the Northwell Health System and BronxCare Health System, where he served as Chief Fellow in Child Psychiatry. He has also worked as a researcher at institutions including Columbia University. Outside of work, he enjoys gaming, sci-fi fantasy, Brazilian Jiu-Jitsu, hiking, sailing, and sportfishing.
Dr. Dugger strives to create a supportive and respectful environment where patients feel genuinely heard and understood. He values careful listening, curiosity, and follow-through, and takes a practical, individualized approach to care. Rather than relying on one-size-fits-all solutions, he collaborates with patients to clarify goals, track progress, and focus on changes that meaningfully improve daily life.
Dr. Dugger begins by developing a thorough understanding of each patient’s history, current concerns, strengths, and goals. Early visits focus on understanding context—what is happening now, what has been tried, and what the patient hopes to change. Treatment plans are developed collaboratively and adjusted over time, with follow-up visits emphasizing steady, sustainable improvement through integrated and comprehensive care.

Alexandra Dunn, MD
Staff Psychiatrist
Dr. Alexandra Dunn is a board-certified adult psychiatrist who completed her medical training at the University of California Irvine School of Medicine. She then moved to New York to complete her psychiatric residency training at Mount Sinai Beth Israel. During training, Dr. Dunn gained extensive clinical experience in psychiatric inpatient, outpatient, and emergency settings, allowing her the opportunity to treat patients of all ages and backgrounds. In addition, she co-led a mindfulness group at the outpatient clinic, worked with students at Baruch College, and rotated with the Assertive Community Treatment team at MSBI. Ultimately, Dr. Dunn chose outpatient care, focusing on treating patients with mood and anxiety disorders. While her practice primarily emphasizes medication management, she also incorporates supportive and cognitive behavioral therapy techniques in her sessions with patients. If appropriate, Dr. Dunn will refer you for psychotherapy and collaborate with your therapist to support your care. She looks forward to meeting and working with you to help you feel better.

Angela Durham, MD
Staff Psychiatrist
Dr. Angela Durham is a licensed psychiatrist with over 15 years of experience providing compassionate care in both outpatient and telehealth settings. She has a strong background in treating a wide range of mental health conditions, including mood disorders, anxiety disorders, and ADHD. Dr. Durham earned her medical degree from the University of Louisville and completed her psychiatry residency at the University of Kentucky. She maintains an active medical license and DEA registration.
Dr. Durham creates a supportive, nonjudgmental environment where patients feel comfortable sharing their experiences. She values collaboration and open communication throughout the treatment process, focusing on empowering individuals with education and tools to better manage their mental health. Her approach emphasizes tailoring care to each person’s unique needs and goals to promote long-term wellness.
Dr. Durham begins each therapeutic relationship with a thorough assessment of the patient’s history, symptoms, and goals. She works collaboratively to develop an individualized treatment plan that may include medication management, lifestyle strategies, and coordination with therapists or other healthcare providers. Dr. Durham regularly reviews progress, adjusts treatment plans as needed, and encourages patients to take an active role in their care and decision-making.

Shalini Dutta, MD
Staff Psychiatrist
Dr. Shalini Dutta is a medical doctor with experience working across outpatient, inpatient, and community mental health settings. She has extensive experience caring for underserved and diverse populations and was a recipient of the SAMHSA Minority Fellowship Program Grant. Her fellowship training included a focus on Seeking Safety, an evidence-based, trauma-informed treatment model. Dr. Dutta has a strong clinical interest in trauma, trauma-informed care, and integrating psychotherapy principles with medication management. Her clinical work includes treating mood disorders, anxiety, trauma-related conditions, and substance use disorders.
Dr. Dutta values open, collaborative communication and takes a warm, respectful, and nonjudgmental approach to care. She emphasizes partnership and shared decision-making, ensuring patients feel heard and actively involved in their treatment. She brings a trauma-informed lens to her work and collaborates closely with patients to clarify goals and align care with their values. Dr. Dutta takes a holistic view of mental health, considering biological, psychological, and social factors.
Dr. Dutta begins care with a thorough assessment of psychiatric history, current concerns, and treatment goals. She prioritizes understanding how past experiences and trauma may influence present symptoms. Treatment plans are individualized and evidence-based, integrating medication management with therapeutic principles and psychoeducation. She collaborates with therapists and other providers as needed and regularly reviews progress, adjusting treatment based on patient feedback.

Daniel Ebert, MD
Staff Psychiatrist
Daniel Ebert, MD, earned his medical degree from Vanderbilt University School of Medicine and completed his psychiatry residency at Massachusetts General Hospital and McLean Hospital. He has served on the faculty at Harvard Medical School and Johns Hopkins School of Medicine for over 15 years. Board certified in psychiatry by the American College of Psychiatry and Neurology, Dr. Ebert has extensive experience treating mood, anxiety, psychotic, and substance use disorders across inpatient and outpatient settings, including student mental health, community psychiatry, and academic outpatient practices.
Dr. Ebert strives to create a respectful environment where patients feel heard as they build a strong therapeutic alliance. He values long-term collaboration to achieve meaningful treatment goals and improve quality of life. With clinical experience guiding his approach, he offers reasonable therapeutic optimism while addressing challenging symptoms and issues.
Dr. Ebert begins with a comprehensive clinical assessment to understand each patient’s symptoms, life story, behavior, and personality. He develops a collaborative treatment plan, revisiting it over time. Follow-up appointments integrate medication management, if prescribed, and psychotherapy tailored to the individual, using a combination of standard therapeutic approaches aligned with the shared plan.

Deborah Edelman, DO
Staff Psychiatrist
Background and credentials
Dr. Edelman is Board Certified in Psychiatry and Board Eligible in Child and Adolescent Psychiatry. She completed her psychiatry residency training at the Medical College of Georgia and SUNY Downstate, followed by a fellowship in Child and Adolescent Psychiatry at SUNY Downstate. Throughout her career, Dr. Edelman has practiced in various clinical environments, including inpatient child and adolescent psychiatric units, academic outpatient treatment clinics for adults and children, emergency psychiatric settings, and community psychiatry. She has over seven years of experience.
Treatment approach
Dr. Edelman utilizes a collaborative, supportive, and patient-centered approach, combining pharmacotherapy with therapeutic modalities such as cognitive-behavioral therapy (CBT), psychodynamic therapy, supportive therapy, and interpersonal therapies. She treats a wide variety of conditions, including depression, anxiety, OCD, bipolar disorder, ADHD, learning disorders, substance use disorders, PTSD, and schizophrenia. Her goal is to partner closely with patients to meet their specific needs, achieve their personal goals, and enhance their overall quality of life.
What you can expect in a first visit
Patients can expect their initial visit with Dr. Edelman to include a comprehensive psychiatric evaluation, during which she takes the time to understand each patient's individual concerns, goals, and history. She emphasizes collaborative planning of treatment, carefully integrating medications and tailored therapeutic interventions. Patients will experience a compassionate and supportive atmosphere designed to set clear expectations and foster progress toward their personal mental health goals.
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.

Diane Edgar, MD
Staff Psychiatrist
Dr. Diane Edgar completed her psychiatry residency at Rutgers Robert Wood Johnson Medical School in Piscataway, NJ. She received her bachelor's degree in Chemistry at Florida International University in Miami, FL, and stayed to complete medical school at their Herbert Wertheim College of Medicine. As a South Florida native, she is fluent in English and Spanish and has experience in treating individuals from a variety of cultural backgrounds. Dr. Edgar provides psychiatric care to adults ages 18 and older and is trained in the treatment of several psychiatric conditions including anxiety, depression, bipolar disorder, PTSD, ADHD, OCD and substance use disorders. She believes in a patient-centered approach and working collaboratively with individuals to create a holistic treatment plan that is in alignment with their values and preferences. Treatment will include a combination of medication management, psychoeducation and therapy. She will provide supportive therapy and utilize elements of cognitive behavioral therapy and psychodynamic therapy when applicable. She may offer therapy rooted in mindfulness and the mind-body connection, stemming from her personal yoga practice. Treatment might also involve guidance in implementing life-style changes such as exercise, nutrition, and sleep hygiene. Dr. Edgar is passionate about providing a safe space where individuals can work towards healing and increasing their overall wellness while finding fulfillment in their lives.

David Eiler, MD
Staff Psychiatrist
***Provider does not prescribe controlled substances*** Dr. David Eiler is a staff psychiatrist at Talkiatry. He is board certified in adult psychiatry. Before joining Talkiatry, Dr. Eiler was a staff psychiatrist at Dartmouth-Hitchcock Medical Center (DHMC), where he had an academic appointment and served as clinical director of transcranial magnetic stimulation (TMS) and intranasal esketamine services. In his practice, Dr. Eiler has focused on medication management and interventional techniques, including TMS, for the treatment of depression and other disorders. Dr. Eiler received his MD from the University of Wisconsin School of Medicine and Public Health and completed his residency at DHMC.

Kristina Eipl, MD
Staff Psychiatrist
Dr. Kristina Eipl is a board-certified adult psychiatrist. She completed her undergraduate education at Johns Hopkins University, where she graduated Phi Beta Kappa with a bachelor’s in neuroscience. Dr. Eipl later attended medical school at Johns Hopkins School of Medicine. Her interest in neuroscience, combined with a passion for the humanistic side of medicine, led her to pursue a psychiatry residency at NYU. There, she gained experience working with a diverse patient population. After completing residency in 2018, Dr. Eipl chose to pursue private practice to allow her to spend more time with patients and build on her interest in psychotherapy. She spent over 6 years in solo and group private practice in Los Angeles. She is committed to working with insurance-based practices as she is passionate about providing affordable access to quality healthcare.
Dr. Eipl takes a collaborative and compassionate approach to both medication management and psychotherapy. She enjoys utilizing various forms of psychotherapy to empower individuals to lead healthier, more fulfilling lives. She has experience with many types of psychotherapy and particularly enjoys incorporating elements of supportive, psychodynamic, and cognitive behavioral therapies in all visits. She practices thoughtful and evidence-based medication management.
Dr. Eipl enjoys working with students and adults with anxiety, OCD, PTSD and mood disorders. She also has a special interest in women’s mental health.

Jane Eisen, MD
Staff Psychiatrist
Dr. Jane Eisen comes to Talkiatry from her previous position at McLean Hospital, in Boston, where she was Clinical Director of the Depression and Anxiety Division, overseeing the integration of clinical work, faculty development, and research in the division. Clinically, she has experience working with people with significant mood and anxiety difficulties. Dr. Eisen's practice focuses on using an integrated approach to the understanding and treatment of individuals' psychosocial stresses and psychiatric symptoms. Her sessions are usually 30 minutes. She frequently suggests including a family member or friend in at least one session to get a comprehensive sense of each person's strengths and challenges. She received her medical degree from NYU and completed her psychiatric residency at Mt. Sinai Hospital. She spent a number of years in the Brown system, as Training Director for the Brown Psychiatry Residency and as Vice-Chair of the Brown Department of Psychiatry. For several years, she served as Chair of the Department of Psychiatry at Mt. Sinai West/St. Lukes' prior to her position at McLean, as Clinical Director of the McLean Hospital Depression and Anxiety Division. She has worked primarily with outpatients with the exception of a recent period of residential work at the Pavilion at McLean Hospital. Dr. Eisen is a general psychiatrist with a focus on anxiety disorders, OCD, and mood disorders. She is interested in the impact of trauma and personality and has extensive experience working with young adults.

Lisa Ekeanyanwu, MD
Staff Psychiatrist
Background and credentials
Dr. Lisa Ekeanyanwu is a board-eligible psychiatrist who completed her psychiatry residency training at Stanford University. She has gained experience in a wide range of clinical environments, including inpatient and outpatient care, community mental health settings, emergency rooms, telehealth services, and international clinical fieldwork.
Treatment approach
Dr. Ekeanyanwu’s practice is centered on pharmacotherapy, which she integrates with supportive therapy, cognitive behavioral therapy (CBT), and psychodynamic therapy to provide comprehensive psychiatric care. She takes a collaborative and individualized approach, tailoring treatment to meet each patient’s unique goals and improve their overall quality of life. She has a special interest in cultural and micro-cultural influences on mental health and strives to provide culturally competent care that respects each patient’s life experiences and values. When she believes additional therapy may be beneficial, she may recommend incorporating a therapist into the care team.
What you can expect in a first visit
During the first visit, patients can expect a thorough evaluation where Dr. Ekeanyanwu carefully assesses their symptoms, medical history, and personal treatment goals. She fosters a collaborative and patient-centered environment, ensuring that each treatment plan aligns with the patient’s individual needs. She provides medication management along with therapeutic support and, when appropriate, may recommend additional therapy to optimize outcomes. Her approach prioritizes safe, effective, and culturally sensitive care that evolves to support patients throughout different stages of their lives.
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.
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Rania Elkhatib, MD
Staff Psychiatrist
Dr. Rania Elkhatib is a board-certified general psychiatrist with extensive experience in clinical care, teaching, and research. She earned her medical degree from the University of Texas Medical Branch in Galveston and completed her psychiatry residency at UTHealth Science Center in Houston, where she later served as an Assistant Clinical Professor. During that appointment, Dr. Elkhatib was heavily involved in medical education and has developed courses in cultural psychiatry and psychiatry boot camps for medical students.
Dr. Elkhatib specializes in treating a wide range of psychiatric conditions, including Major Depressive Disorder, Anxiety Disorders, Bipolar Disorder, OCD, ADHD, and PTSD. Dr. Elkhatib focuses on evidence-based medication management but will also incorporate supportive therapy and cognitive-behavioral techniques to optimize treatment management and patient’s wellness. She is fluent in Arabic and English and has a strong interest in working with diverse patient populations.
Dr. Elkhatib has a holistic approach with focus on medication management while incorporating supportive therapy and cognitive-behavioral techniques to optimize patient wellness.

Charli Ellis, DO
Staff Psychiatrist
Dr. Charli Ellis is a board-certified psychiatrist. She has practiced in myriad settings including psychiatric emergency departments, inpatient hospitals, medical hospitals, and outpatient clinics. Due to her love of teaching, she has also worked as an Assistant Professor of Psychiatry at Atrium Health Wake Forest Medical School. She has been a practicing attending physician since 2014. Dr. Ellis' practice focuses on medication management. Typically, she offers this along with supportive psychotherapy in 30-minute follow-up visits. However, if indicated, Dr. Ellis may believe that additional therapy is also needed and ask that you bring a therapist into your care team to provide the best outcome. Training for general psychiatry prepared Dr. Ellis for treating people with a wide breadth of mental health concerns including but not limited to depression, anxiety, and bipolar disorder. Dr. Ellis' philosophy is that patient-centered care is paramount to ensuring the treatment plan aligns with the patient's values and treatment goals. Dr. Ellis weaves together evidence-based treatment with complementary and alternative medicine for the best outcome for her patients.

George Ellis, MD
Staff Psychiatrist
Dr. Ellis is a graduate of Robert Wood Johnson Medical School in Piscataway, NJ. He completed his psychiatric residency at Cooper Hospital/University Medical Center in Camden, NJ, where he served as Chief Resident his senior year. Dr. Ellis has served as Assistant Medical Director of the community mental health center of Gloucester County for 28 years, providing care to a diverse population. Additionally, Dr. Ellis maintained a private practice for 15 years, treating individuals and their families with ongoing collaboration with therapists and other health care providers

Charles Engel, MD
Staff Psychiatrist
Dr. Charles Engel is a board-certified psychiatrist who earned his MD and MPH from the University of Washington in Seattle. He completed his psychiatry residency at Letterman Army Medical Center in San Francisco and a fellowship in psychosomatic medicine at the University of Washington Medical Center. He has held clinical, research, teaching, policy, and administrative roles at Walter Reed Army Medical Center, the Uniformed Services University of the Health Sciences, the Seattle VA Medical Center, and most recently served as Professor of Psychiatry and Behavioral Sciences at the University of Washington School of Medicine.
Dr. Engel specializes in caring for adults affected by stressful or traumatic experiences. He treats posttraumatic stress, depression, anxiety, substance-related concerns, and persistent physical symptoms such as chronic pain, fatigue, and memory and focus. His approach is person-centered and collaborative, focusing on meaningful improvements in symptoms, quality of life, and functioning across important life roles.
Dr. Engel begins with a careful diagnostic evaluation and works with patients to identify the changes that matter most in their lives. Treatment plans are developed collaboratively and may include thoughtful medication management and practical strategies for coping with daily challenges. Follow-up visits focus on supportive conversations, problem-solving, and small, meaningful steps that support recovery and long-term well-being.

Stephen Erlach, MD
Staff Psychiatrist
Dr. Erlach is a board certified adult psychiatrist who has previously worked for the United States Air Force and the Department of Veterans Affairs. He attended medical school at the Uniformed Services University of Health Sciences, graduating in 2009, followed by active duty military service in the United States Air Force until 2024. He completed residency training at the combined military-civilian Wright State University/Wright Patterson AFB training program in Dayton, Ohio.
Dr. Erlach enjoys working with all types of patients. He takes a collaborative approach to patient care and develops a treatment plan alongside the patient so that both are fully invested in the plan. He generally has weekend and evening appointments only.
Dr. Erlach incorporates therapy into medication management appointments. Dr. Erlach feels that addressing psychosocial stressors and developing coping mechanisms are a vital component to treatment.

Michael Escamilla, MD
Staff Psychiatrist
Background and credentials
Dr. Escamilla is a board-certified psychiatrist with over 20 years of experience in treating mental health conditions. He is a graduate of Harvard College and earned his medical degree from the University of Texas Southwestern Medical School. He completed his psychiatry training at the University of California at San Francisco and further specialized through a research fellowship with the American Psychiatric Association. In addition to his clinical work, he is a Jungian Analyst and holds academic positions as an adjunct professor at Rutgers University Department of Psychiatry and as the Frank McMillan Jr. Scholar at the Jung Center of Houston.
Treatment approach
Dr. Escamilla brings a deeply analytical and research-driven approach to psychiatry, integrating traditional psychiatric treatment with Jungian analysis. He has a strong background in academic research and clinical psychiatry, contributing extensively to the field through research publications. His expertise spans a wide range of mental health challenges, and he is committed to understanding the complexities of each patient’s experience to tailor a treatment plan that best suits their needs.
What you can expect in a first visit
During the first visit, patients can expect a comprehensive psychiatric evaluation that takes into account their personal history, psychological patterns, and treatment goals. Dr. Escamilla’s approach emphasizes thoughtful analysis and evidence-based care, ensuring that each patient receives a personalized and insightful treatment plan. His sessions may incorporate medication management, psychotherapy, and Jungian analytical techniques to provide a holistic and individualized treatment experience.
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.

Gary Sean Escola, MD
Staff Psychiatrist
Dr. Gary Sean Escola is a board certified psychiatrist and a computational neuroscientist. Previously, Dr. Escola was an Assistant Professor of Psychiatry at Columbia University. As a member of the Columbia Doctors faculty practice, he saw adults with depression, anxiety, ADHD, OCD, and other psychiatric conditions. His preferred practice type is to combine supportive or psychodynamic psychotherapy with medication management (when needed). Dr. Escola also has experience working as an inpatient and emergency room psychiatrist. As a member of the Center for Theoretical Neuroscience, Dr. Escola's lab developed computational models of: (i) motor learning and control, (ii) the development of psychopathology (e.g., OCD and schizophrenia) through disordered learning in subcortical systems, and (iii) neural network dynamics and representations. Dr. Escola is also an entrepreneur, founding multiple neuroscience-based companies. He received his BA and MS in Computer Science, his PhD in computational neuroscience, his MD, and his residency in psychiatry, all at Columbia.

Fatemeh Safian Esfahani, MD
Staff Psychiatrist
Dr. Fatemeh Safian is a board-certified psychiatrist with experience in outpatient, inpatient, and telepsychiatry settings. She completed her residency at Larkin Community Hospital, caring for a diverse range of patients. Dr. Safian diagnoses and treats a wide variety of conditions, including depression, anxiety, OCD, PTSD, trauma-related disorders, phobias, personality disorders, ADHD, bipolar disorder, postpartum depression, and concerns across all age groups. She is dedicated to creating a safe, supportive space where people feel truly heard—believing good psychiatry starts with listening.
Dr. Safian fosters a warm, respectful, and judgment-free environment where patients can share openly. She takes time to understand each person’s symptoms, story, values, and goals. Medication is just one option; she also considers therapy, lifestyle changes, and other supports. Collaboration and trust are central to her approach, with patients guiding the care decisions.
During the first appointment, Dr. Safian conducts an in-depth, unhurried conversation to explore the patient’s history and goals. Together, they develop a personalized treatment plan that may include medication, therapy referrals, and practical strategies. Ongoing follow-ups provide space to track progress, make adjustments, and ensure the patient feels comfortable and empowered.

Luis Espinosa, MD
Staff Psychiatrist
Dr. Luis Espinosa holds the position of adult psychiatrist with Talkiatry. His practice focuses on medication management, and typically offers this in conjunction with supportive therapy in 30-minute follow-up visits. Dr. Espinosa’s approach is holistic. Each patient’s care is driven by their unique goals and values, whether they suffer from depression, anxiety, trauma, and stress related, or obsessive-compulsive disorders.
Dr. Espinosa believes in serving patients by combining therapy with medication to provide an experience that is both therapeutic and informative and allows patients to guide their own outcomes in a supportive space.
Dr. Espinosa completed his undergraduate studies in philosophy at the University of Florida as the 2013 Ellen Haring Award winner. He was then honored as a Docherty Foundation Scholar to attend the University of South Florida Morsani College of Medicine. He pursued his specialty training in psychiatry at Kaiser Permanente Northern California.
Dr. Espinosa believes in a treatment modality that combines wellness of mind and body to help individuals who are suffering achieve their potential.

Adrienne Brent Estabillo, MD
Staff Psychiatrist
Dr. Adrienne Brent G. Estabillo is double board-certified in Adult and Child & Adolescent Psychiatry, with a strong focus on improving access and equity in mental healthcare. He earned his medical degree from the University of Texas Health San Antonio Long School of Medicine and completed both his general psychiatry residency and child and adolescent psychiatry fellowship there. He has also served as a Medical Director for outpatient psychiatric services, overseeing care delivery, mentoring clinicians, and promoting evidence-based practices.
Dr. Estabillo offers comfortable, efficient virtual visits that respect patients’ time while remaining personal and thorough. He prioritizes continuity of care so patients feel supported between visits, not just during them. He emphasizes collaboration, viewing patients as active partners in their treatment, and has particular expertise in supporting young professionals, students, and those navigating life transitions.
Dr. Estabillo develops thoughtful, individualized treatment plans tailored to each patient’s needs. He combines evidence-based medication management with a holistic understanding of each person’s life, stressors, and goals. His approach fosters a judgment-free, affirming space where patients can speak openly and feel heard.

Gary Etter, MD
Staff Psychiatrist
Gary Etter, MD is a board-certified psychiatrist with experience across outpatient, inpatient, and emergency settings, including many years within the John Peter Smith Healthcare System. He has also practiced in federal correctional psychiatric settings and outpatient care through Tarrant County MHMR. Dr. Etter has been extensively involved in psychiatric education for medical students and psychiatry residents. He has participated in organized psychiatry for many years through the Texas Society of Psychiatric Physicians, serving on multiple committees and previously as President of the Texas Psychiatric Society. He earned his medical degree from the University of Texas Medical Branch in Galveston and completed his psychiatry residency at Timberlawn Psychiatric Hospital in Dallas. He is a Distinguished Life Fellow of the American Psychiatric Association.
Dr. Etter values ongoing patient input and strives to create a collaborative treatment environment where patients are actively involved in decision-making. He emphasizes a warm, supportive approach that helps patients feel heard, respected, and understood throughout their care.
Dr. Etter begins by developing a thorough understanding of each patient’s psychiatric, medical, family, developmental, and substance use history, while also exploring the patient’s concerns and goals. He then works collaboratively with the patient to develop an individualized treatment plan tailored to their unique needs and objectives.

John Ewing, MD
Staff Psychiatrist
Dr. Ewing is a board-certified psychiatrist who did his undergraduate degree at the University of Texas in Austin, Texas, and then completed his medical training at the University of Texas, in Houston, Texas, where he was inducted into the AOA honor society. After a medical internship in Seattle, he did his psychiatric residency at the University of California, San Diego where he was chief resident. He went on to complete a child and adolescent fellowship at Columbia University in New York, where he was also chief resident, and earned additional board certification in addiction psychiatry.
Over the past twenty plus years, Dr. Ewing has worked with adolescents, adults and families as the Director of Psychiatry at the Wellspring Foundation, a residential treatment facility in Connecticut, where he spent his time treating patients and supervising therapists. For more than a decade he taught Child and Adolescent Psychiatry residents at Columbia University, and has been in private practice in New York and CT. The length of his experience helps him in understanding the treatment of bipolar disorder, major depression, OCD and anxiety disorders, as well as substance use disorders and eating problems and how they evolve over time. He is an expert in the medical management of these disorders. He is a careful listener and a real person, with a wry sense of humor.

Shi Xun Fang, MD
Staff Psychiatrist
Dr. Fang is a board-certified psychiatrist who completed his psychiatry residency at Duke University, where he received extensive training in Psychopharmacology, Psychotherapy (“Talk Therapy”), Transcranial Magnetic Stimulation (TMS), and Electroconvulsive Therapy (ECT). Throughout his life, Dr. Fang has lived in various places such as China, Canada, Upstate New York, Maine, and North Carolina, where he currently resides. This rich cultural experience allows him to connect with individuals from diverse backgrounds, which is crucial in the field of psychiatry where treatment is so highly personal. Dr. Fang has also practiced in multiple settings including a college mental health clinic, an adult ADHD clinic, a perinatal psychiatry clinic, a VA hospital, and a residential recovery program.
While Dr. Fang’s current practice is primarily focused on medication treatment, he utilizes his training as a therapist to ensure that patients feel understood and empowered to discuss any other issues they might be facing. With experience in many modalities of therapy including Psychodynamic, Supportive, Cognitive Behavioral Therapy (CBT), and Acceptance and Commitment Therapy (ACT), Dr. Fang knows that one size does NOT always fit all. If more in-depth therapy is felt to be beneficial, Dr. Fang may refer clients to a separate therapist.

Rebecca Farias, MD
Staff Psychiatrist
Dr. Farias is a board-certified physician in both adult and child & adolescent psychiatry, with a focus on the diagnosis and treatment of depressive disorders, anxiety disorders, trauma- and stressor-related disorders, and ADHD. Dr. Farias graduated magna cum laude with a Bachelor of Science degree from the University of Houston, majoring in Biology with a minor in Chemistry. She then pursued her medical education at Texas Tech University Health Sciences Center, earning her Doctor of Medicine degree. Dr. Farias completed a three-year psychiatric residency at TTUHSC, followed by fellowship training in child and adolescent psychiatry. She completed her first year of fellowship at the University of Texas Medical Branch in Galveston and her second year at TTUHSC. With a diverse clinical background, Dr. Farias has gained experience in a variety of settings, including academic psychiatry, consult liaison psychiatry, intensive outpatient programs (IOP), partial hospitalization programs (PHP), emergency psychiatry, and outpatient psychiatry. This broad range of experience allows her to provide comprehensive, individualized care to patients at all stages of life. Dr. Farias takes a holistic approach to treatment, incorporating both medication management and psychotherapy. She utilizes principles from Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), and supportive psychotherapy, recognizing that a combined approach leads to better outcomes for patients.

Faiza Farooq, MD
Staff Psychiatrist
Background and credentials
Dr. Farooq obtained her medical degree from Dow Medical College, one of the most prestigious medical schools in Pakistan. She completed her residency in General Psychiatry at New York Medical College-Westchester Medical Center in Valhalla, New York. Dr. Farooq is ECFMG certified and an active member of the American Psychiatric Association. During her training, she gained diverse clinical experience in psychiatric inpatient, outpatient, and emergency care settings.
Treatment approach
Dr. Farooq emphasizes a friendly, collaborative, and patient-centered treatment approach, focusing on building strong therapeutic relationships. Her practice primarily centers on medication management, combined with supportive therapy, cognitive-behavioral therapy (CBT), and motivational interviewing. She tailors treatment approaches to the unique needs and goals of each patient.
What you can expect in a first visit
Patients meeting Dr. Farooq for the first time can anticipate a welcoming and collaborative atmosphere. Her initial evaluation focuses on understanding each patient’s symptoms, concerns, and individual treatment goals. Dr. Farooq integrates medication management with supportive therapy and therapeutic modalities such as CBT and motivational interviewing, ensuring treatment plans are personalized and aligned with patient-care objectives.
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.

Karina Fatova, MD
Staff Psychiatrist
Dr. Karina Fatova is a board certified psychiatrist who hails from New York City but has made New Orleans her home for the past ten years. She is a graduate of Albert Einstein College of Medicine in Bronx, NY, and she did her adult psychiatry residency at Tulane University in New Orleans, LA. She was proud to have her first position post-residency at the River Oaks Hospital Trauma Unit in New Orleans, LA where she treated patients with Complex PTSD and eating disorders. The Trauma Unit was one of a few of its kind nationally because it provided very specialized treatment that was affordable to many. Dr. Fatova then went on to work at the New Orleans Veterans Affairs Hospital for the last five years in its ambulatory outpatient mental health clinic. Though her passion is Complex Trauma/PTSD, she also regularly saw veteran patients who have been diagnosed with anxiety, depression, bipolar disorder, ADHD, and adjustment disorder. During her five years at the New Orleans VA, she received three special commendations from the director of the VA for feedback from her patients about her effective integrative approach to supportive psychotherapy and medication management. She believes that her rapport with her patients, and their therapeutic work together, is just as important as the medication she prescribes to heal or alleviate their symptoms. Dr Fatova employs psychodynamic therapy techniques, at times, to help those patients who would like to explore childhood experiences that may continue to impact them in their adult lives. With respect to medication management she regularly helps patients target symptoms such as sleep issues, nightmares, persistent worry, emotional dysregulation, frequent mood changes, impulsivity, and "toning down the nervous system," among others. She strongly believes that treatment decisions are best approached as a collaboration between patient and doctor. She sees young adults who are just starting their journey into adulthood, as well as adults who have been navigating life with challenges, which may include untreated, or poorly treated, mental health symptoms. Often, by the time Dr. Fatova sees a patient, they may have lost a significant amount of faith in their mental health doctors, and she is particularly attuned to helping individuals with this type of experience.

Elizabeth Faust, MD
Staff Psychiatrist
Dr. Elizabeth Faust is board-certified in Psychiatry with a fellowship in Integrative Psychiatry. She started in Family Medicine while in the Navy, where she also was a Flight Surgeon. She has practiced medicine since 1999, focusing on Psychiatry since 2007. Dr. Faust practices with an integrative approach to see what medical factors contribute to symptoms, unhealthy thought or relationship patterns, and lifestyle factors that maintain dysfunction. Unexamined, medications will only work briefly. While medications are part of treatment to acutely improve symptoms, she also brings in lifestyle changes, nutrition, spirituality, and social connection as resources to recover function and maintain wellness. 1995-1999 MD from Texas A&M University, US Navy 1999-2004; Family Medicine Internship, Aerospace Medicine training/Flight Surgeon; 2004-2007 the Psychiatry Residency University of Wisconsin. Dr. Faust worked at Iowa City VA, out of residency, treating fellow veterans and training residents at the University of Iowa. She then worked for Group Health in Washington, followed by independent work in telepsychiatry long before the pandemic. Most recently, she worked for Virginia Mason Franciscan to establish a Collaborative Care model of practice to provide expert consultation and support for primary care physicians to continue to care for their patients' mental health within the primary care setting. She enjoys working with patients who are ready to make a change that leads them to their better selves.

Nora Feldpausch, MD
Staff Psychiatrist
Dr. Nora Feldpausch earned her medical degree with AOA honors from Michigan State University and completed a general psychiatry residency there, with a focus on psychotherapy and medication management for adults 18 and older. She has been board certified in General Adult Psychiatry since 2012. Dr. Feldpausch has extensive experience working with college and transitional-age young adults, including nine years at Colorado State University Health Network and work with Michigan State University CAPS. She serves as an advisor on telehealth and college and graduate student health for the American Psychiatric Association and as Secretary for the Association for College Psychiatry. She also supports rural mental health initiatives and has lived and worked in rural Colorado for over 12 years.
Dr. Feldpausch views psychiatric care as a collaborative partnership grounded in trust, mutual respect, and open communication. She prioritizes listening carefully to each patient’s experiences and values to develop an accurate, evidence-based diagnosis and treatment plan. While experienced in medication management, she emphasizes balancing psychotherapy, nutrition, exercise, and medication to support long-term wellness and minimize side effects.
Dr. Feldpausch uses initial sessions to gather a thorough psychiatric, medical, and family history, review prior treatments, and clarify patient goals. She incorporates relevant biological data, such as vitals and labs, to guide care. Treatment plans are continuously revisited and refined through follow-up, collaboration with the broader care team, and ongoing alignment with patient priorities.

Molly Fels, MD
Staff Psychiatrist
Dr. Molly Fels is a board-certified psychiatrist. She completed her undergraduate education at Barnard College followed by medical school at Rutgers-Robert Wood Johnson Medical School. Dr Fels then completed her psychiatry residency training at Mount Sinai Beth Israel. She has previously worked in the Mount Sinai health system in the psychiatric emergency department and inpatient psychiatric unit. Dr. Fels has an interest in treating patients with a wide variety of psychiatric disorders including depression, anxiety, ADHD, and in working with patients who have experienced trauma. She believes in addressing holistic and lifestyle factors with her patients, including nutrition and sleep, in addition to pharmacology. Dr. Fels combines medication management and supportive psychotherapy to provide well-rounded and comprehensive care to her patients and prioritizes involving patients actively in each step of their psychiatric treatment.

Jacqueline Fenn, MD
Staff Psychiatrist
Dr. Jacqueline Ann Fenn earned her medical degree from the University of Illinois College of Medicine and completed her psychiatry residency at Baylor College of Medicine, where she served as chief resident. She pursued subspecialty training in Reproductive Psychiatry and Clinical Education and completed a fellowship in Consultation-Liaison Psychiatry with experience in transplant and reproductive psychiatry. She also holds a doctorate in neuroscience from Michigan State University and is a member of the Gold Humanism Honor Society.
Dr. Fenn values the mind-body connection and creates holistic treatment plans that may include medication, supportive therapy, and lifestyle changes. She prioritizes building strong rapport and providing a welcoming, collaborative environment. She emphasizes open dialogue and shared decision-making, and may recommend additional therapy when helpful. She has experience treating diverse psychiatric conditions, with a focus on women’s mental health and perinatal care.
Dr. Fenn begins with a comprehensive evaluation of symptoms, history, and lifestyle, followed by setting personalized goals. Treatment plans are flexible and refined over time, sometimes requiring multiple visits for clarity. She uses screening tools to track progress and incorporates medication management, supportive therapy, and psychoeducation to empower patients.

Albert Fernandez, MD
Staff Psychiatrist
Dr. Albert Fernandez is a board-certified physician who specializes in adult psychiatry. He has expertise in medication management and psychotherapy. His practice emphasizes a holistic approach to treatment and his style is empathic, insight-oriented, and flexible. He has particular interests in helping individuals struggling with depression, difficulty functioning at work or school, life transitions, bipolar spectrum disorders, ADHD, obsessive-compulsive disorders, relationship struggles, anxiety disorders, sleep disturbances, low self-esteem, and more. He received his bachelor's degree in psychology from Princeton University with a certificate in neuroscience. He earned his M.D. from Renaissance School of Medicine at Stony Brook University and completed his residency training in psychiatry at the Mount Sinai Morningside and West Hospitals. He has supervised junior residents and medical students. He also worked as a staff psychiatrist at Fordham University and published a review article on the effects of residential relocation on mental health. He is currently a Post-Doctoral Candidate in the Adult Analytic Training Program at the New York Psychoanalytic Society and Institute.

Michelle Ferrara, MD
Staff Psychiatrist
Dr. Michelle Ferrara is a psychiatrist whose path into medicine was inspired by a desire to care for patients in a compassionate and comprehensive way. She was drawn to psychiatry because it focuses on the whole person rather than only the illness. In her work, Dr. Ferrara takes a holistic view of mental health, considering medical conditions, personal history, social determinants of health, support systems, and life goals when guiding care.
Dr. Ferrara strives to create a supportive environment where patients feel heard, respected, and comfortable communicating openly. She believes effective mental health care is built on collaboration and trust. Her approach centers on understanding each patient’s unique experiences and values so that treatment aligns with what matters most to them.
Dr. Ferrara works collaboratively with patients to establish clear treatment goals and develop individualized care plans. With training in adult psychiatry and additional training in addiction psychiatry, she provides evidence-based care and current pharmacologic treatments. She values partnering with patients on their path toward recovery, recognizing that each person’s journey is unique.

Taiane Ferrari, MD
Staff Psychiatrist
Dr. Ferrari is a highly regarded psychiatrist with a strong background in both clinical practice and research. She attended NYU School of Medicine and completed her residency at the University of Tennessee. She is an expert in treatment-resistant depression, anxiety and adult ADHD. She is dedicated to providing patient-centered, evidence-based care with a holistic and compassionate approach. As a mother of three, including a son with autism, Dr. Ferrari is particularly passionate about the complexities of women's mental health. Patients often describe her as caring, knowledgeable, compassionate, and insightful. In addition to English, Dr Ferrari also speaks Portuguese and Spanish.

Joyln Ferrell, MD
Staff Psychiatrist
Background and credentials
Dr. Joyln Ferrell is a board-certified psychiatrist with specialized training in treating depression and anxiety disorders. She earned her medical degree from Howard University College of Medicine and also holds a doctorate in pharmacy from the University of Georgia. She completed her residency training in psychiatry at VA Boston/Harvard Medical School and gained significant clinical experience at McLean Hospital. Additionally, she completed a fellowship in psychoanalytic psychotherapy at Columbia University Center for Psychoanalytic Training and Research.
Treatment approach
Dr. Ferrell focuses on providing patient-centered care, emphasizing improving quality of life and helping patients reach their specific treatment goals. Her approach integrates medication management with supportive therapy. She believes in a collaborative treatment process and may recommend additional therapy support when necessary to optimize outcomes. She takes a cautious and limited approach to the use of controlled medications, ensuring responsible medication management.
What you can expect in a first visit
During the first visit, patients can expect a comprehensive assessment of their symptoms, medical history, and treatment goals. Dr. Ferrell takes a thoughtful and individualized approach to care, working with patients to develop a treatment plan that incorporates medication management and supportive therapy. Follow-up visits typically last 20-30 minutes and focus on monitoring progress and adjusting treatment as needed. In some cases, she may recommend involving an additional therapist to further enhance the effectiveness of the treatment plan.
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.

Sarah Benito Figueroa, MD
Staff Psychiatrist
Dr. Sarah Benito Figueroa is a board-certified Adult Psychiatrist and a board-certified Child and Adolescent Psychiatrist. She earned her medical degree from the University of Puerto Rico Medical Sciences Campus. She completed her Adult Psychiatry residency at the University of Connecticut. Following this, she sub-specialized in Child and Adolescent Psychiatry at New York University. Prior to joining Talkiatry, Dr. Benito Figueroa served as a Child and Adolescent Psychiatrist at a busy academic outpatient clinic and on an inpatient basis, providing care to children with complex medical needs.
Dr. Benito Figueroa strives to provide a patient-centered and collaborative approach when developing treatment plans. She specializes in medication management and supportive psychotherapy. When appropriate, she may make a referral for more specialized therapeutic interventions. For child and adolescent patients, Dr. Benito Figueroa encourages parental involvement at each visit to ensure a family centered approach is being followed to best support the child's needs.
During the first visit, Dr. Benito Figueroa will conduct a comprehensive psychiatric evaluation with a goal of understanding a patient's treatment history, current symptomatology and personal goals. She will work together with her patients to foster a collaborative environment, personalize treatment plans and support patients in achieving an improved quality of life.
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Anthony Finch, MD
Staff Psychiatrist
Dr. Anthony Finch is a graduate of the New York-Presbyterian Hospital/Weill Cornell Medical Center General Psychiatry residency and the Duke University Geriatric Psychiatry fellowship programs; he is board certified in Psychiatry by the ABPN. Dr. Finch was born and raised in New York and now lives in North Carolina. Dr. Finch specializes both in psychiatric medication management and various forms of psychotherapy. He believes that effective psychiatric treatment requires attention to multiple domains, including the establishment of a strong doctor/patient relationship, the development of a sound understanding of who the patient is as an individual, and a comprehensive assessment of spiritual and biological factors contributing to mental health. As such, Dr. Finch's practice includes both pharmacological and psychotherapeutic interventions that aim to treat the whole person on an individualized basis. He sees patients of all ages, specializing in older adults, and treats all psychiatric conditions. Dr. Finch received the 2023 Distinguished House Staff Award from the New York Weill Cornell Medical Center Alumni Council; this is awarded to one graduating house staff member from each department annually for excellence during training. He has conducted research on depression and PTSD, published a number of papers in peer-reviewed journals, presented posters at conferences, and written a chapter for a book on medical education. He practices in both English and German.

Douglas Finestone, MD
Staff Psychiatrist
Born in Philadelphia and raised in the mountains of Virginia, Dr. Finestone has been a North Carolinian most of his life. After graduating from the Medical College of Virginia, he completed his psychiatry residency and chief residency at Duke University Medical Center. He is a psychoanalyst and graduate of the University of North Carolina - Duke University Psychoanalytic Institute. He was an Assistant Professor of Psychiatry at Duke University prior to being a Professor and Director of Education at the East Carolina University Department of Psychiatry. He has been a private practice psychiatrist for twenty years, and has provided telemedicine for the past four years.
Dr. Finestone has treated some of his patients for twenty years. He specializes in the treatment of depression, bipolar disorder, anxiety, stress disorders, and attention deficit disorder. His goal is to minimize the suffering and maximize the happiness of each patient.
Dr. Finestone practices personalized, evidence-based medicine. He partners with each patient to formulate an individualized treatment plan consisting of as needed medication management combined with supportive or psychodynamic psychotherapy.

Michael Fiori, MD
Staff Psychiatrist
Dr. Michael Fiori is Board Certified in Adult Psychiatry and Addiction Medicine. He has practiced general psychiatry for 37 years, and has also sub-specialized in Addiction Psychiatry for the past 20 years. Dr. Fiori's practice emphasizes Diagnostic Clarification, which is an ongoing process. He is highly trained and experienced in the biological and psychosocial underpinnings of psychiatric problems. He typically follows diagnostic evaluations with 30-minute follow up visits for medication adjustments and brief therapy. Dr. Fiori often enjoys collaborating with outside therapists when needed. Dr. Fiori graduated from Amherst College and received his medical degree from NY Medical College. He subsequently completed his residency in psychiatry at the Mount Sinai Medical Center in NYC. He excelled in Academic Psychiatry as both a teacher and a mentor. His practice has always combined medications with evidence-based therapies to alleviate suffering and maximize functioning. In addition to his work as a Board Certified Adult Psychiatrist, he has specialized in helping patients suffering from Substance Use Disorders. Dr. Fiori is Board Certified in Addiction Medicine, and helps patients understand the interrelationships between their Substance Use Disorders and their Psychiatric illnesses.

Keith Fisher, MD
Staff Psychiatrist
Dr. Fisher is a psychiatrist with over 20 years of experience in adult psychiatry, military health, addiction medicine, business leadership, and executive consultation. His background has given him the opportunity to work with a diverse range of individuals, and he brings that breadth of experience to every patient relationship. In addition to his medical training, Dr. Fisher completed advanced training in psychodynamic and person-centered psychotherapy, which helps him provide care that’s not only evidence-based, but also deeply respectful of each person’s unique story.
Patients often describe Dr. Fisher as easygoing, kind, and patient. He takes pride in being someone who truly listens. he strives to create a safe, nonjudgmental space where you can be yourself—no matter where you're starting from. His goal is to meet you where you are, both emotionally and practically, and help you move toward where you want to be.
Dr. Fisher's approach is collaborative and flexible. He begins by getting to know you—your history, your concerns, and your goals. From there, we work together to create a treatment plan that may include therapy, medication, or both, depending on what’s appropriate for your needs. He integrate both psychodynamic insight and person-centered techniques, always with an emphasis on mutual respect and open communication. Progress takes time, and he's here to support you every step of the way.

Cecilia Fitz-Gerald, MD
Staff Psychiatrist
Dr. Cecilia Fitz-Gerald is a board-certified psychiatrist trained in adult psychiatry and consultation-liaison psychiatry, formerly known as psychosomatic medicine. She has been practicing for over five years and has extensive experience working in a variety of clinical settings, including inpatient, outpatient, and emergency psychiatry. In addition, she specializes in working with patients with acute and chronic medical conditions that may be affecting their mental health, such as cancer, stroke, or a heart condition. She provides patient-centered care utilizing a collaborative approach to help her patients reach their goals. She is a native of Louisiana and a graduate of the LSU School of Medicine in Shreveport. She was elected to the prestigious medical honor society, Alpha Omega Alpha, during her fourth year of medical school and was awarded the John W. Bick Excellence in Psychiatry award. She completed her psychiatry residency training at the University of Texas Southwestern Medical Center where she served as Chief Resident and was a PRITE Fellow. Afterwards, she completed a fellowship in consultation-liaison psychiatry at Yale-New Haven Hospital. Dr. Fitz-Gerald has multiple scholarly publications, particularly in the fields of emergency psychiatry and hospital delirium and has presented at the annual conference for the Academy of Consultation-Liaison Psychiatry. She is passionate about academic medicine and enjoys teaching medical students and residents. Her other areas of clinical interest include ICU delirium and cardiac psychiatry.

Bianca Fleming, MD
Staff Psychiatrist
Dr. Bianca Fleming is a double board-certified psychiatrist in Adult and Child and Adolescent Psychiatry. She completed her undergraduate studies at the University of Georgia, earned her MD from Morehouse School of Medicine, completed psychiatry residency at the University of North Carolina at Chapel Hill, and a child and adolescent fellowship at Emory University School of Medicine. She has experience across inpatient, outpatient, and integrative community health settings.
Dr. Fleming values gathering thorough information through a warm, conversational interview style. She strives to create a supportive therapeutic space while maintaining a balanced sense of patient accountability to promote meaningful progress.
Her approach emphasizes shared agenda setting at every visit to ensure both patient and provider needs are met. Dr. Fleming takes a detailed history to guide clinical decisions, prioritizes patient education, and delivers evidence-based, patient-centered care. She integrates psychotherapy into all medication management appointments to support holistic treatment.

Seth Flesher, MD
Staff Psychiatrist
Dr. Seth Flesher is double board-certified in adult psychiatry and addiction medicine. Dr. Flesher’s practice focuses on medication management of psychiatric illness without the use of controlled substances. Typically, he offers this in conjunction with supportive or emotionally focused therapy in 30-minute follow-up visits. However, occasionally Dr. Flesher may believe that additional therapy is also needed and ask that you bring a therapist into your care team to provide the best outcome.
Before joining Talkiatry Dr. Flesher was Medical Director of Advanced Psychiatric Services [complex/high profile cases] at Kings County Hospital and Unit Chief of the Covid19 positive unit. He was also a clinical professor at Downstate Medical College where he was voted educator of the year numerous times by psychiatric residents and medical students. Dr. Flesher is a graduate of the prestigious combined 6-year BS/MD program at The Sophie Davis School of Biomedical Education. He did research at the neuropsychiatric branch of the National Institute of Mental Health, completed his psychiatric residency at St. Lukes/Roosevelt Hospital, and he received his master’s degree in public health from Columbia University.
Dr. Flesher believes that psychiatry should start with a thorough assessment to arrive at an accurate diagnosis. Then a discussion with the patient of the different evidence-based options available. Followed by shared decision-making to arrive at an effective treatment plan to achieve the goals that the patient identifies as being important. This should be done in an honest, open, non-judgmental, but realistic environment. Understanding that the ultimate goal is to get the patient to a position where they will no longer need medication and/or therapy.

Madison Flynn, DO
Staff Psychiatrist
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).

Elizabeth Foote, MD
Staff Psychiatrist
Dr. Elizabeth Foote is a board-certified addiction and general psychiatrist practicing medicine for over 15 years.
Dr. Elizabeth Foote focuses on providing integrated care for those with co-occurring disorders, depression, anxiety, obsessive-compulsive disorder, post-traumatic stress disorder and other forms of mental illness in the outpatient setting.
She provides medication management as well as psychotherapy which includes drug and alcohol counseling, cognitive-behavioral therapy, psychodynamic psychotherapy, and cognitive processing therapy for trauma. When combining these treatment approaches, patients receive more comprehensive mental health care. Treatment begins with an initial assessment and a comprehensive treatment plan developed in coordination with the patient to best meet their needs.

Kimberly Ford, MD
Staff Psychiatrist
Dr. Kimberly Ford completed her psychiatry residency training at Harvard University in Boston, Massachusetts. She has enjoyed treating patients for over 25 years in a variety of settings such as inpatient, outpatient mental health clinics, emergency room, and multidisciplinary clinics. She is talented in her ability to connect, understand, and empathize with her patients.She has expertise in treating patients with mood disorders, anxiety, PTSD, and incorporates psychopharmacology when needed, psychodynamic and supportive psychotherapy. She wholeheartedly believes that treating her patients holistically is of high importance, with a focus on their physical, emotional, mental, and spiritual well-being.

Kristina Foreman, MD
Staff Psychiatrist
Dr. Kristina Foreman is a board-certified psychiatrist and child and adolescent psychiatrist who earned her medical degree from St. George’s University and completed both psychiatry residency and fellowship at the University of Vermont Medical Center. She served for four years as an attending on a high-acuity inpatient adolescent unit in Denver, leading a multidisciplinary team in the care of complex cases. She also presents nationally on Positive and Lifestyle Psychiatry and has taught these approaches to fellows and residents.
Her style is open, thoughtful, and relationship-focused, creating a space where patients feel safe sharing what matters most. She brings a therapeutic mindset to every encounter and practices strengths-based care to help people connect with resilience and agency. Trained in the Vermont Family-Based Approach, she values family involvement and blends medication management with therapeutic principles and lifestyle psychiatry to support emotional flexibility and values-driven change.
Dr. Foreman begins by gaining a full understanding of each patient’s history, strengths, challenges, and hopes for treatment. She builds individualized plans that may include medication, lifestyle strategies, psychotherapy-informed tools, and family participation when helpful. She incorporates ACT, DBT, CBT, and positive psychology concepts to foster insight and skill development. Follow-up visits focus on refining the plan so progress feels steady, collaborative, and aligned with patient goals.
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Heath Foreman, DO
Staff Psychiatrist
Dr. Heath Foreman is double board-certified in General Psychiatry and Child and Adolescent Psychiatry. He is a Texas native and received his Bachelor of Science in Medical Technology from UTSouthwestern Medical Center in Dallas. His medical degree was earned at the University of North Texas Health Science Center - Texas College of Osteopathic Medicine in Fort Worth. He completed residency and fellowship training at Baylor Scott & White - Texas A&M in Temple and has been practicing since 2015. He served as Medical Director for a community mental health system for 10 years and has experience working with patients who have ADHD, Autism, Intellectual Developmental, Anxiety, Mood and Traumatic Stress Disorders and Psychosis.
Dr. Foreman uses a professional yet conversational style so that patients may feel at ease while developing a comprehensive understanding of the issues at hand. He prefers an educational approach so that patients can gain the knowledge and tools required to achieve improvement.
Dr. Foreman will perform a broad evaluation and work with his patients to create an evidence-based, personalized treatment plan. Subsequent meetings will incorporate medication management as well as psychotherapeutics based on Cognitive Behavioral, Trauma Based and Psychodynamic techniques. He will provide referrals for traditional counseling or testing when appropriate.

Sophie Fourniquet, MD
Staff Psychiatrist
Dr. Sophie Fourniquet is a board-certified psychiatrist. She earned her medical degree from Louisiana State University in New Orleans and completed her psychiatry residency at Duke University. She has practiced in both inpatient and outpatient settings and brings experience in neuropsychiatry, interventional psychiatry, transplant psychiatry, and culturally informed global psychiatry. Her clinical approach emphasizes evidence-based psychopharmacology with careful, personalized prescribing.
Dr. Fourniquet works collaboratively with patients to define clear, values-aligned treatment goals. She prioritizes honesty, transparency, and shared decision-making, creating a therapeutic relationship grounded in trust. Her care focuses on improving real-world functioning, clarity of thought, and emotional sustainability rather than symptom reduction alone.
Initial evaluations focus on understanding each patient’s story, treatment history, and goals through a thorough diagnostic assessment. Dr. Fourniquet avoids premature labeling, instead using early visits to develop a thoughtful plan aligned with patients’ values. Treatment plans are individualized and may include psychotherapy, medication, lifestyle modifications, or a combination, with regular reassessment to support durable, meaningful change.

Kyra Fragnito, MD
Staff Psychiatrist
Dr. Kyra Munzenmaier is a board-certified psychiatrist dedicated to providing compassionate, personalized mental health care. A graduate of the University of South Florida's College of Medicine and former Chief Resident at St. Luke’s in Pennsylvania, Dr. Munzenmaier brings extensive training and experience in outpatient psychiatry. She particularly enjoys helping individuals dealing with insomnia, ADHD, anxiety, OCD, mood disorders, and medical trauma. As a Perinatal Mental Health-certified expert, she advocates for women’s mental health needs and supports individuals navigating mental health concerns during pregnancy and beyond.
Dr. Munzenmaier’s treatment approach is rooted in shared decision-making, prioritizing patient goals and preferences to create customized care plans, which typically include psychotherapy in combination with medication. She often integrates evidence-based lifestyle modifications and natural treatments to optimize personal well-being. By taking a holistic view of her patients’ challenges, Dr. Munzenmaier empowers her patients to lead their most fulfilling lives.

Amber Frank, MD
Chief Psychiatrist, New England
Dr. Amber Frank is board certified in Adult Psychiatry. She received her medical degree from Harvard Medical School and completed her residency training at the Cambridge Health Alliance/Harvard Medical School Adult Psychiatry Training Program .Dr. Frank believes in a holistic approach to patient care. She strives to understand and treat every patient using a framework that includes not just the biological (medical), but also the psychological, social, environmental, and cultural elements that may contribute to an individual person's experience of mental health and wellness. Dr. Frank's primary practice is medication management. She also integrates elements of psychotherapy into her work, typically within 30-minute follow-up visits. This may include supportive, psychodynamic, cognitive-behavioral, and dialectical behavior therapy strategies, depending on a patient's individual needs. Occasionally, Dr. Frank may believe that additional therapy is also needed and will recommend that you add a therapist to your care team. With a clinical focus on general outpatient psychiatry, Dr. Frank has extensive experience working with patients from a wide range of cultural and ethnic backgrounds, ages, and life experiences. Her primary focus is working with adults with anxiety, depression, obsessive-compulsive disorder, and PTSD. She also enjoys working with people who may be ready for simplifying complex medication regimens started during prior episodes of mental health treatment. Prior to joining Talkiatry, Dr. Frank was an Assistant Professor at Harvard Medical School and Residency Training Director at Cambridge Health Alliance. She also previously served on faculty at the University of Minnesota and has published and presented widely on topics related to medical education. Before pursuing a career in medicine, she worked in education and the arts, experiences that enrich her work as a psychiatrist.
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Megan Freeman, MD
Staff Psychiatrist
Dr. Megan Freeman is board certified by the American Board of Psychiatry and Neurology in Adult Psychiatry. She completed her residency training at Vidant Medical Center at East Carolina University in Greenville, North Carolina in 2021 where she was the chief resident. Since then, she has worked as an attending physician at an inpatient adult psychiatric unit in Burlington, North Carolina. As a resident and attending she has treated adults of all ages and in all areas of mental health. Dr. Freeman's talkiatry practice will mostly focus on medication management in conjunction with support or acceptance-based therapy during 30-minute follow-up visits. During this time, Dr. Freeman hopes to collaborate with her patients to help set treatment goals and ways to track progress in between appointments. Dr. Freeman is board certified in adult psychiatry. She enjoys seeing patients with a wide variety of diagnoses including, but not limited to, major depressive disorder, bipolar disorder, post-traumatic stress disorder, obsessive-compulsive disorder, and generalized anxiety disorder. She enjoys combining medication management with various therapy techniques.

Michael Fruchter, MD
Staff Psychiatrist
Dr. Michael S. Fruchter is a psychiatrist with over 40 years of experience across private practice, telemedicine, and national behavioral health leadership. He has served in medical director roles within commercial, Medicare, and Medicaid systems, as well as in the U.S. Navy. A graduate of Ross University School of Medicine, he is licensed in multiple states, board-certified in forensic medicine, and fluent in English and Spanish.
Dr. Fruchter emphasizes respectful, collaborative care grounded in safety and quality. He values clear communication and culturally responsive treatment, working closely with patients to understand their goals. His approach integrates clinical expertise with practical strategies, ensuring care plans are individualized, evidence-based, and aligned with each patient’s needs.
Dr. Fruchter begins with a comprehensive evaluation, reviewing psychiatric, medical, and psychosocial factors. He partners with patients to develop a thoughtful treatment plan that may include medication management, supportive therapy, and coordination of care when needed. Ongoing follow-up focuses on progress monitoring, education, and adjustments to optimize outcomes.

Regina Fu, DO
Staff Psychiatrist
Dr. Regina Fu is a board-certified psychiatrist who began her interest in Psychiatry while studying Psychobiology at UCLA. After completing her General Psychiatry residency at University of Rochester, she emphasizes a holistic approach to mental health treatment using the biopsychosocial foundation. Her approach to patient care combines evidence-based medicine while recognizing the individual factors that can influence well-being. She has a special interest in Cultural Psychiatry and prioritizes providing personalized and effective care to a diverse patient population.

Rajesh Gaddam, MD
Staff Psychiatrist
Dr. Rajesh Gaddam is a Board Certified Psychiatrist who provides compassionate and empathic care. Prior to his formal training, he worked in clinical psychiatric research at Northwell, gaining experience in evidence-based medicine. He completed his adult psychiatry residency at Bergen New Bridge Medical Center, followed by Child & Adolescent Psychiatry Fellowship at The University of Chicago, where he served as Chief Fellow. Dr. Gaddam treats children, adolescents, and adults for a range of conditions including anxiety, depression, bipolar disorder, trauma, OCD, ADHD, and substance use disorders. Dr. Gaddam emphasizes a collaborative and comprehensive approach to understand a person's life, their circumstances, and what has contributed to their symptoms. He recommends including a family member or close friend in at least one session to get a sense of challenges from a different perspective. Besides using elements of supportive and psychodynamic psychotherapy, Dr. Gaddam will refer and work with your psychotherapist to foster self-reflection and growth. He also greatly values a holistic approach to treatment, emphasizing the importance of nutrition, physical activity, sleep hygiene, mindfulness, and a support system to well-being. He wishes to provide a safe space to promote healing and wellness, so individuals can prosper in their lives.
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Garrick Gaffney, DO
Staff Psychiatrist
Dr. Garrick Gaffney is board certified in psychiatry by the American Board of Psychiatry and Neurology (ABPN). He earned his medical degree from Kansas City University and completed his psychiatry residency at John Peter Smith Hospital in Fort Worth, Texas. A combat veteran, he served in the U.S. Marine Corps, including a tour in Iraq, and was honored with the Navy and Marine Corps Achievement Medal and a Certificate of Commendation for exemplary leadership.
During medical school, Dr. Gaffney pursued advanced training as an Osteopathic Manipulative Medicine fellow. As a resident, he served as Chief Academic Resident and earned accolades such as Intern of the Year and Outstanding Educator of the Year twice consecutively.
Dr. Gaffney specializes in treating complex psychiatric conditions, including depression, anxiety, PTSD, OCD, bipolar disorder, and insomnia. He has presented case studies and quality improvement projects at national conferences, including the American Psychiatric Association (APA), Academy of Consultation-Liaison Psychiatry, and Association for Academic Psychiatry.
A proponent of holistic care, Dr. Gaffney integrates psychotherapy into medication management and emphasizes lifestyle modifications and evidence‑based integrative medicine.
New patients receive comprehensive evaluations to rule out medical causes of symptoms, followed by tailored treatment plans combining therapy, medication, and lifestyle adjustments. Follow‑up visits focus on symptom management through supportive, brief dynamic, or cognitive behavioral therapy, with frequent appointments until stabilization is achieved.
Dr. Gaffney is committed to collaborative, patient‑centered care that addresses both mental and physical well‑being.

William Gamberino, MD
Staff Psychiatrist
Dr. Gamberino is a board certified adult psychiatrist who has been in practice for over 25 years. He has always been fascinated by how the brain works, especially in the setting of stress, anxiety, and trauma. He completed his training at the Pennsylvania State University College of Medicine MD/PhD program and earned his PhD in Neuroscience. He subsequently completed a Residency in Adult Psychiatry including an Anxiety Disorder Research Fellowship at the University of Florida. Dr. Gamberino had a private practice for over 10 years with a focus on providing psychotherapy integrated with pharmacological management. He worked for 25 years with adult and geriatric Veterans at Department of Veterans Affairs with focus on treating PTSD, as well as a full range of anxiety and mood disorders including 7 years of providing care through telehealth treatment. Dr. Gamberino also has 10 years of experience working with adolescents in the juvenile justice system.
Dr. Gamberino is experienced and comfortable treating a wide variety of psychiatric conditions including PTSD, mood disorders such as major depression and bipolar disorder, and all anxiety disorders such as generalized anxiety disorder, social phobia, panic disorder, and OCD. He enjoys sharing knowledge with patients to help them better understand the origins of their symptoms and a range of strategies to manage them.
Dr. Gamberino utilizes a non-paternalistic approach respecting the autonomy of his patients while helping them gain insight into their presenting problems utilizing a collaborative shared decision making approach to help reduce symptoms and optimize functioning. His practice combines evidence-based medication management with psychotherapy utilizing elements of supportive, cognitive behavior, and insight-oriented therapy. Dr. Gamberino utilizes a patient, caring approach, meeting patients where they are to empower them with making changes that lead toward improvement and optimization of their wellness.

Alicia Garcete Guaps, MD
Staff Psychiatrist
Dr. Alicia Garcete is a board-certified child, adolescent, and adult psychiatrist in practice for over 12 years. Her practice focuses on medication management, recognizing family involvement is extremely important and is an integral part of treatment. Dr Garcete has treated a wide variety of patients. Her primary focus is treating depression, anxiety disorders, ADHD, PTSD and OCD. Additionally, she can provide supportive therapy and elements of cognitive-behavioral therapy but on occasions more therapy support may be needed, and the recommendation to bring a psychotherapist on the care team may occur to provide an optimal outcome. Dr. Garcete is bilingual and provides care in both Spanish and English.
Prior to Talkiatry, Dr Garcete treated children, adolescents, and adults was at the intensive outpatient and partial hospitalization levels of care with focus on behavioral approaches in the Depression recovery and Anxiety/OCD programs.
Dr. Garcete earned her Medical Degree from the Universidad Nacional de Asuncion, Facultad de Ciencias Medicas in Paraguay. She completed her general psychiatrist residency at Maimonides Medical Center in New York. She was also a Fellow in Psychoanalysis at the Psychoanalytic Institute, Affiliate to New York University School of Medicine, and completed her child and adolescent psychiatrist fellowship at Elmhurst Hospital Center, affiliate to Mount Sinai Hospital. Dr. Garcete also held a clinical assistant professor appointment from the department of psychiatry at SUNY Downstate Medical Center.
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Karla Garcia-DiGioia, MD
Staff Psychiatrist
Dr. Karla Garcia is a board-certified psychiatrist trained in Adult Psychiatry. She graduated from the University of Notre Dame with a Bachelor of Science and a Master of Education. She then went on to complete her medical education and residency training at the University of Chicago. She is board certified in Adult Psychiatry by the American Board of Psychiatry and Neurology.
Dr. Garcia believes in patient-centered care, seeking to care for the whole person. She values the therapeutic relationship, working to guide patients in their treatment while also encouraging patients to take an active role in their care. Dr. Garcia cares about getting to know you as a person and helping you reconnect with your values. Her clinical approach is holistic, collaborative, and supportive.
Dr. Garcia focuses on evidence-based treatments for psychiatric illness that utilize a combination of medications and psychotherapy. Using a range of skills and interventions, Dr. Garcia believes in a multi-faceted approach to treatment.
Dr. Garcia has experience working in a wide variety of inpatient, emergency, partial hospitalization, intensive outpatient, and outpatient psychiatric settings and in treating a broad spectrum of psychiatric disorders including depression, anxiety, bipolar disorder, trauma, substance use disorders, personality disorders, ADHD, and OCD. She treats patients in English and Spanish.

Caitlin Gardiner, MD
Staff Psychiatrist
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.

Esha Garg, DO
Staff Psychiatrist
Dr. Esha Garg is a board-certified psychiatrist starting her post-graduate practice with Talkiatry. After completing an undergraduate degree in psychology at Johns Hopkins University, she completed her medical degree at Kansas City University of Medicine and Biosciences. She is a recent graduate from the Adult Psychiatry Residency at University of Kansas Medical Center.
Dr. Garg's practice focuses on medication management but she believes in the importance of both therapy and medication management in treating mental illness. She offers medication management with supportive therapy in 30-minute follow up visits. She also utilizes referrals to therapists to enhance collaborative care and management of illness.
Dr. Garg believes in the importance of building a strong therapeutic relationship. She focuses on treating patients with depression and anxiety disorders. She believes in a holistic, patient-centered approach to care and encourages patient's to explore their physical, emotional, social and spiritual needs in addition to their mental health.

Stephen Geisler, MD
Staff Psychiatrist
Dr. Stephen Geisler is a board-certified adult psychiatrist and has been practicing for over 37 years. His practice focuses on medication management, and typically offers this in conjunction with supportive therapy in 30-minute follow-up visits. If Dr. Geisler feels you would benefit from working with a therapist in conjunction with medication management, he welcomes collaboration with your therapist to make for the best outcome. Dr. Geisler is a graduate of the New York University School of Medicine. He completed a fellowship in Psychoanalytic Psychotherapy at the Zucker Hillside Hospital of Northwell Health after finishing his residency training there. He is currently an Assistant Clinical Professor at the Donald and Barbara Zucker School of Medicine at Hofstra/Northwell. Over the years Dr. Geisler has received a number of awards including NAMI Exemplary Psychiatrist Award, The APA Irma Bland Certificate of Excellence in Teaching Residents, the Zucker Hillside Hospital Department of Psychiatry Recognition Award for Education, and twice received the Outstanding Teacher of the Year Award from the graduating residents' class. Dr. Geisler is a member of the American Psychiatric Association, the Nassau Suffolk District Branch of the APA and the American Society of Clinical Psychopharmacology. Through the years, Dr. Geisler has participated in many clinical research projects, has been the co-author of many papers, and has made many presentations. Dr. Geisler specializes in psychopharmacology, especially tailoring individualized treatment to serve the needs of patients with a variety of conditions. He has a lot of experience in treating patients with depression, bipolar disorder, anxiety disorders, ADHD, and OCD.

Danielle Gelfond, MD
Staff Psychiatrist
Dr. Danielle Gelfond is an Adult Psychiatrist and a graduate from Loyola University Medical Center's residency program in Chicago, IL. Prior to attending residency, Dr. Gelfond graduated from Rush Medical College at Rush University. Throughout residency, Dr. Gelfond spent time focusing on her clinical interests which include mood disorders, anxiety disorders, substance use disorders, and women's mental health. During her training, Dr. Gelfond spent several years working with the Perinatal population and completed a year-long program focusing on Women's Mental Health through the National Curriculum in Reproductive Psychiatry organization. She held the role of Chief Resident of her program during the last two years of her training and received several awards commending her leadership style and rapport with patients through her program. Dr. Gelfond takes on a holistic and "patient-centered" approach in her treatment style. She incorporates both medication management, supportive psychotherapy, and discussions surrounding lifestyle and wellness into her appointments and emphasizes patient education and autonomy, which she believes helps support the therapeutic relationship, improve clinical outcomes, and helps treatment align with the patient's goals of care.

Fatima Ghandour, MD
Staff Psychiatrist
Dr. Fatima Ghandour is an adult psychiatrist originally from Southeast Michigan. She earned her undergraduate degree at the University of Michigan and her medical degree at Western Michigan University Homer Stryker MD School of Medicine. She completed her psychiatry residency at Authority Health in Detroit, where she was recognized as Resident of the Year in her graduating class. Dr. Ghandour has experience practicing in both outpatient and inpatient settings and has treated a wide range of conditions including depression, anxiety, ADHD, and PTSD.
Dr. Ghandour values open communication and collaboration, working closely with patients to set clear and meaningful treatment goals. She fosters a warm, supportive environment where patients feel heard, respected, and empowered to take an active role in their care. Her empathetic and patient-centered approach helps individuals feel safe sharing their unique experiences and challenges.
Dr. Ghandour begins each relationship with a thorough evaluation, taking time to understand each patient’s history, concerns, and goals. From there, she develops an individualized treatment plan that reflects the patient’s needs and preferences. She combines evidence-based strategies with ongoing dialogue to ensure treatment remains responsive and aligned with each patient’s progress and well-being.

Sabrina Ghim, MD
Staff Psychiatrist
Dr. Sabrina Ghim is a board-certified physician specializing in adult psychiatry and practices adult psychiatric medication management. She focuses on building a strong therapeutic and collaborative environment with patients. She works with individuals struggling with depression, ADHD, obsessive compulsive disorder, anxiety disorders, including generalized anxiety, and social anxiety. Dr. Ghim usually meets with patients monthly for psychiatric follow up appointments. She provides psychiatric medication management in a comprehensive manner, paying careful attention to each patient's unique biological, psychological, and cultural make-up. She is diligent about keeping up-to-date on the research and expanding frontiers of psychiatry and psychopharmacology. She strongly believes in tailoring treatment in an integrative and collaborative manner to provide the best outcome for each unique patient. In some instances, Dr. Ghim may recommend the addition of a separate therapist in order to help facilitate the best care possible. Dr. Ghim experienced various cultures growing up in different countries and environments, shaping her open-minded demeanor and views, and eventually her interest in the human mind and psychiatry. She earned her bachelor's degree in Molecular Biology with honors, and a Doctor of Medicine (M.D.) degree from the University of Central Florida College of Medicine. She completed her Adult Psychiatric Internship and Residency training in New York City, at the Mount Sinai Morningside and West Hospitals, where she treated a diverse patient population with psychiatric illnesses in emergency, inpatient, and outpatient settings. Dr. Ghim is currently licensed in and seeing patients located in the states of New York, Florida, and Texas for medication management.

Mark Giordano, MD
Staff Psychiatrist
Dr Mark Giordano is a board-certified psychiatrist with over ten years of experience in adult psychiatry, addiction medication, pregnancy and post-partum care, complex medical consultation, and military health. Dr G practices psychodynamic psychotherapy as well as evidenced based medication management. Dr G has extensive experience working with culturally diverse populations, and is an Army veteran who deployed to Korea and Afghanistan.
Patients often describe Dr G as caring, providing clear explanations, and responsive to concerns. Dr G highly values his patients trusting him to listen and respect them, as well as in his clinicial skills. He works hard at helping his patients understand his approach to treatment, and what is happening along the way and why. He may be the medical expert, but he and his patients are partners working together in the process of achieving better health and functionality for them so they can live their best lives.
Dr G starts by explaining his overall approach to medication management and his goal of helping his patients live a better life free of disability. He conducts a detailed evaluation of your concerns, your experiences, and your priorities in treatment. Dr G develops a unique treatment plan based on your unique needs. He emphasizes positive developments over the course of your work together and makes sure you always have a chance to discuss any questions or concerns you want him to know and answer.

Layna Glenn, MD
Staff Psychiatrist
Dr. Glenn is a board-certified psychiatrist in general psychiatry. She has worked mostly as an outpatient psychiatrist for the last 3 years after completing her residency. Dr. Glenn practices in the traditional psychiatric model with a combination of medication management and psychotherapy techniques. She also understands the importance of a healthy lifestyle and tries to work with patients to improve behaviors that could be contributing to their current struggles. Dr. Glenn's goal with every patient is to meet the patient where they are, get a good understanding of their concerns, and work together to determine the best treatment plan and obtain the best outcomes. Dr. Glenn obtained her undergraduate degree at Hampton University and later received her medical degree from Boston University. She completed her general psychiatry residency at Loyola University. While in medical school, Dr. Glenn's special interests include mental health, diet, and nutrition. Those interests continued while completing psychiatry residency at Loyola University. From this training, she has experience in treating a wide range of adult mental health issues with traditional treatment modalities and attempts a holistic focus on physical, financial, occupational, intellectual, environmental, social, and spiritual health.

Hannah Goddard, DO
Staff Psychiatrist
Dr Hannah Goddard is an adult psychiatrist who is originally from Northeast Ohio. She earned her undergraduate degree at Marquette University and completed her medical degree at Lake Erie College of Osteopathic Medicine in Erie, PA. Dr. Goddard completed her residency in psychiatry at MetroHealth Medical Center in Cleveland, Ohio, where she served as chief resident her final year.
Dr Goddard has experience treating a wide range of conditions including depression, anxiety, ADHD, and PTSD. The initial evaluation includes taking a comprehensive history and getting to know patients as individuals.
Her clinical philosophy centers on an empathetic, nonjudgmental, holistic approach. Dr Goddard collaborates closely with patients to develop a personalized treatment plan that integrates psychiatric medication management with supportive psychotherapy as well as elements of CBT.

Neha Goel, MD
Staff Psychiatrist
Dr. Goel holds the position of Staff Psychiatrist at Talkiatry. She has completed adult psychiatry training and is board certified. She has been actively involved in mental health care in various capacities over the past 7 years.
Dr. Goel's practice focuses on psychopharmacological interventions. Typically, she combines this with a strong emphasis on Cognitive Behavior Therapy (CBT). Dr. Goel also strongly believes that the best outcomes are achieved, when you treat a person and not just illness.
She received her medical degree from one of the largest publicly funded medical schools in India, L.L.R.M. Medical College, Meerut, India, before moving to the US. She gained experience in mental and behavioral health in various roles at some of the most prestigious institutions in the US, namely Northwestern University, Emory University, and North Shore-LIJ. She completed her residency at Nassau University Medical Center, East Meadow, NY. Dr. Goel has been a co-author of several research papers. Her team's research work has also been presented at national and international meetings as well.
While Dr. Goel enjoys working with adults with various psychiatric disorders, her primary focus is on treating adults with various anxiety and depressive disorders. Dr. Goel also has a special interest in co-occuring sleep disorders with these conditions.

Shelby Goicochea, MD
Staff Psychiatrist
Dr. Goicochea is Peruvian and speaks Spanish fluently. She is a "triple Gator” having completed her undergraduate and medical degree at the University of Florida (UF) and psychiatric training at UF Jacksonville. She was recognized by the Gold Humanism Honor Society for exemplary service, integrity, clinical excellence, and compassion and awarded Resident of the Year for exceptional clinical skills and commitment to patients. Dr. Goicochea is a board-certified adult psychiatrist who specializes in providing person-centered mental health care. She believes in a comprehensive, holistic approach to best improve the overall well-being of her patients; she explores psychosocial and physical health contributions to psychiatric symptoms and incorporates therapy into visits to develop a deeper understanding of the particular psychiatric concerns and their impact on patients' lives. Dr. Goicochea actively listens and creates an empathetic, non-judgmental space to work collaboratively with patients in achieving treatment goals. Dr. Goicochea's expertise is in the combination of evidence-based medication management with psychotherapy, which includes supportive, person-centered, cognitive behavioral, acceptance and commitment, interpersonal, and solution-focused therapy. While she enjoys working with young adults, her skills and experience allow her to effectively assist patients of all ages. Her clinical areas of interest include the treatment of depression, bipolar disorder, anxiety, and ADHD.

Ian Goldberg, MD
Staff Psychiatrist
Background and credentials
Dr. Ian Goldberg is a board-certified adult and child/adolescent psychiatrist and a licensed physician in New York state. He has been practicing since 1988 and has extensive experience working with patients in private practice, hospital settings, and community-based mental health programs. His professional career has included work both in and outside of the United States.
Treatment approach
Dr. Goldberg takes an eclectic approach to psychiatric care, integrating various treatment modalities, including psychodynamic perspectives and medication management. His focus is on improving his patients' overall quality of life by tailoring treatment strategies to their unique needs.
What you can expect in a first visit
During the initial visit, patients can expect a comprehensive and individualized evaluation. Dr. Goldberg values collaboration and strives to create a treatment plan that is both effective and adaptable. His experience allows him to approach each case with insight and flexibility, ensuring that patients receive care that is aligned with their personal goals and circumstances.
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.

Milena Goldshmidt, MD
Staff Psychiatrist
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 to 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 program 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. Luke's 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.
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David Gomez, MD
Staff Psychiatrist
Dr. David Gomez is a board-certified psychiatrist who is bilingual and fluent in English and Spanish. He earned his Doctor of Medicine degree from Florida International University and completed a residency in Psychiatry at the University of Miami / Jackson Memorial Hospital. During his training, he worked closely with a diverse array of patients, including minority and underserved communities, military veterans, trauma survivors, medically complex individuals with HIV and cancer, geriatric patients, and individuals with severe mental illness in both outpatient and inpatient settings. He received additional training through his participation in specialty clinics focused on mood and anxiety disorders, trauma-related conditions, and geriatric / memory disorders.
Dr. Gomez specializes in providing comprehensive mental health care to diverse patient populations. He combines psychotropic medications with supportive therapy using a psychodynamic listening approach to understand his patients and achieve their treatment goals.
He believes in tailoring treatment plans to meet individual needs, fostering a collaborative environment that empowers patients in their recovery. Known for his warm demeanor and attentive listening skills, Dr. Gomez creates a safe space for patients to express themselves safely. He emphasizes the importance of a strong therapeutic alliance and integrates psychodynamic principles, mindfulness techniques, and lifestyle modifications into his practice.

Emily Goncalves, MD
Staff Psychiatrist
Dr. Emily Goncalves is a board-certified adult psychiatrist who earned her undergraduate degree at Syracuse University and medical degree from the American University of Antigua. She holds an MBA from Plymouth State University focusing on health care administration. She completed her adult psychiatry residency at Delaware Division of Substance Abuse and Mental Health, where she was chief resident and completed her fellowship in consultation liaison psychiatry at Jackson Memorial Hospital/University of Miami. Dr. Goncalves specializes in treating patients with psychiatric disorders with complex medical illnesses, cancer, and also has expertise in reproductive psychiatry. She is experienced in treating mood disorders, anxiety disorders, PTSD, psychosis, substance use disorders, and adult ADHD. Dr. Goncalves had the opportunity to work in various settings with a diverse patient population including veterans, inmates, cancer patients, and perinatal and postpartum patients. Dr. Goncalves provides medication management along with psychotherapy.

Juan Gonzalez, MD
Staff Psychiatrist
Dr. Juan Carlos Gonzalez is board-certified by the American Board of Psychiatry and Neurology and has 32 years of experience in treating adults. He completed his undergraduate education at Harvard University and earned his medical degree at Baylor College of Medicine in Houston, Texas. He completed his psychiatry residency training at Baylor College of Medicine, where he served as Chief Resident and subsquently was an Associate Professor of Psychiatry for ten years. During his tenure as a faculty member at Baylor, he served as Medical Director for the Baylor Psychiatry Clinic and also maintained a private practice, where he provided psychotherapy and medication management. In 2004, Dr. Gonzalez moved to Austin, Texas where he joined the US Veterans Administration, serving in various administrative positions, including Medical Director for the Central Texas VA Outpatient Clinics.
He provides compassionate, evidence-based care to thousands of service members, treating a broad spectrum of psychiatric conditions. Fluent in both English and Spanish, Dr. Gonzalez employs a humanistic approach to patient care, deeply understanding how patients’ past experiences affect their present.
Dr. Gonzalez provides compassionate, humanistic care, recognizing how past experiences shape the present. His treatment integrates medication management with psychoanalytic, cognitive-behavioral, and supportive psychotherapy.

Ernesto Gonzalez, MD
Staff Psychiatrist
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.

Nereida Gonzalez-Berrios, MD
Staff Psychiatrist
Background and credentials
Dr. Nereida Gonzalez-Berrios is a general psychiatrist fluent in English and Spanish. She earned her bachelor’s degree in Microbiology from the University of Puerto Rico and her medical doctorate from Ponce School of Medicine (now Ponce Health Sciences University). She completed her General Psychiatry Training Program at the University of Puerto Rico Medical Sciences Campus, graduating in 2008. After practicing privately in Puerto Rico, she relocated to Texas, where she worked for over five years at the Michael E. DeBakey VA Health System, providing mental health care to veterans. She has also gained extensive experience in telemedicine, working both within the VA system and as a locum tenens provider.
Treatment approach
Dr. Gonzalez-Berrios has extensive experience treating a wide range of psychiatric conditions, including mood disorders, anxiety disorders, psychotic disorders, intellectual impairment, ADHD, eating disorders, PTSD, and personality disorders. She integrates traditional psychiatric treatment with a holistic wellness approach, drawing on her background as a motivational speaker, wellness coach, certified personal fitness trainer, nutrition coach, and weight-loss specialist. Her approach emphasizes improving overall mental and physical well-being through personalized treatment plans that incorporate psychiatric care, wellness strategies, and lifestyle modifications.
What you can expect in a first visit
Patients can expect a comprehensive psychiatric evaluation where Dr. Gonzalez-Berrios carefully assesses their symptoms, medical history, and personal wellness goals. She takes a collaborative and patient-centered approach, ensuring that treatment is tailored to each individual’s mental and physical health needs. As an experienced telemedicine provider, she offers accessible and flexible mental health care, combining medication management and holistic wellness strategies to help patients achieve lasting well-being.
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.