Alejandra Cattan, MD

Dr. Nelson is a board-certified psychiatrist who attended the University of Iowa Medical School and completed her psychiatry residency and child and adolescent psychiatry fellowship at Walter Reed National Military Medical Center.  She has extensive experience treating active-duty service members, family members of active duty and the veteran population.  She feels comfortable working with a wide range of age groups and enjoys treating challenges with anxiety, mood, sleep, and concentration.

Dr. Nelson believes that the key to success in mental health care is being able to establish a trusting and open relationship between psychiatrist and patient.

While initial sessions include the need to gather background information about the patient overall as well as the symptoms of concern, subsequent sessions are focused on learning the impact of the treatment.

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Background and credentials

Dr. James is a board-certified adult psychiatrist with 32 years of clinical experience. She earned her medical degree from Tufts University, Boston’s affiliated program and completed her residency training at Steward St. Elizabeth Medical Center in Boston, where she initiated the residency program and received the Resident Teaching Award for excellence in teaching. Throughout her career, she has served in various leadership roles, including as Chief of Psychiatry at Pro Medica Healthcare Company.

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Treatment approach

Dr. James specializes in community adult psychiatry and is deeply invested in providing comprehensive care for individuals and families. She has extensive experience working in outpatient, inpatient, consult-liaison, and emergency room settings, allowing her to tailor treatment to diverse patient needs. Her approach prioritizes holistic, patient-centered care, ensuring that each treatment plan aligns with a patient’s specific challenges and goals.

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What you can expect in a first visit

During the first visit, patients can expect a thorough psychiatric evaluation where Dr. James carefully reviews their symptoms, medical history, and treatment objectives. She fosters a compassionate and collaborative environment, ensuring that patients feel supported in their journey toward better mental health. Her extensive experience allows her to provide personalized treatment strategies, which may include medication management and therapeutic interventions tailored to each individual’s needs.

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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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Dr. Michael Lukowski is an adult psychiatrist who holds board certification with the American Board of Psychiatry and Neurology. He has been practicing medicine for over 4 years. Dr. Lukowski focuses on medication management combined with supportive therapy in 30-minute follow-up visits. He practices whole-person medicine, caring for the wellness of your mind, body, and spirit and helping you enjoy your relationships with those around you. Dr. Lukowski received his medical degree from the University of Nevada School of Medicine in Reno, NV, before moving to southern California to complete his residency at Loma Linda University. After completing training, Dr. Lukowski began working with the Southern California Permanente Medical Group in Riverside, CA, where he treated a variety of psychiatric disorders in an outpatient setting. In March of 2020, as the pandemic changed life and medicine forever, Dr. Lukowski adopted a strictly telepsychiatry role at his clinic. He has also held a staff psychiatrist position as an adult inpatient psychiatrist in Tennessee. Dr. Lukowski treats a wide variety of psychiatric disorders within the adult demographic.

Justin Stone is a board-certified Psychiatric-Mental Health Nurse Practitioner (PMHNP) with experience in both outpatient and inpatient psychiatric settings, including in-person and telehealth care. He completed his undergraduate and master’s programs at Southern Adventist University in Collegedale, Tennessee. Justin is committed to providing compassionate, patient-centered care that addresses the whole person—mind, body, and environment.

Justin works collaboratively with patients to reach personal goals and support a more fulfilled life. He strives to create an open, judgment-free relationship where patients can be completely themselves. His aim is to provide a safe space for vulnerability without fear of judgment, fostering trust and partnership in the therapeutic process.

Patients can expect a thorough initial evaluation to ensure the correct diagnosis is addressed from the start. Justin prioritizes safety and evidence-based best practices while tailoring treatment plans to individual goals. His approach is focused on developing personalized strategies that help patients achieve meaningful improvements in mental health and overall well-being.

Dr. Peppers works with patients to meet the goals that matter to them. She believes that feeling heard and being understood are key factors in a successful treatment relationship.

She has been working in telehealth since 2018. She has worked extensively with patients dealing with trauma from childhood abuse, assaults, combat, and accidents. She also has a lot of experience treating depression, anxiety disorders, bipolar disorder, ADHD, and personality disorders.

After completing her training, Dr. Peppers worked in private practice and in various roles for the Department of Veterans Affairs. She most enjoys working in the clinic because of the long term follow-up.        

Dr. Peppers enjoys her work and includes psychotherapy in her appointments. She offers medication options to treat symptoms but also works with patients to examine behaviors and defenses that may be contributing to their problems. For patients who would benefit from more extensive psychotherapy, she may refer patients to a therapist and work collaboratively with the therapist.

She starts off with a thorough evaluation to make a diagnosis. Then, she works with patients to determine what their treatment goals are and develops a treatment plan to meet those goals.

Janee Stokes is a highly experienced and dual-certified nurse practitioner, specializing in adult gerontology and psychiatry. With over 20 years of experience as a registered nurse, she brings a comprehensive background in healthcare, having worked with diverse patient populations ranging from young children to older adults.

In 2015, she earned her Master of Science in Nursing (MSN) and became certified as an adult gerontology nurse practitioner. She later expanded her expertise by obtaining certification in psychiatry, enabling her to provide holistic care for individuals with mental health needs. Her leadership roles have included serving as lead nurse practitioner and associate director of psychiatry at a federally qualified health center, where she played a key role in guiding healthcare teams and delivering quality care to underserved communities.

Janee emphasizes education as a core component of her care approach. She builds strong rapport through clear communication and trust, incorporating techniques such as Cognitive Behavioral Therapy (CBT) and motivational interviewing to support her patients’ needs. This approach empowers individuals to take an active role in their treatment journey.

Her care process is guided by each patient’s goals, integrating evidence-based practices to ensure personalized and effective support that aligns with their unique needs and aspirations.

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