Alexandra Blaes, MD

Dr. Megan Tusken is a board-certified adult psychiatrist. She received her undergraduate degree from Brown University and her medical doctorate at the University of Chicago Pritzker School of Medicine. Prior to joining Talkiatry, Dr. Tusken completed residency training in general psychiatry at the University of Texas Southwestern Medical Center. Dr. Tusken provides evidence-based, patient-centered care and considers a trusting doctor-patient relationship integral to helping her patients achieve their treatment goals. During training, Dr. Tusken gained extensive experience in inpatient, consult, emergency room, and outpatient practice settings with culturally and socioeconomically diverse patient populations. She also elected to acquire additional experience with specific patient populations, including patients with treatment-resistant depression, substance use disorders, and sleep disorders, as well as LGBTQ+ individuals and older adults. Tusken's treatment approach is collaborative and holistic. She provides medication management for a variety of mental health conditions, with particular interest in mood and anxiety disorders. In addition to psychopharmacologic interventions, she firmly believes in the mind-body connection, and she incorporates psychotherapeutic techniques into her visits to provide the best, individualized care for each patient.

Dr. Maria is a Board-Certified Adult Psychiatrist with specialized training in Child and Adolescent Psychiatry. She earned her medical degree from Andes University in Colombia, completed her Psychiatry Residency at The Wright Center in Scranton, Pennsylvania, and pursued further training through a Child and Adolescent Psychiatry fellowship at Louisiana State University in New Orleans.

Dr. Maria is deeply committed to providing kind, thoughtful, and inclusive care. She creates a warm, welcoming space where patients of all ages feel safe, listened to, and truly seen. Her approach blends evidence-based practices with compassion and patient collaboration. She works closely with each patient to understand their unique story and help them move toward meaningful, personal goals.

She takes time to build strong, trusting relationships and conducts thorough evaluations to understand each person’s experiences and needs. Her treatment often includes psycho-education, supportive therapy, and medication management—always shaped by what matters most to the patient.

Dr. Maria has experience treating a wide range of mental health conditions, including ADHD, PTSD, Depression, Anxiety, OCD, and Bipolar Disorder. She is especially passionate about supporting minority and marginalized communities, and she strives to ensure everyone feels valued and cared for.

Dr. Maria practices with a patient centered approach, focusing on each patients unique needs. She practices evidence based medicine with empathy, warmth and in a supportive, nonjudgmental environment.

It is important to Dr. Maria to build trust with patients, so they feel comfortable during their visits. She provides a thorough evaluation to understand symptoms, challenges and personal goals. Dr. Maria conducts visits that incorporate both medication management and psycho-education through supportive therapy. She works with her patients to set clear goals that align with their preferences.

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Background  and credentials    

Dr. Christine Reyes is a bilingual Spanish-speaking adult psychiatrist with  25 years of experience. She completed her residency in Adult Psychiatry at  Saint Vincent's Hospital and Medical Center in New York City and subsequently  completed a Child Psychiatry fellowship at the University of Pennsylvania in  Philadelphia. Dr. Reyes has extensive experience practicing in outpatient and  community mental health settings.    

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Treatment approach    

Dr. Reyes provides compassionate psychiatric care using pharmacotherapy  combined with supportive psychotherapy. She specializes in treating anxiety,  depression, bipolar disorder, post-traumatic stress disorder (PTSD), and  numerous other psychiatric conditions. Additionally, Dr. Reyes emphasizes  nutritional counseling, assisting patients in achieving and maintaining a  healthy weight as part of their overall wellness plan.    

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What you can expect in a first visit    

Patients can expect a compassionate and thorough initial assessment aimed  at understanding their psychiatric symptoms, personal health goals, and  lifestyle considerations. Dr. Reyes combines medication evaluation with  supportive psychotherapy and may discuss nutritional guidance as part of a holistic  treatment plan. She prioritizes creating a supportive environment for  bilingual (English/Spanish) patients to openly discuss their mental health  concerns.    

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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.

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.

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.

Dr. Richard Rise has created a successful career as a psychiatrist over the past 30 years. He has participated in a variety of treatment settings and has developed a wealth of experience at both prescribing medications, providing therapy, counseling, and even coaching. He takes an individual approach to treating others, recognizing individuals as unique and worthy of love, respect, and acceptance. He is compassionate, non-judgmental, and truly enjoys helping others. He tends to gravitate towards a combination of medication management (if indicated) and psychotherapy where he treats all facets of the individual. Dr. Rise believes that we are all unique and should be treated as such. He spent most of his career in private practice until deciding to retire in 2014. After this he spent the next 3 1/2 years, reading, studying, traveling, and spending time with his loved ones. In 2018 he was offered a position as a consultant overseeing Ketamine infusion therapy for treating treatment-resistant depression. When the pandemic hit in March of 2020, Dr. Rise was asked to assist a local psychiatric hospital deal with the unique and often deadly consequences of the virus. This proved to be a wonderful opportunity for personal growth and to improve the quality of life of many others. After working at the hospital for the 2 years, Dr. Rise joined Talkiatry to continue providing high-quality psychiatric care to others in a very loving, supportive, creative, and collaborative environment.