Alexandra Gotsche, DO

Dr. Danielle Lopez is an Adult Psychiatrist. She received her doctorate of medicine at the University of Southern California, Keck School of Medicine in 2007, where she later completed residency training in 2012 at Los Angeles County Medical Center. Dr. Lopez has extensive experience with high risk and challenging patient populations. Early in her career she engaged in multidisciplinary outreach (FSP) for those experiencing homelessness and severe mental illness or substance use disorders. Later transitioning to inpatient work and rehabilitation of those individuals with severe and persistent mental illnesses, Dr. Lopez gained vast experience in complicated medication regimens, and agility in deescalating psychiatric emergencies. In 2017, Dr. Lopez moved to Santa Barbara, California, where she gained experience in emergency psychiatry, consultation liaison and inpatient psychiatry, working for the county regional trauma center. Inadvertently transitioning to private practice and telehealth due to COVID restrictions in 2020, Dr. Lopez found her niche in outpatient psychiatric treatment of individuals with mood disorders, trauma, anxiety, ADHD, psychotic disorders, and substance use disorders. Today, she enjoys forging personal connections with her patients, thereby tailoring their medication regimen to suit their individual needs. Education, supportive and motivational therapies, and cognitive behavioral techniques are often employed not only to provide insight and reassurance, but to also impart confidence and skills for patient success. Prior to her medical studies, Dr. Lopez was a high school science teacher and collegiate softball coach. She grew up in Los Angeles and currently resides in Long Beach, California, with her spouse, and English Mastiff named Ella. She enjoys photography, coastal trail walking, and dog training excursions. She and her spouse are avid gardeners; they love to grow and maintain lush succulent and floral gardens.

Jessica Brusgul is a LMHC with over nine years of experience working with individuals with a wide range of mental health challenges. She attended Oswego State and completed her undergraduate degree as an older, non-traditional student. She then pursued graduate school at SUNY Oswego, which she completed in 2016. During this time, Jessica has gained a great deal of experience with clients from various backgrounds who are faced with numerous life challenges. This includes anxiety, depression, relationship issues, and those in need of anger management. Jessica has also worked with those faced with substance abuse related problems, life transitions, career counseling, and parenting education. Her approach is to get to know her clients, their presenting concerns, and some history as well. Through these conversations, Jessica helps her clients feel comfortable in a non-judgmental setting and express themselves freely. Jessica also incorporates a sense of humor, when appropriate, as well as assisting people in identifying their inner strengths and skills. Jessica believes that everyone can overcome their obstacles and make positive changes for themselves. She incorporates such modalities as encouraging clients to maintain a journal and share entries during session, exercise regularly, and begin their journey towards overall wellness. Jessica has found that an eclectic approach, depending upon the needs of the individual, and the client's adherence to this between sessions, can be highly beneficial.

Dr. Rodriguez is an adult psychiatrist, who is fluent in Spanish and English. She completed residency at St Luke's-Roosevelt Hospital in New York City via Columbia University College of Physicians and Surgeons followed by a Fellowship in Forensic Psychiatry in a combined Cornell University - Columbia University program with the New York State Psychiatric Institute. She obtained her medical degree at the Pontificia Universidad Catolica Madre y Maestro in the Dominican Republic. Dr. Rodriguez is an adult psychiatrist and has worked with a wide array of patients across various medical settings including extensive experience in Telehealth. Her experience includes Kings County Hospital in Brooklyn, New York, in addition to outpatient experience in both clinics and correctional facilities. Dr. Rodriguez has experience treating patients with psychiatric illness who may also be suffering from medical comorbidities, such as obesity, hypertension, pain, and diabetes. She has been deeply involved with teaching and emphasizes psychoeducation while working in collaboration with her patients to help tailor their personalized treatment plan. Her primary focus has been on treating adults with depression, bipolar disorder, anxiety, ADHD, OCD, and PTSD. Dr. Rodriguez has an approachable, patient-centered style, combined with a passion for optimizing sleep as it pertains to management of a psychiatric illness and overall well-being. She offers supportive therapy as part of her medication management visits, and at times may also offer cognitive behavioral therapy to address underlying stressors which may be contributing to one's presenting ailments. She may also recommend including a therapist in your care team to optimize outcomes.

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.‍

Robynn Cavaliere, PMHNP-BC, is a nationally board-certified Psychiatric Mental Health Nurse Practitioner. She earned her nursing practice degree from the University of San Diego (USD). Her passion for helping others began at the age of 16 when she became an EMT and volunteered with a local emergency unit. Inspired by a strong belief in service to country and a desire to follow in her brothers’ footsteps, she proudly served in the United States Marine Corps.

Robynn’s nursing journey began over two decades ago, driven by a deep calling to care for others. She started her career as an LVN on medical/surgical/telemetry floors, advanced to an RN in the emergency room, and eventually became a psychiatric nurse practitioner.

Her extensive nursing experience spans a wide range of clinical settings and patient populations, shaping her approach to interviewing, assessment, and intervention. Robynn applies the Biopsychosocial Model in every patient encounter, believing that a comprehensive understanding of the whole person leads to more effective treatment recommendations, improved outcomes, and better prognoses.

She is deeply committed to making a positive impact in her patients’ lives and giving back to the nursing profession. Robynn precepts student nurse practitioners in her practice and serves as a Clinical Assistant Professor at USD, where she helps educate the next generation of healthcare providers.

Robynn emphasizes the importance of comprehensive assessments, active listening, and building therapeutic alliances that foster trust and create a safe space for patients to share their thoughts and concerns. She collaborates closely with patients to ensure they feel heard, encourages active participation in their treatment, and provides education to enhance insight and promote behavioral change. Her approach includes supportive psychotherapy and incorporates techniques from Cognitive Behavioral Therapy (CBT), Interpersonal Therapy, Reality Therapy, and Solution-Focused Therapy during medication management visits.

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Dr. Alexandra Held is a general psychiatrist who holds a bachelor’s degree in psychology. She completed her psychiatry training at the University of Miami Miller School of Medicine. Her clinical interests include mood and anxiety disorders, PTSD, and OCD. She is passionate about incorporating psychotherapeutic tools into her practice, including supportive psychotherapy.

Dr. Held takes a warm, collaborative, and nonjudgmental approach to care. Her goal is to create a safe and supportive space where patients feel heard and empowered to take an active role in their treatment, using a combination of supportive psychotherapy and medication management.

During the first few sessions, Dr. Held will take time to get to know the patient—their history, current concerns, and what they hope to achieve through treatment. Together, they will develop a comprehensive plan that may include psychiatric medications and supportive therapy. Follow-up visits are typically focused on checking in, adjusting treatments if necessary, and continuing to build on progress.

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