Andrew Li, MD

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.

Serena Mirchandani is a board-certified psychiatric nurse practitioner with extensive experience treating serious mental illnesses such as bipolar disorder and schizophrenia spectrum disorders. She also provides care for individuals with depression, anxiety, PTSD, OCD, autism spectrum disorder, and substance use disorders. Serena earned both a Master of Science in Nursing and a Doctorate in Nursing Practice in psychiatry from Columbia University. She completed a Nurse Practitioner Fellowship at Community Healthcare Network and worked at Bellevue Hospital for 2.5 years, providing care on an inpatient psychiatric unit for a diverse, underserved population.

Serena’s approach is grounded in open communication, evidence-based care, and deep respect for each patient’s lived experience. She prioritizes a collaborative, safe space where individuals feel heard, respected, and empowered. Her holistic style supports honest conversation, transparency in treatment options, and patient-centered goals.

Serena begins with a comprehensive assessment to understand each patient's full story—biological, psychological, and social. She then partners with patients to develop personalized, evidence-based treatment plans that align with their values and goals. She emphasizes education, transparency, and regular follow-up to support ongoing progress and informed decision-making.

Cecilia Wild is a board-certified psychiatric-mental health nurse practitioner (PMHNP-BC) with a strong background in treating patients across the mental health spectrum. She earned her Bachelor of Science in Nursing from Illinois State University and began her career in a women’s residential facility specializing in mood disorders, eating disorders, and PTSD. She then transitioned to inpatient adolescent psychiatry, where she became a charge nurse and obtained her Psychiatric-Mental Health Nursing Certification (PMH-BC) from the American Nurses Credentialing Center (ANCC). Inspired by her passion for mental health, she pursued her master's degree at the University of St. Francis to become a PMHNP.  

Cecilia has extensive experience treating patients at all levels of care, including inpatient, PHP/IOP, and outpatient settings. She later transitioned to telehealth, providing medication management to college students. She is passionate about mental health advocacy, particularly within the LGBTQ+ community.  

Cecilia takes a team-based, individualized approach to care. She believes in the importance of education, open communication, and empowering patients in their treatment journey. She emphasizes a holistic perspective, incorporating medication management, therapy, and lifestyle modifications.  

Cecilia prioritizes a trauma-informed approach, recognizing the significant role trauma plays in mental health. She integrates mindfulness techniques, motivational interviewing, and lifestyle changes to support overall well-being. By fostering a collaborative and supportive environment, she helps patients build resilience and achieve their mental health goals.

Background and credentials

Dr. Matthew Koller is a board-certified adult psychiatrist who completed his undergraduate training at The University of Texas at Austin. He earned his medical degree from The University of Texas Health Science Center at San Antonio and completed his general adult psychiatry residency at Baylor College of Medicine in Houston, TX, where he served as Chief Resident of Education in his final year of training.

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Treatment approach

Dr. Koller believes that understanding a patient fully is essential before treatment begins, emphasizing a collaborative and patient-centered approach to care. His practice is primarily focused on medication management, but he also incorporates supportive therapy and other therapeutic modalities as needed. He may recommend including a therapist in the treatment plan to ensure comprehensive, well-rounded care. He has experience treating a wide range of mental health conditions, including depression, anxiety, insomnia, personality disorders, bipolar disorder, PTSD, and psychotic disorders.

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What you can expect in a first visit

During the first visit, patients can expect a thorough and individualized psychiatric evaluation, where Dr. Koller takes the time to understand their symptoms, history, and treatment goals. He prioritizes open communication and shared decision-making, working closely with patients to develop personalized treatment plans. While medication management is the foundation of his approach, he remains flexible and adaptive, incorporating therapy and other interventions as needed to help patients achieve optimal mental health.

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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. Tsujimoto-Ryzewski is a board-certified adult psychiatrist. She received her medical degree from the University of Nevada, Reno School of Medicine. She completed her residency at the University of Nevada, Reno School of Medicine, where she served as a chief resident during her last year of training. Dr. Tsujimoto-Ryzewski has treated patients with a wide variety of diagnoses both during her residency and after her training while working at a busy private practice clinic as well as for the Veterans Administration. Dr Tsujimoto-Ryzewski focuses on medication management and supportive psychotherapy. If she feels that additional therapy is needed, she will ask that you bring in a therapist as part of the treatment team. Dr. Tsujimoto-Ryzewski will work collaboratively with you in a caring environment to assist you in reaching your goals.

Abdulhafiz Ahmed, MD

Staff Psychiatrist

Languages

English, Arabic

Conditions treated:

Anxiety, Depression. Bipolar Disorder, OCD, PTSD/Trauma, ADHD

Education and training:

University of Maryland at College Park, BS

Georgetown School of Medicine, MD

University of Maryland Medical System at Baltimore (UMMS), Residency

and fellowship.

Dr. Abdulhafiz Ahmed is a board-certified adult psychiatrist with over 25 years of clinical experience across community hospitals, university teaching hospitals, the Veterans Administration (VA) medical system, and private practice. He has served as the inpatient medical director at MedStar Harbor Hospital in Baltimore and outpatient medical director at the University of Maryland Upper Chesapeake. Dr. Ahmed has extensive expertise diagnosing and treating a wide range of psychiatric conditions including depression, anxiety, bipolar disorder, adjustment disorders, phobias, thought disorders, trauma, and PTSD.

Dr. Ahmed approaches each patient with empathy, attentiveness, and respect, fostering an environment of safety and trust. He recognizes the importance of cultural diversity and is dedicated to understanding each person’s unique background, values, and life circumstances. His patient-centered philosophy ensures that individuals feel heard, validated, and actively involved in their care.

Dr. Ahmed combines evidence-based psychopharmacology with supportive psychotherapy to provide comprehensive and individualized treatment. He collaborates closely with patients to develop a plan that targets their specific symptoms and goals, focusing on improving functioning, resilience, and overall well-being. His approachable and compassionate demeanor helps patients feel comfortable and confident throughout their journey toward recovery.

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