Ann Landowne, MD

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.

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. 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.

Dr. Antonio Ramirez earned his medical degree from Ponce Health Sciences University, where he also served as Chief Resident in Psychiatry. He completed residency training at Ponce Health Sciences University and the U.S. Veterans Health Administration, Caribbean Healthcare System, followed by a Fellowship in Consultation–Liaison Psychiatry at Montefiore Medical Center, Albert Einstein College of Medicine. Board-certified in both Psychiatry and Consultation–Liaison Psychiatry, he has served as Director of Psychiatry at the Roberto Clemente Center and Clinical Assistant Professor at NYU Grossman School of Medicine. Dr. Ramirez is bilingual in Spanish and bicultural, with published research in cultural psychiatry and stress biology, and has been recognized for teaching and leadership.

Dr. Ramirez focuses on compassionate, evidence-based care that integrates psychotherapy and psychotropic medications to promote recovery and growth. His collaborative and respectful style ensures patients feel heard while working toward meaningful goals. He emphasizes setting clear expectations from the start to foster confidence and engagement. With his background in consultation–liaison psychiatry, Dr. Ramirez brings expertise in caring for individuals managing psychiatric conditions alongside significant medical illness.

The first appointment is a comprehensive evaluation, during which Dr. Ramirez carefully explores a patient’s history, conditions, and symptoms. Based on this, he develops a personalized treatment plan and reviews it collaboratively, so expectations are clear. Future visits focus on monitoring progress, adjusting the plan as needed, and integrating both psychotherapy and medication management to best support the patient’s needs and long-term growth.

Dr. Sahadevan took an adventurous path to Talkiatry. After perhaps thinking a little too hard about Intro to Philosophy in college - "the unexamined life is not worth living” - he first used his chemistry degree to work in pharmaceutical research. He changed course, working in computer network engineering, before deciding to find a more meaningful path. He worked as an EMT, then earned a Master's in Physiology before finally landing in medical school at Ohio State. Finding a surprising interest in psychiatry, he stayed at Ohio State for residency, and then a fellowship in forensic psychiatry. He is board-certified in both Psychiatry and Forensic Psychiatry. He previously worked as a forensic psychiatrist and evaluator at Ohio's maximum-security state psychiatric facility, as an attending psychiatrist running an inpatient unit for violent or dangerous patients, performing court-ordered evaluations, writing reports, and testifying when necessary. Dr. Sahadevan has also worked as a consultation-liaison psychiatrist, performing psychiatric consults at several general hospitals in Central Ohio's largest hospital system. He found great enjoyment in teaching successive generations of residents and medical students, serving as an adjunct faculty member at Ohio State, Ohio University, Wright State, and OhioHealth Riverside Methodist Hospital. He is excited for the next chapter of his journey, exploring another area of psychiatry at Talkiatry!

Dr. Zhou is a board-certified psychiatrist who has more than 4 years of experience practicing in various clinical settings with an emphasis on mental health care in outpatient settings. She practices a holistic approach to developing an individualized plan to work toward a patient's goals. Dr. Zhou is experienced in treating depression, bipolar spectrum disorders, obsessive-compulsive disorders, post-traumatic stress disorder, generalized anxiety, and other related psychiatric disorders. Dr. Zhou received her medical degree from Texas Tech University Health Sciences Center School of Medicine and completed her adult psychiatry residency training at LSU Health Shreveport. Dr. Zhou's background and experiences have broadened her understanding of cultural stigmas and the relationship it plays in psychiatric care. She incorporates a multitude of treatment modalities such as supportive therapy, cognitive behavioral therapy, and mindfulness practices as an adjunct to pharmacotherapy. Dr. Zhou recognizes the value of a multifaceted approach to wellbeing and may recommend treatment modalities that are complementary to medication management.