Anne Rohs, MD

Dr. Sarah Guzman earned her medical degree from Baylor College of Medicine and completed her psychiatric residency at UT Southwestern in Dallas, TX. She served as a psychiatrist in the United States Navy and has practiced in inpatient and outpatient settings, including a state-run mental health clinic and as a civilian on a United States Army base. She provides general adult psychiatry and medication management, treating anxiety disorders, OCD, depression, bipolar disorder, ADHD, and PTSD.

Dr. Guzman strives to create a supportive, judgment-free space where patients feel heard and respected. She values psychoeducation so patients can make informed decisions about their care. Honesty, mutual trust, and clear communication are central to her approach, as she views treatment as a collaborative partnership focused on shared goals.

The initial appointment centers on understanding each patient’s history and concerns. By the second session, treatment goals are identified. From there, Dr. Guzman collaborates with patients to develop individualized treatment plans and adjust care as needed to support meaningful progress.

Dr. Katherine Vital-Daley is an adult psychiatrist at Talkiatry. She treats all adults and her passion lies in providing accessible care for women facing challenges throughout pregnancy, childbirth, and postpartum and in reproductive psychiatry. Dr. Vital-Daley's academic background is rooted in science, with an undergraduate degree in biochemistry and molecular biology from the University of California, Merced. She then pursued her medical doctorate at the Medical University of the Americas. Following medical school, she completed her psychiatry residency training. The first two years were spent at East Carolina University, Brody School of Medicine, with a culmination of her last two years of residency at Allegheny Health Network in Pittsburgh, Pennsylvania, to further specialize in women's mental health, which solidified her expertise in this vital area.‍At Allegheny Health Network's Women's Behavioral Health clinic, Dr. Vital-Daley honed her skills in treating a range of conditions, including depression, anxiety, PTSD, OCD, bipolar disorder, and related issues, and served as a medical provider for their intensive perinatal/postpartum outpatient clinic. She also developed a deep understanding of perinatal mental health, supporting patients coping with perinatal loss and traumatic birthing experiences. In her practice, she employs supportive psychotherapy and mindfulness along with evidence-based medication management, utilizing the most current clinical guidelines and treatment modalities. ‍Dr. Vital-Daley's approach is rooted in a collaborative treatment approach. She works closely with patients, exploring past and current stressors and any relevant medical conditions to develop a comprehensive understanding of their individual needs. Recognizing the importance of cultural competency, she incorporates patients' unique backgrounds, beliefs, and core values into her care plans.

Dr. Romanow is double board-certified in Adult Psychiatry and Forensic Psychiatry. He graduated summa cum laude from the University of Pittsburgh with a Bachelor of Science degree in Sports Medicine/Athletic Training and then attended Drexel University College of Medicine. After medical school, he completed his residency in Adult Psychiatry at the University of Virginia, where he obtained a certificate in additional psychotherapy training. After residency, Dr. Romanow completed a fellowship in Forensic Psychiatry at the University of Virginia. During his fellowship, he trained at the prestigious Institute of Law, Psychiatry, and Public Policy (ILPPP) and Western State Psychiatric Hospital where he performed criminal and civil forensic evaluations. He also provided clinical care at a maximum security prison. Prior to joining Talkiatry, Dr. Romanow worked at a healthcare system in Montana providing inpatient and outpatient psychiatric care involving medication management and psychotherapy. Additionally, he operates a private forensic psychiatry practice that conducts mental health evaluations for the legal system. Dr. Romanow has extensive experience treating various mental health disorders including depression, bipolar disorder, anxiety and obsessive-compulsive disorders, post-traumatic stress disorder, and ADHD. His clinical work includes assisting patients who experience mental health disorders with co-occurring substance use problems. He has training in various schools of psychotherapy including cognitive behavioral therapy (CBT), CBT for insomnia, motivational interviewing and supportive psychotherapy. Dr. Romanow incorporates treatment focusing on the importance of exercise, diet, and good sleep habits as a part of comprehensive mental health care.‍

Background and credentials

Dr. Stefan is a psychiatrist with extensive experience in outpatient care, inpatient care, and assertive community treatment. She has served as a medical director for large institutions, overseeing the treatment of individuals with complex mental illnesses. Born and raised in Puerto Rico, she is fluent in both English and Spanish. She earned her medical degree from the University of Puerto Rico School of Medicine and completed her psychiatry residency at the University of Florida, where she received recognition for her skills as a psychotherapist.

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Treatment approach

Dr. Stefan is deeply committed to patient-centered care, adapting her role to the individual needs of each patient. She believes in treating the whole person, rather than just a diagnosis, recognizing that each patient has unique psychosocial circumstances. She has a strong foundation in psychotherapeutic interventions and is dedicated to providing engaging, compassionate, and meaningful therapy in every patient interaction. With over 10 years of experience as a psychiatrist, she has worked extensively in telemedicine since 2013, ensuring that remote care is as effective and personal as in-person visits.

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What you can expect in a first visit

Patients meeting Dr. Stefan for the first time can expect a comprehensive and holistic evaluation that considers their symptoms, personal history, and life circumstances. She takes the time to build strong therapeutic relationships, fostering a caring and engaging environment where patients feel understood and supported. Whether through telemedicine or in-person care, she prioritizes personalized treatment plans that integrate medication management and psychotherapy, ensuring the highest quality of care tailored to each patient’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. Bardugon is a board-eligible psychiatrist who specializes in the treatment of adults. He has experience in treating patients with various forms of depression and anxiety, bipolar disorder, OCD, ADHD, PTSD, and substance use disorders. He seeks to provide a safe, non-judgmental, gender affirming space for patients as they strive to lead a happier, more contented life. After a pediatrics residency, Dr Bardugon worked for 13 years as a pediatric ER physician. His interest in psychiatry was piqued during this time as he witnessed the emergence of a child and adolescent mental health crisis. While ultimately deciding to focus his efforts on the treatment of adults, Dr Bardugon is keenly aware of the influence of child development and family systems on the behavioral health of adults. Dr Bardugon employs a holistic, multimodal treatment approach. Aiming to treat the whole person, he stresses the importance of nutrition, exercise, and sleep. Dr Bardugon believes an informed patient actively engaged in decision making surrounding treatment has the best chance of effecting lasting change. Believing in the synergistic effect of talk therapy and medication, he incorporates one or more talk therapy techniques including motivational interviewing, cognitive behavioral therapy, and supportive and psychodynamic psychotherapies into most sessions. He often recommends formal participation in some form of talk therapy and is happy to collaborate with other providers.

Dr. Michael Petetit has worked with people from many different walks of life in clinics, hospitals, and online, providing evidence-based treatments for a wide range of mental health conditions. His professional journey is unique—he began his career as a research chemist, later earned a Master’s degree in psychology and worked with children, before pursuing his medical degree and completing a psychiatry residency.

Dr. Petetit approaches treatment as a true collaboration. He partners with patients to clarify goals and create individualized treatment plans that reflect their priorities and values. He strives to be non-judgmental, direct, and honest in his style, building a therapeutic relationship that supports open communication and trust.

Dr. Petetit begins with a thorough evaluation to understand each patient’s circumstances and challenges. From there, he works with patients to set and prioritize goals, review treatment options, and select a plan that feels both comfortable and practical. As treatment progresses, he regularly revisits and refines the plan, ensuring it remains effective and aligned with the patient’s evolving needs.