Aurianna Santos, MD

Background and credentials

Dr. Sinner is board-certified in Psychiatry. He completed his psychiatry residency training at Dartmouth-Hitchcock Medical Center. With over 14 years of experience, he has worked in a variety of settings, including five years in inpatient psychiatry in Vermont, where he served as Medical Director for a state hospital psychiatric unit and taught medical students. He then spent five years working in an outpatient community mental health center in Pennsylvania before transitioning to telepsychiatry, providing care to individuals in Pennsylvania, Florida, and New York.

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Treatment approach

Dr. Sinner employs a collaborative, patient-centered approach, tailoring treatment plans to meet each individual's specific needs. His practice integrates pharmacotherapy with cognitive behavioral therapy (CBT) and supportive therapy as needed. He specializes in treating a wide range of psychiatric conditions, including depression, bipolar disorder, anxiety, ADHD, neuropsychiatric disorders, developmental disorders, and personality disorders. His philosophy is to provide personalized care that makes a meaningful impact at different stages of a patient’s life.

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What you can expect in a first visit

During the first visit, patients can expect a comprehensive evaluation focused on understanding their mental health concerns, history, and treatment goals. Dr. Sinner takes a compassionate and collaborative approach, working closely with patients to create individualized treatment plans. He ensures that each patient receives a balanced and effective combination of medication management and therapeutic interventions suited to their unique 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. Michael Watkins is a board-certified adult psychiatrist. He completed his residency at The University of Texas Health Science Center at Tyler. In addition to being thoroughly trained in psychopharmacology, Dr. Watkins has also received extensive training in psychotherapy. From traditional psychodynamic therapy to the more modern mindfulness-based dialectical behavior therapy, Dr. Watkins takes the approach that best serves his patients. In addition to being trained in a variety of therapies, Dr. Watkins also employs a positive psychiatry approach which, as well as addressing a patient's symptoms, also focuses on their strengths and how they can be used to overcome adversity. Prior to pursuing a career in psychiatry, Dr. Watkins was a high school math teacher, and prior to that, he was an NCAA Division I college athlete. His teaching and athletic careers have given him a well-rounded perspective on the human experience. Drawing on his academic training and life experiences, Dr. Watkins meets patients where they are at, helps them overcome their obstacles, and serves as a guide and a resource for them on their journey to their desired destination.

Anthony Capozzi, MD, is a board-certified psychiatrist with 35 years’ experience in clinical psychiatric practice who has seen patients both in the hospital setting and out-patient care. He is a Diplomate of the American Board of Psychiatry and Neurology as well as the National Board of Physicians and Surgeons and the American Association of Psychiatric Medicine. Originally from Brooklyn, New York and received his MD from New York University after completing a 5th pathway at Booth Memorial Hospital in Queens, New York. He began his experience seeing patients with treatment refractory major psychiatric illnesses at Rockland Psychiatric Center in Rockland County, New York. He served on the psychopharmacology committee at the time. He then went on to practice outpatient psychiatry both at Rockland County Community Mental Health and Westchester County Mental Health for over 20 years in addition to having a private practice while living in New York.  He held the position as Associate Director of the division in Westchester County for over 18 years. He has been exposed to all levels of psychiatric care since it was a mixture of patients in the community as well as patients with limited income and dual diagnoses including substance abuse. His approach is to get to know his patients well in order to provide more comprehensive care. He prefers Cognitive Behavioral therapy or Rational Emotive therapy, which he feels is the most time effective and enduring therapy to help patients needs. He also has extensive experience having worked with patients with developmental disabilities, since this is an underserved need. He then went on to work in Florida both for Florida Health Care Plans, which is an HMO, and in private practice for the past 13 years.  He worked at the Counseling Center of New Smyrna Beach, providing comprehensive care. He then helped establish the Center for Behavioral Medicine in Port Orange, Florida, which provided care as part of a multidisciplinary practice. He then went on to establish Advanced TMS in Port Orange, Florida. He is interested in treatment-resistant Depression and Anxiety Disorders. He went on to work for Greenbrook TMS in the greater Orlando area practicing Interventional Psychiatry. He is certified in TMS for brain mapping with Neurostar and Cloud TMS and has experience in the use of intranasal ketamine for treatment resistant depression. He has been a member of the Neuroscience Education Institute since 2012, where he holds a certificate as a Master Psychopharmacologist and a member of the Clinical TMS Society. He has active medical licenses in Florida, Arizona and New York. He is also certified in Medical Marijuana and has completed the IV Ketamine Infusion therapy course as well as Botox training certification.

Patients working with Dr. Capozzi know that he is easy to engage with and is most interested in his patients overcoming their obstacles to reach their optimal level of functioning. He enjoys working with patients who have anxiety, mood disorders and ADHD. It is very gratifying watching patient’s blossom and overcome their psychiatric disorder and then function at their best in work, leisure pursuits and relationships. Patients working with Dr. Capozzi should know that he realizes they have been suffering with their symptoms for some time or they would not be seeking help, and he will work with the patient in collaboration to help receive the proper care.

The typical process in working with patients is to first spend time gathering a history of the symptoms. It is then important to also include significant medical history which may be primary or secondary contributing factors. Also, it is important to look at psychosocial profile and how that may contribute to the initiation of the symptoms and prevention of improvement. It is essential to form a differential diagnosis and continue to look at any ongoing issues as well as co-morbidities. He believes it is most important to discuss possible treatment modalities and take into consideration the patient’s participation in ongoing care. It is most essential to be up to date on the latest modalities in treatment and use a combination of medication, nutritional supplements and behavioral therapies that can foster lasting improvement.

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Dr. Upton Thomas is a board-certified psychiatrist who takes a warm, collaborative, and evidence-based approach to care. With a focus on treating mood disorders, anxiety, OCD, and substance use, he integrates psychopharmacology and psychotherapy to support patients in achieving meaningful change. He brings curiosity, creativity, and a deep respect for each individual’s story to his clinical work.

Patients often find Dr. Thomas easy to talk to and appreciate his calm, thoughtful demeanor. He emphasizes shared decision-making and believes that treatment works best when the patient’s values and voice are at the center. Dr. Thomas aims to create a safe space for honest dialogue and ongoing reflection as treatment evolves.

Dr. Thomas begins with a comprehensive evaluation to understand each patient’s mental health history, current concerns, and goals. He then develops an individualized treatment plan that may include medication, therapy, or both. He prefers to use the lowest effective dose of medications and often integrates psychotherapeutic strategies such as CBT, DBT, or insight-oriented work into his sessions.

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Dr. Megan Wynne is board certified in adult psychiatry and completed fellowship training in Consultation-Liaison Psychiatry (Psychosomatic Medicine). She has been in practicing psychiatry since 2006. Dr. Wynne completed her medical degree at Drexel University School of Medicine in Philadelphia, PA, her psychiatric residency at Thomas Jefferson University Hospital in Philadelphia, PA and her consultation/liaison psychiatric fellowship at Long Island Jewish Hospital in Queens, NY. She continued to work in Consultation Liaison Psychiatry at North Shore Hospital in NY, before working for nine years at Philadelphia Veterans Administration Hospital as a staff psychiatrist and associate at the University of Pennsylvania University Hospital. During this time, she worked closely with patients struggling with Traumatic Brain Injury, Post Traumatic Stress Disorder, Depression and Anxiety. She acted as an attending psychiatrist in training medical students, psychiatric residents and fellows. Following a move to New Zealand, she worked as lead psychiatrist for Te Puna Waiora, Maori Mental Health team (Indigenous Person mental health clinic) at Counties Manakau District Health Board. She worked with multiple patients facing cultural challenges, as well as psychosocial stressors (poverty, family fragmentation, poor education). During this time, she worked within the indigenous system of mental health, which treats not just emotional or physical issues for a person, but spiritual and familial as well. She has incorporated this into her treatment approach for all patients. Dr. Wynne has always believed that medication must be used in conjunction with psychodynamic therapy, and medical and social supports to most appropriately treat a patient. She offers 30-minute sessions consisting of medication management and brief therapeutic support. She specializes in treating victims of trauma, medical comorbidity.

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.‍