Cassandra Garcia-Lozano, LPC

Dr. Wilt is board certified in adult psychiatry. She earned her medical degree from Louisiana State University in New Orleans, where she also completed her four-year residency in psychiatry. Dr. Wilt takes a biopsychosocial approach to mental health and has over 13 years of experience with an array of mental health diagnoses including Depression, anxiety, ADHD, PTSD, bipolar disorder, and sleep disorders. Dr. Wilt enjoys spending time getting to know her patients and working hand in hand with them to accurately diagnose and treat the symptoms they are experiencing. Dr. Wilt employs a holistic approach to mental health with a focus on incorporating medication management and supportive therapy to improve her patients' quality of life.‍

Background and credentials

Dr. Nilesh Tannu is a board-certified psychiatrist by the American Board of Psychiatry and Neurology. He earned his medical degree from B.J. Medical College in Pune and completed his adult psychiatry residency at the University of Texas Medical School at Houston, where he served as chief resident. During his training, he received awards from the Society of Biological Psychiatry, the American Academy of Addiction Psychiatry, and the American Psychiatric Institute for Research and Education. He has been practicing General Psychiatry and Consultation-Liaison Psychiatry for the past seven years at Texas Medical Center in Houston, Texas. Additionally, he has served as an assistant professor of psychiatry at the Texas Medical Center, working at UT Physicians Clinics and Memorial Hermann Hospital. He is also a member of the Editorial Board for BMC Genomics Journal.

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Treatment approach

Dr. Tannu follows the bio-psycho-social model to provide evidence-based psychopharmacologic treatment. He integrates supportive therapy and cognitive-behavioral therapy (CBT) modalities into his practice to create personalized and comprehensive treatment plans. He is committed to mental health care, education, and helping patients achieve optimal functioning in their personal and professional lives. His clinical expertise includes ADHD, anxiety disorders, depressive disorders, bipolar disorder, psychotic disorders, insomnia, eating disorders, and complex medical comorbidities.

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What you can expect in a first visit

During the first visit, patients can expect a comprehensive assessment where Dr. Tannu takes the time to understand their symptoms, treatment history, and personal goals. He employs a collaborative approach to develop a tailored treatment plan that may include medication management and therapy interventions. His focus is on evidence-based care, ensuring that patients receive treatments that are scientifically backed and aligned with their individual 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. Sierra-Cintron is board-certified in adult psychiatry by the American Board of Psychiatry and Neurology and has been in practice for 12 years. Dr. Sierra-Cintron focuses her practice on medication management. She also engages in supportive therapy in a comprehensive way, focusing on the patient as a whole and not just the symptoms. Dr. Sierra-Cintron has a broad understanding of vitamin support as an adjunctive treatment to traditional medication. She has broadened her understanding of second-line treatment, having been certified in Electroconvulsive Therapy (ECT), conducting clinics in Clozapine and Long-Acting Antipsychotics (LOA), and even conducting assessments for patients interested in weight loss surgery. Dr. Sierra-Cintron has a comprehensive approach to treatment, and might consider the addition of therapy, either by referral or collaborating with an existing therapist for a more rounded approach and improved outcome. Dr. Sierra-Cintron received her medical degree from the Universidad Central del Caribe located in Bayamon, Puerto Rico. Upon graduation, she relocated to Philadelphia, where she started her residency program at Einstein Medical Center. After completing her training, she worked for 8 years in a community mental health clinic, treating an underserved population in all modalities of psychiatric care. In her 12-year career, Dr. Sierra-Cintron has treated both adult males and females, including seniors. This has led to varied and wide-ranging diagnoses during the length of her career. After leaving the community clinic setting, she started working for an outpatient clinic in a suburb of Philadelphia. Dr. Sierra-Cintron's current areas of focus are adults with Mood Disorders, Anxiety Co-Occurring Substance disorders, as well as patients with varied concomitant medical problems.‍

Nancy Marsh, LCSW, brings over thirty years of clinical experience and an inclusive, relational, insight-oriented approach to therapy. She is deeply committed to supporting individuals from diverse backgrounds and creating a welcoming space where clients feel seen and understood. Nancy integrates CBT, DBT, EFT, MI, ACT, and psychodynamic therapies to foster meaningful, lasting change. She has worked with Holocaust survivors, AIDS patients, and those grieving losses during COVID, as well as individuals facing perinatal stress, traumatic loss, anxiety, depression, ADHD, guiding and supporting folks facing chronic and acute illness, preparing for major surgeries, and major life transitions.

Nancy offers a compassionate, collaborative environment grounded in respect and curiosity. She tailors treatment to each client’s unique history, strengths, and goals, helping them process complex emotions and build resilience. Her relational style encourages self-awareness and empowers clients to navigate relationship challenges, workplace stress, and personal growth with greater clarity and confidence.

Nancy begins with a thorough assessment to understand each client’s story, concerns, and aspirations. Together, they develop clear goals and a personalized treatment plan. Drawing from evidence-based and depth-oriented modalities, she supports clients in developing practical coping tools, gaining insight into patterns, and cultivating sustainable change and renewed hope.

Dr. Jennifer Ruch is a board-certified psychiatrist who strives to understand her patients' lived experiences and aspirations to develop supportive therapeutic relationships through empathetic listening, mutual trust, and respect. She collaboratively creates individualized care plans that align with personal treatment goals in a safe and judgment-free environment. After completing her Bachelor of Science degree in Human Biology with a focus in psychology from the University of California, Merced, she earned her medical degree from Lake Erie College of Osteopathic Medicine. Dr. Ruch completed her General Psychiatry Residency at Arnot Ogden Medical Center in New York. Her clinical experience involves treating individuals of all age groups from diverse populations and socioeconomic backgrounds suffering from anxiety, depression, bipolar disorder, psychotic disorders, neurodevelopmental disorders, and neurocognitive disorders. She has provided care in inpatient and outpatient psychiatric facilities, the Veterans Affairs Medical Center, emergency rooms, state facilities, and an inpatient chemical dependency center. She also performed pre-procedure psychological evaluations for bariatric and spinal cord surgeries, and psychiatric consult liaison services on medical units and has clinical training in inpatient and outpatient neurology. Her clinical experience incorporated treatment modalities such as pharmacotherapy and interventional psychiatry, including Transcranial Magnetic Stimulation and Spravato. Dr. Ruch integrates a wide array of psychotherapy as needed; however, her practice primarily focuses on medication management while utilizing referrals to therapists and providing collaborative care for optimal outcomes.

Meagan Blews is a Licensed Clinical Mental Health Counselor (LCMHC) in North Carolina.  She graduated with her MA in Professional Counseling in 2011, and after being a stay at home mom for six years, ventured into community mental health.  Meagan has served as both a lead clinician and Interim Center Director over the years and is passionate about providing quality assessment and treatment options. With extensive training in Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), and Trauma-Focused Cognitive Behavioral Therapy (TF-CBT), Meagan provides comprehensive and empathetic care to her clients.

Meagan's approach to therapy is deeply rooted in trauma-informed principles, ensuring that clients feel safe, seen, and supported throughout their healing journey. Her passion lies in empowering individuals with the skills necessary for emotion regulation, helping them navigate life's challenges with resilience and confidence.  Meagan utilizes a mindfulness-based approach, guiding clients toward acceptance and self awareness in order to help clients overcome obstacles that prevent them from reaching their full potential.  Through a collaborative and non-judgmental environment, she fosters a safe space for exploration and self-discovery.

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