Christa DeFries, MD

Dr. Borad is a Board Certified Psychiatrist and has specialized in Addiction Psychiatry. She finished her residency at the WVU campus of Charleston, WV, and finished the Addiction Psychiatry Fellowship at UPMC/Western Psychiatry Institute in Pittsburgh, PA. She has previously worked as an Assistant Professor at WVU of Charleston, where she was involved in working with residents in inpatient and outpatient settings, provided psychiatric consult services to hospitalized patients, and was part of the Outpatient Comprehensive Opioid treatment program where she provided Medication Assisted Treatment for patients with substance use disorders. She has an interest in treating patients with mood, anxiety, and psychotic disorders. Dr. Borad has a special interest in treating individuals having a substance use history and struggling to quit, and has expertise in treating patients with a dual diagnosis of substance use with other psychiatric conditions. She primarily does medication management, in addition to providing some supportive therapy and motivational interviewing to her patients in her 30-minute follow-up appointments. In addition, she may suggest bringing in a therapist to add to your care if clinically necessary.

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.‍

Ashley is an ANCC board-certified Psychiatric Mental Health Nurse Practitioner with over a decade of experience in Psychiatry. She has worked in inpatient and outpatient settings, crisis centers, and psychiatric emergency rooms. Ashley is deeply committed to working collaboratively with individuals to enhance their well-being, creating a personalized care plan tailored to each person’s unique needs.

‍
Her approach integrates medication management, supportive psychotherapy, and lifestyle interventions. As a prescriber specializing in psychopharmacology, Ashley provides comprehensive medication management while utilizing a shared decision-making model. She actively involves clients in their treatment planning, discussing various options to determine the most effective path forward.

During the initial session, Ashley prioritizes establishing a comfortable, open environment where clients feel at ease. She will review medical and psychiatric history, discuss treatment goals, and explore different therapeutic options based on individual preferences. Ashley encourages questions throughout the process to ensure a collaborative and supportive treatment experience.

Cassandra Lozano, LPC, LCDC is located in Texas. She graduated with her bachelor's degree in psychology from the University of Texas-Brownsville. Following obtaining her master's degree in counseling and guidance from the University of Texas Rio Grande Valley. She has 10 years of experience in the addictions field and 7 years in mental health, working with her local mental health authority for the past 8 years. She has dedicated her career to specializing in addictive disorders, ADHD, individuals struggling with mood disorders such as depression, anxiety, self-esteem issues, and life transitions. Cassandra works with both adults and adolescents and is a strong ally of the LGBTQ community and Latinx communities. Her therapeutic approach is eclectic in nature, and client-centered. She collaborates with her clients, meeting them where they are and helping them find personalized solutions to achieve their goals and become their best selves. She utilizes a combination of Motivational Interview approaches, CBT, Solution-Focused counseling, and DBT. She ensures that clients are fully aware of their treatment goals and will work collaboratively to facilitate meeting their needs, finding meaning in life, and finding solutions to their current issues. In her personal life, Cassandra is the proud mother of two boys and enjoys tending to their Kuk Sool Won (martial arts) events. She loves relaxing on the beach and is very family oriented. She enjoys fishing, hunting, and off-roading in her jeep.

Dr. Mark Varela is a board-certified psychiatrist joining Talkiatry directly out of residency. He focuses primarily on medication management, often accompanied by brief cognitive, motivational, or supportive therapy. He may request that you also meet with a therapist regularly for your benefit. Dr. Varela received his medical degree and general psychiatric residency training both from Texas Tech University Health Sciences Center in West Texas. He treats young adults and adults with a wide variety of mental health concerns, including ADHD, mood disorders, anxiety, OCD, and PTSD.

Brittney is a Licensed Mental Health Counselor in the State of New York. She attended SUNY Buffalo where she obtained a Bachelor's in Psychology and a Master's in Education with a Certificate of Advanced Study in School Counseling and a Certificate of Advanced Study in Mental Health Counseling. Brittney started her career as a School Counselor before transitioning full-time to Mental Health Counselor. Brittney is an empathetic and open-minded clinician, striving to meet her clients where they are, build trust, and maintain a safe, non-judgmental environment. She is experienced and passionate about working with teens and adults with various forms of trauma. Additionally, Brittney utilizes SPACE (Supportive Parenting for Anxious Childhood Emotions) for families impacted by anxiety and OCD to help them understand the impact these experiences have on their lives, ultimately finding the resolutions and outcomes they hope for. While EMDR therapy is her primary treatment approach for individuals, or SPACE for families, she also utilizes ACT, Parts Work, Motivational Interviewing, CBT, and others.