Clara Kim, MD

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Kristofer Joondeph-Breidbart, MD

Staff Psychiatrist

Dr. Kristofer Joondeph-Breidbart is a board certified adult psychiatrist. He earned his undergraduate degree and Master's in Teaching from Boston University, followed by his medical degree from the University of Massachusetts Medical School. Dr. Joondeph-Breidbart completed his residency in general adult psychiatry at Cambridge Health Alliance, a Harvard teaching hospital. Currently, Dr. Joondeph-Breidbart serves as a staff psychiatrist at Harvard University Health Services, where he works with both undergraduate and graduate students. He has developed significant expertise in working with LGBTQ individuals through his involvement with the Gender and Sexuality Clinic at Cambridge Health Alliance and the LGBTQ Interdisciplinary Team at Harvard University Health Services. While he has extensive expertise in treating college-aged young adults, his practice also includes a broad range of patients, with a particular specialization in Obsessive-Compulsive Disorder (OCD). He is trained in Exposure and Response Prevention Therapy, a highly effective treatment for OCD. Dr. Joondeph-Breidbart takes a holistic approach to mental health care, integrating therapy into his sessions and collaborating with patients to develop individualized medication regimens that best meet their needs. His gentle and understanding approach helps create a supportive environment for his patients, fostering their mental and emotional well-being.

Ernesto Gonzalez, MD

Staff Psychiatrist

Dr. Ernesto Gonzalez is a board certified adult psychiatrist. He completed his undergraduate training at Yale University and received his medical degree from the University of Pennsylvania School of Medicine. He completed his residency training at the Cambridge Health Alliance/Harvard Medical School Adult Psychiatry Training Program. Dr. Gonzalez prefers a holistic approach that takes the time to know the whole patient, incorporating biological, psychological, social, and cultural perspectives in crafting a comprehensive, individualized, treatment plan. He practices medication management combined with supportive therapy, typically delivered within 30 minute sessions. Elements of psychodynamic, dialectical behavior and cognitive-behavioral therapy will also be incorporated into sessions based on a patient's individual needs. If additional therapy is needed, Dr. Gonzalez will recommend the addition of an individual therapist to the patient's treatment team. Having dedicated his career to adult outpatient psychiatry, Dr. Gonzalez has worked with patients from a wide range of ages, cultures, ethnicities, and social settings across the New York City area. His primary focus is working with patients with depression, anxiety, ADHD, and PTSD. He also values working with people adjusting to changes in their lives, whether it be grieving the loss of a loved one, changes in employment, relationships, or adjusting to changes that come with age. Prior to joining Talkiatry, Dr. Gonzalez was an Assistant Professor at the NYU Grossman School of Medicine and served as Director of the Adult Outpatient Psychiatric Department, Assertive Community Treatment (ACT) Team, and Collaborative Care Departments at Woodhull Hospital in Brooklyn, New York. He also had a small practice near his home. Dr. Gonzalez has also had a lifelong interest in meeting new people and experiencing different cultures. This interest has taken him as far away as the townships of Cape Town, South Africa and as close as his local diner, and it edifies the work he does with patients.

Peter Truong, MD

Staff Psychiatrist

*THIS PROVIDER CANNOT PRESCRIBE CONTROLLED SUBSTANCES FOR NH PATIENTS* Dr. Peter Truong is a board-certified psychiatrist trained in Adult Psychiatry. He received his medical degree from FIU Herbert Wertheim College of Medicine in Miami, Florida, and completed his residency training at Cambridge Health Alliance – Harvard Medical School.

Dr. Truong treats each patient with a holistic, evidence-based approach that incorporates psychopharmacological and psychotherapeutic best practices. His priority is to build a safe and trusting working relationship with each patient, keeping in mind their unique biological, psychological, social, and spiritual contexts.

Dr. Truong has extensive experience treating depression, anxiety, ADHD, and trauma-related disorders. He incorporates therapy modalities such as supportive, psychodynamic, CBT, and EFT. Other professional interests include LGBTQIA and college mental health, mindfulness, and interventional psychiatry. He has worked with individuals with diverse backgrounds from all walks of life.

Marjorie Lavin, MD

Staff Psychiatrist

For the past 20 years, Dr. Lavin has worked at the University of Denver Health and Counseling Center, where she has treated undergraduate and graduate students. She also worked at a training clinic for students pursuing their PsyD degree. She has supervised and taught psychiatry residents. She taught a psychopharmacology and differential diagnosis course to psychology trainees. Dr. Lavin has a strong interest in functional medicine and alternative therapies. Dr. Lavin has been in practice for 35 years. She is board certified in adult psychiatry. Dr. Lavin focuses on a comprehensive medical assessment, medication management, psychoeducation, wellness, and alternative therapies. She enjoys treating young adults. Dr. Lavin did her undergraduate work at the University of Rochester. She earned her MD from Cornell University Medical College in New York City. Her psychiatry residency was at the University of Boston Medical Center. After training, Dr. Lavin held administrative and clinical positions at Kaiser Permanente in Denver, CO and at the Harvard Community Health Plan in Braintree, Massachusetts. She has written clinical triaging guidelines and patient information pamphlets.‍

Zelimir Vukasin, MD

Staff Psychiatrist

Dr. Zelimir Vukasin is an adult psychiatrist. He completed his psychiatric residency training at Beth Israel Medical Center in New York. He also completed an internal medicine residency at New York Hospital, Medical Center of Queens. Dr. Vukasin received his medical degree from the University of Zagreb medical school in Croatia. He has practiced in various settings over his career, including inpatient psychiatry, long-term care, private practice, and non-profit outpatient psychiatric programs. He has more than 32 years of experience providing patients with compassionate psychiatric care through medication management. He has received numerous awards and honors throughout the tri-state area, including the Top Doctor Award in 2018. In addition, Dr. Vukasin has held academic appointments and has published research findings on antipsychotic medications .Dr. Vukasin enjoys treating patients with complex psychiatric conditions.

Mariah Ide, LMHC

Staff Licensed Mental Health Counselor

Mariah Ide is a Licensed Clinical Mental Health Counselor who has a passion for helping people see their true potential. Mariah earned her master's degree in mental health counseling from Stetson University in Deland, Florida, and also graduated with a bachelor's degree in psychology and criminology from the University of Florida located in Gainesville, Florida. Mariah has experience with children, adolescents, and adults. Mariah has worked in school, hospital, and outpatient based settings. She has clinical practice experience with mood disorders, self esteem issues, gender identity, crisis intervention, family issues and trauma, with a certification in complex trauma. In addition to counseling, Mariah has also worked in case management and has a unique perspective behind resource utilization. She has worked on countless projects in the community to promote mental health awareness. Mariah believes in advocacy for her clients as well as the mental health field, and hopes to promote acceptance and decrease stigma related to mental health and mental health treatment. Mariah takes a person-centered approach with her clients and believes in meeting the clients where they are. Mariah hopes to empower her clients by giving them a safe environment to explore and learn more about themselves without judgment. She sees the importance in looking at the whole picture when working with a client. Mariah hopes to create rounded goals to promote long term success, and help the client feel more balanced overall. She uses solution focused and cognitive behavioral interventions to help clients build a tool box of skills that can help them cope with daily life. Mariah wishes to help her clients reach their full potential, while hopefully making them laugh once in a while during the process.

Kaycia Vansickle, MD

Staff Psychiatrist

Background and credentials

Dr. Vansickle is a board-certified adult psychiatrist with over 25 years of clinical experience. She earned her medical degree from the University of Texas Health Sciences Center San Antonio and completed her internship at UAB. She then completed her psychiatry residency at the University of Louisville Hospital, where she served as chief resident and received a national award in community psychiatry. Throughout her career, she has worked in both inpatient and outpatient settings as a staff psychiatrist, primarily in Texas and Alabama.

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Treatment approach

Dr. Vansickle places a strong emphasis on establishing trust and building therapeutic relationships to help patients achieve their goals. Her practice focuses on medication management, often combined with supportive or emotionally focused therapy during 30-minute follow-up visits. If she believes additional therapy would be beneficial, she may recommend that patients work with a therapist as part of their care team. She has extensive experience treating patients in various settings, including community mental health centers, VAMC-affiliated clinics, and hospital-based psychiatric units. She also has expertise in psychiatric consultations for medically ill patients, as well as guardianship and competency evaluations.

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What you can expect in a first visit

Patients can expect a thorough initial evaluation, where Dr. Vansickle takes the time to understand their symptoms, history, and treatment goals. She provides a structured yet compassionate approach to care, ensuring that each patient feels heard and supported. Follow-up visits typically last 30 minutes, during which she monitors progress and adjusts treatment as necessary. If additional therapy is needed, she collaborates with therapists to ensure comprehensive 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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Erica Cusick, DO

Staff Psychiatrist

Dr. Erica Cusick is a board-certified psychiatrist at Talkiatry. She completed her undergraduate training at the University of Rochester and medical school at Lake Erie College of Osteopathic Medicine. She is committed to treating a wide range of mental health disorders and addressing the psychological and emotional challenges faced by adults of all ages. During her residency training at Allegheny General Hospital, Dr. Cusick developed a keen interest in the nuances of medication management, including drug interactions and side effects, ensuring accurate diagnoses, the mental health needs of women, identification of attention-deficit/hyperactivity disorder in adults, and addressing mental health issues that may arise with concussions, traumatic brain injuries, strokes, Parkinson's Disease or dementia. Dr. Cusick approaches patient care collaboratively by actively listening to patients and involving them in their treatment planning while providing evidence-based care.

Rishell Tsujimoto-Ryzewski

Staff Psychiatrist

Dr. Tsujimoto-Ryzewski is a board-certified adult psychiatrist. She received her medical degree from the University of Nevada, Reno School of Medicine. She completed her residency at the University of Nevada, Reno School of Medicine, where she served as a chief resident during her last year of training. Dr. Tsujimoto-Ryzewski has treated patients with a wide variety of diagnoses both during her residency and after her training while working at a busy private practice clinic as well as for the Veterans Administration. Dr Tsujimoto-Ryzewski focuses on medication management and supportive psychotherapy. If she feels that additional therapy is needed, she will ask that you bring in a therapist as part of the treatment team. Dr. Tsujimoto-Ryzewski will work collaboratively with you in a caring environment to assist you in reaching your goals.

Felicitas Koster, DO

Staff Psychiatrist

Dr. Koster is board certified in psychiatry and forensic psychiatry. After completing her medical education, residency, and fellowship, she started working on a Forensic Assertive Community Treatment (FACT) team, followed by working at a community hospital. She then transitioned to a clinic serving patients who were determined severely mentally ill (SMI). Dr. Koster has been involved with teaching residents and working within an academic institution. Dr. Koster is a Fellow of the American Psychiatric Association, a member of the American Academy of Psychiatry and the Law and the American Osteopathic Association. Dr. Koster enjoys working with people of diverse backgrounds and experiences. She uses a culturally sensitive and holistic approach in the evaluation and treatment of brain health conditions. She believes in a team approach and her patients' active participation in treatment planning. She incorporates a variety of modalities in her treatment that can include medications, personal medicine, psychotherapy, mindfulness, and lifestyle changes. Dr. Koster specializes in psychopharmacology and believes in using medications when indicated at the lowest effective dose to minimize the risk of side effects. She is experienced in treating depression, bipolar disorder, anxiety disorders, OCD, PTSD and schizophrenia. If Dr. Koster believes you would benefit from additional therapy, she will collaborate with your therapist to achieve the best outcome.

Melissa Desa, MD

Staff Psychiatrist

Dr. Melissa Desa is a board-certified psychiatrist who completed her residency in 2011 at the University of Rochester, where she served as chief resident of acute services. She stayed on at the university working in both the emergency room, or Comprehensive Psychiatric Emergency Program (CPEP), and community mental health clinic for Severely Mentally Ill (SMI) patients. She enjoyed supervising both medical students and psychiatry residents in both settings, teaching psychopharmacology and psychotherapy. She's also experienced in treating patients in long-term residential treatment, both in a state hospital for Severely Mentally Ill patients, and as part of a coordinated effort to restore competency for incarcerated individuals with severe mood or psychotic disorders. She most recently worked as part of a collaborative mental health team that worked with incarcerated individuals with mental illness. She enjoys collaborative care, through the lens of the biopsychosocial model, and helping patients tell their story in a safe space.

John Bardugon, MD

Staff Psychiatrist

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.

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Clara Kim, MD

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