Dawn Feldpausch, LCSW

Roberta Gelfand is a Licensed Clinical Social Worker (LCSW) with over eight years of experience providing compassionate outpatient mental health care in New York and New Jersey. She works with children, adolescents, and adults across diverse settings, including private practice, outpatient programs, community mental health centers, and non-profit organizations. Roberta supports individuals facing depression, anxiety, trauma, life transitions, self-esteem concerns, attention challenges, and relationship issues. She holds a BA in Psychology and an MSW from Hunter College, CUNY, and is trained in CBT, DBT, ACT, MI, SFBT, IFS, trauma-informed care, mindfulness, emotionally focused therapy, and strengths-based approaches. She also holds certifications in ADHD, Autism Spectrum Disorder, Integrative Mental Health, and DBT, and has experience supporting neurodivergent individuals and the LGBTQIA+ community.

Roberta creates a warm, judgment-free, and collaborative space where clients feel safe, respected, and understood. Her humanistic, person-centered approach honors each individual’s identity, strengths, and lived experiences. She offers inclusive, affirming care for diverse identities, relationships, and family systems, blending emotional insight with practical tools. Therapy is flexible, personalized, and paced to meet each client’s unique goals and needs.

Roberta begins by developing a thorough understanding of each client’s history, concerns, strengths, and goals. Treatment planning is collaborative, individualized, and evidence-based. Sessions focus on increasing self-awareness, improving emotional regulation, and building effective coping strategies. She regularly revisits goals and approaches to ensure therapy remains supportive, relevant, and responsive to change.

*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.

Background and credentials

Dr. Tyler Josephs is a staff psychiatrist at Talkiatry. He earned his medical degree from Kansas City University in 2017 and completed his psychiatric residency at the University of Kansas Medical Center in 2021. During his residency, he served as Chief Resident at both the University of Kansas Medical Center and the Kansas City VA Medical Center. Most recently, Dr. Josephs worked at the Kansas City VA Medical Center, where he was the psychiatric director of the outpatient mental health clinic and served as Psychiatry Executive for behavioral health services.

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Treatment approach

Dr. Josephs believes in a holistic approach to mental health treatment, integrating medication management, supportive psychotherapy, and collaboration with therapists and support staff. He tailors treatment to each patient's unique needs, ensuring a comprehensive and individualized approach to care. His expertise includes treating a variety of psychiatric diagnoses, such as depression, anxiety disorders (including OCD), ADHD, and PTSD.

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What you can expect in a first visit

In a first visit, patients can expect a thorough evaluation, where Dr. Josephs takes the time to understand their medical history, symptoms, and treatment goals. He emphasizes open communication and collaborative decision-making, ensuring that patients feel heard and supported. Based on this initial assessment, he will develop a personalized treatment plan, which may include medication management and referrals to therapy or other supportive services as needed.

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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. Orejarena is board certified by the American Board of Psychiatry and Neurology. She finished her residency from Yale University and the University of Texas Houston. She has done extensive research on psychiatry during her PhD in Neuropsychopharmacology and a Master's in Neuroscience. She is bilingual in Spanish and English. She incorporates different therapy modalities and evidence-based treatments, tailored to each person's needs. She enjoys applying her knowledge in neuroscience and pharmacology into her clinical practice and believes a combination of medication and psychotherapy yields the best treatment outcomes.

Her ultimate goal is to help patients feel their best and accomplish their own goals by developing tools to navigate internal or external obstacles that are part of life. Dr. Orejarena is originally from Colombia, where she earned her medical degree from Universidad Industrial de Santander. She pursued a Master's in Neuroscience at the University of Barcelona and a PhD in Neuropharmacology at the Universidad Pompeu Fabra in Barcelona, Spain. Her PhD thesis was honored summa cum laude.

She completed a postdoctoral fellowship training at the Institut de Neurobiologie de la Mediterranee in Marseille, France. She is the author of multiple peer-reviewed publications and has presented her research at national and international meetings. Over the years, she has worked in a variety of settings including outpatient clinics, acute care, psychiatric hospitals as an Assistant Professor of Psychiatry at the University of Texas Health Sciences Center.‍‍

Kyla Burkey, LICSW, began her career in Outreach, supporting the Adult Mental Health population with substance use, housing, and medication management. She earned her MSW from Westfield State University and has served as a Case Manager, Assistant Program Manager, and Outpatient Clinician. Kyla has facilitated support groups for individuals 55+ and Adult Children of Alcoholics, with extensive expertise in Trauma-Focused Therapy and Crisis Management.

Kyla values a positive, respectful working relationship that fosters trust and consistency in personal growth. She uses a Person-Centered approach, meeting each individual where they are and tailoring therapy to their unique qualities. Kyla creates a safe, confidential space and focuses on building resiliency and confidence while validating experiences, challenging stuck thinking, and exploring overlooked aspects of the self that impact current struggles.

Kyla begins by understanding a client’s history, concerns, and goals, collaborating to identify attainable objectives. She ensures scheduling is clear to support consistency and offers flexible session structures based on client needs. Kyla guides clients in developing symptom management skills while fostering personal insight and growth throughout the therapeutic process.

Melissa Medina, LCSW, began her journey in mental healthcare with a Bachelor’s in Psychology followed by a Master of Social Work degree. From 2015 to 2018, she completed her clinical hours at a community mental health agency in Los Angeles, where she gained experience working with diverse populations facing complex challenges. Melissa’s therapeutic approach integrates psychodynamic, cognitive behavioral, interpersonal, strengths-based, dialectical behavioral, and EMDR modalities. She is dedicated to providing culturally sensitive, neurodivergent-friendly, person-centered care to support individuals and families navigating trauma, anxiety, depression, mood disorders, panic attacks, grief, family conflict, and life transitions.

Melissa believes therapy is both a journey and a destination. She takes an eclectic approach, tailoring interventions and communication to best fit each patient’s needs and preferences. Patients can expect an atmosphere of warmth, empathy, and collaboration. Through motivational interviewing and narrative techniques, Melissa helps individuals articulate their stories, identify strengths, and reframe challenges as opportunities for growth. She is committed to meeting patients where they are while supporting them in reaching their goals.

Melissa’s process begins with building rapport, listening to each patient’s story, and understanding their unique needs and hopes for therapy. Early sessions focus on creating a safe, supportive space while developing a treatment plan tailored to the individual. Patients can expect to gain fresh perspectives, practical coping strategies, and deeper self-awareness. Melissa’s goal is for patients to feel heard, understood, and empowered as they strengthen relationships, build resilience, and move toward a greater sense of fulfillment.