Diane Lewis, MD

Dr. Colleen Ryan is a psychiatrist who grew up in Kentucky and has trained and practiced in a wide range of clinical settings. Her experience spans inpatient and outpatient care, community mental health, state hospitals, addiction clinics, VA hospitals, and academic medicine. She became board certified in addiction medicine in 2019, deepening her understanding of how addiction affects individuals and families. She has also worked extensively with patients experiencing Post-Traumatic Stress Disorder, including both military- and civilian-related trauma. Her diverse background allows her to appreciate the complex personal, social, and medical factors that influence mental health.

Dr. Ryan believes effective treatment begins with understanding a patient’s life experiences and perspective. She takes time to explore how patients see their challenges and what is or is not working for them. While medication can be an important tool, she does not focus on medication alone and values open discussion about its benefits and concerns. She prioritizes understanding how patients are functioning across all areas of life and strongly values a collaborative approach, viewing treatment as a partnership built on shared decision-making.

Dr. Ryan begins with a thorough evaluation that includes medical and family history, ensuring that underlying medical issues are not overlooked. The first visit is also an opportunity to build rapport and help patients feel comfortable. Together, she and her patients develop a treatment plan aligned with the patient’s goals. She recognizes that goals evolve over time and works collaboratively to adjust treatment as part of the ongoing growth process.

Dr. Tamoria is a California native whose career has taken him around the country. As a medical student at Temple School of Medicine in Philadelphia, PA he worked in a culturally diverse, urban community. He was Chief Resident at the “President’s Hospital” in Washington DC and spent the first part of his career serving as an active-duty Navy psychiatrist helping servicemembers and veterans. After the Navy, he returned west to WA whereas a Medical Director he led one of the state’s most successful behavioral health programs through COVID and into the telehealth revolution. Now he serves as Talkiatry’s first West Coast Chief leading and supporting psychiatrists across the western US.

Dr. Tamoria works with adults to diagnose and treat a wide variety of mental health conditions including Depression, Anxiety, ADHD, Bipolar Disorder, PTSD, and more. He uses a combination of medication management and psychotherapy treatment to help patients improve and thrive. He is well experienced in caring for patients with complex histories or co-morbid medical conditions.

In the first appointment with Dr. Tamoria he completes a comprehensive evaluation of mental health symptoms, medical history, social supports, and stressors. He works collaboratively with patients to develop a treatment plan that may include lab tests, managing medications, initiating psychotherapy, or referring to other specialists. Over time he builds on the patient’s strengths and resilience to lead to recovery.

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Thomas Ittoop, MD is a psychiatrist with experience practicing in both academic and community settings. He earned his medical degree from Central Michigan University and completed his psychiatry residency at Baylor College of Medicine. His clinical work is grounded in thoughtful, patient centered care that combines medical rigor with a deep respect for the complexity of each individual’s life.

Dr. Ittoop fosters a warm, collaborative environment grounded in genuine human connection. He values exploring the deeper patterns that shape emotional life and the meaning beneath symptoms. Patients can expect transparency, clear communication, and shared decision making that honors their strengths, goals, and long-term well-being while helping them cultivate resilience and greater self-understanding.

Treatment begins with a thorough evaluation exploring symptoms, personal and family history, personality patterns, and the changes patients hope to achieve in their lives. From there, Dr. Ittoop works with each patient to develop a personalized treatment plan that includes thoughtful psychiatric medication management, supportive psychotherapy, and ongoing follow up. While he frequently works with patients experiencing anxiety and related conditions, his practice does not include prescribing benzodiazepines such as Xanax, Ativan, or Klonopin. Care instead focuses on evidence-based treatments that support lasting stability and deeper psychological understanding.

Dr. Rania Elkhatib is a board-certified general psychiatrist with extensive experience in clinical care, teaching, and research. She earned her medical degree from the University of Texas Medical Branch in Galveston and completed her psychiatry residency at UTHealth Science Center in Houston, where she later served as an Assistant Clinical Professor. During that appointment, Dr. Elkhatib was heavily involved in medical education and has developed courses in cultural psychiatry and psychiatry boot camps for medical students.

Dr. Elkhatib specializes in treating a wide range of psychiatric conditions, including Major Depressive Disorder, Anxiety Disorders, Bipolar Disorder, OCD, ADHD, and PTSD. Dr. Elkhatib focuses on evidence-based medication management but will also incorporate supportive therapy and cognitive-behavioral techniques to optimize treatment management and patient’s wellness. She is fluent in Arabic and English and has a strong interest in working with diverse patient populations.

Dr. Elkhatib has a holistic approach with focus on medication management while incorporating supportive therapy and cognitive-behavioral techniques to optimize patient wellness.

Dr. Robert Smeed, DO, is a board-certified psychiatrist with a passion for healing the human mind and consciousness. He earned his Doctor of Osteopathic Medicine from Lake Erie College of Osteopathic Medicine and completed his Psychiatry Residency at Wayne State University College of Medicine. Certified by the American Board of Psychiatry and Neurology (ABPN), Dr. Smeed served as an outpatient psychiatrist at Veterans Affairs for 11 years, honing his expertise in mental health care. Driven by a deep interest in consciousness and innovative treatments, he combines talking therapies, neuromodulation, and modern psychopharmacology to help patients achieve lasting wellness.

Dr. Smeed is proficient in treating a wide range of psychiatric conditions while specializing in treatment-resistant depression, neurodevelopmental disorders, anxiety and trauma disorders. His treatment style is empathic and collaborative, emphasizing family dynamics and relationships while integrating psychodynamic principles with biopsychosocial models. He approaches each patient with creativity, using open-ended discussions and innovative therapeutic and psychopharmacologic strategies to tailor care, ensuring a personalized and effective treatment experience.

Dr. Smeed begins with open-ended dialogue, allowing patients to develop their narrative, which is often therapeutic. Treatment plans are customized to patient needs and align with diagnostic standards of care. He incorporates medication reviews, mindfulness techniques, cognitive behavioral therapy (CBT), supportive therapy, and psychodynamic approaches. Dr. Smeed also educates patients on lifestyle factors, such as diet and exercise, to support mental health, fostering a holistic and individualized path to wellness.

Elizabeth Shaffer, MD, is an accomplished psychiatrist specializing in child and adolescent psychiatry. She earned her M.D. degree from St. George's University School of Medicine and holds a Bachelor of Science in Child Development from Appalachian State University where she graduated summa cum laude. Dr. Shaffer's passion for working with children and families developed during her involvement in a pre-K Head Start Program in Rural North Carolina. She completed her General Psychiatry Residency and Child & Adolescent Psychiatry Fellowship at Jerry M. Wallace School of Osteopathic Medicine at Campbell University. Dr. Shaffer obtained ABPN Board Certification in General Psychiatry in 2023 and is working towards Board Certification in Child & Adolescent Psychiatry. Dr. Shaffer has received honors and awards for her contributions to psychiatry, including the Laughlin fellowship through The American College of Psychiatrists and Resident of the Year at Cape Fear Valley Health System in 2022.Her areas of interest focus on neurodevelopmental disorders such as ADHD, Autism, and Intellectual Delay. Dr. Shaffer is affiliated with professional organizations like AACAP and APA, demonstrating her commitment to professional development. Dr. Shaffer is dedicated to promoting mental health awareness and family and patient psychoeducation. Dr. Shaffer emphasizes a joint decision-making approach to treatment options and utilizes local resources to provide wrap-around support. Dr. Shaffer is a respected psychiatrist known for her excellence, compassion, and innovative approach to mental health care. Her extensive education, accolades, research contributions, professional affiliations, and community involvement reflect her commitment to making a positive impact in her patients' lives and the broader community.