Diane Lewis, MD

Dr. Goicochea is Peruvian and speaks Spanish fluently. She is a "triple Gator” having completed her undergraduate and medical degree at the University of Florida (UF) and psychiatric training at UF Jacksonville. She was recognized by the Gold Humanism Honor Society for exemplary service, integrity, clinical excellence, and compassion and awarded Resident of the Year for exceptional clinical skills and commitment to patients. Dr. Goicochea is a board-certified adult psychiatrist who specializes in providing person-centered mental health care. She believes in a comprehensive, holistic approach to best improve the overall well-being of her patients; she explores psychosocial and physical health contributions to psychiatric symptoms and incorporates therapy into visits to develop a deeper understanding of the particular psychiatric concerns and their impact on patients' lives. Dr. Goicochea actively listens and creates an empathetic, non-judgmental space to work collaboratively with patients in achieving treatment goals. Dr. Goicochea's expertise is in the combination of evidence-based medication management with psychotherapy, which includes supportive, person-centered, cognitive behavioral, acceptance and commitment, interpersonal, and solution-focused therapy. While she enjoys working with young adults, her skills and experience allow her to effectively assist patients of all ages. Her clinical areas of interest include the treatment of depression, bipolar disorder, anxiety, and ADHD.

Background and credentials

Dr. Agarwal is a board-certified adult psychiatrist. He obtained his bachelor's degree in Biological Sciences from the University of California at Irvine and graduated cum laude with his medical degree from the American University of Antigua. Dr. Agarwal completed his psychiatry residency training at the University of Central Florida, where he was elected chief resident.

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Treatment approach

Dr. Agarwal employs a collaborative and patient-centered approach, primarily focusing on medication management in combination with supportive therapy. He is a strong advocate of psychoeducation, believing it to be an integral part of effective psychiatric care. Dr. Agarwal specializes in treating adults experiencing depression, anxiety, PTSD, and insomnia. He is also experienced in managing patients with psychiatric conditions complicated by medical comorbidities such as obesity, hypertension, chronic pain, and diabetes.

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What you can expect in a first visit

Patients visiting Dr. Agarwal for the first time can anticipate a comprehensive evaluation conducted in a collaborative and supportive environment. Dr. Agarwal prioritizes understanding each patient's individual needs and concerns, creating a personalized treatment plan that integrates medication, supportive therapy, and psychoeducation. Follow-up visits typically last about 30 minutes, allowing time to adjust treatment and reinforce therapeutic strategies.

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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. Michael Lukowski is an adult psychiatrist who holds board certification with the American Board of Psychiatry and Neurology. He has been practicing medicine for over 4 years. Dr. Lukowski focuses on medication management combined with supportive therapy in 30-minute follow-up visits. He practices whole-person medicine, caring for the wellness of your mind, body, and spirit and helping you enjoy your relationships with those around you. Dr. Lukowski received his medical degree from the University of Nevada School of Medicine in Reno, NV, before moving to southern California to complete his residency at Loma Linda University. After completing training, Dr. Lukowski began working with the Southern California Permanente Medical Group in Riverside, CA, where he treated a variety of psychiatric disorders in an outpatient setting. In March of 2020, as the pandemic changed life and medicine forever, Dr. Lukowski adopted a strictly telepsychiatry role at his clinic. He has also held a staff psychiatrist position as an adult inpatient psychiatrist in Tennessee. Dr. Lukowski treats a wide variety of psychiatric disorders within the adult demographic.

Dr. Atkins is a staff psychiatrist at Talkiatry. He is board-certified in adult psychiatry and has been in practice for the past 2 years. He has received several awards for teaching and the treatment of chronically ill patients, including Stony Brook University's "William Turner Award" for excellence in education and leadership. Dr. Atkins has focused his practice primarily on medication management. He combines medication management with a therapeutic style that is a blend of supportive therapy, cognitive behavioral therapy, and motivational interviewing. Follow‐up appointments with Dr. Atkins typically last 20‐30 minutes. While Dr. Atkins is trained in a variety of therapeutic techniques, he works collaboratively with therapists and may recommend their inclusion as part of your treatment team, depending on your individualized treatment plan .Dr. Atkins attended the University of Connecticut School of Medicine where he received his medical degree. He completed his psychiatry residency at Stony Brook University Hospital in New York. Post residency, he worked with general adult patients as well as older adults at Manchester Memorial Hospital where he served as both an outpatient psychiatrist and Director of the Geriatric Intensive Outpatient Program. Although Dr. Atkins does not treat child or adolescent patients, he has experience working with people of all ages, from young adults to adults. He has experience treating mood disorders, anxiety disorders, obsessive-compulsive disorder, patients in the perinatal period, and patients with co‐co-occurring substance use disorders. He has regularly managed behavioral problems in adults with autism spectrum disorders as well as dementia. He particularly enjoys working with patients dealing with life or role transitions, older adults, and patients with bipolar or other affective disorders.

Dr. Saria El Haddad is double boarded in general psychiatry and addiction psychiatry. She previously held a leadership role of medical director for the dual diagnosis partial hospitalization program at the Brigham and Women's Faulkner hospital where she helped create and establish this program, and also worked as an outpatient addiction psychiatrist. She has been involved in teaching and has maintained an academic affiliation with the Harvard Medical School. In addition, she has appeared in numerous professional publications and authored several research papers.  

Dr. El Haddad received her medical degree from the American University of Beirut, Lebanon and completed her psychiatry residency program at the University of Virginia. She completed a fellowship in addiction psychiatry through Boston University after which she started working at the Brigham and Women's hospital. Dr. El Haddad's approach to treatment focuses on adopting a holistic approach through behavioral change, medication management, and brief psychotherapy.

Dr. Garrick Gaffney is board certified in psychiatry by the American Board of Psychiatry and Neurology (ABPN). He earned his medical degree from Kansas City University and completed his psychiatry residency at John Peter Smith Hospital in Fort Worth, Texas. A combat veteran, he served in the U.S. Marine Corps, including a tour in Iraq, and was honored with the Navy and Marine Corps Achievement Medal and a Certificate of Commendation for exemplary leadership.

During medical school, Dr. Gaffney pursued advanced training as an Osteopathic Manipulative Medicine fellow. As a resident, he served as Chief Academic Resident and earned accolades such as Intern of the Year and Outstanding Educator of the Year twice consecutively.

Dr. Gaffney specializes in treating complex psychiatric conditions, including depression, anxiety, PTSD, OCD, bipolar disorder, and insomnia. He has presented case studies and quality improvement projects at national conferences, including the American Psychiatric Association (APA), Academy of Consultation-Liaison Psychiatry, and Association for Academic Psychiatry.

A proponent of holistic care, Dr. Gaffney integrates psychotherapy into medication management and emphasizes lifestyle modifications and evidence‑based integrative medicine.

New patients receive comprehensive evaluations to rule out medical causes of symptoms, followed by tailored treatment plans combining therapy, medication, and lifestyle adjustments. Follow‑up visits focus on symptom management through supportive, brief dynamic, or cognitive behavioral therapy, with frequent appointments until stabilization is achieved.

Dr. Gaffney is committed to collaborative, patient‑centered care that addresses both mental and physical well‑being.