Diane Papke, MD

Dr. Peppers works with patients to meet the goals that matter to them. She believes that feeling heard and being understood are key factors in a successful treatment relationship.

She has been working in telehealth since 2018. She has worked extensively with patients dealing with trauma from childhood abuse, assaults, combat, and accidents. She also has a lot of experience treating depression, anxiety disorders, bipolar disorder, ADHD, and personality disorders.

After completing her training, Dr. Peppers worked in private practice and in various roles for the Department of Veterans Affairs. She most enjoys working in the clinic because of the long term follow-up.        

Dr. Peppers enjoys her work and includes psychotherapy in her appointments. She offers medication options to treat symptoms but also works with patients to examine behaviors and defenses that may be contributing to their problems. For patients who would benefit from more extensive psychotherapy, she may refer patients to a therapist and work collaboratively with the therapist.

She starts off with a thorough evaluation to make a diagnosis. Then, she works with patients to determine what their treatment goals are and develops a treatment plan to meet those goals.

Dr. Reaghan Hicks is a double board-certified psychiatrist in General and Addiction Psychiatry. She completed her undergraduate training at The College of Charleston followed by medical school at The University of South Carolina School of Medicine. Dr. Hicks completed Residency in General Psychiatry at The University of Florida College of Medicine in Jacksonville followed by Fellowship in Addiction Psychiatry at The Medical University of South Carolina. Dr. Hicks is an experienced clinician that specializes in treating individuals with a variety of diagnoses including adjustment disorders, depression, anxiety, PTSD, bipolar disorder, ADHD, and substance use disorders.‍She has an approachable style and values building rapport with her patients. She believes it is a privilege to be a part of someone's journey towards recovery and wellness. Dr. Hicks aims to meet each patient where they are while maintaining a nonjudgemental, patient-centered, and evidenced-based treatment approach. Dr. Hicks provides supportive psychotherapy, cognitive behavioral skills, and utilizes motivational interviewing to meet the needs of her patients. She believes effective utilization of therapy skills in conjunction with medication management can help patients meet their individualized treatment goals.

*THIS PROVIDER CANNOT PRESCRIBE CONTROLLED SUBSTANCES FOR NH PATIENTS* Dr. Kevin DiCesare is a board-certified psychiatrist who treats adults. He received his undergraduate degree at Harvard University, his medical degree at the University of Massachusetts Medical School, and then went on to train at Maine Medical Center for his psychiatric residency. He has 22 years of expertise in diagnosing and treating psychiatric conditions, including depression, anxiety, Bipolar spectrum disorders, adjustment problems, and other disorders. He is well versed in psychopharmacological interventions, but is a proponent of patients also seeing a therapist whenever appropriate. He prides himself on collaboratively arriving at treatment decisions with his patients and taking the time to listen to their concerns and answer their questions. Dr. DiCesare has worked in various settings, including community mental health centers and large hospital systems, with experience in inpatient, outpatient, and consultative roles. Prior to joining Talkiatry, he most recently served as an attending psychiatrist on the staff of Southern New Hampshire Health System, where he provided consultative care to referrals made from primary care providers and various specialists.

Dr. Alexis Kropf is a board-certified adult psychiatrist beginning her practice at Talkiatry after four years of clinical experience in residency. Dr. Kropf primarily focuses on providing medication management during 30-minute follow-up visits, weaving in elements of supportive therapy according to the needs of her clients. When additional therapy is indicated to promote recovery, Dr. Kropf may recommend that her clients work with a therapist as part of the treatment team. Dr. Kropf credits her undergraduate education at Southwestern University, a small liberal arts college, for strengthening her curiosity about and dedication to serving others. She received her medical degree from the University of Texas Southwestern Medical Center in Dallas, Texas, where she also completed her psychiatry residency training. During residency, she was involved in medical student education and resident leadership, serving as a chief resident during her final year of training. She also utilized her fluency in Spanish and medical Spanish interpreter training to serve Spanish-speaking patients and to lead Spanish-language group therapy sessions. In addition to psychopharmacology, Dr. Kropf studied psychotherapeutic interventions, including psychodynamic and cognitive behavioral therapies. She has experience working with clients experiencing many different mental health challenges, with a primary clinical focus including the treatment of anxiety, depression, and PTSD.

Background and credentials

Dr. Ian Goldberg is a board-certified adult and child/adolescent psychiatrist and a licensed physician in New York state. He has been practicing since 1988 and has extensive experience working with patients in private practice, hospital settings, and community-based mental health programs. His professional career has included work both in and outside of the United States.

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Treatment approach

Dr. Goldberg takes an eclectic approach to psychiatric care, integrating various treatment modalities, including psychodynamic perspectives and medication management. His focus is on improving his patients' overall quality of life by tailoring treatment strategies to their unique needs.

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What you can expect in a first visit

During the initial visit, patients can expect a comprehensive and individualized evaluation. Dr. Goldberg values collaboration and strives to create a treatment plan that is both effective and adaptable. His experience allows him to approach each case with insight and flexibility, ensuring that patients receive care that is aligned with their personal goals and circumstances.

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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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Debbie is a licensed therapist specializing in trauma, anxiety, and bipolar disorder. With a background in mental health, Debbie helps clients understand the mind-body connection to achieve lasting healing. She has 20 years of experience working with healthcare providers and individuals seeking to overcome trauma, fatigue, emotional distress, and negative thought patterns.

Using a compassionate, evidence-based approach, Debbie integrates cognitive-behavioral therapy (CBT), mindfulness, and trauma-informed care to guide clients toward self-awareness and resilience. She believes in tailoring treatment to each person’s needs, emphasizing sustainable lifestyle changes and self-compassion with the concept of developing healthy sleep, nutrition, exercise, and stress management patterns.

New clients can expect a collaborative, judgment-free space where they will explore thoughts, emotions, and behaviors while learning practical tools for healing. Debbie encourages active participation through journaling, self-reflection, and skill-building exercises. Her goal is to help clients reframe negative beliefs, build confidence, and create a balanced, fulfilling life.