Emily Sykes, MD

Dr. Delane Casiano is a board-certified adult psychiatrist with specialized interest and expertise in cultural psychiatry. She earned her undergraduate degree from Brown University and her medical degree from Morehouse School of Medicine. She completed psychiatry residency and research fellowship at the University of Pennsylvania. Such organizations as the American Psychiatric Association, National Institute of Mental Health, and Philadelphia Department of Behavioral Health have recognized her research examining cultural influences on mental health beliefs and service utilization.

Dr. Casiano brings a systems-based, culturally informed perspective to her work. With over 15 years of experience, she has supported individuals with diverse backgrounds and identities. Examples of her leadership of multidisciplinary teams include serving as associate medical director of a women's trauma program and founding an integrated care program for underserved communities. She has directed academic training programs, presented at national conferences, and led numerous community-based events focused on mental health awareness and stigma reduction.

Dr. Casiano values compassion and collaboration in the treatment relationship. She helps patients navigate depression, anxiety, ADHD, and post-traumatic stress, while also supporting those facing major life transitions.

Her approach combines evidence-based medication management, supportive therapy, and

psychoeducation. She tailors each treatment plan to the individual while offering encouragement and structure.

Gabrielle Delarose is a dually boarded Psychiatric Mental Health and Family nurse practitioner with over ten years of clinical experience. Gabrielle is dedicated to providing culturally competent and evidence-based medication management and psychotherapy to assist individuals in achieving their goals to live their best life. I believe in holistic treatment of individuals, and focus on the individual’s overall well-being, including how they are functioning socially and professionally. In addition to medication and psychotherapy, she is a proponent of incorporating research-supported alternative modalities, including dietary changes, exercise, social interaction, and yoga. She also advocates of forest bathing (“shinrin-yoku”), a practice of spending time in nature that yields both medical and mental health benefits as discovered in research trials from around the world. As a professionally trained cellist, she also frequently incorporates art and music into appointments and treatment plans with patients. Her goal for all her patients is to improve all facets of a person’s life with treatment. Gabrielle is an LGBTQ+ affirming provider and has extensive experience working with diverse populations.

New patients should know that the initial appointment will consist of obtaining their social history in addition to their medical history. This is an important part of establishing a therapeutic relationship in addition to obtaining health information to use in formulating treatment plans. A person’s identity and life experiences are a significant influence on a person’s health and well-being, and Gabrielle believes in discussing these experiences in order to best understand a patient’s background and incorporate that into their care. Patients are encouraged to write down any questions they may have prior to the appointment, as well as any significant points they want to discuss. This is encouraged because, as patients, we may forget to address these points without a prompt from the provider. Gabrielle also encourages patients to actively participate in their care and firmly believes in a patient’s right to autonomy and agency. This patient-centered approach empowers patients to help guide treatment plans that best fit the patient’s needs and abilities at any given time. Patients are also encouraged to discuss any concerns about medications or treatment, particularly if there are concerns about side effects.

Gabrielle works collaboratively with patients to determine appropriate and preferred treatment plans, including medication and therapy. She uses cognitive behavioral therapy (CBT) as the primary therapy modality, in conjunction with existential therapy, depending on the patient’s needs and preferences. She prefers to allow patients flexibility in their treatment, so the process may look less structured depending on the immediate needs of the patient. Other times, particularly while working through a specific problem in therapy, appointment agendas may be planned out for several weeks. If at any time, however, a need arises to deviate from preplanned appointment agenda, patients are encouraged to discuss this at the beginning of the appointment. Above all, patients’ needs will guide the agenda.

Dr. Adela Stroescu is a board-certified psychiatrist with seven years of clinical experience treating adults in both outpatient and inpatient settings. She specializes in mood disorders, psychosis, anxiety, PTSD, and ADHD. Dr. Stroescu earned her medical degree from St. George’s University School of Medicine and completed her psychiatry residency at the University of Maryland/Sheppard Pratt. She speaks English and conversational Romanian.

Dr. Stroescu fosters a respectful, non-judgmental space where communication is clear, and care is recovery oriented. She prioritizes building a therapeutic relationship grounded in empathy and trust to support each patient’s unique path to wellness.

Dr. Stroescu begins with a comprehensive psychiatric evaluation to create a personalized treatment plan aligned with the patient’s goals. She uses evidence-based medication management and offers supportive psychotherapy and psychoeducation to empower patients throughout their treatment journey.

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Dr. Irene Pastis is a board-certified psychiatrist who specializes in adult psychiatry.  She completed residency training at East Carolina University in both internal medicine and psychiatry.  After residency, she pursued her passion in psychiatry and stayed on as a clinical assistant professor in the department of psychiatry at East Carolina University.  In this role she specialized in treating adults with mental illness in both the inpatient and outpatient settings.  She has spent a considerable amount of time teaching residents and medical students and has published several papers focusing on the neuroscience pathways of mental health conditions.  In her daily practice, Dr. Pastis focuses on evidence-based treatments utilizing the latest clinical guidelines and current approved treatments.  In addition to medication management, she also incorporates psychotherapy in the treatment of mental health conditions.  Dr. Pastis is passionate about taking a collaborative approach with her patients to help them reach their potential.

Dr. Jane Eisen comes to Talkiatry from her previous position at McLean Hospital, in Boston, where she was Clinical Director of the Depression and Anxiety Division, overseeing the integration of clinical work, faculty development, and research in the division. Clinically, she has experience working with people with significant mood and anxiety difficulties. Dr. Eisen's practice focuses on using an integrated approach to the understanding and treatment of individuals' psychosocial stresses and psychiatric symptoms. Her sessions are usually 30 minutes. She frequently suggests including a family member or friend in at least one session to get a comprehensive sense of each person's strengths and challenges. She received her medical degree from NYU and completed her psychiatric residency at Mt. Sinai Hospital. She spent a number of years in the Brown system, as Training Director for the Brown Psychiatry Residency and as Vice-Chair of the Brown Department of Psychiatry. For several years, she served as Chair of the Department of Psychiatry at Mt. Sinai West/St. Lukes' prior to her position at McLean, as Clinical Director of the McLean Hospital Depression and Anxiety Division. She has worked primarily with outpatients with the exception of a recent period of residential work at the Pavilion at McLean Hospital. Dr. Eisen is a general psychiatrist with a focus on anxiety disorders, OCD, and mood disorders. She is interested in the impact of trauma and personality and has extensive experience working with young adults.

Dr. Sabrina Lefcochilos-Fogelquist earned her bachelor’s degree from Georgetown University and her medical degree from Sidney Kimmel Medical College at Thomas Jefferson University. She completed her psychiatry residency at the Icahn School of Medicine at Mount Sinai Morningside/West in New York City. She has experience in outpatient, inpatient, and emergency psychiatry, treating a broad spectrum of mental health conditions across diverse populations.

Dr. Lefcochilos-Fogelquist values compassionate, holistic care and strives to build long-term, collaborative relationships with her patients. She is particularly drawn to the outpatient setting, where she can engage with the evolving narratives of her patients’ lives. She creates a warm, supportive environment where individuals feel safe, respected, and heard.

Her process begins with a comprehensive evaluation to understand each patient’s history, concerns, and goals. Treatment plans are individualized and may include medication management and psychotherapy. She integrates supportive, cognitive behavioral, psychodynamic, and mindfulness-based techniques to meet patients' evolving needs.