Gerald Matthews, MD

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Dr. Jessica Matthews is a board-certified general psychiatrist. She earned her medical degree from the University of Texas Health Science Center at San Antonio and completed her psychiatry residency at Tripler Army Medical Center in Honolulu, HI. After her training, she was stationed at Fort Hood, TX, where she worked as a staff physician in the inpatient unit at Carl R. Darnall Army Medical Center and later became the inpatient medical director. She subsequently transitioned to outpatient care, serving as a staff physician and later as clinic chief in the outpatient embedded behavioral health clinics. She continued working as a staff physician after leaving the military.

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Treatment approach

Dr. Matthews specializes in medication management, often incorporating supportive and cognitive-behavioral-focused therapy into treatment. Follow-up visits typically last 30 minutes, during which she evaluates progress and adjusts treatment as needed. She takes a collaborative approach and may recommend additional therapy when she believes it will optimize patient outcomes. Her primary areas of focus include treating adults with depression, anxiety, and stress/trauma-related disorders.

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What you can expect in a first visit

During the first visit, patients can expect a comprehensive evaluation where Dr. Matthews takes the time to understand their symptoms, history, and treatment goals. She prioritizes a structured yet patient-centered approach, discussing medication management options while considering therapeutic interventions tailored to individual needs. If necessary, she may recommend additional therapy as part of a well-rounded treatment plan.

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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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Tyler Josephs, DO

Staff Psychiatrist

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?

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Rishell Tsujimoto-Ryzewski

Staff Psychiatrist

Dr. Tsujimoto-Ryzewski is a board-certified adult psychiatrist. She received her medical degree from the University of Nevada, Reno School of Medicine. She completed her residency at the University of Nevada, Reno School of Medicine, where she served as a chief resident during her last year of training. Dr. Tsujimoto-Ryzewski has treated patients with a wide variety of diagnoses both during her residency and after her training while working at a busy private practice clinic as well as for the Veterans Administration. Dr Tsujimoto-Ryzewski focuses on medication management and supportive psychotherapy. If she feels that additional therapy is needed, she will ask that you bring in a therapist as part of the treatment team. Dr. Tsujimoto-Ryzewski will work collaboratively with you in a caring environment to assist you in reaching your goals.

Elizabeth Faust, MD

Staff Psychiatrist

Dr. Elizabeth Faust is board-certified in Psychiatry with a fellowship in Integrative Psychiatry. She started in Family Medicine while in the Navy, where she also was a Flight Surgeon. She has practiced medicine since 1999, focusing on Psychiatry since 2007. Dr. Faust practices with an integrative approach to see what medical factors contribute to symptoms, unhealthy thought or relationship patterns, and lifestyle factors that maintain dysfunction. Unexamined, medications will only work briefly. While medications are part of treatment to acutely improve symptoms, she also brings in lifestyle changes, nutrition, spirituality, and social connection as resources to recover function and maintain wellness. 1995-1999 MD from Texas A&M University, US Navy 1999-2004; Family Medicine Internship, Aerospace Medicine training/Flight Surgeon; 2004-2007 the Psychiatry Residency University of Wisconsin. Dr. Faust worked at Iowa City VA, out of residency, treating fellow veterans and training residents at the University of Iowa. She then worked for Group Health in Washington, followed by independent work in telepsychiatry long before the pandemic. Most recently, she worked for Virginia Mason Franciscan to establish a Collaborative Care model of practice to provide expert consultation and support for primary care physicians to continue to care for their patients' mental health within the primary care setting. She enjoys working with patients who are ready to make a change that leads them to their better selves.

Jenny Joseph, MD

Staff Psychiatrist

Background and credentials

Dr. Jenny Joseph is a board-certified adult psychiatrist. She earned her medical degree from St. George's University School of Medicine and completed her adult psychiatry residency at New York Medical College at Metropolitan Hospital Center. She has experience working with diverse patient populations and treating a range of psychiatric conditions.

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Treatment approach

Dr. Joseph specializes in medication management for various psychiatric conditions, including mood, anxiety, and psychotic disorders. She employs a patient-centered approach that emphasizes empathy, open communication, and collaboration. In addition to pharmacological treatment, she incorporates psychoeducation and supportive therapy to help patients better understand and manage their conditions. When beneficial, she may recommend additional therapy and coordinate care with a therapist to ensure comprehensive treatment.

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What you can expect in a first visit

During the first visit, patients can expect a thorough evaluation that explores their symptoms, treatment history, and personal goals. Dr. Joseph takes the time to listen and understand each patient's needs, ensuring that their treatment plan is tailored to their specific concerns. She provides a compassionate and structured approach to medication management while fostering a collaborative environment where patients feel supported in their mental health journey.

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Why Talkiatry?

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Luke Romanow, MD

Staff Psychiatrist

Dr. Romanow is double board-certified in Adult Psychiatry and Forensic Psychiatry. He graduated summa cum laude from the University of Pittsburgh with a Bachelor of Science degree in Sports Medicine/Athletic Training and then attended Drexel University College of Medicine. After medical school, he completed his residency in Adult Psychiatry at the University of Virginia, where he obtained a certificate in additional psychotherapy training. After residency, Dr. Romanow completed a fellowship in Forensic Psychiatry at the University of Virginia. During his fellowship, he trained at the prestigious Institute of Law, Psychiatry, and Public Policy (ILPPP) and Western State Psychiatric Hospital where he performed criminal and civil forensic evaluations. He also provided clinical care at a maximum security prison. Prior to joining Talkiatry, Dr. Romanow worked at a healthcare system in Montana providing inpatient and outpatient psychiatric care involving medication management and psychotherapy. Additionally, he operates a private forensic psychiatry practice that conducts mental health evaluations for the legal system. Dr. Romanow has extensive experience treating various mental health disorders including depression, bipolar disorder, anxiety and obsessive-compulsive disorders, post-traumatic stress disorder, and ADHD. His clinical work includes assisting patients who experience mental health disorders with co-occurring substance use problems. He has training in various schools of psychotherapy including cognitive behavioral therapy (CBT), CBT for insomnia, motivational interviewing and supportive psychotherapy. Dr. Romanow incorporates treatment focusing on the importance of exercise, diet, and good sleep habits as a part of comprehensive mental health care.‍

Myleka Garnett, LMFT

Staff Therapist

Myleka Garnett is a Licensed Marriage and Family Therapist and a Licensed Professional Clinical Counselor. Myleka attended Baruch College in New York City, where she received her Bachelor of Arts degree, along with receiving her Master of Arts degree in Psychology from Brandman University in Monterey, California. While working towards her goal to become a licensed Therapist, Myleka completed 3000 supervised clinical hours. Myleka has been a part of the Mental Health field since 2016. Myleka has experience working with clients of all ages, backgrounds, and mental and physical health concerns. Myleka has worked in school settings (elementary, high school, and college) and in a primary care physician's office as an on-site mental health therapist. Myleka's main goal is to build rapport and to provide a safe and nonjudgmental space for all to feel comfortable when expressing how they feel, no matter what the topic of discussion may be. Myleka has provided individual and group therapeutic services, depending on what is most suitable for that specific person. Myleka enjoys using Cognitive Behavioral Therapy (CBT) when explaining the importance of how our thoughts have an impact on our emotions and our behaviors/actions. Myleka also practices using client-centered and DBT approaches within therapy.

Ioana Horotan-Enescu, DO

Staff Psychiatrist

Dr. Ioana Horotan-Enescu is a board-certified Psychiatrist. Before joining Talkiatry, she was an Active-Duty staff psychiatrist at Blanchfield Army Community Hospital, Fort Campbell, KY. Her military service also included roles such as Medical Director of Behavioral Health and Interim Clinic Chief for Embedded Behavioral Health Clinic. She completed her internship and residency at Walter Reed National Military Medical Center and earned her Doctor of Osteopathy Degree from the University of New England College of Osteopathic Medicine. Her clinical experience spanned from the inpatient to the outpatient setting and afforded her the opportunity to develop comprehensive skills in the treatment of PTSD, mood disorders, thought disorders, addiction and perinatal mood disorders. Her teaching experience spanned multiple institutions, where she has served as a preceptor and mentor for medical students, nurse practitioner and physician assistant students. In addition to medication management, she augments her practice by implementing mindfulness, psychodynamic and supportive therapy techniques in her everyday practice to enhance treatment and improve treatment response. Dr. Horotan-Enescu holds several certifications, including in Cognitive Behavioral Health Therapy for Suicide Prevention, Motivational Interviewing and Battlefield Acupuncture. She has delivered presentations at national and international conferences on various topics, reinforcing her commitment to advancing the field of psychiatry.

Komal Shah, MD

Staff Psychiatrist

Dr. Komal Shah, M.D. is double board certified in adult & geriatric psychiatry. She did her residency at Nassau University Medical Center, New York & then did fellowship in geriatric psychiatry at LIJ-Albert Einstein school, New York. She has been practicing psychiatry for over 25 years.

Dr. Shah has extensive experience in evaluating & managing a variety of psychiatric disorders such as mood disorders, anxiety disorders, psychotic disorders, dementia, etc. She held an academic position as a clinical assistant professor at Rutgers-UBHC for several years. Dr. Shah has worked in various clinical settings including inpatient, outpatient clinics, partial hospital programs, nursing homes, thus serving vast variety of patient populations. She has also volunteered her services at NAMI (National Alliance for mental illness)-SAMHAJ to create & promote awareness of mental health issues in the community. All this makes her a very well experienced & efficient psychiatrist.

Dr. Komal Shah believes in creating a strong therapeutic alliance first with her patients based on mutual trust & honesty. Her primary modality of treatment is medication management, but she may also provide supportive psychotherapy and education, practicing evidence-based medicine. Dr. Shah likes to collaborate patient care with their medical providers and/or therapist.

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Ellen Ortiz, LMFT

Staff Therapist

Ms. Ellen Ortiz is fully licensed as a Marriage and Family Therapist in multiple states. She has decades of life experience to support her 3 years of full licensure. Ms. Ortiz sees individuals from the perspective of the various environments they interact in and how it impacts them. Ms. Ortiz is enthusiastic about collaborating with clients under the care of one of our psychiatric experts in order to allow for a more complete and personalized approach for each individual's needs.
Ms. Ortiz began her education later in life at Elgin Community College then continued to acquire her bachelor’s degree from Argosy University with honors. Ms. Ortiz forged ahead and completed her Master’s in Family Counseling at the CACREP accredited graduate school, Northeastern Illinois University. Her training included the externship for Emotion Focused Therapy with Dr. Sue Johnson.

Ms. Ortiz incorporates therapy from a Solution Focused perspective including Cognitive Behavioral Therapy, Mindfulness and Attachment theory. Ms.Ortiz has been trained in Crisis Intervention and Trauma Informed therapy. Her life experience and clientele have spanned all life cycles, races, and medical needs as well as honoring all varieties of human beings. She has also supported clients through medical diagnosis and end of life as well as grief.

Ms. Ortiz brings enthusiasm for each client based on the belief that each person has unique purpose, strengths and abilities on which to draw on. The client's abilities paired with tools and support acquired in therapy will lead each of her clients to a life they choose to enhance.

Grace Smith, LCSW

Staff Therapist

Grace is a LCSW, and LISW-CP licensed in Florida, North Carolina, and South Carolina. She holds a Bachelor of Science in Family and Consumer Sciences with a specialization in Nutrition from Solusi University in Zimbabwe and a Master of Social Work in Clinical Practice from Andrews University in Berrien Springs, MI. Grace has 20 years of experience providing mental health and psychotherapy services to diverse populations in various settings, including telehealth, outpatient care, residential programs for youth and adults, Assertive Community Treatment, foster care, inpatient units, intensive in-home services, and private practice. Her approach is individualized, solution-focused, holistic, and goal-oriented, emphasizing clients' strengths and fostering a positive, affirming perspective. Grace specializes in treating individuals facing anxiety, depression, trauma, low self-esteem, mood instability, anger, unresolved emotional challenges, relationship difficulties, and life transitions. She works with adults, couples, and families. Grace's therapeutic techniques include counseling for emotional and personal growth, fostering purpose and meaning, and empowering self-esteem. Grace draws on evidence-based practices tailored to each client's needs, including Trauma-Informed Care, CBT, Trauma-Focused CBT, Motivational Interviewing, Collaborative Problem Solving, Positive Behavior Support, and Family Systems approaches.

Kevin DiCesare, MD

Staff Psychiatrist

*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.

Gerald Matthews, MD

Education and training

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