Giselle Brito, MD

Dr. Earl De Guzman is a psychiatrist who values therapeutic partnership, working with patients to balance symptom relief with meaningful self-exploration. He earned his BS in Psychology from the University of California, Davis, and his MD from Ross University School of Medicine. He completed his psychiatry residency at Los Angeles County + University of Southern California Medical Center and a consultation-liaison psychiatry fellowship at Stanford University Medical Center. He is triple-board-certified in psychiatry, consultation-liaison psychiatry, and addiction medicine, and holds psychoanalytic psychotherapy training certification from the Psychoanalytic Center of California. Currently, he is a psychoanalyst-in-training at the New Center for Psychoanalysis. His expertise spans medication management, supportive therapy, and psychodynamic therapy.

Dr. De Guzman takes a collaborative, patient-centered approach, creating a warm and nonjudgmental environment. He listens deeply, asks thoughtful questions, and encourages honest exploration of symptoms and underlying patterns. He values authenticity, curiosity, and respect for each patient’s unique experiences. While symptom relief is important, his goal is to foster self-understanding and long-term growth. He works best with patients open to collaboration and motivated for change, whether through medication management, therapy, or both.

Dr. De Guzman begins with a consultation phase to ensure a good fit, listening carefully to understand each patient’s challenges and goals. Together, he and his patients build a working alliance by clarifying difficulties, identifying realistic changes, and exploring deeper patterns. When appropriate, he prescribes medication thoughtfully, aiming to support therapy rather than replace it. Each session integrates supportive and psychodynamic elements, combining medication review with therapeutic dialogue. Treatment plans are regularly revisited, allowing flexibility and growth, with the ultimate aim of empowering patients toward lasting change.

Trudy Warner-Phillips, PMHNP, is a board-certified psychiatric nurse practitioner with over 25 years in nursing and 7+ years in psychiatric care. Her experience spans outpatient, inpatient, and telehealth settings, where she treats conditions such as anxiety, depression, PTSD, mood disorders, and ADHD. She is passionate about delivering thoughtful, evidence-based care in a supportive and accessible virtual environment.

Trudy’s approach is grounded in trust, respect, and collaboration. She values open, honest communication and aims to create a space where clients feel heard, safe, and empowered. By understanding each person beyond their symptoms, she tailors care to support individual challenges, strengths, and goals.

Initial sessions involve a thorough assessment of medical and psychiatric history, current concerns, and past treatments. Trudy then works with clients to develop a personalized care plan focused on their most pressing symptoms. Her treatment may include medication management, supportive therapy, and lifestyle recommendations to promote lasting emotional well-being.

Dr. Michael Watkins is a board-certified adult psychiatrist. He completed his residency at The University of Texas Health Science Center at Tyler. In addition to being thoroughly trained in psychopharmacology, Dr. Watkins has also received extensive training in psychotherapy. From traditional psychodynamic therapy to the more modern mindfulness-based dialectical behavior therapy, Dr. Watkins takes the approach that best serves his patients. In addition to being trained in a variety of therapies, Dr. Watkins also employs a positive psychiatry approach which, as well as addressing a patient's symptoms, also focuses on their strengths and how they can be used to overcome adversity. Prior to pursuing a career in psychiatry, Dr. Watkins was a high school math teacher, and prior to that, he was an NCAA Division I college athlete. His teaching and athletic careers have given him a well-rounded perspective on the human experience. Drawing on his academic training and life experiences, Dr. Watkins meets patients where they are at, helps them overcome their obstacles, and serves as a guide and a resource for them on their journey to their desired destination.

Dr. Kira Posteraro is double board-certified in Adult and Addiction Psychiatry and has over 10 years of clinical experience. She completed her General Adult Psychiatry Residency at Allegheny General Hospital in Pittsburgh, PA, followed by a fellowship in Addiction Psychiatry at Beth Israel Medical Center in New York, NY.

Dr. Posteraro’s career has included serving as Director of Psychiatric Services at an addiction treatment center in Pittsburgh, PA, where she provided care across the full continuum of substance use disorder treatment—including residential, acute PHP, IOP, outpatient, and aftercare services. She later held the role of Section Chief Psychiatrist for the Center for Treatment of Addictive Disorders at VA Pittsburgh Healthcare System, offering both residential and outpatient services and acting as Medical Director for the SAMHSA-certified Opioid Treatment Program. Most recently, she served as Chief of Psychiatry for the Behavioral Health Service Line at VA Pittsburgh, where she had the honor of caring for our nation’s Veterans.

While her clinical expertise centers on the diagnosis and treatment of substance use disorders, Dr. Posteraro also has extensive experience treating a wide range of psychiatric conditions, including depressive and bipolar spectrum disorders, anxiety disorders, and trauma-related disorders.

Dr. Posteraro uses a collaborative, supportive approach to care, incorporating motivational interviewing to help guide patients on their journey to wellness. She integrates holistic strategies alongside medication management and is dedicated to meeting patients where they are in treatment to build individualized, effective recovery plans.

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Dr. Michael Bartolac is a board-certified psychiatrist with experience in both outpatient and inpatient psychiatric care. He has treated a wide range of psychiatric conditions including affective, psychotic, anxiety, trauma-related, substance use, neurodevelopmental, personality, and neurocognitive disorders. His clinical experience includes hybrid remote outpatient work, inpatient psychiatry on locked units, consultation for medically hospitalized patients, and performing electroconvulsive therapy (ECT). He earned his medical degree from Lake Erie College of Osteopathic Medicine and completed psychiatry residency at West Virginia University/Charleston Area Medical Center.

Dr. Bartolac values creating a space where patients feel comfortable voicing their concerns. His treatment style is rooted in open communication and trust. He primarily focuses on medication management and supportive therapy, while incorporating psychodynamic and cognitive behavioral techniques during 30-minute follow-up visits.

Dr. Bartolac is committed to providing competent and compassionate care. He takes a collaborative approach, working closely with patients and their healthcare team to ensure all aspects of care are aligned with the patient’s needs and goals.

Dr. Stansberry holds the position of staff psychiatrist at Talkiatry. He is board-certified in Adult Psychiatry by the American Board of Psychiatry and Neurology. Stansberry's practice focuses on medication management and also incorporates supportive therapy techniques, typically in 30-minute follow-up visits. In some cases, Dr. Stansberry may believe that additional therapy is also needed and ask that you bring a therapist into your care team. Dr. Stansberry received his medical degree from the Louisiana State University Health Sciences Center in New Orleans. He completed his residency training through the Louisiana State University/Ochsner Health Foundation Psychiatry Residency program. He has experience working in inpatient, emergency, and consult-liaison psychiatry but particularly enjoys the opportunity to work longitudinally with patients in the outpatient setting.**THIS PROVIDER CANNOT PRESCRIBE CONTROLLED SUBSTANCES FOR LOUISIANA PATIENTS**