Gregory Miller, DO

Dr. Albert Fernandez is a board-certified physician who specializes in adult psychiatry. He has expertise in medication management and psychotherapy. His practice emphasizes a holistic approach to treatment and his style is empathic, insight-oriented, and flexible. He has particular interests in helping individuals struggling with depression, difficulty functioning at work or school, life transitions, bipolar spectrum disorders, ADHD, obsessive-compulsive disorders, relationship struggles, anxiety disorders, sleep disturbances, low self-esteem, and more. He received his bachelor's degree in psychology from Princeton University with a certificate in neuroscience. He earned his M.D. from Renaissance School of Medicine at Stony Brook University and completed his residency training in psychiatry at the Mount Sinai Morningside and West Hospitals. He has supervised junior residents and medical students. He also worked as a staff psychiatrist at Fordham University and published a review article on the effects of residential relocation on mental health. He is currently a Post-Doctoral Candidate in the Adult Analytic Training Program at the New York Psychoanalytic Society and Institute.

Dr. Justine Sever Chilelli, DO, earned her medical degree from the Lake Erie College of Osteopathic Medicine and completed her psychiatry residency and child and adolescent fellowship at the University of South Florida. She is board certified in General Psychiatry and Child and Adolescent Psychiatry. Her experience includes treating children, adolescents, and adults across outpatient, inpatient, consultation-liaison, school-based, and residential settings.

Dr. Chilelli values a collaborative, team-based approach where she and her patients work together to build a treatment plan. She emphasizes open and honest communication, aiming to improve quality of life and reduce the impact of mental health symptoms.

In the initial appointment, Dr. Chilelli focuses on understanding each patient’s history, concerns, and goals. She then develops individualized treatment plans that align with those goals, ensuring care that is thoughtful, supportive, and tailored to each patient’s needs.

Dr. Leslie Chavez is a board-certified adult psychiatrist with a diverse background in clinical and academic medicine. She completed her medical school and residency at the University of New Mexico, where she later served as a psychiatrist and assistant professor, treating high-need patients and teaching residents and medical students. During the pandemic, she transitioned to telehealth and has been dedicated to this field for the past four years. Dr. Chavez is known for making her patients feel seen and heard, using both medication management and supportive psychotherapy. Dr. Chavez began her academic journey as a physics major at UNM and then studied biophysics at the University of San Diego, California. During her postdoctoral fellowship at Los Alamos National Laboratories, she was inspired by presentations about professionals working with patients in African countries, which sparked her interest in medicine. During this time, her father died of cancer, and she saw the impact of mental health therapy on his quality of life, further solidifying her motivation to attend medical school. Witnessing the profound impact of mental health on her patients and family, she specialized in psychiatry. Dr. Chavez is a seasoned psychopharmacologist and emphasizes the importance of nutrition, exercise, and community in mental health. She enjoys all aspects of medicine and combines her extensive knowledge with a patient-centered approach.

Jennifer Garner is a board-certified Family Psychiatric Nurse Practitioner with Talkiatry. She obtained a Bachelor of Science in Nursing from the University of Tennessee, Knoxville, in 2009 and a master's degree from Vanderbilt University in 2011. Jennifer enjoys treating all adults and has outpatient experience with community mental health, corrections, and private practice. Besides outpatient care, she has worked in crisis stabilization and ambulatory detox for adults with primary psychiatric and dual diagnosis illnesses. Jennifer is skilled in treating a wide range of conditions including ADHD, bipolar disorder, substance misuse, anxiety, OCD, and PTSD. She is committed to fostering a welcoming and inclusive environment, ensuring all gender identities feel safe and respected. With a focus on patient-centered care, her approach is carefully tailored to each person's individual needs and goals, promoting a collaborative therapeutic relationship. During appointments, she combines medication management with therapy techniques to empower patients with the skills for their well-being. Appointments are as unique as each individual that she meets with. If you're ready (and even if you're not so sure) take the first step and let's talk.

Dr. Perington is a Staff Psychiatrist with Talkiatry. She previously served in the US Air Force, where she completed her residency training in psychiatry (Lackland AFB) and was the medical director for a small-sized mental health clinic (Hill AFB). Dr. Perington uses a person-centered approach to tailor treatment to the individual, with an emphasis on shared decision making. She prefers to focus on psychotherapy and behavioral interventions as a primary part of the treatment plan, in addition to any indicated medication.

Motivation for change is a large part of the healing process, and for many people recovery doesn't happen with medication alone. Dr. Perington asks all her patients to play an active role in their treatment.

A thorough diagnostic assessment with discussion of the best treatment setting and modality, then regular follow up visits with emphasis on psychotherapy in addition to medication management (if indicated).

Lance Briggs is a dedicated Psychiatric Nurse Practitioner with over a decade of clinical and leadership experience. A graduate of the University of North Dakota, Lance began as a psychiatric RN in acute inpatient settings before becoming a psychiatric RN supervisor in a major Houston hospital while pursuing advanced practice.

After becoming a PMHNP, Lance initially worked with outpatient addiction treatment and severe mental illness populations, later expanding into bariatric psychiatry to support patients preparing for weight-loss surgery. When the COVID-19 pandemic paused bariatric procedures, Lance founded a private practice—Grey Matters Mental Health—in Seattle, which was later sold to a larger healthcare organization in Minnesota. Lance then transitioned into correctional mental health, serving underserved populations within the criminal justice system. Currently, Lance is working at Talkiatry, providing compassionate, high-quality care informed by experience across diverse and challenging environments.

Lance understands that every patient is unique. His approach is grounded in Carl Rogers’ principle of unconditional positive regard, creating a safe, calming space where patients feel heard and valued. Lance takes time to explore developmental history, family background, and major life events, recognizing how past experiences shape present challenges. He aims to understand each symptom fully and offers thoughtful, collaborative treatment options.