Heather Inano, MD

Thomas Sargent, MD, holds a master's degree in pharmacology and a Doctor of Medicine from Tulane University School of Medicine. He completed his psychiatry residency at the Icahn School of Medicine at Mount Sinai West/Morningside in New York City. Over the past four years, he has treated a wide range of mental health conditions in various clinical settings. Dr. Sargent has extensive experience treating mood, anxiety and psychotic disorders, PTSD, OCD, personality disorders, and substance use issues. He utilizes both medication management and psychotherapy to provide comprehensive care. Dr. Sargent has received specialized training at the VA and the Center for Intensive Treatment of Personality Disorders in NYC. Passionate about holistic treatment, Dr. Sargent considers the biological, psychological, and social factors that influence mental health. He believes in addressing core issues through targeted care rather than defaulting to prescribing multiple medications. Dr. Sargent strives to create a supportive environment where patients can openly express their concerns. He believes in shared decision-making to ensure that care is evidence-based but also tailored to each patient's unique needs. Dr. Sargent takes the time to thoroughly explain diagnoses and treatment options, empowering patients to make informed decisions about their mental health. His approach emphasizes patient autonomy and aims to build trust, leading to more effective and personalized care outcomes.

Dr. Patel is a distinguished psychiatrist with over 24 years of experience. He completed his psychiatric residency at the University of South Dakota School of Medicine, where he served as chief resident and earned the Outstanding Resident of the Year award. He then pursued a fellowship in Consultation-Liaison Psychiatry at Harvard Medical School/Beth Israel Deaconess Medical Center.

He is triple Board certified in Adult Psychiatry, Consultation-Liaison Psychiatry, and Sleep Medicine and also holds certification in Behavioral Neurology and Neuropsychiatry from the United Council for Neurological Subspecialties. These credentials reflect his expertise in psychiatry, neurology, and the management of complex psychiatric conditions in medically ill patients.

Dr. Patel has worked in diverse settings including inpatient units, psychiatric consult services, outpatient clinics, and nursing homes. He is skilled in neuromodulation treatments such as Electroconvulsive Therapy (ECT) and Transcranial Magnetic Stimulation (TMS).

In addition to clinical practice, he has served leadership roles of chairman of a psychiatric department, medical director of a behavioral health service line in a regional health system, and founder/CEO of a private psychiatric and TMS clinic. Dedicated to ongoing professional growth, Dr. Patel remains at the forefront of psychiatric advancements in psychiatric care, earning a reputation as a respected leader in the field.

Dr. Patel combines deep knowledge of neurobiology, behavioral health, and the mind-body connection to offer a collaborative, evidence-based, and holistic approach to care. He integrates diet, exercise, yoga, meditation, and lifestyle modifications with psychotherapy and medication management.

His approach emphasizes active listening, curiosity, compassion, and even humor—creating a warm and supportive environment. By encouraging patients to integrate their unique life experiences into their treatment, he fosters ownership, empowerment, and active participation in the healing process.

During your first visit, Dr. Patel will review your symptoms, medical and psychiatric history, past treatments, substance use, psychosocial factors, and family history. He will discuss treatment options—including risks and benefits—and determine if his expertise and the telehealth platform are the right fit for your needs. Your safety is his top priority.

Follow-up visits focus on monitoring progress, adjusting treatments, maintaining stability, and supporting your motivation to achieve your fullest potential.

Dr. Stephen Cox earned his medical degree and completed his residency at the University of Toledo Medical College. He is a board-certified psychiatrist with over 20 years of experience providing care in outpatient, inpatient, university health, nursing home, and correctional settings. He has developed treatment relationships with patients from diverse backgrounds, enriching his clinical knowledge and informing his decision-making. Outside of work, he enjoys spending time with his family, hiking, and listening to music.

Patients working with Dr. Cox can expect a relationship grounded in respect, empathy, and collaboration. He prioritizes listening carefully, creating a safe space to share thoughts and history without judgment.

Early sessions involve a thorough assessment of symptoms, life circumstances, medical history, and personal goals. Dr. Cox collaborates with patients to balance therapy, lifestyle adjustments, and medication. He regularly reviews progress and adjusts care based on feedback, ensuring patients feel understood as whole individuals. The treatment relationship is a partnership that promotes healing, growth, and well-being.

Michelle Scott is a dual board-certified Psychiatric, Family, and Emergency Nurse Practitioner with 16 years of experience. She has an extensive background in psychiatry across the lifespan, emergency medicine, and internal medicine. Her psychiatric expertise includes a strong focus on adult outpatient and inpatient care. Michelle has also served as an acute care hospitalist and held leadership roles, including Assistant Medical Director, in multiple acute psychiatric facilities.

She brings additional experience in addiction treatment and is skilled in cognitive behavioral therapy (CBT), motivational interviewing, and problem-focused therapy. Michelle provides holistic care that addresses a wide range of needs, including mood and anxiety disorders, autism, genetic disabilities, and adult addiction issues.

With over a decade and a half of experience treating individuals of all ages for both acute and chronic medical and psychiatric conditions, Michelle understands the profound impact the right provider can have on a patient’s life. Her goal is to achieve positive, sustainable outcomes through a comprehensive approach that integrates multiple treatment modalities and addresses the whole person.

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Dr. Kevin DiCesare is a board-certified psychiatrist, treating 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, ADHD and other disorders. He is well versed in psychopharmacological interventions, but is a proponent of patients also being active in psychotherapy whenever appropriate. He prides himself in 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.

Severine Dondina, PMHNP-BC, is a board-certified psychiatric nurse practitioner with licensure in Washington and Florida. She holds a Master of Science in Nursing from the University of Alabama at Birmingham and graduated summa cum laude with dual bachelor’s degrees in nursing and biomedical science. Her background spans outpatient, community, forensic, and crisis psychiatry, including leadership roles with Florida’s Assertive Community Treatment (FACT) and Multi-Disciplinary Forensic Teams.

Currently serving patients in Washington, Severine treats adults with ADHD, anxiety, depression, PTSD, and bipolar disorder. She brings a trauma-informed, strengths-based approach to care and is deeply committed to creating affirming spaces for LGBTQ+ and gender-diverse individuals. Her clinical style combines evidence-based medication management with warm, collaborative support.

Trilingual in English, French, and Spanish, Severine is known for her cultural sensitivity, clinical rigor, and authentic presence. She approaches each patient with curiosity, humility, and respect—believing healing begins with connection.

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