Holly Hunter, MD

Dr. Robert Smeed, DO, is a board-certified psychiatrist with a passion for healing the human mind and consciousness. He earned his Doctor of Osteopathic Medicine from Lake Erie College of Osteopathic Medicine and completed his Psychiatry Residency at Wayne State University College of Medicine. Certified by the American Board of Psychiatry and Neurology (ABPN), Dr. Smeed served as an outpatient psychiatrist at Veterans Affairs for 11 years, honing his expertise in mental health care. Driven by a deep interest in consciousness and innovative treatments, he combines talking therapies, neuromodulation, and modern psychopharmacology to help patients achieve lasting wellness.

Dr. Smeed is proficient in treating a wide range of psychiatric conditions while specializing in treatment-resistant depression, neurodevelopmental disorders, anxiety and trauma disorders. His treatment style is empathic and collaborative, emphasizing family dynamics and relationships while integrating psychodynamic principles with biopsychosocial models. He approaches each patient with creativity, using open-ended discussions and innovative therapeutic and psychopharmacologic strategies to tailor care, ensuring a personalized and effective treatment experience.

Dr. Smeed begins with open-ended dialogue, allowing patients to develop their narrative, which is often therapeutic. Treatment plans are customized to patient needs and align with diagnostic standards of care. He incorporates medication reviews, mindfulness techniques, cognitive behavioral therapy (CBT), supportive therapy, and psychodynamic approaches. Dr. Smeed also educates patients on lifestyle factors, such as diet and exercise, to support mental health, fostering a holistic and individualized path to wellness.

Svetlana Schwartz, PMHNP, is a board-certified psychiatric nurse practitioner with 18 years of experience in outpatient psychiatry. She provides care for individuals with a wide range of mental health conditions, including depression, anxiety, substance use disorders, ADHD, bipolar disorder, OCD, schizoaffective disorder, and schizophrenia.

Her practice focuses on medication management, often combined with supportive or cognitive behavioral therapy. Svetlana earned her Master of Science in Nursing with a specialty in adult psychiatry from the University of Massachusetts Lowell and her Bachelor of Science in Nursing from the University of Massachusetts Boston. She is trained in psychiatric diagnosis, medication management, and both psychodynamic and cognitive-behavioral therapies.

Over the past 18 years, Svetlana has gained extensive experience evaluating and treating adults in outpatient settings. She previously worked at Arbour HRI Outpatient Clinic in Massachusetts and, for the past decade, has served patients at Memorial Healthcare System in Florida.

Svetlana believes that addressing mental health is just as important as addressing physical health. At Memorial Healthcare System, she collaborated with the Mind-Body Wellness Clinic to support both the medical and psychiatric needs of her patients. She has also contributed to the training of psychiatric and internal medicine residents in outpatient psychiatry. Her approach emphasizes the integration of medication management with individual therapy to provide comprehensive, patient-centered care.

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Dr. Saba Mughal is a board-certified adult psychiatrist with over 5 years of experience in providing compassionate, patient-centered care. Specializing in the diagnosis, treatment, and management of a wide range of mental health conditions, Dr. Mughal works closely with individuals facing challenges such as depression, anxiety, bipolar disorder, PTSD, and OCD.‍Dr. Mughal employs an integrative approach to treatment, combining evidence-based therapies like Cognitive Behavioral Therapy (CBT), medication management, and mindfulness techniques, tailored to each patient's needs. In addition to individual therapy, Dr. Mughal collaborates with family members and other healthcare providers to ensure a holistic and coordinated treatment plan.‍With a deep commitment to supporting emotional well-being, Dr. Mughal fosters a warm, non-judgmental environment where patients feel heard, respected, and empowered to take an active role in their mental health journey. Dr. Mughal believes that mental health is integral to overall wellness, and works to reduce stigma surrounding psychiatric care by promoting open dialogue and understanding.‍Dr. Mughal completed her medical school at Jinnah Sindh Medical University, Pakistan and completed her residency training at Nassau University Medical Center, East Meadow, NY. She is a member of APA and a diplomat of the American Board of Psychiatry & Neurology. She is passionate about advocating for mental health awareness in the community.

Dr. Bryant graduated from Mount Sinai School of Medicine to complete her adult training and the Yale Child Study Center/Riverview Hospital for Children Program to complete her fellowship in Child and Adolescent Psychiatry. A native Texan, she returned to Tyler, TX in 2020 to accept the position of Chair of the Department of Psychiatry and Behavioral Medicine at the University of Texas Health Science Center at Tyler. She also established an accredited child and adolescent psychiatry fellowship in Tyler. Prior to that, she served as the Director of the Child and Adolescent Psychiatry Division at the University of Mississippi Medical Center where she was also the Program Director of the Child and Adolescent Psychiatry Fellowship. She received her medical degree from the University of Texas Southwestern Medical School. Working with survivors of trauma has always been an important part of Dr. Bryant's practice. She currently serves as the co-chair of the American Academy of Child and Adolescent Psychiatry's Committee on Child Maltreatment and Violence and she is a representative for the National Health Collaborative on Violence and Abuse. Dr. Bryant also served as the program director of the Eating Disorders and Trauma Recovery program at Menninger Clinic in Topeka. She is board certified in adult, child and adolescent psychiatry and she has over 32 years of experience as a practicing psychiatrist. Dr. Bryant specializes in the treatment of anxiety disorders, obsessive-compulsive disorder, mood disorders, developmental disorders, Post-Traumatic Stress Disorder, Attention Deficit Hyperactivity Disorder, and family relational problems for both children and adults. She believes that "knowledge is power" and that the more a person can understand about how the brain is affected by various mental health conditions, the more treatment makes sense.

*THIS PROVIDER CANNOT PRESCRIBE CONTROLLED SUBSTANCES FOR NH PATIENTS* Doctor Phillip Sullivan is a staff psychiatrist at Talkiatry. He is board certified in both adult psychiatry and child and adolescent psychiatry. His interest in psychiatric treatment was originally triggered by the humanistic writings of Abraham Maslow, Carl Rogers, and Rollo May. As he earned his medical degree and started post-graduate psychiatric training, he went on to learn psycho-pharmacological, cognitive-behavioral, and psychodynamic treatment approaches. He combines these perspectives in diagnosing and treating psychiatric conditions including depression, bipolar spectrum disorders, anxiety, stress and trauma related disorders, adjustment problems, maternal mental health, OCD, ADHD and other disorders. His practice focuses on supportive pharmacological treatment, and he sees listening and empathy as essential elements of the treatment process. He strives to provide a comfortable experience in which doctor and patient work together to understand the presenting problems, develop a treatment plan, reduce symptoms, and optimize functioning. Doctor Sullivan supports and encourages concurrent psychotherapy and will work collaboratively with therapists to optimize the best treatment results. Doctor Sullivan received his MD degree from Brown University Alpert School of Medicine. After completing a medical-surgical internship, he went on to a residency in adult psychiatry and a fellowship in child and adolescent psychiatry at Harvard Medical School's Massachusetts Mental Health Center. He has held academic appointments at Harvard Medical School and the University of New England School of Osteopathic Medicine. In the 36 years following completion of his training, he has worked as the medical director of a mental health center on the under-served Eastern Shore of Maryland, as the medical director of a child and adolescent psychiatric inpatient unit, as a staff psychiatrist at New Hampshire's Dartmouth Hitchcock Clinic, and as the medical director of child and adolescent psychiatric services at Concord New Hampshire's mental health center. Before joining Talkiatry, he served for 18 years as the chief of psychiatry at Southern New Hampshire Medical Center where he also spent three years as the hospital's chief of staff.

Dr. Routhier was born in Quebec, Canada. She attended medical school at Ross University School of Medicine and graduated in three years with high honors. She trained as a psychiatry resident at Case Western Reserve School of Medicine in Cleveland, OH where she served as a junior attending and the medical student coordinator. She then was recruited by Monterey County Behavioral Health, CA as a clinical psychiatrist where she provided medication management and psychotherapy services to over 400 patients over the course of five years. She also created and led two dialectical behavior therapy groups for teens and young adults while training therapists and social workers to become group facilitators.

Dr. Routhier firmly believes in the mind-body connection. She feels that when the mind suffers, the body hurts as well and vice versa. As a result, she has developed a holistic approach to psychiatry and is comfortable offering a wide array of treatment modalities such as breathwork, dialectical behavior therapy, guided meditation, supportive psychotherapy, behavioral activation and medication management. She maintains that autonomy and a thorough understanding of one’s diagnosis and prognosis are critical for progress and healing. Her broad range of worldly experiences gives her the ability to work in a non judgemental, open-minded and authentic fashion. She connects with clients with ease and is passionate about self-awareness, constant evolution and empowering people so they can find their own way to happiness and health. She pushes her clients to find ways to build a life worth living, way beyond the goal of symptom resolution typical to psychiatry.

1. Getting to know you/understanding your “why”. Why are you seeking mental health treatment and why now? 2. Establish a list of issues and improvement zones. 3. Creating therapeutic goals. What do you want to work on? 4. Choosing treatment modalities to directly address these goals within a specific time frame. I provide updated and evidence-based information, and YOU choose what we do. 5. Figuring out the root causes to problems, symptoms and maladaptive behaviors/habits. How did this all start? Where does it come from? 6. Regular check-ins on how the treatment plan and therapeutic relationship are working for you. Are we a good fit? Are we meeting your goals/expectations? If not, back to the drawing board!