Ian Goldberg, MD

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.‍

Dr. Cash attended Wright State University Boonshoft School of Medicine, where she developed a strong foundation in medicine and a passion for psychiatry. She completed her residency at Wright State University, honing her skills in understanding and treating mental health conditions.

Dr. Cash has worked in various outpatient settings, treating patients with mental health disorders including depression, anxiety, PTSD, ADHD, and mood disorders. She is board-certified in general psychiatry and addiction medicine, and believes in a holistic approach to care. Dr. Cash is committed to helping patients navigate their mental health journeys and to providing compassionate, personalized care.

Dr. Cash works closely with patients to develop treatment plans that combine medication, lifestyle changes, and psychotherapeutic strategies to address their unique needs.

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.

Background and credentials

Dr. Shama Milon is a triple-board eligible physician in Pediatrics, Psychiatry, and Child and Adolescent Psychiatry. She earned her undergraduate degree from Duke University and her medical degree from the University of Cincinnati College of Medicine. She completed her combined training in Pediatrics, Psychiatry, and Child and Adolescent Psychiatry at the Icahn School of Medicine at Mount Sinai in New York, where she served as chief resident during her final year of training.

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Treatment approach

Dr. Milon specializes in treating mood disorders, anxiety, PTSD, ADHD, OCD, and patients with co-occurring psychiatric and medical conditions. She is dedicated to outpatient care, focusing on long-term relationships with her patients. Her treatment approach is comprehensive, integrating medication management with psychotherapy, including psychodynamic psychotherapy, cognitive-behavioral therapy (CBT), dialectical behavior therapy (DBT), play therapy, dyadic therapy, and family therapy. She emphasizes creating an empathetic, judgment-free space where patients and families feel supported and understood. If she believes additional therapy is necessary, she may recommend adding a therapist to the care team.

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What you can expect in a first visit

During the first visit, patients can expect a comprehensive psychiatric evaluation, where Dr. Milon carefully assesses physical, emotional, and psychological needs. She takes a holistic and patient-centered approach, ensuring that treatment plans are tailored to each individual’s unique circumstances. She prioritizes open communication and collaboration with both patients and families to create a structured, effective treatment plan that may include medication management and therapy interventions.

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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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Dr. Amara (She/Her) is an American Board of Psychiatry and Neurology certified psychiatrist. She earned her bachelor's degree in psychology and arts from the University of Albany. She then graduated from St. Matthews University's School of Medicine in the Grand Cayman Islands. After completing her residency at LSUHSC-Ochsner program in 2016, she worked at Ochsner Medical Center, New Orleans for 7 years. Her roles there included working with patients in the field of Consultation Liaison psychiatry. In addition, she was the medical director of the behavioral medical unit (IOP) and the lead of the transcranial magnetic stimulation clinic. Dr. Amara has been very involved in academics and won the Faculty Member of the year, Adult Psychiatry Program, LSU-Ochsner 2021, Teaching Excellence Award in Psychiatry University of Queensland 2019 and Roger Hatchette Award of Excellence in Emergency Psychiatry 2016. She then served in her community at Crescent Care FQHC clinic in 2023. Her interests include providing care for various behavioral health concerns, including Adjustment disorder, Mood disorders, including Treatment resistant depression, Anxiety disorders, PTSD, Neurodegenerative illnesses, Somatic disorders, Gender Dysphoria, and LGBTQIA2S+ community inclusive care. Dr. Amara's practice is focused on the functionality of a person in their life, including relationships, career, physical wellness and living a robust life. She provides primarily medication management but also includes Supportive therapy, Action Oriented therapy, Cognitive Behavioral Therapy, and Motivational interviewing when appropriate. Her style is very approachable, inclusive and always grounded in humanistic values.**THIS PROVIDER CANNOT PRESCRIBE CONTROLLED SUBSTANCES FOR LOUISIANA PATIENTS**

Dr. Thomas O’Brien holds a Bachelor of Science degree from the University of Wisconsin–Madison and earned his medical degree from Midwestern University Chicago College of Osteopathic Medicine. He completed his psychiatry residency at Loyola University Medical Center. Dr. O’Brien has experience practicing across outpatient, PHP, IOP, and inpatient settings.

He strives to create a supportive environment where patients feel heard, respected, and understood. His approach emphasizes a holistic, whole-person method to healing, guided by the patient’s own goals and values. Dr. O’Brien integrates psychotherapy with medication management, drawing on his background in psychodynamic psychopharmacology and acceptance and commitment therapy.

Dr. O’Brien focuses on understanding each patient as a whole to create individualized treatment plans. This begins with a comprehensive history during the initial session to identify biopsychosocial factors. Treatment is then tailored to align with the patient’s unique goals and values, promoting meaningful progress.