Jacqueline Lewandowski, MD

Dr. Garrick Gaffney is board certified in psychiatry by the American Board of Psychiatry and Neurology (ABPN). He earned his medical degree from Kansas City University and completed his psychiatry residency at John Peter Smith Hospital in Fort Worth, Texas. A combat veteran, he served in the U.S. Marine Corps, including a tour in Iraq, and was honored with the Navy and Marine Corps Achievement Medal and a Certificate of Commendation for exemplary leadership.

During medical school, Dr. Gaffney pursued advanced training as an Osteopathic Manipulative Medicine fellow. As a resident, he served as Chief Academic Resident and earned accolades such as Intern of the Year and Outstanding Educator of the Year twice consecutively.

Dr. Gaffney specializes in treating complex psychiatric conditions, including depression, anxiety, PTSD, OCD, bipolar disorder, and insomnia. He has presented case studies and quality improvement projects at national conferences, including the American Psychiatric Association (APA), Academy of Consultation-Liaison Psychiatry, and Association for Academic Psychiatry.

A proponent of holistic care, Dr. Gaffney integrates psychotherapy into medication management and emphasizes lifestyle modifications and evidence‑based integrative medicine.

New patients receive comprehensive evaluations to rule out medical causes of symptoms, followed by tailored treatment plans combining therapy, medication, and lifestyle adjustments. Follow‑up visits focus on symptom management through supportive, brief dynamic, or cognitive behavioral therapy, with frequent appointments until stabilization is achieved.

Dr. Gaffney is committed to collaborative, patient‑centered care that addresses both mental and physical well‑being.

Deborah Bearman, PMHNP, is a board-certified psychiatric nurse practitioner dedicated to helping individuals facing mental health challenges live more fulfilling lives.

She earned her Master of Science in Nursing with a specialty in psychiatry from SUNY Upstate Medical University. Deborah is trained in psychiatric diagnosis, medication management, and both psychodynamic and cognitive behavioral therapies. Over the past 10 years, she has gained valuable experience in a variety of settings, including inpatient and outpatient facilities, community mental health clinics, and private practice.

Deborah approaches adult mental health from a holistic perspective, combining medication management with supportive counseling, which she offers during 30-minute follow-up sessions. While her primary focus is medication management, she believes most individuals benefit from therapy as well. She has extensive experience in both psychodynamic and cognitive behavioral therapies and is committed to providing psychoeducation to patients, families, and caregivers.

As a psychiatric nurse practitioner, Deborah values the therapeutic relationship and its positive impact on daily functioning. By working collaboratively with patients to create comprehensive and effective treatment plans, she supports them in achieving healthier, more satisfying lives.

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Dr. Sabrina Lefcochilos-Fogelquist earned her bachelor’s degree from Georgetown University and her medical degree from Sidney Kimmel Medical College at Thomas Jefferson University. She completed her psychiatry residency at the Icahn School of Medicine at Mount Sinai Morningside/West in New York City. She has experience in outpatient, inpatient, and emergency psychiatry, treating a broad spectrum of mental health conditions across diverse populations.

Dr. Lefcochilos-Fogelquist values compassionate, holistic care and strives to build long-term, collaborative relationships with her patients. She is particularly drawn to the outpatient setting, where she can engage with the evolving narratives of her patients’ lives. She creates a warm, supportive environment where individuals feel safe, respected, and heard.

Her process begins with a comprehensive evaluation to understand each patient’s history, concerns, and goals. Treatment plans are individualized and may include medication management and psychotherapy. She integrates supportive, cognitive behavioral, psychodynamic, and mindfulness-based techniques to meet patients' evolving needs.

Dr. Alejandra Vivas is board-certified in adult psychiatry and board-eligible in child and adolescent psychiatry. She completed her general psychiatry residency at Montefiore Medical Center and a child and adolescent fellowship at Mount Sinai School of Medicine. Dr. Vivas brings extensive experience from outpatient, emergency, and telepsychiatry settings. She has advanced training in CBT, Motivational Interviewing, and Psychodynamic Therapy. Fluent in English and Spanish, she is committed to culturally sensitive, individualized care.

Dr. Vivas fosters a warm, respectful, and professional space where patients feel seen and empowered. She values open communication and builds collaborative relationships to align treatment with each person’s values, goals, and lifestyle. Her approach is integrative and flexible, grounded in evidence-based methods to support lasting, meaningful change.

Dr. Vivas begins with a thorough evaluation to understand each patient’s history and goals. She creates customized treatment plans that may include therapy, medication, or both. Drawing on CBT, Motivational Interviewing, and Psychodynamic Therapy, she adapts care to meet evolving needs, aiming to relieve symptoms, foster resilience, and support long-term well-being.

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Background and credentials

Dr. Sabera Saklayen is a board-certified psychiatrist licensed in Adult Psychiatry. She earned her bachelor’s degree from Ohio State University and her medical degree from Wright State University Boonshoft School of Medicine. She completed her psychiatry training at Stony Brook University Hospital, where she served as chief resident and was awarded the William Turner Award for outstanding performance in psychiatry residency. She has extensive experience treating diverse populations, including vulnerable and underserved communities, having worked as an outpatient psychiatrist at Bellevue Hospital for two years.

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Treatment approach

Dr. Saklayen specializes in medication management but takes a holistic, patient-centered approach that integrates supportive therapy, cognitive-behavioral therapy (CBT), and motivational interviewing (MI). She has extensive experience treating depression, bipolar disorder, generalized anxiety, panic disorder, social anxiety, OCD, insomnia, and substance use disorders. She is particularly skilled in treating college students and individuals navigating difficult life transitions. If more in-depth therapy is needed, she may refer patients to a therapist as part of a comprehensive care plan.

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What you can expect in a first visit

During the first visit, patients can expect a thorough and compassionate evaluation, where Dr. Saklayen carefully assesses symptoms, history, and treatment goals. She prioritizes collaboration and individualized treatment planning, ensuring that patients feel comfortable and supported in their mental health care. Follow-up visits are typically 30 minutes and focus on medication management and therapy integration, with referrals to additional therapy when needed for the best possible outcome.

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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. Thomas Simeone is Board Certified by the American Board of Psychiatry and Neurology in Psychiatry.  Following his completion of medical school at Universidad Autonoma de Guadalajara, he completed his Fifth Pathway Clinical Training at New York Medical College.  He then completed his Psychiatry Residency at Tuft's University in Boston, MA, and went on to complete a Child and Adolescent Fellowship Program at the University of Florida in Gainesville FL.  He has since worked in both hospital inpatient and outpatient settings, as well as in Residential Treatment for adolescents. Dr. Simeone has treated a wide spectrum of mental health conditions including Anxiety and Depression Disorders, as well as Mood Disorders and Post Traumatic Stress Disorder. He has also treated ADHD, OCD and Eating Disorders in adults and adolescents. Dr. Simeone has worked in Telehealth Practice for the past 4 years. He is a Fellow of the American Psychiatric Association (APA) and a member of the American Medical Association (AMA).

Dr. Simeone utilizes medication management and psychotherapy practices to achieve treatment goals for his patients.  During an initial assessment and evaluation, a thorough review of the patient's previous mental health treatment is considered.  Dr. Simeone assesses patients' acute symptoms including recent stressors and exacerbating factors and then establishes a comprehensive treatment plan with the patients' goals in mind.  Psychotherapy with medication is incorporated into the treatment plan of all patients.  Dr. Simeone always aims to achieve full remission of symptoms for his patients.

Dr. Simeone's practice focuses on medication management with facets of various psychotherapeutic techniques.  He conducts 30 medication management follow up sessions. Dr. Simeone is a sincere and empathic physician who advocates for patient autonomy and believes in a direct and transparent approach to patient treatment. He encourages active patient participation in their treatment plans.

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