Jennifer Snowden, MD

More Clinicians

Dr. Cindy Rossetti is board certified in Adult Psychiatry. She has been practicing for over 13 years. Dr. Rossetti received her medical degree from The University of Arkansas for Medical Sciences in Little Rock. She completed her general psychiatry residency at the University of Kentucky in Lexington where she was chief resident. She worked at Eastern State Hospital in Kentucky treating severe and persistent mental illness. She spent most of her post-graduate time providing outpatient care in a rural and underserved area of Arkansas. Dr. Rossetti offers both medication management and therapy together in 30- and 45-minute follow-up visits. Dr. Rossetti enjoys treating adults of all ages. Her areas of interest include ADHD, Depression, Anxiety, and Autism in adults. She enjoys addressing areas such as personal growth, stress management and self-care. Her treatment is patient-centered and geared toward individual healing and wellness.

Kevin DiCesare, MD

Staff Psychiatrist

*THIS PROVIDER CANNOT PRESCRIBE CONTROLLED SUBSTANCES FOR NH PATIENTS* Dr. Kevin DiCesare is a board-certified psychiatrist who treats 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, and other disorders. He is well versed in psychopharmacological interventions, but is a proponent of patients also seeing a therapist whenever appropriate. He prides himself on 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.

Meena Shah, MD

Staff Psychiatrist

Dr. Meena Shah is a board-eligible psychiatrist and has been practicing for over 16 years. She specializes in child and adolescent psychiatry. Dr. Shah's practice focuses on medication management in conjunction with supportive and emotionally focused therapy in 30-minute follow up visits. Dr. Shah believes in the importance of building a therapeutic relationship with her patients and families to help achieve their emotional goals. Dr. Shah completed her residency training through Richmond University Medical Center with NY Medical College and completed her fellowship at Brookdale University Medical Center in Brooklyn, NY. Dr. Shah has extensive experience with the child and adolescent population and worked with foster care programs as well as juvenile residential facility programs .Dr. Shah served as Children's Associate Medical Director at Directions for Living Mental Health Clinic and went on to become Medical Director at Sequel Care of Florida. In addition, Dr. Shah also received her Master's degree in Hyperbaric Medicine. She completed her undergraduate studies at the University of Florida with a major in psychology. Dr. Shah's primary clinical focus has been treating children, and young adults with ADHD, mood disorders, anxiety, and helping them establish coping skills to overcome any life obstacle.

Karina Eugenio Vargas, LMHC

Staff Therapist

Karina Eugenio Vargas, LMHC, LPC received a Master of Science in Education and Clinical Mental Health Counseling from St. John's University of New York. She has completed training at Yale's Child Study Center specializing in Child and Adult abuse and has worked in community mental health and outpatient based settings. For the past 5 years, Karina has dedicated her career to trauma-informed care, specifically using CBT. She has experience working with children, adolescents, and adults treating anxiety, depression, family and relationship issues, and other mental health issues. Karina practices from a Psychodynamic framework and integrates other modalities depending on the needs of each client.

Maxwell Schauermann, MD

Staff Psychiatrist

Dr. Maxwell Schauermann is a board-certified addiction psychiatrist. He completed his medical school and residency training at Loma Linda University in sunny Southern California. He was recognized by his colleagues as Chief Resident of inpatient services for his leadership and problem-solving abilities. His passion for caring for people with substance use disorders led him to complete specialized training in Addiction Psychiatry at the University of Washington in 2024. Dr. Schauermann is known for his patient-centric approach and nonjudgmental, easy-going attitude. He typically offers 60-minute new visits and 30-minute follow-up visits. He excels in treating both psychiatric and addiction disorders, utilizing a broad array of therapeutic modalities, including psychiatric medications, supportive therapy, cognitive-behavioral therapy, dialectical behavior therapy, psychodynamic-based therapy, prolonged exposure therapy, and motivational enhancement therapy. His treatment philosophy centers on empowering patients to heal holistically�body, mind, spirit, and relationships�ensuring each individual receives tailored and evidence-based care.

Ayanna Swinton Jamison, MD

Staff Psychiatrist

Dr. Ayanna Swinton Jamison is a board-certified psychiatrist with over 18 years of experience in general, as well as child and adolescent psychiatry. She has extensive experience in counseling, and medication management. Dr. Jamison is committed to educating her patients about their illness and providing personalized care for each patient. Dr. Jamison received her undergraduate degree from Jackson State University. She graduated from Saint Louis University Medical School and completed her residency training in general psychiatry and child and adolescent psychiatry at the University of South Carolina. Dr. Jamison is a proud mom of four who enjoys spending time with her family, and attending her kids' sports events.

Maria Carvajal-Ramirez, MD

Staff Psychiatrist

Dr. Maria Teresa Carvajal is an adult, child, and adolescent psychiatrist. She is originally from Guayaquil, Ecuador, and is bilingual in Spanish and English. Dr. Carvajal earned her medical degree from Universidad de Guayaquil in Ecuador. She then participated in a medical program at The William J. Harrington Training Program for Latin America and the Caribbean, at Jackson Memorial Hospital, an affiliate of the University of Miami in Florida. Afterwards, she completed her adult psychiatry residency at Icahn School of Medicine at Mount Sinai, Bronx Care Health System, and her fellowship in child and adolescent psychiatry at Northwell Health in New York. She has experience working in various settings, including inpatient, outpatient, and emergency departments. Dr. Carvajal has submitted and presented work to the American Psychiatric Association and has also collaborated on a book publication. Dr. Carvajal has experience treating children and adults with anxiety, depression, OCD, PTSD, ADHD, dementia, etc. She utilizes medication management in conjunction with emotional and supportive therapy in 30-minute follow-up visits. She is passionate about her work and understands the impact of mental illnesses in daily life activities and in the family system. She will work with each patient in an individualized manner and will tailor personalized treatment plans that may include pharmacological treatment. In addition, Dr. Carvajal may recommend including a therapist in your care team to provide the best outcome.‍

Arif Patel, DO

Staff Psychiatrist

Dr. Arif Patel is a board-certified adult psychiatrist. He obtained his medical degree from Rowan University School of Osteopathic Medicine and completed his residency training at Authority Health, an affiliate of Michigan State University. In addition, he has completed a Psychoanalytic Psychotherapy Fellowship from the Michigan Psychoanalytic Institute. He has 4 years of clinical experience. Dr. Patel's practice focuses primarily on medication management. Follow-up appointments typically last 30 minutes and incorporate elements of supportive psychotherapy, CBT, and motivational interviewing. Dr. Patel utilizes a collaborative approach to treatment, ensuring that treatment plans align with patients' goals and values. Dr. Patel has extensive clinical experience in various psychiatric settings including inpatient, outpatient, and emergency settings. He has treated patients of various ages and of diverse cultural and spiritual backgrounds. He has extensive training in the community mental health system, where he has treated patients with severe mental illness and substance use disorders. Dr. Patel practices general adult psychiatry. His practice focuses on medication management in conjunction with supportive psychotherapy. Dr. Patel has experience in treating a wide array of psychiatric disorders including mood disorders, anxiety disorders, trauma, and ADHD.

Catherine Cashman, DO

Staff Psychiatrist

Background and credentials

Dr. Catherine Cashman is triple board-certified by the American Board of Psychiatry and Neurology in Adult Psychiatry, Child & Adolescent Psychiatry, and Forensic Psychiatry. She holds two Bachelor’s degrees: one in Finance from New York University, and another in Biology from the University of New Orleans. She earned her medical degree from Nova Southeastern University and completed an Adult Psychiatry residency at LSU Health Sciences Center in New Orleans. Dr. Cashman subsequently completed two fellowships: the first in Child & Adolescent Psychiatry at LSU New Orleans, along with a certification in Infant Mental Health (working with children ages 0–6 years and their caregivers); the second fellowship was in Forensic Psychiatry at the University of Rochester and the Rochester Regional Forensic Unit.

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Treatment approach

Dr. Cashman brings an extensive and specialized skillset to psychiatry, informed by her triple board-certifications. Her treatment approach integrates clinical expertise from adult, child and adolescent, and forensic psychiatry, emphasizing accurate diagnosis, risk assessment, and evidence-based care. With specialized expertise in forensic psychiatry and competency assessments, she employs rigorous evaluation methods to accurately inform treatment planning and risk management, particularly in complex or legally-involved cases.

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What you can expect in a first visit

Patients visiting Dr. Cashman for the first time can expect a detailed and comprehensive psychiatric evaluation. Given her forensic and clinical experience, initial assessments are thorough, focusing on clear diagnostic understanding, individualized risk assessment, and appropriate treatment planning. Patients can anticipate a collaborative, professional, and structured environment aimed at clarifying diagnoses and addressing their unique mental health needs effectively.

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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.

Katrina Myers, LPC

Staff Therapist

Katrina Myers has 20 years of education experience in elementary education with behavioral children, children with special needs and ADHD issues. She has been a behavioral interventionist for children and helped parents and educators come up with ways to help children with emotional disturbances turn their lives around. She has 5 years’ experience as an LPC with treating such disorders as bipolar disorder, anxiety, ADHD issues, post-partum, past trauma issues, depression issues, social anxiety issues, divorce and family therapy issues.

Clients looking for a professional counselor will find that Katrina Myers uses a gentle but open communication approach in her counseling techniques. She believes in a varied therapeutic modality approach with uses of Cognitive behavioral therapy, mindfulness approaches, positive psychology, psychodynamic approaches and humanistic therapy. Katrina Myers has genuine care for helping people find their true happiness and joy in life.

Shubhada Reddy, MD

Staff Psychiatrist

Dr Reddy is double board certified in adult as well as child and adolescent psychiatry. She has experience working at various levels of mental health care. Dr. Reddy has most recently served as the medical director for a partial hospitalization/intensive outpatient program (PHP/IOP) for adolescents in the Dallas/Fort Worth area. She completed her general psychiatry residency at the University of Illinois at Peoria and went on to pursue her child and adolescent psychiatry fellowship at the University of Texas Southwestern. She is knowledgeable in treating patients of all ages and a wide variety of diagnoses including depression, bipolar disorder, anxiety, ADHD, OCD, PTSD, and eating disorders. Dr. Reddy is passionate about working with LGBTQIA+ populations, providing culturally informed care, and taking a person-centered approach to providing comprehensive and individualized treatment to her patients. She is well versed in incorporating psychotherapy in conjunction with medication management. She has experience in incorporating supportive, cognitive behavioral, and dialectical behavioral therapeutic approaches in her care.

Lori Peppers, MD

Staff Psychiatrist

Dr. Peppers works with patients to meet the goals that matter to them. She believes that feeling heard and being understood are key factors in a successful treatment relationship.

She has been working in telehealth since 2018. She has worked extensively with patients dealing with trauma from childhood abuse, assaults, combat, and accidents. She also has a lot of experience treating depression, anxiety disorders, bipolar disorder, ADHD, and personality disorders.

After completing her training, Dr. Peppers worked in private practice and in various roles for the Department of Veterans Affairs. She most enjoys working in the clinic because of the long term follow-up.

Dr. Peppers enjoys her work and includes psychotherapy in her appointments. She offers medication options to treat symptoms but also works with patients to examine behaviors and defenses that may be contributing to their problems. For patients who would benefit from more extensive psychotherapy, she may refer patients to a therapist and work collaboratively with the therapist.

She starts off with a thorough evaluation to make a diagnosis. Then, she works with patients to determine what their treatment goals are and develops a treatment plan to meet those goals.

Jennifer Snowden, MD

Education and training

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