Jessica Grimes, DO

Rebecca Kostopoulos, PMHNP, is a board-certified psychiatric nurse practitioner committed to helping individuals facing mental health challenges lead full and balanced lives.

Her practice primarily focuses on medication management, often combined with supportive or emotionally focused therapy during 30-minute follow-up visits. When appropriate, Rebecca may recommend involving an additional therapist to ensure the most effective and comprehensive care.

She earned her Master of Science in Nursing with a specialization in psychiatry from Columbia University and her Bachelor of Science in Nursing from Boston College. Her training includes psychiatric diagnosis, medication management, and both psychodynamic and cognitive-behavioral therapies.

With over a decade of experience, Rebecca has evaluated and treated adults in a variety of clinical settings. Her previous roles include working at Elmhurst Hospital’s Comprehensive Psychiatric Emergency Program, Gracie Square Hospital’s inpatient unit, as well as in community health centers and skilled nursing facilities.

As a nurse practitioner, Rebecca believes that mental health is just as vital as physical health. She values the therapeutic relationship and approaches treatment with empathy and collaboration, ensuring that each patient receives personalized and compassionate care.

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Thomas Reis is a clinical social worker, independently licensed in Massachusetts. He has 13 years of experience working as a psychotherapist providing psychotherapy to adults both in an outpatient setting and through telehealth. Thomas has experience working with anxiety and mood disorders, attention-deficit/hyperactivity disorder and stress. He specializes in helping people navigate challenging life transitions, existential crisis, addictions, including chemical, behavioral, and process addictions. Thomas helps others empower themselves to improve their self-esteem and the quality of their relationships by teaching healthy boundaries, assertive communication, and active listening skills. By utilizing teach strategies and interventions from Motivational Interviewing, Cognitive Behavioral Therapy, Acceptance and Commitment Therapy and Solution Focused Brief Therapy Thomas takes a client centered approach while working with his clients. He enjoys his work and is passionate about helping people who want help. He attempts to empower clients to work toward achieving their own individual goals at their own pace while being empathetic and open-minded. Thomas works with his clients to create an open and safe environment where thoughts and feelings can be shared without fear of judgment.

Background and credentials

Dr. Schaefer is a board-certified adult psychiatrist with over 16 years of experience. She earned her medical degree from the University of Nebraska Medical Center in Omaha, NE, and completed her adult psychiatry residency at Oregon Health and Science University in Portland, OR. She then specialized further by completing a forensic psychiatry fellowship at Yale University. She has worked as a staff psychiatrist at Atrium Health System for over 16 years.

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Treatment approach

Dr. Schaefer’s practice primarily focuses on medication management, which she offers in conjunction with supportive therapy and elements of cognitive-behavioral therapy (CBT). She takes a patient-centered and collaborative approach, ensuring that treatment is tailored to each individual’s needs. If additional therapy is required, she may recommend working with a therapist as part of a comprehensive care plan. Her primary focus areas include depression, anxiety disorders, and obsessive-compulsive disorder (OCD).

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What you can expect in a first visit

During the first visit, patients can expect a thorough psychiatric evaluation, where Dr. Schaefer carefully assesses their symptoms, treatment history, and mental health goals. She works collaboratively with patients to develop a personalized treatment plan, which may include medication management and therapy recommendations. Follow-up visits are typically 30 minutes and focus on monitoring progress, adjusting treatment as needed, and ensuring the best possible patient outcomes.

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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. Maria Lapchenko is a Doctor of Osteopathic Medicine (DO) and is double board-certified in adult and forensic psychiatry. She has experience working in both inpatient and outpatient settings and treats a wide range of psychiatric conditions, including anxiety, mood, personality, and trauma-related disorders. Dr. Lapchenko values thoughtful, individualized care and approaches psychiatry with curiosity, compassion, and respect for each patient’s lived experience.

Patients can expect a collaborative, supportive relationship built on trust and shared decision-making. Dr. Lapchenko believes that high-quality psychiatric care starts with listening and understanding each patient’s goals and concerns. She emphasizes transparency, patient education, and tailoring treatment plans to meet individual needs.

Dr. Lapchenko begins with a comprehensive evaluation to understand symptoms, history, and priorities. For many patients, she finds that combining medication management with talk therapy leads to the most effective outcomes, and she is experienced in providing both. She currently provides virtual care to adult patients in Pennsylvania, Ohio, and New York.

Jeanine Foley is a board-certified Psychiatric-Mental Health Nurse Practitioner (PMHNP-BC) with over a decade of experience in both inpatient and outpatient settings. She holds a Doctorate of Nursing Practice from the University of Colorado Denver, an MSN from Vanderbilt University, and a BS from Boston University. Her career includes service as an active duty PMHNP in the U.S. Air Force and roles in the VA and private psychiatric hospitals. She also serves as Adjunct Clinical Faculty for a PMHNP graduate program.

Jeanine believes in patient-centered care built on trust, collaboration, and respect for each individual’s life story. She integrates medication management with therapeutic techniques and creates a safe, inclusive space that is trauma-informed and aligned with each patient’s values. Jeanine emphasizes genuine connection and strives to help clients explore root causes of distress—not just manage symptoms.

Jeanine begins with a comprehensive, collaborative assessment of each patient’s medical, psychiatric, and psychosocial history. She partners with patients to develop flexible, personalized treatment plans that support holistic mental health. Her approach combines psychopharmacologic and psychotherapeutic interventions, continuously adjusting plans based on feedback and progress.

Michelle Harris is a board-certified psychiatric mental health nurse practitioner (PMHNP). She earned her Master of Science in Nursing in the psychiatric mental health track at the University of Saint Joseph and her Bachelor of Science in Nursing from the University of Connecticut. Her training includes psychiatric diagnosis, medication management, cognitive behavioral therapy, and motivational interviewing. With over a decade in psychiatric mental health care and 5+ years as a PMHNP, she has worked in outpatient, private practice, telehealth, inpatient, and homecare settings, treating patients from diverse backgrounds, including neurodivergent, LGBTQ+, BIPOC, and immigrant populations. She has a particular interest in ADHD, depression, anxiety, and OCD.

Michelle values a holistic approach to mental health and believes culturally sensitive care is essential. She strives to create a supportive environment for patients of all backgrounds and sexual orientations, ensuring each person feels understood, respected, and empowered in their care.

Michelle focuses on medication management with supportive therapy as appropriate. Initial sessions involve gathering a detailed patient history and discussing individual concerns. She works collaboratively with each patient to develop a personalized treatment plan, addressing their unique needs and goals.