Joseph Smith, LMHC

Emily Romeo, LPC holds a license as a professional counselor in the state of Pennsylvania. She has over 15 years of experience working with a broad range of individuals at varying levels of care and clinical severity. Emily is board-certified in clinical mental health counseling by the National Board for Certified Counselors. Emily approaches therapy in an integrative, client-centered manner. She implements a variety of therapeutic techniques to include mindfulness, dialectical behavioral, acceptance and commitment concepts, psychoeducation, and trauma-informed care. She values the therapeutic relationship and strives to provide a safe, accepting atmosphere to ensure her clients feel heard, validated, and empowered. Emily received her master's degree from Messiah College and her undergraduate work was completed at the Pennsylvania State University. Emily has provided clinical care to a variety of individuals ranging from those struggling with complex trauma and substance use disorders to children/adolescents/adults dealing with anxiety, depression, mood instability and adjustment difficulties related to life changes. She has expertise in a variety of counseling settings including outpatient, partial hospitalization, residential, and in-home. She utilizes multiple treatment modalities which include individual, group, and couples/family therapy. An area of interest for Emily includes working with young adults struggling with co-occurring disorders. As the clinical coordinator of Silvermist Recovery, a premier residential treatment facility, she has been able to expand her clinical skills. Her philosophy is based on Acceptance and Commitment Therapy (ACT), a transdiagnostic model that allows her to provide high quality care to her patients.

Severine Dondina, PMHNP-BC, is a board-certified psychiatric nurse practitioner with licensure in Washington and Florida. She holds a Master of Science in Nursing from the University of Alabama at Birmingham and graduated summa cum laude with dual bachelor’s degrees in nursing and biomedical science. Her background spans outpatient, community, forensic, and crisis psychiatry, including leadership roles with Florida’s Assertive Community Treatment (FACT) and Multi-Disciplinary Forensic Teams.

Currently serving patients in Washington, Severine treats adults with ADHD, anxiety, depression, PTSD, and bipolar disorder. She brings a trauma-informed, strengths-based approach to care and is deeply committed to creating affirming spaces for LGBTQ+ and gender-diverse individuals. Her clinical style combines evidence-based medication management with warm, collaborative support.

Trilingual in English, French, and Spanish, Severine is known for her cultural sensitivity, clinical rigor, and authentic presence. She approaches each patient with curiosity, humility, and respect—believing healing begins with connection.

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Dr. Caitlin Tillberg (she/her) is a board-certified psychiatrist. She has a BA in musicology and cognitive science from Oberlin College, an MD from Quinnipiac University in Connecticut, and completed general adult psychiatry residency at Duke University. Dr. Tillberg practices patient-centered and trauma-informed care, valuing patient autonomy and collaborative decision-making, acknowledging the burden many people carry from intersecting oppressions. She believes therapy is important � often equally important as medication, or more � and will work together with you to make a realistic treatment plan that will fit into your life. Dr. Tillberg also has a niche working with people with complicated relationships with their bodies, whether due to disordered eating, gender dysphoria, chronic illness/disability, or trauma. She welcomes LGBTQ+ patients, including trans and non-binary adults. She also enjoys working with patients with OCD, as well as autistic/neurodivergent adults (including those seeking adult autism evaluation). Please note Talkiatry is most appropriate for autistic patients with Level 1 (or case-by-case Level 2) support needs and who are verbal. Regarding eating disorders: Please note that for patient safety, per Talkiatry policy, Dr. Tillberg is unable to work with patients with current active anorexia nervosa or bulimia nervosa (or significant relapse in the last 6 months), or with patients requiring current regular medical or lab monitoring for complications of binge-eating disorder or ARFID. Bariatric surgery patients are welcome if medically stable. Patients with current disordered eating that does not rise to the level of a formal diagnosis of anorexia or bulimia, or with a past history of anorexia or bulimia in sustained remission, will be evaluated on a case-by-case basis at the first appointment. Dr. Tillberg looks forward to meeting you.

Andrea Roth is an LCSW in New York. Her recent work was at a community-based mental health clinic, where she worked with people of all ages and with various goals for counseling. She has 18 years of experience in human service and nonprofit organizations. She previously worked at a community organization in Syracuse that provides support to people with sensory loss, to maintain or establish independence. Additionally, she worked as a therapist with a Mobile Crisis team. Andrea received a Master's Degree in Social Work and a BA in Psychology from Syracuse University. She has also completed training in Conflict Resolution. Her therapeutic approach is client-centered and strengths-based, emphasizing collaboration and empowerment. She believes in creating a safe and supportive environment where clients can explore their concerns, gain insight, and develop skills to cope effectively with life's challenges. Her clinical approach is to utilize the treatment model that best fits the unique needs of each individual. She strives to be sensitive to the various factors that might impact a person's identity, such as culture, ethnicity, disability, neurodivergence, or being part of the LGBTQ+ community. Andrea's work is informed by several different modalities, including CBT, DBT, IFS, and Mindfulness-based interventions. She has experience treating many mental health conditions such as Anxiety, Depression, Bipolar disorder, Trauma, Anger, Grief, and PTSD.

Dr. TreSina E. Steger (Dr. Tre) is a licensed professional counselor (LPC) who has practiced as a mental health therapist for several years. She received a Bachelor of Science degree from Mount Olive College, in NC, a Master of Science in Psychology and Clinical Mental Health Counseling from Capella University, in MN, and a Doctorate in Education, in Higher Educational Leadership from Liberty University in VA. She has worked in business, outpatient mental health, non-profits, in private practice, and with the military. She is a National Certified Counselor (NCC), a Board Certified Tele-Mental Health Provider (BC-TMH), Certified Dialectical Behavioral Therapist (CDBT), and Certified Trauma Focused Cognitive Behavioral Therapy (C-TFCBT). Dr. Tre uses person-centered, solution-focused, DBT, CPT, CBT, motivational interviewing, mindfulness, psychodynamic, and other approaches to assist clients. She strides in aiding clients work on attachment issues, relationship problems, ADHD, self-esteem, self-worth, gender identity, boundary issues, trauma, depression, and anxiety. Dr. Tre has worked with clients from a variety of backgrounds, populations, and identities and takes pride in being a LGBTQIA+ affirming, a gender-affirming, BIOPC therapist who has worked with clients who have experienced various types of traumas. Clients will find she has a conversational tone, direct, non-judgmental approach when addressing their therapeutic goals and provides a safe space for them to do their work.

Tiffany Chaille is a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP) with nearly a decade of clinical practice and over 15 years of experience working in behavioral health. Her background includes inpatient and outpatient psychiatry, crisis-focused care, community mental health, integrated pain and psychiatry care, and telepsychiatry. She has a growing interest in functional and integrative approaches to mental health. Tiffany earned her Master of Science in Nursing as a PMHNP from Indiana University and her Bachelor of Science in Nursing from Indiana State University.

Tiffany believes mental health care is most effective when patients feel comfortable, supported, and truly heard. She takes a calm, compassionate, and nonjudgmental approach, meeting patients where they are. Her care focuses on practical, real-life treatment plans while considering sleep, stress, medical factors, and lifestyle influences. She values collaboration and aims for patients to feel informed, involved, safe, and confident throughout their care.

Tiffany begins by getting to know the person beyond the symptoms and understanding what brought them to care. She works collaboratively to develop individualized, realistic treatment plans using evidence-based medication management. Ongoing follow-up, thoughtful adjustments, clear communication, and a whole-person approach guide her work, with an emphasis on consistency and long-term support.