Juliet Nicolescu-Nichols, MD

Dr. Merna Guirguis is a general psychiatrist known for her patient-centered and accessible approach. She blends compassion with evidence-based care, creating a supportive environment where patients feel heard. Her practice integrates psychiatric medication management with psychoeducation, empowering patients to make informed decisions about their treatment.

Dr. Guirguis emphasizes collaboration and transparency. She listens carefully to each patient’s concerns, encourages questions, and works to build a trusting therapeutic relationship. Her style is approachable and adaptable, ensuring patients feel comfortable sharing their experiences and actively participating in their care.

She begins by reviewing each patient’s history, concerns, and goals to craft personalized treatment plans. Dr. Guirguis combines current clinical needs with long-term wellness objectives, adjusting care collaboratively over time. When appropriate, she may recommend additional therapy to complement medication management and optimize outcomes.

Dr. Sara Mateo holds the position of staff Psychiatrist at Talkiatry. She is a board-eligible adult Psychiatrist. Dr. Mateo completed her Medical degree at the University of Benghazi- Faculty of Medicine and finished General Psychiatry Residency training at Tower Health/DrexelPhoenixville Hospital. Throughout her career, Dr. Mateo has actively contributed to various leadership roles and committees, demonstrating her commitment to advancing medical education and promoting diversity in the field. During her training, she generously shared her knowledge through educational presentations and lectures, fostering the growth of fellow trainees and medical students. Dr. Mateo is dedicated to creating a therapeutic environment characterized by warmth, empathy, and nonjudgmental support. Her approach involves collaborating with patients to develop individualized treatment plans that consider cultural, biological, psychological, and social factors. With a primary focus on medication management, Dr. Mateo's keen interest in psychotherapy is evident, as she often integrates supportive therapy, cognitive behavioral therapy, and psychodynamic psychotherapy during 30-minute follow-up visits to optimize wellness and recovery. Dr. Mateo brings a wealth of experience in caring for individuals of diverse ages and backgrounds, adeptly addressing a wide spectrum of conditions. Her expertise extends to treating depressive disorders, bipolar disorders, anxiety disorders, trauma and stress related disorders, ADHD, OCD, Insomnia, psychotic disorders; she also has experience treating individuals with medical comorbidities.

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. Gotsche is a board-certified adult psychiatrist who is dedicated to helping individuals navigate their mental health journey. Originally from Illinois, she completed her undergraduate studies at Illinois State University before earning her medical degree from Kansas City University. She went on to complete her psychiatry residency at the University of Oklahoma. Following residency, she worked at the Kansas City VA Medical Center where she primarily focused on outpatient mental health. Outside of her clinical work, she enjoys cooking, reading, cycling, and hiking.

Dr. Gotsche takes a holistic, integrative, and evidence-based approach to mental health care. She emphasizes the importance of building a strong therapeutic alliance and working closely with each patient to ensure treatment fits their unique needs and goals. She is experienced in treating a variety of psychiatric conditions including mood disorders, anxiety, trauma-related disorders, and ADHD. She is committed to providing comprehensive care in a supportive environment.

Dr. Gotsche will conduct a thorough evaluation to learn each patient’s medical history, current symptoms, and treatment goals. She values open communication and a collaborative approach, ensuring that patients are actively involved in the decision-making process. An individualized treatment plan will be developed which may include medication management, psychotherapy, or referrals to additional services as needed. Her goal is to provide integrated, patient-centered care that promotes long-term well-being.

Dr. Fang is a board-certified psychiatrist who completed his psychiatry residency at Duke University, where he received extensive training in Psychopharmacology, Psychotherapy (“Talk Therapy”), Transcranial Magnetic Stimulation (TMS), and Electroconvulsive Therapy (ECT). Throughout his life, Dr. Fang has lived in various places such as China, Canada, Upstate New York, Maine, and North Carolina, where he currently resides. This rich cultural experience allows him to connect with individuals from diverse backgrounds, which is crucial in the field of psychiatry where treatment is so highly personal. Dr. Fang has also practiced in multiple settings including a college mental health clinic, an adult ADHD clinic, a perinatal psychiatry clinic, a VA hospital, and a residential recovery program.

While Dr. Fang’s current practice is primarily focused on medication treatment, he utilizes his training as a therapist to ensure that patients feel understood and empowered to discuss any other issues they might be facing. With experience in many modalities of therapy including Psychodynamic, Supportive, Cognitive Behavioral Therapy (CBT), and Acceptance and Commitment Therapy (ACT), Dr. Fang knows that one size does NOT always fit all. If more in-depth therapy is felt to be beneficial, Dr. Fang may refer clients to a separate therapist.

Background and credentials    

Dr. Abernethy is a board-certified psychiatrist who received his medical  degree from the University of Texas Medical School at Houston. He completed  his internship at UT Southwestern in Dallas and earned a Master's of Public  Health in Epidemiology and Occupational and Environmental Health from Texas  A&M. He completed his psychiatry residency training at the University of  Oklahoma Health Science Center. Dr. Abernethy has over 12 years of experience  practicing psychiatry in various outpatient settings, including private  practice and community mental health centers in Texas and Oklahoma,  specifically reaching underserved communities. He has treated a broad  spectrum of mental health symptoms among diverse populations, addressing  issues ranging from mood and anxiety disorders to behavioral manifestations  of Autism and other developmental disorders.    

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Treatment approach    

Dr. Abernethy utilizes a collaborative and patient-centered approach to  psychiatry, focusing primarily on medication interventions that align with  each patient's unique treatment goals and clinical needs. He emphasizes  cooperation with patients to effectively treat and reduce mental  health-related symptoms. His practice centers around medication management,  supplemented by supportive treatments tailored to individual needs. Depending  on each patient’s circumstances, he may recommend additional support from  individual, family, or group counselors and therapists to achieve optimal outcomes.    

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What you can expect in a first visit

In an initial visit, patients can expect a thorough, collaborative  discussion focused on understanding their symptoms, goals, and clinical  needs. Dr. Abernethy will evaluate the patient's condition to determine  appropriate medication interventions and discuss personalized treatment  recommendations. Typical follow-up visits are approximately 20-30 minutes in  length. Depending on the severity and complexity of a patient's situation,  referrals to additional counseling or therapy may also be suggested.    

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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 speciualize in  medication management and collaborate with you on a treatment plan that fits  your needs and comfort level.