Karelis Sierra-Cintron, MD

Dr. Siera Kirkland is an adult general psychiatrist. She is a diplomate of the American Board of Psychiatry and Neurology. She has been practicing for 8 years. Dr. Kirkland focuses on collaborative and evidence-based care. She believes it is imperative to form a therapeutic relationship with each individual and work together as a team to formulate the best treatment plan. Her passion is to educate, empower, and support. She specializes in medication management and brief psychotherapy .Dr. Kirkland received her medical degree from Ross University School of Medicine. She completed her residency at The Cleveland Clinic Akron General and Summa HealthSystem in her hometown of Akron, OH. Upon completion of residency, she relocated to Charlotte, NC to start her career as the Lead Psychiatrist at Novant Health Psychiatric Associates- Matthews. Dr. Kirkland has experience in treating various patient populations. Her areas of focus have been perinatal and postpartum depression and anxiety. She has also worked with adults with co-occurring substance use disorders. Special interests include women's health and minority mental health disparities.‍For established patients of Dr. Kirkland, call 917-634-5311 to schedule an appointment and let the care coordinator know you are an established patient.

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. 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.

Angelica Luciano, PMHNP, has been dedicated to health care for over 22 years. Her journey began in 2003 when she enlisted in the Air Force as a medic and later served as a nurse in the Department of Defense. She earned her bachelor’s degree in Nursing from Indiana State University, was commissioned as a Nurse Officer in the U.S. Public Health Service, and went on to complete her master’s at Gonzaga University. Inspired by her work as a psychiatric RN, Angelica pursued her calling in mental health and became board certified as a Psychiatric-Mental Health Nurse Practitioner in 2017.

Angelica provides care through a warm, direct, and nonjudgmental style. She takes a biopsychosocial approach, recognizing the interplay of biological, psychological, and social factors in mental health. By combining psychopharmacology, patient education, and brief supportive therapy, she offers care that is accessible, collaborative, and authentic. Patients can expect to feel heard, respected, and actively involved in their treatment decisions.

Angelica begins with a comprehensive consultation to understand each patient’s history, concerns, and goals. This may take several appointments before finalizing a treatment plan. Plans may include lab work, collaboration with a patient’s broader health care team, and involvement of supportive family members if desired. Her goal is to create individualized care tailored to patient needs while ensuring comfort, advocacy, and trust. She emphasizes that patients are never defined by a diagnosis but valued as whole individuals.

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.

Dr. Swagato Bhattacharyya has completed his residency training at Northwell and is a board certified psychiatrist. Dr. Bhattacharyya takes a holistic approach to patient care, establishing strong physician-patient relationships built on trust, respect, and communication. He primarily focuses on medication management and also provides supportive psychotherapy. Treatment sessions will be tailored to work towards a common goal to optimize one's mental well-being. Dr. Bhattacharyya graduated magna cum laude from undergraduate Binghamton University, received his medical degree from NYIT College of Osteopathic Medicine, and completed his residency in psychiatry at Northwell Mather Hospital. He has trained in various settings, including adult/adolescent psychiatric units and specialty clinics, and has experience in telepsychiatry visits. Dr. Bhattacharyya has experience in treating numerous mental conditions, including depressive disorders, bipolar disorder, anxiety disorders, ADHD and OCD. Dr. Bhattacharyya also has experience treating patients of diverse cultures, having worked in psychiatric settings in the NYC metro and Long Island area.‍