Kasey Broom, MD

Dr. Michael Lukowski is an adult psychiatrist who holds board certification with the American Board of Psychiatry and Neurology. He has been practicing medicine for over 4 years. Dr. Lukowski focuses on medication management combined with supportive therapy in 30-minute follow-up visits. He practices whole-person medicine, caring for the wellness of your mind, body, and spirit and helping you enjoy your relationships with those around you. Dr. Lukowski received his medical degree from the University of Nevada School of Medicine in Reno, NV, before moving to southern California to complete his residency at Loma Linda University. After completing training, Dr. Lukowski began working with the Southern California Permanente Medical Group in Riverside, CA, where he treated a variety of psychiatric disorders in an outpatient setting. In March of 2020, as the pandemic changed life and medicine forever, Dr. Lukowski adopted a strictly telepsychiatry role at his clinic. He has also held a staff psychiatrist position as an adult inpatient psychiatrist in Tennessee. Dr. Lukowski treats a wide variety of psychiatric disorders within the adult demographic.

Matthew Twomey, PMHNP, earned his BSN and MSN from the Massachusetts General Hospital Institute of Health Professions School of Nursing. He began his career as an adult psychiatric nurse practitioner in community health centers before commissioning as an officer in the U.S. Army Nurse Corps. After five years of active duty, he continued caring for service members and families at Fort Bliss as a civilian provider for nearly six years. He now practices in the private sector, bringing broad clinical experience to diverse patient populations.

Matthew is skilled in psychopharmacology, evidence-based practice, and telehealth delivery. He combines strong clinical expertise with a patient-centered approach to improve outcomes and streamline care. Patients can expect thoughtful collaboration, clear communication, and treatment planning grounded in the latest research and tailored to their individual goals.

He specializes in psychopharmacology and precise medication management tailored to each patient’s unique needs. He also integrates supportive psychotherapy, motivational interviewing, psychoeducation, and cognitive behavioral therapy. Through active listening and mutual respect, he fosters a safe, supportive environment where patients feel heard, engaged, and empowered in their care.

Justin Hampton is a Licensed Clinical Social Worker with over 15 years of experience across a wide range of mental health and social service settings, including academic outpatient clinics, community health centers, residential programs, clinical research, the VA, EAP services, and HIV/AIDS service organizations. He earned a Bachelor of Arts in Psychology from Saint Louis University and a Master of Social Work in Clinical Social Work/Mental Health from Washington University in St. Louis.

Justin has a particular passion and specialty in working with the LGBTQ population. He also enjoys helping patients address depression and mood concerns, anxiety disorders, trauma, self-criticism and shame, grief and loss, major life transitions, social discontent, and medical conditions such as HIV/AIDS. He works with adults across the lifespan and strives to create an affirming and inclusive therapeutic environment.

Justin’s work with each patient is individualized and guided by their needs and collaboratively defined goals. Patients can expect a warm, authentic, and direct therapeutic style. His approach is primarily skills-based, most often drawing from Cognitive Behavioral Therapy, within a client-centered and attachment-focused relationship. Therapy often explores how perspective, assumptions, and self-narratives contribute to distress, with practical action plans to support growth. Justin views therapy as a collaborative process aimed at meaningful change and a more fulfilling, values-driven life.

Giulia Ferrero earned her Bachelor of Arts and Sciences in Sociology, Ethnic Studies, and Women & Gender Studies at the University of Colorado in Boulder, and received her Master of Social Work from Columbia University with an emphasis in children, youth, and families. Giulia is licensed by the State of Texas as a master social worker (LMSW), and is dedicated to helping people who struggle with mental health concerns. She believes that change happens when people are given the support they need to draw on their own strengths and realize their potential to live fulfilling, happy lives. Giulia advocates a holistic approach when working with her clients and incorporates various treatment styles including, but not limited to, cognitive-behavioral, family systems, solution-focused, and psychodynamic. During her graduate program, Giulia worked extensively with children, utilizing play therapy techniques alongside a trauma-focused treatment approach. She specializes in individual therapy with an emphasis on issues such as PTSD, autism, stress, anxiety and depression, grief and loss, women's issues, family/relationship issues, life transitions, and personal growth. Giulia especially enjoys working with young adults and is committed to working with each person in a confidential, effective manner to help the individual accomplish his/her/their goals.

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. 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.