Kevin White, LMHC

Margaret Mary Reyes, MSN, APRN, PMHNP-BC, is a board-certified Psychiatric Mental Health Nurse Practitioner committed to delivering patient-centered and compassionate mental health care. A proud Florida native, she earned her Bachelor of Science in Nursing (BSN), Master of Science in Nursing (MSN), and post-master’s certification in Psychiatric Mental Health Nursing from Florida Atlantic University (FAU). Her academic research focused on improving outcomes for women living with Premenstrual Dysphoric Disorder (PMDD).

Margaret has advanced practice experience in both inpatient and outpatient psychiatric settings. She has treated individuals with a wide range of mental health conditions, including psychotic disorders, bipolar spectrum disorders, depressive and anxiety disorders, trauma-related disorders, attention deficit disorders, personality disorders, substance use and co-occurring disorders, eating disorders, suicidality, homelessness, and severe mental illness (SMI) within the criminal justice system. Her clinical background also includes acute care experience in oncology, medical-surgical, telemetry/cardiac step-down, intensive care, nursing research, and consultation-liaison psychiatry.

She takes an integrative and comprehensive approach to mental health care, combining medication management with evidence-based complementary and alternative interventions. Her practice is grounded in the understanding of the mind-body-spirit connection and the gut-brain axis. Margaret incorporates supportive therapy, motivational interviewing, and mindfulness-based cognitive techniques to support her patients’ overall well-being.

‍

Dr. Garrick Gaffney 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

‍

Dr. Zezetko completed her medical training at the University of Georgia/August University Medical Partnership. While in medical school, she received a Master of Business Administration at the University of Georgia. She then moved to North Carolina to complete her psychiatric residency training at the Brody School of Medicine/ECU Health Medical Center. During her training, she gained extensive clinical experience in working with adults and veterans in psychiatric inpatient, outpatient, and emergency settings. She also served as a chief resident of the psychiatry program and published several case studies.

Dr. Zezetko relies on evidence-based treatments to guide pharmacotherapy decisions. In addition to medication management, she also incorporates supportive psychotherapy and psychodynamic psychotherapy techniques in her visits with her patients. When appropriate, Dr. Zezetko will refer patients for further psychotherapy and collaborate with therapists to provide more comprehensive care. Dr. Zezetko takes great pride in forming meaningful connections with her patients and listening to their concerns.

Dr. Zezetko will conduct a comprehensive psychiatric evaluation and take time to understand patients’ individual concerns, mental health goals, and history. Dr. Zezetko believes in building a strong therapeutic relationship that empowers patients to join in a collaborative discussion for optimizing their individual treatment plans and reaching their defined goals.

‍

Dr. Thomas Spina is an adult psychiatrist who began his practice at Talkiatry after completing his psychiatry residency at the Eastern Long Island branch of Stony Brook University, where he treated a diverse patient population. Dr. Spina received his undergraduate degree from St. John's University in Queens where he studied Philosophy. Initially interested in a career in law, Dr. Spina decided to change gears and pursue a career in medicine after watching a relative struggle with her diagnosis of Diabetes Mellitus. Dr. Spina then completed medical school at Tel Aviv University in Israel, where he fell in love with psychiatry during his clerkship at Ichilov medical center. During that rotation, he came to appreciate how each patient has his or her own unique story, regardless of their diagnosis. Dr. Spina favors a holistic and integrative approach to psychiatry, combining medication management with supportive therapy, elements of cognitive behavioral therapy, while remaining open to other treatment modalities depending on the needs of his patients. When more focused therapy is indicated, Dr. Spina may recommend that his patient work with a provider specializing in a particular modality of therapy as part of their treatment. Dr. Spina treats adult patients with mood disorders including major depressive disorder and bipolar disorder, anxiety spectrum disorders, OCD, PTSD and specific phobias. In his spare time, Dr. Spina enjoys a variety of hobbies, including Brazilian Jiu-Jitsu, running, baseball, and exploring new eateries and shops.

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.

Tami is a Licensed Mental Health Counselor with a Master's Degree in the state of NY. She has been a therapist for about 8 years and attended graduate school at night while raising two amazing children. It is important for Tami to disclose this so that you know you are never too old to chase your dreams. She loves helping people and making a difference in people's lives. She uses various tools to help. If one tool isn't right, we search for others, never giving up! Tami is solution-focused but uses different approaches when helping clients. She likes to figure out which methods work best as there isn't a one size fits all way. She is a dedicated therapist with real world experience as well as clinical experience. Clients can expect to have great tools and coping mechanisms moving forward. Clients will know what steps need to be taken on their journey and will feel confident in knowing that they have Tami's support and commitment.