Kyra Fragnito, MD

Dr. Bryce Toburen is a board-certified psychiatrist dedicated to compassionate, collaborative care across the lifespan. His training includes an MD from the Medical College of Wisconsin, residency at The Ohio State University where he served as Chief Resident, and a fellowship in Child & Adolescent Psychiatry at Nationwide Children's Hospital. Outside the clinic, he enjoys sports, tennis, exploring nature, traveling, and spending time with loved ones.

Each patient brings a unique story, and he strives to create a safe, respectful space where you feel heard and supported. His interest in psychiatry stems from a desire to maximize the well-being of patients and their families through strong therapeutic relationships. Compassion and curiosity guide his work, along with a strong belief in the power of connection and collaboration. You can expect open communication and a focus on your personal goals throughout your time together.

Treatment is personalized using evidence-based approaches that include psychotherapy, medication management, and lifestyle strategies. He specializes in addressing anxiety, depression, ADHD, OCD, and trauma-related concerns. Collaboration and trust are central to his approach, with an emphasis on empowering patients to take an active role in their healing and well-being.

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Dr. Shafi completed his undergraduate studies in biology at the University of Nevada Las Vegas. He then earned his medical degree from Touro University Nevada College of Osteopathic Medicine. He went on to complete his psychiatry residency at the Kirk Kerkorian School of Medicine at UNLV, where he was awarded “Master of the PRITE” for achieving the highest score on the Psychiatry Resident In-Training Examination.

Dr. Shafi specializes in the treatment of various psychiatric conditions including anxiety, depression, bipolar disorder, ADHD, and PTSD. He has practiced in multiple settings including inpatient psychiatric facilities, outpatient mental health clinics, and the VA system.  

Dr. Shafi primarily focuses on medication management in conjunction with supportive psychotherapy. Using a collaborative and patient-centered approach, he provides personalized care by tailoring treatment to his patients’ unique needs. Dr. Shafi’s curiosity and compassionate nature allow him to connect with patients from all walks of life. He is committed to creating a supportive environment where patients feel comfortable expressing their mental health concerns.

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Dr. Denise Zusman is a board-certified psychiatrist with over 15 years of experience providing care in acute and outpatient settings. She earned her medical degree from the University of Florida College of Medicine and completed her General Adult Psychiatry residency at the University of California, San Francisco. Dr. Zusman has practiced in psychiatric emergency services and outpatient clinics including The Permanente Medical Group, San Francisco Department of Public Health, and The Tenderloin Outpatient Clinic. She is credentialed in New Zealand and has provided public mental health and early psychosis care internationally. She also offers services in Spanish when requested.

Dr. Zusman works collaboratively with patients to establish clear treatment goals from the beginning. She values open communication and prioritizes a trauma-informed, culturally sensitive approach. Her style is warm and supportive, creating a space where patients feel heard, respected, and actively involved in their care.

Dr. Zusman begins with a comprehensive evaluation to understand each patient’s history, concerns, and goals. She develops individualized, holistic treatment plans that may include medication and non-medication options, guided by evidence-based best practices. Ongoing collaboration and open communication are central to her approach.

Dr. Agnes Tolentino is a board-certified adult psychiatrist with over 20 years of practice experience.  She obtained her undergraduate degree at the University of the Philippines and completed medical school at the University of the East.  She finished her psychiatry residency at the Harvard South Shore program as chief resident in her final year.  She has a strong background in psychotherapy as an adjunct to medication management.  She has extensive experience in treating PTSD, medically ill patients, elderly patients and those with terminal illnesses. She spent the last 15 years treating the geriatric population and those adjusting to co-morbid medical problems.  

She is an empathic listener and collaborative clinician, focused on treating the whole person.  She emphasizes the need to use healthy coping mechanisms as well as lifestyle changes to complement medication management.  In keeping with the “whole person” focus, the role of physical well-being is important. A thorough medical history will be obtained on your initial appointment.  

Gathering a thorough psychiatric and medical history is paramount in a successful therapeutic relationship.  And with time, a trusting therapeutic environment should be fostered.

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Background and credentials

Dr. Yang is board-certified in both General Psychiatry and Addiction Psychiatry. She received her medical degree from the Medical School of Nanjing University in China and completed her Ph.D. in Neuroscience at the State University of New York in Buffalo. She conducted neuroscience research at Tufts University and Columbia University. Dr. Yang completed her residency in Psychiatry at the University of Texas Health Science Center at Houston – McGovern Medical School (UTHealth) and a fellowship in Addiction Psychiatry at Baylor College of Medicine. She has held academic positions at Baylor College of Medicine, supervising medical students, residents, and physician assistant students.

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Treatment approach

Dr. Yang specializes in treating depressive disorders, bipolar disorders, anxiety, substance use disorders, ADHD, and trauma-related disorders. She employs medication management combined with supportive therapy and motivational interviewing techniques. Dr. Yang emphasizes building strong therapeutic relationships, tailoring treatment to each patient's unique goals and needs.

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What you can expect in a first visit

In the initial visit, patients can expect a detailed, personalized evaluation by Dr. Yang. She will explore symptoms, medical history, personal goals, and treatment preferences to design an individualized care plan. Patients can expect a compassionate, collaborative approach with clear communication about medication management options and supportive therapeutic strategies aimed at improving their overall well-being.

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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. Rebecca Crosbie is a board-certified adult psychiatrist and has been practicing in outpatient psychiatry for nearly 7 years. Her practice focuses on medication management, and she typically offers medication management combined with supportive therapy or Cognitive Behavioral Therapy (CBT) in 30 minute follow-up visits. If Dr. Crosbie feels you would benefit from working with a dedicated talk therapist, she may encourage you to pursue this or refer you in order to achieve the best outcome. Dr. Crosbie is a graduate of Michigan State College of Human Medicine. She completed her psychiatry residency at Pine Rest/Michigan State University in Grand Rapids, MI. She has previously worked as an outpatient psychiatrist and in tele-psychiatry. She has a lot of experience treating patients with a broad array of mental health conditions, including: anxiety disorders, depression, OCD, bipolar disorder, and ADHD. She also treats combined mental health diagnoses such as ADHD plus another diagnosis. She also has a lot of experience working with patients who identify as LGBTQI+. Her approach is always to meet the patient where they are and educate and enable patients to make good choices about treatment that are in line with their personal preferences and values.