Laura Long, MD

Dr. Jacob T. Kannarkat is an adult psychiatrist. Dr. Kannarkat's practice focuses on medication management. In his visits, he uses an integrative approach, blending an empathic, problem-solving orientation with an understanding that the reasons for an individual's condition can be complex. He has experience dealing with many forms of mental illness and works collaboratively with his patients and their other treatment providers in making a plan for recovery. Dr. Kannarkat completed undergraduate studies at the University of Florida. After receiving his medical degree at the University of Miami Miller School of Medicine, Dr. Kannarkat continued for residency at the University of Miami/Jackson Health System. He ultimately completed his training as Chief of Psychiatric Emergency Services at Yale School of Medicine. Dr. Kannarkat has experience working with adults of all ages who are dealing with depression, anxiety, bipolar disorder, PTSD, substance use disorders, and many other conditions.‍

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. Maria Lapchenko is a Doctor of Osteopathic Medicine (DO) and is double board-certified in adult and forensic psychiatry. She has experience working in both inpatient and outpatient settings and treats a wide range of psychiatric conditions, including anxiety, mood, personality, and trauma-related disorders. Dr. Lapchenko values thoughtful, individualized care and approaches psychiatry with curiosity, compassion, and respect for each patient’s lived experience.

Patients can expect a collaborative, supportive relationship built on trust and shared decision-making. Dr. Lapchenko believes that high-quality psychiatric care starts with listening and understanding each patient’s goals and concerns. She emphasizes transparency, patient education, and tailoring treatment plans to meet individual needs.

Dr. Lapchenko begins with a comprehensive evaluation to understand symptoms, history, and priorities. For many patients, she finds that combining medication management with talk therapy leads to the most effective outcomes, and she is experienced in providing both. She currently provides virtual care to adult patients in Pennsylvania, Ohio, and New York.

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.

Dr. David Gomez is a board-certified psychiatrist who is bilingual and fluent in English and Spanish. He earned his Doctor of Medicine degree from Florida International University and completed a residency in Psychiatry at the University of Miami / Jackson Memorial Hospital. During his training, he worked closely with a diverse array of patients, including minority and underserved communities, military veterans, trauma survivors, medically complex individuals with HIV and cancer, geriatric patients, and individuals with severe mental illness in both outpatient and inpatient settings. He received additional training through his participation in specialty clinics focused on mood and anxiety disorders, trauma-related conditions, and geriatric / memory disorders.

Dr. Gomez specializes in providing comprehensive mental health care to diverse patient populations. He combines psychotropic medications with supportive therapy using a psychodynamic listening approach to understand his patients and achieve their treatment goals.

He believes in tailoring treatment plans to meet individual needs, fostering a collaborative environment that empowers patients in their recovery. Known for his warm demeanor and attentive listening skills, Dr. Gomez creates a safe space for patients to express themselves safely. He emphasizes the importance of a strong therapeutic alliance and integrates psychodynamic principles, mindfulness techniques, and lifestyle modifications into his practice.

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Dr. Jacqueline Lewandowski is a board-certified physician specializing in adult psychiatry. She obtained her undergraduate degree from New York University where she studied psychology and child/adolescent mental health. Dr. Lewandowski received her medical degree from St. George's University in Grenada, before moving back to New York to complete her residency at Morningside and West Mount Sinai Hospitals. Since completion of training, Dr. Lewandowski has practiced and held teaching positions in both the Comprehensive Psychiatric Emergency Department of Harlem Hospital and the inpatient units and psychiatric emergency rooms of Morningside and West Hospitals. Dr. Lewandowski has a wide range of experience treating a diverse spectrum of psychiatric diagnoses and populations. She strongly believes in tailoring treatments through a holistic and patient-centered lens based on individual and multi-faceted histories. During 30-minute monthly sessions, Dr. Lewandowski focuses on collaborating with patients using evidence-based treatments with an emphasis on medication management in conjunction with supportive therapy. Additionally, she may recommend bringing a therapist into your care team to help facilitate a more comprehensive treatment plan. Dr. Lewandowski looks forward to working with you to help achieve and optimize your wellness and improve your quality of life.