Lori Peppers, MD

Background and credentials

Dr. Inano is a board-certified adult psychiatrist. She earned her bachelor's degree in psychology from Xavier University in New Orleans and obtained her medical degree from the University of California Davis. She completed her general psychiatry residency at the University of Texas at Austin Dell School of Medicine. Before transitioning to private practice, Dr. Inano worked within the Veterans Affairs healthcare system, where she gained extensive experience treating a diverse range of mental health conditions. She has also served as an Affiliate Faculty member at the University of Texas at Austin Dell School of Medicine, supervising and training psychiatry residents.

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Treatment approach

Dr. Inano employs a kind, collaborative, and patient-centered approach to psychiatry. She specializes in treating depression, anxiety, and trauma-related disorders, with additional training in psychotherapeutic modalities for PTSD. She strives to create a safe and supportive environment where patients feel comfortable exploring their concerns and working toward healing.

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What you can expect in a first visit

During the first visit, patients can expect a thorough and compassionate evaluation aimed at understanding their unique experiences, symptoms, and treatment goals. Dr. Inano emphasizes collaboration, ensuring that each patient is actively involved in their treatment plan. She provides a supportive space where patients can discuss their concerns, and she tailors treatment options—including therapy and medication management—to meet individual needs.

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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. Ramsey is board certified in general and child and adolescent psychiatry. His practice primarily focuses on medication management. He sees himself as a collaborator with therapists and counselors in caring for their shared patients and their families. He received his medical degree from the University of Tennessee Health Science Center in Memphis, TN. He completed his residency at West Virginia University Hospitals and WVU School of Medicine and a fellowship in child and adolescent psychiatry at the Yale Child Study Center, Yale University School of Medicine, and Yale-New Haven Hospital in New Haven and Middletown, CT. He completed his undergraduate studies at the University of Memphis. Dr. Ramsey remained in CT for two additional years, working in the Department of Children and Families, serving the state's at-risk youth and adolescents at a psychiatric residential treatment facility. He then returned to West Virginia University as clinical faculty in its School of Medicine. During the 12-year academic appointment, he had active roles in educating, training, and supervising medical students, general psychiatry residents, child and adolescent psychiatry fellows, and trainees from various disciplines. He worked for many years with adolescent males at both the Dually Diagnosed and Specialized Residential Treatment Centers within West Virginia University Healthcare. He provided outpatient and acute inpatient care, as well as hospital-based consultation services. Within the community, he provided medication evaluation and management services to residential treatment facilities and university student health. He has been seeing patients and collaborating with providers through telemedicine since 2016. While Dr. Ramsey specializes in working with patients with anxiety, he does not prescribe benzodiazepines.‍

Dr. Peter Szeibel is board certified in adult psychiatry and has been practicing for over 36 years. His practice has focused primarily on medication management within the context of a supportive psychotherapeutic relationship. He also utilizes cognitive behavioral techniques. If the patient requires more intensive psychotherapy, Dr. Szeibel refers the patient to a therapist and collaborates with the therapist. Dr. Szeibel has experience in treating Depressive Disorders, PTSD, Panic Disorder, OCD, Bipolar Disorder, ADHD, and many other conditions. He feels his personal strengths include his inquisitiveness, scientific curiosity, and his desire to understand his patients better. Dr. Szeibel was born in Hungary, just a few months before the Hungarian Revolution against the Soviets broke out in 1956. He and his family fled under difficult circumstances and immigrated to the United States. Dr. Szeibel grew up in New York City. He attended The Bronx High School of Science, followed by Columbia University for his B.A., where he took a double major in chemistry and music. After obtaining his M.D. from S.U.N.Y in Syracuse, he returned to New York City for residency and fellowship training. During this time he won the Bendheim Fellowship Award at Cohen Children's Medical Center for his research study which examined the effects of background music on the academic performance of children with ADHD. His current areas of interest include adult ADHD, psychiatric and medical co-morbidities, and the LGBTQ population.

Robynn Cavaliere, PMHNP-BC, is a nationally board-certified Psychiatric Mental Health Nurse Practitioner. She earned her nursing practice degree from the University of San Diego (USD). Her passion for helping others began at the age of 16 when she became an EMT and volunteered with a local emergency unit. Inspired by a strong belief in service to country and a desire to follow in her brothers’ footsteps, she proudly served in the United States Marine Corps.

Robynn’s nursing journey began over two decades ago, driven by a deep calling to care for others. She started her career as an LVN on medical/surgical/telemetry floors, advanced to an RN in the emergency room, and eventually became a psychiatric nurse practitioner.

Her extensive nursing experience spans a wide range of clinical settings and patient populations, shaping her approach to interviewing, assessment, and intervention. Robynn applies the Biopsychosocial Model in every patient encounter, believing that a comprehensive understanding of the whole person leads to more effective treatment recommendations, improved outcomes, and better prognoses.

She is deeply committed to making a positive impact in her patients’ lives and giving back to the nursing profession. Robynn precepts student nurse practitioners in her practice and serves as a Clinical Assistant Professor at USD, where she helps educate the next generation of healthcare providers.

Robynn emphasizes the importance of comprehensive assessments, active listening, and building therapeutic alliances that foster trust and create a safe space for patients to share their thoughts and concerns. She collaborates closely with patients to ensure they feel heard, encourages active participation in their treatment, and provides education to enhance insight and promote behavioral change. Her approach includes supportive psychotherapy and incorporates techniques from Cognitive Behavioral Therapy (CBT), Interpersonal Therapy, Reality Therapy, and Solution-Focused Therapy during medication management visits.

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Dr. Amanda Kerr is a board-certified Psychiatrist. Her practice focuses on medication management, though she passionately believes in a holistic approach. She attended Boston University for her undergraduate studies and Loyola Marymount University for graduate school. She then completed her training at Midwestern University Arizona College of Osteopathic Medicine for medical school and Rowan University School of Osteopathic Medicine for residency, where she was selected to serve as Chief Resident during her final year. After completion of her residency in 2016, she dedicated seven years to serving a wide range of patients in a community mental health setting, both in-person and via telepsychiatry. She also serves as a provider at an Intensive Outpatient Program. She has experience treating patients with depressive and bipolar disorders, anxiety disorders, PTSD, and OCD. She also has extensive teaching experience in various settings. Dr. Kerr has a gentle and approachable style when providing medication management in conjunction with supportive psychotherapy, and at times Cognitive Behavioral Therapy techniques to more fully address each individual's needs. She utilizes mindfulness approaches as well, which she finds personally meaningful in her practices of meditation and yoga. If Dr. Kerr feels you would benefit from working with a therapist as well, she may recommend and values a collaborative approach.

Dr. Bianca Fleming is a double board-certified psychiatrist in Adult and Child and Adolescent Psychiatry. She completed her undergraduate studies at the University of Georgia, earned her MD from Morehouse School of Medicine, completed psychiatry residency at the University of North Carolina at Chapel Hill, and a child and adolescent fellowship at Emory University School of Medicine. She has experience across inpatient, outpatient, and integrative community health settings.

Dr. Fleming values gathering thorough information through a warm, conversational interview style. She strives to create a supportive therapeutic space while maintaining a balanced sense of patient accountability to promote meaningful progress.

Her approach emphasizes shared agenda setting at every visit to ensure both patient and provider needs are met. Dr. Fleming takes a detailed history to guide clinical decisions, prioritizes patient education, and delivers evidence-based, patient-centered care. She integrates psychotherapy into all medication management appointments to support holistic treatment.

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