Luis Espinosa, MD

Tracy King, PMHNP-BC, is a compassionate and board-certified psychiatric nurse practitioner dedicated to supporting individuals on their mental health journeys. She holds a Master of Science in Nursing from The Ohio State University and has experience working with individuals across the lifespan.

Tracy has worked in a variety of clinical settings, addressing a broad range of mental health concerns. She is driven by a strong commitment to serving those in need and takes pride in delivering trauma-informed, evidence-based care tailored to each individual’s unique circumstances.

Her approach centers on creating a supportive environment where patients feel heard, valued, and empowered. Tracy’s goal is to help individuals build resilience, enhance well-being, and achieve meaningful, lasting change.

Believing that each person is the expert in their own life, Tracy takes time to listen, understand, and build genuine connections. She collaborates closely with her patients to develop care plans that reflect a whole-person perspective.

Tracy emphasizes shared decision-making and a holistic approach to mental health care. Her calm, positive demeanor and approachable communication style foster trust and openness, allowing her to build strong therapeutic relationships that support healing and growth.

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Dr. Heath Foreman is double board-certified in General Psychiatry and Child and Adolescent Psychiatry. He is a Texas native and received his Bachelor of Science in Medical Technology from UTSouthwestern Medical Center in Dallas. His medical degree was earned at the University of North Texas Health Science Center - Texas College of Osteopathic Medicine in Fort Worth. He completed residency and fellowship training at Baylor Scott & White - Texas A&M in Temple and has been practicing since 2015. He served as Medical Director for a community mental health system for 10 years and has experience working with patients who have ADHD, Autism, Intellectual Developmental, Anxiety, Mood and Traumatic Stress Disorders and Psychosis.

Dr. Foreman uses a professional yet conversational style so that patients may feel at ease while developing a comprehensive understanding of the issues at hand. He prefers an educational approach so that patients can gain the knowledge and tools required to achieve improvement.

Dr. Foreman will perform a broad evaluation and work with his patients to create an evidence-based, personalized treatment plan. Subsequent meetings will incorporate medication management as well as psychotherapeutics based on Cognitive Behavioral, Trauma Based and Psychodynamic techniques. He will provide referrals for traditional counseling or testing when appropriate.

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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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Shanika is a dedicated and compassionate board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) with over a decade of experience in the mental health field. She holds a Bachelor of Science in Nursing, a Masters in Nursing Education, and a Post-Master’s Certificate as a Family Psychiatric Nurse Practitioner. Shanika is known for her patient-centered approach, prioritizing empathy, respect, and individualized care. She is committed to building strong therapeutic relationships grounded in trust and open communication.

New patients can expect a warm, non-judgmental environment where they feel heard and supported. Shanika collaborates closely with each patient to create personalized treatment plans, helping them feel empowered in their mental health journey.

Shanika begins with a comprehensive psychiatric evaluation to understand each patient’s history, symptoms, and goals. Her treatment may include medication management, supportive therapy, and psychoeducation. She specializes in anxiety, depression, bipolar disorder, ADHD, trauma/PTSD, mood disorders, and women’s mental health. Shanika has extensive experience providing care for both adolescents and adults in outpatient settings, with a particular focus on underserved communities.

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Dr. Michael Petetit has worked with people from many different walks of life in clinics, hospitals, and online, providing evidence-based treatments for a wide range of mental health conditions. His professional journey is unique—he began his career as a research chemist, later earned a Master’s degree in psychology and worked with children, before pursuing his medical degree and completing a psychiatry residency.

Dr. Petetit approaches treatment as a true collaboration. He partners with patients to clarify goals and create individualized treatment plans that reflect their priorities and values. He strives to be non-judgmental, direct, and honest in his style, building a therapeutic relationship that supports open communication and trust.

Dr. Petetit begins with a thorough evaluation to understand each patient’s circumstances and challenges. From there, he works with patients to set and prioritize goals, review treatment options, and select a plan that feels both comfortable and practical. As treatment progresses, he regularly revisits and refines the plan, ensuring it remains effective and aligned with the patient’s evolving needs.

Dr. Kevin DiCesare is a board-certified psychiatrist, treating adults. He received his undergraduate degree at Harvard University, his medical degree at the University of Massachusetts Medical School, and then went on to train at Maine Medical Center for his psychiatric residency. He has 22 years of expertise in diagnosing and treating psychiatric conditions, including depression, anxiety, Bipolar spectrum disorders, adjustment problems, ADHD and other disorders. He is well versed in psychopharmacological interventions, but is a proponent of patients also being active in psychotherapy whenever appropriate. He prides himself in collaboratively arriving at treatment decisions with his patients, and taking the time to listen to their concerns and answer their questions.

Dr. DiCesare has worked in various settings, including community mental health centers and large hospital systems, with experience in inpatient, outpatient, and consultative roles. Prior to joining Talkiatry, he most recently served as an attending psychiatrist on the staff of Southern New Hampshire Health System, where he provided consultative care to referrals made from primary care providers and various specialists.