Luke Romanow, MD

Dr. Fatemeh Safian is a board-certified psychiatrist with experience in outpatient, inpatient, and telepsychiatry settings. She completed her residency at Larkin Community Hospital, caring for a diverse range of patients. Dr. Safian diagnoses and treats a wide variety of conditions, including depression, anxiety, OCD, PTSD, trauma-related disorders, phobias, personality disorders, ADHD, bipolar disorder, postpartum depression, and concerns across all age groups. She is dedicated to creating a safe, supportive space where people feel truly heard—believing good psychiatry starts with listening.

Dr. Safian fosters a warm, respectful, and judgment-free environment where patients can share openly. She takes time to understand each person’s symptoms, story, values, and goals. Medication is just one option; she also considers therapy, lifestyle changes, and other supports. Collaboration and trust are central to her approach, with patients guiding the care decisions.

During the first appointment, Dr. Safian conducts an in-depth, unhurried conversation to explore the patient’s history and goals. Together, they develop a personalized treatment plan that may include medication, therapy referrals, and practical strategies. Ongoing follow-ups provide space to track progress, make adjustments, and ensure the patient feels comfortable and empowered.

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. Santos is a highly experienced, Board-Certified Adult Psychiatrist with over 10 years of clinical experience in English and Spanish. He graduated from the Universidad Autónoma de Guadalajara School of Medicine and completed a rigorous 4-year psychiatric residency training in NYC at Lincoln Medical and Mental Health Center.

In his residency and post-residency practice, Dr. Santos has provided high-quality care to culturally diverse communities, and has extensive experience helping patients with Depression, Anxiety, ADHD, and other mental health conditions. He understands that choosing and seeing a psychiatrist can be stressful and is committed to providing a welcoming and non-judgmental environment where patients can feel free to discuss their concerns.

Dr. Santos takes a personalized approach to treatment, considering the unique psychology, biology, and lifestyle of each individual patient when determining the best course of action. His practice focuses on medication management in conjunction with supportive therapy, and he conducts follow-up visits in 30-minute increments. He believes that the most successful treatments integrate physical health, therapy, mindfulness, and medication, when necessary, to provide the most effective solutions for his patients.

If you are looking for a compassionate and experienced psychiatrist who is fluent in both English and Spanish, schedule an appointment with Dr. Santos today. His dedication to his patients and his extensive experience makes him an excellent choice for those seeking to improve their mental health.

Megan O’Brien is a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP) with experience in inpatient, outpatient, and emergency mental health settings. She earned her NP degree from UCSF, the top-ranked program in the country at the time. In addition to clinical work, she enjoys teaching and is passionate about training the next generation of compassionate psychiatric nurse practitioners.

Megan believes in meeting patients where they are, offering empathy, respect, and acceptance. She values open communication and sees treatment as a collaborative process. Her approach empowers patients to take the lead in their care while she supports them as a partner and guide along the way.

Megan begins by listening carefully to each patient’s story and asking relevant questions to understand their needs. Together, she and the patient build a tailored treatment plan that aligns with their goals. Her focus is on reducing mental health symptoms and helping people experience greater freedom and flexibility in their lives.

Dr. Bryant graduated from Mount Sinai School of Medicine to complete her adult training and the Yale Child Study Center/Riverview Hospital for Children Program to complete her fellowship in Child and Adolescent Psychiatry. A native Texan, she returned to Tyler, TX in 2020 to accept the position of Chair of the Department of Psychiatry and Behavioral Medicine at the University of Texas Health Science Center at Tyler. She also established an accredited child and adolescent psychiatry fellowship in Tyler. Prior to that, she served as the Director of the Child and Adolescent Psychiatry Division at the University of Mississippi Medical Center where she was also the Program Director of the Child and Adolescent Psychiatry Fellowship. She received her medical degree from the University of Texas Southwestern Medical School. Working with survivors of trauma has always been an important part of Dr. Bryant's practice. She currently serves as the co-chair of the American Academy of Child and Adolescent Psychiatry's Committee on Child Maltreatment and Violence and she is a representative for the National Health Collaborative on Violence and Abuse. Dr. Bryant also served as the program director of the Eating Disorders and Trauma Recovery program at Menninger Clinic in Topeka. She is board certified in adult, child and adolescent psychiatry and she has over 32 years of experience as a practicing psychiatrist. Dr. Bryant specializes in the treatment of anxiety disorders, obsessive-compulsive disorder, mood disorders, developmental disorders, Post-Traumatic Stress Disorder, Attention Deficit Hyperactivity Disorder, and family relational problems for both children and adults. She believes that "knowledge is power" and that the more a person can understand about how the brain is affected by various mental health conditions, the more treatment makes sense.

Dr. Carrie Ramos is a compassionate and skilled adult general psychiatrist with a commitment to providing comprehensive mental health care. A native of Texas, Dr. Ramos embarked on her medical journey at the Burrell College of Osteopathic Medicine in New Mexico, where she obtained her medical degree. Following her passion for psychiatry, she completed her residency at HCA Florida Woodmont Hospital, honing her expertise in adult psychiatric care. Dr. Ramos brings a diverse background to her practice, having earned her Bachelor's degree in Exercise Science from the University of Mary Hardin-Baylor. This foundational knowledge underscores her holistic approach to mental health, recognizing the interconnectedness of physical and emotional well-being. As a board eligible psychiatrist, Dr. Ramos is dedicated to staying current with the latest advancements in psychiatry and utilizing evidence-based treatments to support her patients. Her approach is characterized by empathy, active listening, and a commitment to fostering a therapeutic alliance with each individual under her care. With a deep-rooted passion for helping others, Dr. Ramos is driven to empower her patients on their journey toward mental wellness. Her Texas roots, coupled with her diverse educational background and clinical experiences, uniquely position her to understand and address the diverse needs of her patients. In her role as a psychiatrist, Dr. Ramos is poised to make a meaningful impact in the lives of those she serves, offering hope, healing, and support to individuals seeking guidance on their path to mental health recovery.