Luke Romanow, MD

Background  and credentials    

Dr. Christa DeFries is a board-certified Adult Psychiatrist. She earned her  medical degree from UT Southwestern Medical School in Dallas, Texas, and  completed her residency in Adult Psychiatry at Baylor Scott & White in  Temple, Texas. Following residency, Dr. DeFries gained additional experience  treating homeless and formerly homeless populations in New York City,  particularly focusing on individuals with histories of trauma and substance  addiction, prior to joining Talkiatry.    

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Treatment approach    

Dr. DeFries practices Adult Psychiatry, employing an integrative treatment  approach combining medication management, psychotherapeutic methods, and  lifestyle modifications. She recognizes that each patient benefits from a  personalized mix of these three aspects of care. Dr. DeFries specializes in  treating diverse psychiatric conditions, including those related to trauma,  substance addictions, and various mental health disorders.    

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What you can expect in a first visit    

In a first visit with Dr. DeFries, patients can expect a comprehensive  evaluation aimed at understanding their individual mental health history,  specific concerns, and overall treatment goals. Dr. DeFries emphasizes an  individualized approach, carefully exploring the best combination of  medication, therapy, and lifestyle adjustments tailored specifically to each  patient's needs. Patients can anticipate an empathetic and collaborative  environment focused on their personal experiences and goals.    

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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.

Dr. Zhou is a board-certified psychiatrist who has more than 4 years of experience practicing in various clinical settings with an emphasis on mental health care in outpatient settings. She practices a holistic approach to developing an individualized plan to work toward a patient's goals. Dr. Zhou is experienced in treating depression, bipolar spectrum disorders, obsessive-compulsive disorders, post-traumatic stress disorder, generalized anxiety, and other related psychiatric disorders. Dr. Zhou received her medical degree from Texas Tech University Health Sciences Center School of Medicine and completed her adult psychiatry residency training at LSU Health Shreveport. Dr. Zhou's background and experiences have broadened her understanding of cultural stigmas and the relationship it plays in psychiatric care. She incorporates a multitude of treatment modalities such as supportive therapy, cognitive behavioral therapy, and mindfulness practices as an adjunct to pharmacotherapy. Dr. Zhou recognizes the value of a multifaceted approach to wellbeing and may recommend treatment modalities that are complementary to medication management.

Zakiyyah Weatherspoon is a dual-certified Family Nurse Practitioner and Psychiatric Mental Health Nurse Practitioner with over a decade of experience. Since 2011, she has worked in family medicine, and since 2013, she has focused on mental health care across the lifespan. Her background includes treating children, teens and adults in hospitals, private practices, and community settings.

Since 2017, Weatherspoon specialized in helping individuals manage depression, anxiety, bipolar disorder, OCD, PTSD, ADHD, ODD, eating disorders, and substance use. She uses supportive therapy, solution-focused therapy, and cognitive behavioral therapy to help clients feel heard, understood, and empowered.

Weatherspoon is passionate about breaking the stigma around mental health. She encourages her clients to speak up, get help, and take control of their mental wellness. Her approach is based on the Mental Health Recovery Model, which focuses on hope, healing, and building a life beyond diagnosis.

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Dr. Deringer is a psychiatrist with board certification in general psychiatry and addiction psychiatry. She earned her M.D. from the University of Michigan Medical School, and she completed her psychiatry residency and addiction psychiatry fellowship training at New York University. She has previously held faculty roles at New York University School of Medicine and Harvard Medical School. She has been involved in training the next generation of psychiatrists through her past work on the Program Director team for the MGH-McLean Psychiatry Residency Program. She has expertise in treating adults with mood disorders, anxiety disorders, substance use disorders, personality disorders, trauma, and ADHD.

Dr. Deringer cares deeply about understanding each patient's unique experience.  She recognizes that mental health symptoms are impacted by an individual's biological make-up, social situation, and their individual way of interacting with others in the world.  She will assess all of these factors and work with you to develop an appropriate treatment plan to help you feel better and meet your goals.  She incorporates supportive psychotherapy into all of her patient meetings; this may include discussions of the role of nutrition, exercise, and sleep habits in your overall well-being.

Dr. Deringer will begin the evaluation process with a thorough one-hour session in which we will discuss your current symptoms, your prior treatment history, your medical history, and your goals for treatment.  At the end of that session, she will begin to formulate her diagnostic impression and treatment recommendations.  Sometimes, the evaluation process may require more than one session, and it may be helpful for Dr. Deringer to gather information, with your permission, from prior treatment or to collaborate with your therapist if you have one.  Dr. Deringer will work with you on a medication treatment plan, if clinically indicated, to help you manage your symptoms and achieve your treatment goals.

Dr. Katelyn Thompson is board certified in Adult Psychiatry. Patients looking for a psychiatric provider will find that Dr. Thompson has a gentle and approachable style. She believes that each patient was created on purpose and for a purpose. The brain is deeply wired for resilience, and Dr. Thompson is blessed to witness tDr. Katelyn Thompson is board certified in Adult Psychiatry.  

Patients looking for a psychiatric provider will find that Dr. Thompson has a gentle and approachable style.  She believes that each patient was created on purpose and for a purpose.  The brain is deeply wired for resilience and Dr. Thompson is blessed to witness that while supporting that in her patients.  She focuses on medication management with supportive psychotherapy as she treats a wide variety of psychiatric diagnoses.

his while supporting her patients. She focuses on medication management with supportive psychotherapy as she treats a wide variety of psychiatric diagnoses.‍

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.