Luke Romanow, MD

Dr. Li is a board-certified adult psychiatrist based in Florida. He has a particular focus on combining supportive psychotherapy techniques with medication management in the treatment of psychiatric conditions. Some conditions he has particular experience in managing include attention/focus difficulties, anxiety, depression and bipolar mood issues, but he is well-versed in addressing a wide variety of diagnoses.

Dr. Velda Pugh-Kinsey is a Board-Certified Psychiatrist with over three decades of experience in both outpatient and inpatient settings. She earned her medical degree from the University of Alabama School of Medicine and completed her psychiatry residency at University Hospital. She has previously served as Chief of Mental Health at a VA Hospital and has maintained a successful private practice focused on medication management and supportive therapy.

Dr. Pugh-Kinsey values open communication and believes in building a warm, respectful environment where patients feel heard. She works collaboratively with patients to set clear treatment goals and tailors her approach to meet each person’s unique needs. Her practice emphasizes both medication management and supportive therapy to promote long-term well-being.

During initial sessions, Dr. Pugh-Kinsey takes time to understand each patient’s history, concerns, and goals. She uses a team-based approach, partnering with patients in treatment planning and decision-making to ensure care is both effective and aligned with their values.

Dr. Desir is a Board-Certified Psychiatrist who completed her undergraduate training at The University of Scranton followed by medical school at the New York Institute of Technology College of Osteopathic Medicine. She completed psychiatry residency at Nassau University Medical Center where she served as the Administrative Chief Resident in her final year. Dr. Desir has been in practice for 4 years and has provided patients with compassionate psychiatric care. She has worked in community mental health settings throughout her career, in which she served a wide variety of patient populations. Dr. Desir is experienced in treating various psychiatric illnesses including mood disorders, anxiety disorders, OCD, PTSD, and ADHD. At the heart of Dr. Desir's clinical approach is a strong emphasis on establishing trust and building a therapeutic relationship. She also provides psychoeducation to help patients make informed decisions regarding their care. She works collaboratively with patients to develop individualized treatment plans to help them achieve their goals. Dr. Desir's practice focuses on medication management. Typically, she offers this in conjunction with supportive or emotionally focused therapy in 30-minute follow-up visits. Occasionally, Dr. Desir may believe that additional therapy is also needed and ask that you bring a therapist into your care team to provide the best outcome. Talkiatry takes medication management seriously. All state-controlled substance databases are reviewed and taken into consideration during your initial evaluation.

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.

‍

Dr. Mitchell Laski earned a Bachelor of Science in Psychology from the University of Nebraska–Lincoln in 2011 and completed his medical degree at the University of Nebraska College of Medicine in 2017. He completed his residency in psychiatry at Naval Medical Center Portsmouth, Virginia, in 2021, where he was selected as Chief Resident. Dr. Laski has extensive experience in both outpatient and deployed settings, having completed two operational tours with the U.S. Navy. During these tours, he served in Embedded Mental Health Clinics and aboard deployed ships, working directly with Sailors.

Dr. Laski brings empathy, attentiveness, and a non-judgmental approach to every patient interaction. He is deeply committed to ensuring patients feel heard, respected, and understood. Patients can expect him to be thorough and dedicated, consistently advocating for their overall wellness throughout the course of treatment.

Understanding that beginning mental health care can be difficult, Dr. Laski starts with friendly, casual questions to build rapport—asking about patients’ background, interests, and current life situation. He then reviews their medical and psychiatric history before exploring current symptoms and stressors. Together, he and the patient collaborate to create a personalized treatment plan.

‍

Dr. Walter Piddoubny is a double boarded psychiatrist in Adult Psychiatry and Consultation Liaison Psychiatry. He completed his undergraduate degree at Stony Brook University followed by his medical degree at SUNY Buffalo School of Medicine and Biomedical Sciences. He completed his Psychiatry Residency at Stony Brook University Hospital followed by his fellowship in Consultation Liaison Psychiatry at Yale New Haven Hospital. Dr. Piddoubny has held academic appointment at Stony Brook University Hospital practicing as a consultant psychiatrist as well as Associate Program Director of the Psychiatry Residency Program. He has been actively involved in teaching and was awarded "Teacher of the Year" in 2018 by the psychiatry residents. Dr. Piddoubny's practice focuses on medication management. Typically, he offers this in conjunction with supportive or emotionally focused therapy during 30-minute follow-up visits. Occasionally, Dr. Piddoubny may believe that additional therapy is warranted and ask that you bring a therapist into your care team in order to provide the best possible outcome.‍