Maralys Colon Betancourt, MD

Dr. Robert Smeed, DO, is a board-certified psychiatrist with a passion for healing the human mind and consciousness. He earned his Doctor of Osteopathic Medicine from Lake Erie College of Osteopathic Medicine and completed his Psychiatry Residency at Wayne State University College of Medicine. Certified by the American Board of Psychiatry and Neurology (ABPN), Dr. Smeed served as an outpatient psychiatrist at Veterans Affairs for 11 years, honing his expertise in mental health care. Driven by a deep interest in consciousness and innovative treatments, he combines talking therapies, neuromodulation, and modern psychopharmacology to help patients achieve lasting wellness.

Dr. Smeed is proficient in treating a wide range of psychiatric conditions while specializing in treatment-resistant depression, neurodevelopmental disorders, anxiety and trauma disorders. His treatment style is empathic and collaborative, emphasizing family dynamics and relationships while integrating psychodynamic principles with biopsychosocial models. He approaches each patient with creativity, using open-ended discussions and innovative therapeutic and psychopharmacologic strategies to tailor care, ensuring a personalized and effective treatment experience.

Dr. Smeed begins with open-ended dialogue, allowing patients to develop their narrative, which is often therapeutic. Treatment plans are customized to patient needs and align with diagnostic standards of care. He incorporates medication reviews, mindfulness techniques, cognitive behavioral therapy (CBT), supportive therapy, and psychodynamic approaches. Dr. Smeed also educates patients on lifestyle factors, such as diet and exercise, to support mental health, fostering a holistic and individualized path to wellness.

Tulsie Patel is a board certified psychiatrist who treats adults. She graduated Cum Laude from Drexel University and attended medical school at the University of Miami Miller School of Medicine. She completed her psychiatry residency at the University of Texas Southwestern (UTSW) and was elected to serve as Chief Resident during her final year of training. She has worked as an outpatient psychiatrist in California and Florida and has experience in medication management, individual and group therapy, and transcranial magnetic stimulation (TMS). She is dedicated to constantly learning and has previously published numerous articles and book chapters on various topics in the fields of psychiatry, dermatology, and psychodermatology. She is also very passionate about education and medical journalism. During her residency training, she worked at ABC News in New York City as a member of their medical unit. She provided consultation on medical stories for programs including Good Morning America and World News with David Muir. She has published a number of articles on the websites for ABC News and Good Morning America. She also has experience presenting as an on-air expert for ABC News and for mental health podcasts. She is committed to continuously evolving as a provider in order to provide the best care for her patients. Her focus is always to provide patient-centered care by prioritizing open communication and collaboration with her patients. She has experience providing care for a variety of psychiatric illnesses. The conditions she treats include but are not limited to depression, anxiety, panic disorder, OCD, PTSD, and ADHD.

Background and credentials

Dr. Escamilla is a board-certified psychiatrist with over 20 years of experience in treating mental health conditions. He is a graduate of Harvard College and earned his medical degree from the University of Texas Southwestern Medical School. He completed his psychiatry training at the University of California at San Francisco and further specialized through a research fellowship with the American Psychiatric Association. In addition to his clinical work, he is a Jungian Analyst and holds academic positions as an adjunct professor at Rutgers University Department of Psychiatry and as the Frank McMillan Jr. Scholar at the Jung Center of Houston.

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Treatment approach

Dr. Escamilla brings a deeply analytical and research-driven approach to psychiatry, integrating traditional psychiatric treatment with Jungian analysis. He has a strong background in academic research and clinical psychiatry, contributing extensively to the field through research publications. His expertise spans a wide range of mental health challenges, and he is committed to understanding the complexities of each patient’s experience to tailor a treatment plan that best suits their needs.

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What you can expect in a first visit

During the first visit, patients can expect a comprehensive psychiatric evaluation that takes into account their personal history, psychological patterns, and treatment goals. Dr. Escamilla’s approach emphasizes thoughtful analysis and evidence-based care, ensuring that each patient receives a personalized and insightful treatment plan. His sessions may incorporate medication management, psychotherapy, and Jungian analytical techniques to provide a holistic and individualized treatment experience.

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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. Faizan Syed is a board-certified attending psychiatrist who graduated from St. George's University School of Medicine in 2012. He completed his residency in adult psychiatry at Creedmoor Psychiatric Center, an affiliate of Columbia University, in June 2016 .Dr. Syed was born in Karachi, Pakistan, and has lived transnationally in the United States, the Caribbean, the United Kingdom, and the Middle East throughout his life. He is currently based in Queens, NY, and alongside his professional development in his career as a psychiatrist, he has also worked to develop himself personally through writing. As a poet, essayist, and author, he has been published numerous times, and he maintains connections with his community through his participation in a group known as the Queens Poetic Alchemy Collective. He has spoken out publicly against the cultural stigma against mental health that has become a barrier to seeking and finding help. He has also been featured on Humans of New York. Dr. Syed believes strongly in the power and importance of psychotherapy as part of the therapeutic process. As such, he integrates individualized psychotherapy for each patient he sees and tailors various techniques to suit each patient's needs. He believes in an integrative, holistic approach that borrows from and blends various schools of psychology, philosophy, and neuroscience, including mindfulness, existentialism, cognitive-behavioral therapy, dialectical therapy, psychodynamics, genetics, and psychopharmacology. In addition, he is a great believer in the therapeutic power of the arts, whether it is visual arts, music, bibliotherapy, or expressive writing. Dr. Syed focuses on exploring the role of meaning in every patient's life so they can define and fulfill their potential in many areas of life. He has experience working with patients of all ages who have struggled with trauma, relationship or attachment issues, bipolar disorder, depression, anxiety, panic attacks, psychosis, and personality disorders.

Maegan Roberts, PMHNP, earned her MSN from Indiana University School of Nursing and her BSN from the University of Evansville. She worked as a Registered Nurse in inpatient psychiatry for five years before transitioning to outpatient care as a psychiatric nurse practitioner in 2017. Maegan has experience treating patients across the lifespan, from school-aged children to older adults. She is especially attuned to the challenges of young adulthood, parenting, and navigating complex family dynamics. Committed to lifelong learning, she values the insights and perspectives her patients bring to their care.

Maegan creates a therapeutic environment grounded in dignity, empathy, and respect. She empowers patients through education about diagnoses, symptoms, and medications while promoting autonomy and informed decision-making. Her approach blends psychopharmacology with supportive therapy, skill-building, and sustainable lifestyle strategies, helping patients build insight and resilience.

In the initial appointment, Maegan takes time to understand each patient’s history, concerns, and goals. From there, she collaborates with patients to create and adapt treatment plans that align with their evolving needs, always keeping the individual’s unique context and aspirations at the center of care.

Dr Mark Giordano is a board-certified psychiatrist with over ten years of experience in adult psychiatry, addiction medication, pregnancy and post-partum care, complex medical consultation, and military health. Dr G practices psychodynamic psychotherapy as well as evidenced based medication management. Dr G has extensive experience working with culturally diverse populations, and is an Army veteran who deployed to Korea and Afghanistan.

Patients often describe Dr G as caring, providing clear explanations, and responsive to concerns.   Dr G highly values his patients trusting him to listen and respect them, as well as in his clinicial skills.  He works hard at helping his patients understand his approach to treatment, and what is happening along the way and why. He may be the medical expert, but he and his patients are partners working together in the process of achieving better health and functionality for them so they can live their best lives.

Dr G starts by explaining his overall approach to medication management and his goal of helping his patients live a better life free of disability. He conducts a detailed evaluation of your concerns, your experiences, and your priorities in treatment.  Dr G develops a unique treatment plan based on your unique needs. He emphasizes positive developments over the course of your work together and makes sure you always have a chance to discuss any questions or concerns you want him to know and answer.