Marc Whaley, MD

Dr. Seth Flesher is double board-certified in adult psychiatry and addiction medicine.  Dr. Flesher’s practice focuses on medication management of psychiatric illness without the use of controlled substances.  Typically, he offers this in conjunction with supportive or emotionally focused therapy in 30-minute follow-up visits. However, occasionally Dr. Flesher may believe that additional therapy is also needed and ask that you bring a therapist into your care team to provide the best outcome.

Before joining Talkiatry Dr. Flesher was Medical Director of Advanced Psychiatric Services [complex/high profile cases] at Kings County Hospital and Unit Chief of the Covid19 positive unit.  He was also a clinical professor at Downstate Medical College where he was voted educator of the year numerous times by psychiatric residents and medical students.  Dr. Flesher is a graduate of the prestigious combined 6-year BS/MD program at The Sophie Davis School of Biomedical Education.  He did research at the neuropsychiatric branch of the National Institute of Mental Health, completed his psychiatric residency at St. Lukes/Roosevelt Hospital, and he received his master’s degree in public health from Columbia University.

Dr. Flesher believes that psychiatry should start with a thorough assessment to arrive at an accurate diagnosis.  Then a discussion with the patient of the different evidence-based options available.  Followed by shared decision-making to arrive at an effective treatment plan to achieve the goals that the patient identifies as being important.  This should be done in an honest, open, non-judgmental, but realistic environment.  Understanding that the ultimate goal is to get the patient to a position where they will no longer need medication and/or therapy.

Elizabeth Shaffer, MD, is an accomplished psychiatrist specializing in child and adolescent psychiatry. She earned her M.D. degree from St. George's University School of Medicine and holds a Bachelor of Science in Child Development from Appalachian State University where she graduated summa cum laude. Dr. Shaffer's passion for working with children and families developed during her involvement in a pre-K Head Start Program in Rural North Carolina. She completed her General Psychiatry Residency and Child & Adolescent Psychiatry Fellowship at Jerry M. Wallace School of Osteopathic Medicine at Campbell University. Dr. Shaffer obtained ABPN Board Certification in General Psychiatry in 2023 and is working towards Board Certification in Child & Adolescent Psychiatry. Dr. Shaffer has received honors and awards for her contributions to psychiatry, including the Laughlin fellowship through The American College of Psychiatrists and Resident of the Year at Cape Fear Valley Health System in 2022.Her areas of interest focus on neurodevelopmental disorders such as ADHD, Autism, and Intellectual Delay. Dr. Shaffer is affiliated with professional organizations like AACAP and APA, demonstrating her commitment to professional development. Dr. Shaffer is dedicated to promoting mental health awareness and family and patient psychoeducation. Dr. Shaffer emphasizes a joint decision-making approach to treatment options and utilizes local resources to provide wrap-around support. Dr. Shaffer is a respected psychiatrist known for her excellence, compassion, and innovative approach to mental health care. Her extensive education, accolades, research contributions, professional affiliations, and community involvement reflect her commitment to making a positive impact in her patients' lives and the broader community.

Dr. Lindsay Legnon is board-certified in Psychiatry and has 15 years of experience in outpatient clinical psychiatry. Her focus is primarily on medication management, but she does incorporate brief cognitive behavioral therapy and supportive therapy when appropriate. If more extensive psychotherapy is felt to be beneficial, she will recommend a therapist and collaborate with them for optimal care. She completed her medical degree at Louisiana State University in Shreveport and her residency at Tulane University in New Orleans, where she served as Chief Resident. After completing her residency, she worked primarily in outpatient clinics treating a wide range of mental health disorders. She has extensive experience treating major depressive disorder, a variety of anxiety disorders, OCD, PTSD, and bipolar disorder, among others. Medication is felt to be an important tool for many in achieving wellness, and she encourages a holistic approach to improve outcomes. Her hope is to provide relief and help people achieve their goals in their journey back to wellness.

Dr. Tahira Akbar specializes in adult psychiatry, she completed her four years of residency training at Bergen New Bridge Medical Center in Paramus NJ and additional two years of geriatric psychiatry fellowship from SUNY Downstate Medical Center in Brooklyn, NY. During her final year of the of residency training, she was appointed as the chief of research. She utilized her extensive research experience to guide and mentor her fellow residents. Under her supervision the program submitted maximum number of research papers and presented medical posters to various psychiatric platforms including American Psychiatric Association.

Dr. Akbar was introduced to tele-psychiatry during the second year of her fellowship due to the COVID-19 pandemic. She appreciated that tele-psychiatry allowed her to continue to serve her patients in the comfort of their own homes. During the challenging times of social distancing, she recognized the importance of collaborative care involving family members, social workers, medical team, and therapist to work together in the best interest of her patients while protecting their privacy and individuality.

Dr. Akbar has excellent communication skills, she believes that an open communication is essential for any relationship to prosper especially that of doctor-patient relationship. She provides a comforting environment for her patients to be able to express their needs and encourages feedback while preparing their individual treatment plan. She is experienced in providing psychiatric care to all age groups while her clinical interest focuses on taking care of adults and geriatric population. Dr. Akbar emphases on medication management utilizing a multidisciplinary methodology when treating each patient based on their requirements and tailoring treatment appropriately.

Dr. Candice Hacker is a board-certified Psychiatrist at Talkiatry. She completed her Psychiatry residency and a fellowship in Consultation Liaison Psychiatry at Mount Sinai/St. Luke's Hospital. She is passionate about a holistic approach to patient care, trained in psychosomatic medicine, and she has a deep appreciation for the intricate connection between the mind and body. With over 20 years of experience, Dr. Hacker has facilitated excellent outcomes in the treatment of various mental health conditions, including anxiety disorders, mood disorders, and trauma-related conditions. Dr. Hacker believes in creating a safe, nurturing and non-judgmental environment where patients can openly explore their emotions and experiences. By integrating evidence-based psycho-pharmacological modalities with mindfulness and cognitive-behavioral techniques, she empowers her patients to challenge a negative mindset and reach their goals. Beyond her clinical practice, Dr. Hacker is deeply committed to community mental health advocacy and the destigmatization of mental illness.

Dr. Earl De Guzman is a psychiatrist who values therapeutic partnership, working with patients to balance symptom relief with meaningful self-exploration. He earned his BS in Psychology from the University of California, Davis, and his MD from Ross University School of Medicine. He completed his psychiatry residency at Los Angeles County + University of Southern California Medical Center and a consultation-liaison psychiatry fellowship at Stanford University Medical Center. He is triple-board-certified in psychiatry, consultation-liaison psychiatry, and addiction medicine, and holds psychoanalytic psychotherapy training certification from the Psychoanalytic Center of California. Currently, he is a psychoanalyst-in-training at the New Center for Psychoanalysis. His expertise spans medication management, supportive therapy, and psychodynamic therapy.

Dr. De Guzman takes a collaborative, patient-centered approach, creating a warm and nonjudgmental environment. He listens deeply, asks thoughtful questions, and encourages honest exploration of symptoms and underlying patterns. He values authenticity, curiosity, and respect for each patient’s unique experiences. While symptom relief is important, his goal is to foster self-understanding and long-term growth. He works best with patients open to collaboration and motivated for change, whether through medication management, therapy, or both.

Dr. De Guzman begins with a consultation phase to ensure a good fit, listening carefully to understand each patient’s challenges and goals. Together, he and his patients build a working alliance by clarifying difficulties, identifying realistic changes, and exploring deeper patterns. When appropriate, he prescribes medication thoughtfully, aiming to support therapy rather than replace it. Each session integrates supportive and psychodynamic elements, combining medication review with therapeutic dialogue. Treatment plans are regularly revisited, allowing flexibility and growth, with the ultimate aim of empowering patients toward lasting change.