Margaret Ngumi, PMHNP

Erika Zarco is a Licensed Marriage & Family Therapist and Telehealth provider. She has extensive experience working in non-profits, schools, academic settings, and private practice. Erika is certified in Trauma-Informed Interventions, Advanced Grief Counseling, Addictions-Informed Care, Narrative Therapy, Emotional Freedom Techniques (EFT), Solution-Focused Brief Therapy, and Nutrition & Integrative Medicine for trauma. She holds a BA in Humanities from New College of California and a master’s in Counseling from the Wright Institute.

Erika values open communication and helps clients set clear treatment goals. She fosters a collaborative environment using narrative counseling, Internal Family Systems, and “parts” work to help clients re-story their experiences. She also offers EFT Tapping for trauma, anxiety, depression, and pain. Erika works from the belief that clients are the experts in their own lives and promotes self-determination through Motivational Interviewing, Harm Reduction, and Energy Psychology.

Erika begins by understanding what brings clients to therapy and building a strong therapeutic relationship. She tailors Narrative Counseling and EFT sessions to each individual, collaboratively creating personalized treatment plans with achievable, transformational goals. Her approach is holistic, supportive, and designed to empower clients to recognize their strengths and motivation for meaningful change.

Dr. Michael Fiori is Board Certified in Adult Psychiatry and Addiction Medicine. He has practiced general psychiatry for 37 years, and has also sub-specialized in Addiction Psychiatry for the past 20 years. Dr. Fiori's practice emphasizes Diagnostic Clarification, which is an ongoing process. He is highly trained and experienced in the biological and psychosocial underpinnings of psychiatric problems. He typically follows diagnostic evaluations with 30-minute follow up visits for medication adjustments and brief therapy. Dr. Fiori often enjoys collaborating with outside therapists when needed. Dr. Fiori graduated from Amherst College and received his medical degree from NY Medical College. He subsequently completed his residency in psychiatry at the Mount Sinai Medical Center in NYC. He excelled in Academic Psychiatry as both a teacher and a mentor. His practice has always combined medications with evidence-based therapies to alleviate suffering and maximize functioning. In addition to his work as a Board Certified Adult Psychiatrist, he has specialized in helping patients suffering from Substance Use Disorders. Dr. Fiori is Board Certified in Addiction Medicine, and helps patients understand the interrelationships between their Substance Use Disorders and their Psychiatric illnesses.

Dr. Dave Kopacz studied psychology, medicine, and psychiatry at the University of Illinois. He has over 25 years of clinical experience, most recently 11 years at the Seattle Veterans Affairs and as a national VA Whole Health Education Champion, teaching holistic self-care to staff and veterans. Prior to that, Dr. Kopacz was Clinical Director of a psychiatric rehabilitation center in New Zealand. He has worked in private practice, rural community mental health, and ran a VA tele-health program for Native American/Alaskan and Pasifika veterans.

Dr. Kopacz is board certified in Psychiatry & Integrative Medicine, a certified yoga instructor and a certified iRest (Integrative Restoration) meditation teacher. He is an author and international speaker on topics of burnout, well-being, medical humanities, creativity and health, and cross-cultural approaches to healing. His books include Caring for Self & Others: Transforming Burnout, Compassion Fatigue, and Soul Loss, and Re-humanizing Medicine. He has also co-authored four books with Joseph Rael (Beautiful Painted Arrow), including Walking the Medicine Wheel: Healing Trauma & PTSD.

"What is your typical process for working with patients?"

Dr. Kopacz combines psychiatric diagnosis with a collaborative and holistic focus on your strengths and personal growth. Combining a psychiatric and self-care assessment, he will help you find a plan for medication, psychotherapy, and well-being work that feels right for you.

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Dr. Fatima Ghandour is an adult psychiatrist originally from Southeast Michigan. She earned her undergraduate degree at the University of Michigan and her medical degree at Western Michigan University Homer Stryker MD School of Medicine. She completed her psychiatry residency at Authority Health in Detroit, where she was recognized as Resident of the Year in her graduating class. Dr. Ghandour has experience practicing in both outpatient and inpatient settings and has treated a wide range of conditions including depression, anxiety, ADHD, and PTSD.

Dr. Ghandour values open communication and collaboration, working closely with patients to set clear and meaningful treatment goals. She fosters a warm, supportive environment where patients feel heard, respected, and empowered to take an active role in their care. Her empathetic and patient-centered approach helps individuals feel safe sharing their unique experiences and challenges.

Dr. Ghandour begins each relationship with a thorough evaluation, taking time to understand each patient’s history, concerns, and goals. From there, she develops an individualized treatment plan that reflects the patient’s needs and preferences. She combines evidence-based strategies with ongoing dialogue to ensure treatment remains responsive and aligned with each patient’s progress and well-being.

Background and credentials

Dr. Tyler Josephs is a staff psychiatrist at Talkiatry. He earned his medical degree from Kansas City University in 2017 and completed his psychiatric residency at the University of Kansas Medical Center in 2021. During his residency, he served as Chief Resident at both the University of Kansas Medical Center and the Kansas City VA Medical Center. Most recently, Dr. Josephs worked at the Kansas City VA Medical Center, where he was the psychiatric director of the outpatient mental health clinic and served as Psychiatry Executive for behavioral health services.

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Treatment approach

Dr. Josephs believes in a holistic approach to mental health treatment, integrating medication management, supportive psychotherapy, and collaboration with therapists and support staff. He tailors treatment to each patient's unique needs, ensuring a comprehensive and individualized approach to care. His expertise includes treating a variety of psychiatric diagnoses, such as depression, anxiety disorders (including OCD), ADHD, and PTSD.

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What you can expect in a first visit

In a first visit, patients can expect a thorough evaluation, where Dr. Josephs takes the time to understand their medical history, symptoms, and treatment goals. He emphasizes open communication and collaborative decision-making, ensuring that patients feel heard and supported. Based on this initial assessment, he will develop a personalized treatment plan, which may include medication management and referrals to therapy or other supportive services as needed.

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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. Jacob Webbert is double board-certified in Psychiatry and Addiction Psychiatry. He earned his medical degree from the Lake Erie College of Osteopathic Medicine in Erie, PA, and completed his psychiatry residency at Albany Medical Center in Albany, NY. He then pursued fellowship training in Addiction Psychiatry at Dartmouth-Hitchcock Medical Center in Lebanon, NH. Dr. Webbert has extensive experience across telehealth, outpatient psychiatry, and substance use disorder treatment programs, providing comprehensive care tailored to a wide range of patient needs.

Dr. Webbert takes a supportive, non-judgmental approach to care, prioritizing open communication and trust in the treatment process. He works with patients to set realistic, meaningful goals that align with their values and promote lasting improvement in mental health. His patients can expect a collaborative partnership where they feel heard, respected, and empowered to take an active role in their care.

Dr. Webbert begins by listening carefully to each patient’s unique story, concerns, and goals. From there, he develops a personalized treatment plan that may include therapy, medication management, or a combination of both. He collaborates with patients over time, adjusting the treatment plan as needed to best support progress and recovery, with the shared aim of building resilience and achieving sustainable wellness.