Marjorie Lavin, 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.

What has motivated Dr. Wheatley over the course of her career as a caregiver? Dr. Wheatley is a native Houstonian who grew up in a working-class community. Through curiosity and hard work, she was able to attend a university that included people of vastly different life experiences. She was molded by both communities to appreciate the commonalities of humanity. That broad exposure extended her empathetic spectrum to grasp the needs of the American diaspora.

Dr. Wheatley uses a biopsychosocial approach to evaluate the patient. She gathers patient history with a mindset that considers the neuroscience that chemically shapes mood, thoughts, and behavior. She is able to uncover factors that can inhibit psychological growth and development. She has experience in seeing how the social conditions of the “then” can influence the resiliency of the “now”. Dr. Wheatley appreciates, and is proficient in, advances in technology, but prioritizes the analog relationship between doctor and patient.

Meeting people where they are. It is an old trope, but describes how one allows a patient to set the path forward. An open-ended interview is conducted with an open mind towards resolution. When being evaluated and treated by Dr. Wheatley, a patient can expect to be met in a cordial but professional manner. Treatments are discussed and considered based on the mental state of the patient and the clinical efficacy and scientific evidence of benefit. The patient is invited to ask questions and consider whether they wish to pursue the suggested treatment plan.

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Ashley LaBanca provides medication management and supportive psychotherapy services. She has worked in mental health for over 12 years. A graduate of the University of North Dakota, she began her career in an outpatient setting, later transitioning into a lead nurse practitioner role before moving into telehealth services. Her goal is to reach individuals in need when in-person care is not feasible. Ashley lives in North Dakota with her family and enjoys traveling, reading, and spending quality time with them.

Ashley views medication as a tool rather than a cure. She incorporates alternative treatments by assessing physical health, exploring natural alternatives to medication, focusing on nutrition, and helping clients develop coping skills to manage daily stressors. Her guiding principle is the integration of therapy and medication management to support healing and growth. She encourages clients to be active participants in their treatment, fostering a collaborative, respectful, and open therapeutic relationship.

Ashley tailors her collaborative approach to each individual’s needs. She draws from Dialectical Behavioral Therapy (DBT), Cognitive Behavioral Therapy (CBT), and other treatment modalities, combining them with evidence-based prescribing to create personalized care plans. She also considers the social dimensions of mental health, addressing relationships, self-esteem, and internal healing.

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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.

Getting to know me...
Dr. David Weber is a highly experienced psychiatrist and medical doctor with dual specialties in psychiatry and primary care medicine. His comprehensive approach integrates both disciplines, allowing him to address mental health concerns with a deep understanding of their medical and psychological aspects.

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Dr. Weber earned his Doctor of Medicine (MD) from Southern Illinois University School of Medicine and pursued advanced training at Walter Reed Army Medical Center, Harvard University, and Georgetown University Medical Center. He is Board-Certified in General Psychiatry and Fellowship-Trained in Forensic Psychiatry and Occupational Medicine, equipping him with the expertise to diagnose and treat a broad spectrum of mental health conditions, considering both medical and psychiatric factors.

What should a new patient know about working with you?
Believing that each patient is more than a diagnosis, Dr. Weber takes a personalized approach, collaborating closely with individuals to develop tailored treatment plans. He views himself as an advisor and facilitator, empowering patients to take charge of their recovery.

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Areas of Focus:
ADHD (Focus & Cognitive Function)
Anxiety & Depression (Mood, Sleep, & Energy Concerns)
Stress & Brain Fog (Cognitive & Emotional Well-Being)

What is your typical process for working with patients?
Dr. Weber is an experienced, compassionate, and dedicated advocate for his patients' mental and physical health. He strongly believes in a collaborative, patient-centered approach to treatment, helping individuals achieve their personal and professional goals.
Committed to a well-balanced life, Dr. Weber is married and has two married daughters, two grandsons and three dogs. His wife, a clinical psychologist, helps ground his therapeutic approach, emphasizing the importance of integrating therapy with medication to enhance overall well-being. Guided by the ethos, "Treat them like you would your own family," he is dedicated to providing compassionate, high-quality care.

Dr. Anne Rohs is board certified in both adult and geriatric psychiatry and has practiced psychiatry for over 10 years. She has extensive experience treating critically ill patients in hospital settings. This experience allowed her to hone skills necessary to care for individuals with complex psychiatric illnesses complicated by medical conditions. Dr. Rohs' approach to care involves providing a consistent, empathic, non-judgmental space to develop and attain shared treatment goals. She is committed to developing a partnership that is always respectful of patients' points of view, and she utilizes this knowledge to inform treatment plans that are safe, effective, and agreeable to patients. At the same time, she is sensitive to financial or insurance coverage factors that may impact treatment. After completing residency training at Montefiore Medical Center, Dr. Rohs was invited to serve an additional year as Senior Chief Resident for its adult psychiatry residency training program. She spent the next year as a fellow in Geriatric Psychiatry before her appointment as an attending physician on Montefiore's acute psychiatric inpatient unit. During her training years, Dr. Rohs made several trips to Uganda to serve as an attending physician with the Doctors for Global Health Project. Dr. Rohs subsequently transferred to Bronx Psychiatric Center (BPC), where she treated inpatients and outpatients suffering from severe mental disorders. At BPC, she expanded her knowledge base and became an expert in advanced psychopharmacology. Dr. Rohs also spent time prior to joining Talkiatry as an attending physician at NYU Langone Hospital. Dr. Rohs specializes in treating a variety of psychiatric conditions including mood disorders, psychotic disorders, anxiety disorders, PTSD, and dementia. She is attuned to the direct and indirect mental health impact of the pandemic and its aftermath on patients of all ages. Dr. Rohs does not usually treat ADHD patients. For the small number of patients she treats who have ADHD, Dr. Rohs requires comprehensive testing, multiple follow ups, and a full medical workup before confirming a diagnosis to ensure appropriateness and safety of chosen treatment.Dr. Anne Rohs is board certified in both adult and geriatric psychiatry and has been in practice for over ten years. She has an extensive background working in hospital settings treating critically ill patients. This experience has helped hone her skills in caring for individuals with complex psychiatric illnesses complicated by medical conditions. Dr. Rohs’ approach is to provide a consistent, empathic, non judgmental space to develop and attain shared treatment goals. Dr. Rohs is committed to developing a partnership which is always respectful of patients’ points of view, and she utilizes this knowledge to inform treatment plans that are safe, effective and agreeable to patients. She is sensitive to financial or insurance coverage factors that may impact treatment.

After completing residency training at Montefiore Medical Center, Dr. Rohs was invited to serve an additional year as Senior Chief Resident for their adult psychiatry residency training program. She spent the following year as a fellow in Geriatric Psychiatry before being appointed an attending physician on Montefiore’s acute psychiatric inpatient unit. Dr. Rohs subsequently transferred to Bronx Psychiatric Center, where she treated patients suffering from severe mental disorders in both inpatient and outpatient settings. As a result, she further expanded her knowledge base and became an expert in advanced psychopharmacology. Prior to joining Talkiatry, Dr. Rohs served as an attending physician at NYU Langone Hospital. She has also been an attending physician for the Doctors for Global Health Project in Uganda.

Dr. Rohs specializes in treating a variety of psychiatric conditions including schizophrenia, bipolar disorder, generalized anxiety disorder, depression, and dementia. She is attuned to the direct and indirect mental health impact of the pandemic on patients of all ages. As the Covid situation evolves, Dr. Rohs is available to see patients either in the office or via telehealth platforms.

Dr. Rohs does not usually treat ADHD patients. For the small number of patients she treats who have ADHD, Dr. Rohs requires comprehensive testing, multiple follow ups, and a full medical workup before confirming a diagnosis to ensure appropriateness and safety of chosen treatment.