Mark Varela,MD

Dr. Holly Shiao is a psychiatrist who has worked extensively with medically complex patients, including a special focus in psycho-oncology with cancer patients. She is double board-certified in Consultation-Liaison Psychiatry and Adult Psychiatry. She has been practicing for over 7 years. Before Talkiatry, Dr. Shiao worked as an Assistant Professor at the University of Washington and Fred Hutchinson Cancer Center. She also worked as an Assistant Professor and was Director of Emergency Psychiatry at the University of Chicago. She has presented nationally at the Academy of Consultation-Liaison Psychiatry and written a book chapter about psycho-oncology. Dr. Shiao attended medical school at John P. and Kathrine G. McGovern Medical School at the University of Texas Health Science Center at Houston. She then completed an Adult Psychiatry residency at the University of Texas Medical Branch at Galveston, followed by a Consultation-Liaison fellowship at Dell Medical School at the University of Texas at Austin. Dr. Shiao is interested in the mind-body connection in overall emotional and mental well-being. She likes to integrate therapy modalities, such as cognitive behavioral therapy, supportive therapy, mindfulness and meditation with medication management to optimize a patient's mental health.

Dr. Jerry Sayers is a double board-certified psychiatrist in General Psychiatry and Consultation-Liaison Psychiatry. Dr. Sayers completed an Internal Medicine internship in Youngstown, Ohio. He then completed his residency in General Psychiatry at The Johns Hopkins Hospital followed by fellowship training in Neuropsychiatry and Behavioral Neurology at Johns Hopkins Bayview. He most recently finished his fellowship in Consultation-Liaison Psychiatry at the University of Maryland. Dr. Sayers has had the opportunity to care for a diverse group of patients with neuropsychiatric, neurological, and other general medical conditions. His work allowed him to work on a proactive, collaborative psychiatric consultation team designed to be involved early in the care of vulnerable patients with complex neuropsychiatric conditions. Dr. Sayers has experience in outpatient, inpatient, residential, and partial hospitalization programs. He works hard to tailor therapy to the needs of the individual patient by adapting techniques that have been successful across different treatment settings. His desire to ensure exceptional care is evident in his ability to relate to and understand an individual patient's needs and concerns.

Dr. Lorangelly Rivera is board-certified in Adult psychiatry and has been practicing for over 5 years. Dr. Rivera focuses on medication management and brief psychotherapy utilizing techniques from cognitive behavioral therapy, psychodynamic therapy, and supportive therapy in 30-minute appointments. When appropriate, Dr. Rivera may recommend additional psychotherapy with a psychologist as part of the treatment plan. She is fluent in both Spanish and English and is passionate about working with the Latinx population. She completed her bachelor's degree in Cellular Molecular Biology from Metropolitan University, San Juan, Puerto Rico, and her postgraduate work at the National Cancer Institute in Bethesda, Maryland. Dr. Rivera received her medical degree from Ponce Health Sciences University School of Medicine, Ponce, Puerto Rico. She completed her residency training in psychiatry at the University of Rochester Medical Center. After completing her training, she began working for Lifespan Physician Group where she became program director for Lifespan Latinx Mental Health Services and served as Staff Psychiatrist at Rhode Island Hospital and The Miriam Hospital. She holds a faculty position in The Warren Alpert Medical School of Brown University, Department of Psychiatry and Human Behavior as a Clinical Instructor. ‍

Ashley is an ANCC board-certified Psychiatric Mental Health Nurse Practitioner with over a decade of experience in Psychiatry. She has worked in inpatient and outpatient settings, crisis centers, and psychiatric emergency rooms. Ashley is deeply committed to working collaboratively with individuals to enhance their well-being, creating a personalized care plan tailored to each person’s unique needs.

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Her approach integrates medication management, supportive psychotherapy, and lifestyle interventions. As a prescriber specializing in psychopharmacology, Ashley provides comprehensive medication management while utilizing a shared decision-making model. She actively involves clients in their treatment planning, discussing various options to determine the most effective path forward.

During the initial session, Ashley prioritizes establishing a comfortable, open environment where clients feel at ease. She will review medical and psychiatric history, discuss treatment goals, and explore different therapeutic options based on individual preferences. Ashley encourages questions throughout the process to ensure a collaborative and supportive treatment experience.

Background and credentials

Dr. Kristina Schnitzer is a board-certified psychiatrist. She earned her medical degree from the New York University School of Medicine and completed her residency in Adult Psychiatry at the Massachusetts General Hospital/McLean Adult Psychiatry Residency Program. She further specialized by completing a one-year clinical and research fellowship in Public and Community Psychiatry through Massachusetts General Hospital and the Massachusetts Department of Mental Health. In addition to her medical training, she holds a Master of Public Health (MPH) from the Harvard T.H. Chan School of Public Health. She has over three years of experience practicing psychiatry across inpatient, emergency, and outpatient settings.

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Treatment approach

Dr. Schnitzer focuses on medication management as the foundation of her treatment approach, typically combining it with supportive or emotionally focused therapy during 30-minute follow-up visits. She takes a collaborative and individualized approach to patient care and, when needed, may recommend additional therapy by integrating a therapist into the care team to ensure the best possible outcomes. She has experience treating a broad range of psychiatric disorders in various clinical settings.

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What you can expect in a first visit

Patients can expect a thorough and structured evaluation in their first visit, where Dr. Schnitzer carefully assesses their symptoms, medical history, and treatment goals. She emphasizes open communication and collaboration, ensuring that patients are fully involved in shaping their treatment plans. Follow-up visits typically last 30 minutes, during which she monitors progress, adjusts treatment as needed, and may recommend additional therapeutic support for comprehensive care.

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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. Jacqueline Lewandowski is a board-certified physician specializing in adult psychiatry. She obtained her undergraduate degree from New York University where she studied psychology and child/adolescent mental health. Dr. Lewandowski received her medical degree from St. George's University in Grenada, before moving back to New York to complete her residency at Morningside and West Mount Sinai Hospitals. Since completion of training, Dr. Lewandowski has practiced and held teaching positions in both the Comprehensive Psychiatric Emergency Department of Harlem Hospital and the inpatient units and psychiatric emergency rooms of Morningside and West Hospitals. Dr. Lewandowski has a wide range of experience treating a diverse spectrum of psychiatric diagnoses and populations. She strongly believes in tailoring treatments through a holistic and patient-centered lens based on individual and multi-faceted histories. During 30-minute monthly sessions, Dr. Lewandowski focuses on collaborating with patients using evidence-based treatments with an emphasis on medication management in conjunction with supportive therapy. Additionally, she may recommend bringing a therapist into your care team to help facilitate a more comprehensive treatment plan. Dr. Lewandowski looks forward to working with you to help achieve and optimize your wellness and improve your quality of life.