Matthew Hamilton, MD

Lauren is a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) who earned her Master of Science in Nursing from Kent State University in 2020. She has experience treating a wide range of mental health conditions, including depression, anxiety, psychotic disorders, bipolar disorder, ADHD, OCD, PTSD, and substance use disorders.

Lauren’s approach combines medication management with psychotherapy to create a well-rounded, individualized treatment plan. She takes time to listen to her patients’ concerns, fostering a safe and open environment for dialogue. Her therapeutic methods include supportive therapy, motivational interviewing, and cognitive behavioral therapy. Recognizing that medication alone may not fully address the root causes of distress, she incorporates talk therapy, lifestyle changes, stress management, self-care strategies, supplements, and social health into her care plans.

With a laid-back, non-judgmental, and empathetic style, Lauren collaborates closely with patients to ensure their treatment aligns with their unique needs and goals. Every decision is grounded in evidence-based practices and patient-centered care.

Lauren begins with a comprehensive initial assessment, gathering detailed information about each patient’s mental and physical health history, lifestyle, symptoms, concerns, and goals. This assessment informs a potential diagnosis and serves as the foundation for a personalized treatment plan. Regular follow-up appointments are scheduled to monitor progress, make adjustments as needed, and provide ongoing support.

‍

Tamara Lazenby, MD is a board-certified psychiatrist with more than 20 years of clinical and academic experience in emergency mental health, disaster response, and trauma-focused care. She earned her undergraduate degree at George Mason University and completed her medical degree at Eastern Virginia Medical School. After the September 11th attacks, Dr. Lazenby trained in psychiatry at New York Medical College’s Saint Vincent’s Hospital, specializing in emergency and trauma psychiatry.

She previously served as Associate Director of Wellness & Emergency Response Services at New York University’s Student Health Center, leading a team that cared for more than 50,000 global NYU students. Dr. Lazenby also previously served as Staff Psychiatrist and Team Lead for the Combat PTSD Clinical Team at the Hampton VA Medical Center, providing care for veterans with service-related trauma and implementing National VA Standards of Care.

Dr. Lazenby believes healing happens when mind, body, and spirit are aligned. She creates a compassionate and collaborative environment where patients feel deeply heard and empowered in their own care. Her approach blends conventional psychiatric treatment with nutrition, mindfulness, movement, and stress-reduction strategies to support long-term mental wellness.  She values authenticity, open communication, and shared decision-making, empowering patients to build resilience and restore balance in their lives.

She begins with a comprehensive assessment exploring medical, psychological, and lifestyle factors that influence mental health. Treatment plans are personalized and may include psychotherapy, targeted laboratory testing, lifestyle modifications, supplements, and medication when appropriate. Dr. Lazenby works closely with patients to restore balance, resilience, and overall well-being through a truly integrative approach. Regular collaboration and feedback, helping patients heal, grow, and thrive.

Dr. Vargas is an adult psychiatrist who received her medical degree from the University of Texas Health Science Center of San Antonio. She subsequently completed her psychiatry residency training at UT Health San Antonio.

Dr. Vargas has a patient-centered and thorough approach to treatment. She has experience treating a broad spectrum of mental health disorders, with particular interest in depression, anxiety, and post-traumatic stress disorder. She has also worked in clinic with severely mentally ill patients at the South Texas VA in San Antonio.

Dr. Vargas's primary focus is medication management with an emphasis on shared decision-making; however, she frequently also utilizes supportive therapy, cognitive behavioral therapy, and psychodynamic therapy principles in her approach. She may refer patients to a therapist if further support would be beneficial.

‍

Dr. Pipalia is board-certified in both adult psychiatry and internal medicine. Since graduation from residency, he gained specialized experience in treating veterans with terminal illness, specifically Amyotrophic Lateral Sclerosis (aka Lou Gehrig's Disease), at the VA Medical Center in Portland, OR. He combines both psychotherapy and medication treatment to provide holistic care that addresses not only your mental health but also the parts of your life that surround and are deeply intertwined with your mental health. When more intensive psychotherapy is warranted, he collaborates with an experienced psychotherapist to serve you better. With his experience of internal medicine, he is also comfortable with navigating complex medical issues that may interact with your mental health. Dr. Pipalia is a graduate of St. George's University School of Medicine. He completed a combined Psychiatry & Internal Medicine residency training program at East Carolina University. He went on to complete a fellowship in Clinical Informatics at Oregon Health & Science University, learning how to use modern digital technologies and patient data to improve patient care. His academic activities include a presentation he has given multiple times on Illness Identity, teaching other clinicians how having an illness can change how we perceive our place in the world and how to help patients manage their relationship with illness.

Dr. Ernesto Gonzalez is a board certified adult psychiatrist. He completed his undergraduate training at Yale University and received his medical degree from the University of Pennsylvania School of Medicine. He completed his residency training at the Cambridge Health Alliance/Harvard Medical School Adult Psychiatry Training Program. Dr. Gonzalez prefers a holistic approach that takes the time to know the whole patient, incorporating biological, psychological, social, and cultural perspectives in crafting a comprehensive, individualized, treatment plan. He practices medication management combined with supportive therapy, typically delivered within 30 minute sessions. Elements of psychodynamic, dialectical behavior and cognitive-behavioral therapy will also be incorporated into sessions based on a patient's individual needs. If additional therapy is needed, Dr. Gonzalez will recommend the addition of an individual therapist to the patient's treatment team. Having dedicated his career to adult outpatient psychiatry, Dr. Gonzalez has worked with patients from a wide range of ages, cultures, ethnicities, and social settings across the New York City area. His primary focus is working with patients with depression, anxiety, ADHD, and PTSD. He also values working with people adjusting to changes in their lives, whether it be grieving the loss of a loved one, changes in employment, relationships, or adjusting to changes that come with age. Prior to joining Talkiatry, Dr. Gonzalez was an Assistant Professor at the NYU Grossman School of Medicine and served as Director of the Adult Outpatient Psychiatric Department, Assertive Community Treatment (ACT) Team, and Collaborative Care Departments at Woodhull Hospital in Brooklyn, New York. He also had a small practice near his home. Dr. Gonzalez has also had a lifelong interest in meeting new people and experiencing different cultures. This interest has taken him as far away as the townships of Cape Town, South Africa and as close as his local diner, and it edifies the work he does with patients.

Dr. Blanca Osorio-Candelaria is a board-certified adult psychiatrist and has been practicing for over 16 years. Her practice focuses on medication management, which she typically combines with supportive therapy in 30-minute follow-up visits. If Dr. Osorio-Candelaria feels you would benefit from working with a therapist in conjunction with medication management, she welcomes collaboration with your therapist to make for the best outcome. ‍Dr. Osorio-Candelaria is a graduate of the University of Puerto Rico School of Medicine in San Juan, PR. She completed her residency at Tripler Army Medical Center in Hawaii, followed by a fellowship in Child and Adolescent Psychiatry. Her years of experience started as a medical officer for the Army, including a deployment to Iraq. Her working experience after her military service includes working as a medical director of a community health center, a medical director of a community hospital, a medical director of an inpatient unit, and working for an Assertive Community Treatment Team (ACT) specializing in the Serious Mentally Ill population.‍Dr. Osorio-Candelaria specializes in psychopharmacology, especially tailoring individualized treatment to serve the needs of patients with a variety of conditions. She has a lot of experience in treating patients with depression, anxiety, bipolar disorders, post-traumatic stress disorders, Insomnia, and ADHD. She also has experience in treating patients with medical comorbidities.