Maxine Zhou, MD

Dr. Fatemeh Safian is a board-certified psychiatrist with experience in outpatient, inpatient, and telepsychiatry settings. She completed her residency at Larkin Community Hospital, caring for a diverse range of patients. Dr. Safian diagnoses and treats a wide variety of conditions, including depression, anxiety, OCD, PTSD, trauma-related disorders, phobias, personality disorders, ADHD, bipolar disorder, postpartum depression, and concerns across all age groups. She is dedicated to creating a safe, supportive space where people feel truly heard—believing good psychiatry starts with listening.

Dr. Safian fosters a warm, respectful, and judgment-free environment where patients can share openly. She takes time to understand each person’s symptoms, story, values, and goals. Medication is just one option; she also considers therapy, lifestyle changes, and other supports. Collaboration and trust are central to her approach, with patients guiding the care decisions.

During the first appointment, Dr. Safian conducts an in-depth, unhurried conversation to explore the patient’s history and goals. Together, they develop a personalized treatment plan that may include medication, therapy referrals, and practical strategies. Ongoing follow-ups provide space to track progress, make adjustments, and ensure the patient feels comfortable and empowered.

Dr. Stanley began in rural Mississippi, where he witnessed the events of 9/11 unfold during middle school. He graduated high school in 2005, only to soon experience Hurricane Katrina at the start of his freshman year of college. While attending medical school at Kansas City University, Dr. Stanley joined the United States Air Force and later completed his psychiatric residency in a combined civilian–military program affiliated with Wright-Patterson AFB. His training placed a strong emphasis on psychotherapy, spanning approaches such as psychodynamic therapy, cognitive behavioral therapy (CBT), motivational interviewing, and attachment theory.

After being forward deployed to Okinawa, Japan, he became a board-certified psychiatrist through the American Board of Psychiatry and Neurology (ABPN). Just before the global spread of COVID-19, he was promoted to lead the Alcohol and Drug Abuse Prevention and Treatment (ADAPT) program. While stationed at Tokyo AFB, he became the medical director of the base’s entire mental health clinic.

Upon returning stateside and completing his military service, he went on to serve a community deeply affected by addiction, severe mental illness, and homelessness

The initial consultation is essentially a getting-to-know-you session rooted in the biopsychosocial model. As humans, we are far more than one-dimensional beings. As your story unfolds, it helps form a three-dimensional picture of who you are, allowing us to begin navigating the next steps together.

Dr. Stanley takes a human-centered, collaborative approach to care, focusing on your unique story and your goals. His work combines evidence-based treatments, tailored to your needs. You can expect a respectful, nonjudgmental space where we work together toward both symptom relief and foster a deep, meaningful life.

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Dr. Georgia Gaveras holds the position of Co-Founder and Chief Medical Officer at Talkiatry. She is triple board-certified in child and adolescent psychiatry, adult psychiatry, and addiction medicine. She has been practicing for over 18 years. Dr. Gaveras's practice focuses on medication management. Typically, she offers this in conjunction with supportive or emotionally focused therapy in 30-minute follow-up visits. However, occasionally Dr. Gaveras may believe that additional therapy is also needed and ask that you bring a therapist into your care team to provide the best outcome. She received her medical degree from the University of New England College of Osteopathic Medicine in Biddeford, ME, before moving back to NY to complete her residency at the SUNY Downstate Medical Center and a fellowship in child and adolescent psychiatry at St. Luke's-Roosevelt Hospital. After completing training, she remained and worked with dually-diagnosed adolescents at the Comprehensive Rehabilitation and Education Service (CARES) before becoming the Director of Training and Education for the Mount Sinai St. Luke's and Roosevelt Hospitals. She was then the associate director of child and adolescent emergency psychiatry at Cohen Children's Medical Center before becoming the Director of the Comprehensive Psychiatric Emergency Program (CPEP) at Kings County Hospital in Brooklyn. Dr. Gaveras has held academic appointments at Columbia University College of Physicians and Surgeons, Mount Sinai Icahn School of Medicine, Touro College of Osteopathic Medicine, Zucker School of Medicine, and SUNY Downstate Medical College. In addition, she has appeared in numerous professional publications and authored several research papers. In addition to general, child, and adolescent psychiatry, Dr. Gaveras is also board-certified in addiction medicine and trained in the Eating Disorders, Compulsions and Addictions Service (EDCAS) program at the William Alanson White Institute. She completed her undergraduate studies at New York University. While having treated a wide variety of patients, her primary clinical focus has been in treating adolescents and young adults with co-occurring substance use disorders.

Background and credentials

Dr. Diane Lewis is board-certified in general psychiatry by the American Board of Psychiatry and Neurology. She earned both her undergraduate and medical degrees at Texas A&M University (College Station and Temple, TX) before completing her general psychiatry residency at UT Southwestern - Austin Programs (now Dell Medical School residency programs). After her residency, she practiced for eight years as a staff psychiatrist at the University of Texas' student counseling center. She also has experience working in hospital admissions and emergency department settings.

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Treatment approach

Dr. Lewis employs a medication-management-focused approach typically paired with supportive therapy during 30-minute follow-up visits. She strongly values a collaborative treatment approach, frequently encouraging patients to incorporate additional therapy for the best outcomes. Her primary specialty is college mental health, treating patients aged 18-45 with a range of mental health conditions from mild to complex. Dr. Lewis emphasizes authenticity, compassion, and recognizing patients beyond their diagnoses, providing care tailored to individual circumstances and goals.

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What you can expect in a first visit

During a first visit, patients can expect Dr. Lewis to conduct a thorough evaluation, carefully listening to their concerns, and considering their symptoms within the broader context of their lives. Her patients appreciate her down-to-earth and compassionate communication style. She aims to create an environment where patients feel understood, respected, and actively involved in shaping their personalized treatment plan, often recommending additional therapy support when beneficial for achieving optimal outcomes.

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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. 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.

Avi Adri is a board-certified psychiatric nurse practitioner with a passion for helping others achieve their goals through medication management and psychotherapy. He is trained in cognitive behavioral therapy, psychodynamic therapy, and supportive therapy. Avi has experience supporting individuals with depression, anxiety, OCD, bipolar disorder, PTSD, and ADHD. He is an LGBTQIA+ affirming provider who believes in empowering individuals in their lives.

He earned his Master of Science in Nursing with a specialty in psychiatry from Stony Brook University and a nursing practice degree from Chatham University. Avi is committed to providing evidence-based, compassionate treatment for mental health conditions to enhance quality of life. His previous experience includes two years at Columbia University Medical Center on an inpatient psychiatric unit and four years on the medical consultation-liaison psychiatric team, where he treated patients with a range of acute and chronic medical conditions while providing medication management and psychotherapy. His work at Columbia involved treating a wide spectrum of psychiatric conditions with the goal of achieving symptom remission.

Additionally, Avi has practiced at a private clinic in New York City, focusing on interventional techniques such as TMS and ketamine therapy, alongside medication management and psychotherapy.

Through mindful techniques and compassionate care, Avi is dedicated to the well-being of his clients. He views each person as more than a diagnosis and approaches care through a client-centered, holistic lens.

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