Melissa Buhler, LMHC

Rebecca Siwanowicz is a Licensed Clinical Social Worker who began her career in 2013, maintaining various positions in both inpatient and outpatient settings while treating substance use and mental health disorders. Rebecca graduated with her BSW from Florida Atlantic University in 2013 and graduated with her MSW in 2016. Rebecca is trained in Accelerated Resolution Therapy and is a Master's Level Certified Addiction Professional in the state of Florida.‍Rebecca's areas of expertise are trauma, anxiety and depressive disorders, issues related to codependency and low self-esteem, life transitions, self-care and emotion regulation. Rebecca takes an individualistic approach when treating clients, greatly valuing and promoting individuality and autonomy. Rebecca practices through the lens of Family Systems Theory and Attachment Theory, utilizing components of Existentialism, Strength Based Therapy, Dialectical Behavior Therapy, 12 Step Principles, and Client Centered Therapy. Rebecca takes a psychosocial approach toward treatment, providing her clients with unconditional positive regard, psychoeducation, and practical coping skills to support them in building a life of their choosing.

Dr. Bryant graduated from Mount Sinai School of Medicine to complete her adult training and the Yale Child Study Center/Riverview Hospital for Children Program to complete her fellowship in Child and Adolescent Psychiatry. A native Texan, she returned to Tyler, TX in 2020 to accept the position of Chair of the Department of Psychiatry and Behavioral Medicine at the University of Texas Health Science Center at Tyler. She also established an accredited child and adolescent psychiatry fellowship in Tyler. Prior to that, she served as the Director of the Child and Adolescent Psychiatry Division at the University of Mississippi Medical Center where she was also the Program Director of the Child and Adolescent Psychiatry Fellowship. She received her medical degree from the University of Texas Southwestern Medical School. Working with survivors of trauma has always been an important part of Dr. Bryant's practice. She currently serves as the co-chair of the American Academy of Child and Adolescent Psychiatry's Committee on Child Maltreatment and Violence and she is a representative for the National Health Collaborative on Violence and Abuse. Dr. Bryant also served as the program director of the Eating Disorders and Trauma Recovery program at Menninger Clinic in Topeka. She is board certified in adult, child and adolescent psychiatry and she has over 32 years of experience as a practicing psychiatrist. Dr. Bryant specializes in the treatment of anxiety disorders, obsessive-compulsive disorder, mood disorders, developmental disorders, Post-Traumatic Stress Disorder, Attention Deficit Hyperactivity Disorder, and family relational problems for both children and adults. She believes that "knowledge is power" and that the more a person can understand about how the brain is affected by various mental health conditions, the more treatment makes sense.

Julia Askinazi is an LCSW with 14 years of experience and substantial experience working in the field of mental health. Julia has collaborated with clients from diverse backgrounds with a broad range of psychiatric as well as physical health challenges. Julia earned her Bachelor of Science degree in Social Work from Shepherd College and her Master's degree from the Charleston campus of West Virginia University. Julia has volunteered or worked in nearly every type of setting from daycares to nursing homes, including homeless shelters, hospices, with foster children and adoptive families, psych hospitals, Neuro ICU, Federally Qualified Health Centers, and even private practice. In undergraduate school she was President of the Social Work Association and interned for the National Association of Social Workers in graduate school. She has worked with people in recovery, clients who are HIV positive, those enlisted in the military and their family members, including neurodiverse and LGBTIQA individuals. Julia has been practicing as a Licensed Clinical Social Worker for 14 years, with an emphasis on Anxiety Disorders and Complicated Mourning, including symptoms that hinder daily functioning. Engaging with Julia, treatment is client-centered and designed to fit each person's situation. Julia uses a comprehensive approach founded on Acceptance and Commitment Therapy, focusing on Mindfulness.

Dr. Jana McLain is a dedicated mental health professional with over 16 years of experience in education and more than a decade in private practice. She is a Licensed Professional Counselor Supervisor (LPC-S) and a National Certified Counselor (NCC), specializing in individual, group, couples, and crisis counseling, as well as clinical supervision and program development.

Throughout her career, Dr. McLain has held various leadership roles across school districts and clinical settings, demonstrating a strong commitment to mental health advocacy, counselor mentorship, and behavioral intervention. Her extensive background includes serving as a Student Support Counselor, Crisis and Behavior Intervention Counselor, and Adjunct Professor of Counseling, equipping future professionals with essential skills for client care and goal achievement.

Dr. McLain earned her Ph.D. in Counselor Education and a Master’s in Counseling from Sam Houston State University, along with a Bachelor’s in Psychology from the University of Houston. She is known for her expertise in DSM-5 diagnostics, psychoeducation, and multidisciplinary collaboration to support diverse populations across age groups.

If you're feeling stuck, overwhelmed, or simply need a safe place to work through life’s transitions, I am here to walk with you on your journey toward healing and growth. Reach out today to begin the process of reclaiming your peace and wellness.

Dr. McLain believes in a holistic approach that takes into account both the mental and emotional aspects of wellbeing, helping you find lasting strategies for improving your overall quality of life. She operates from a person centered approach to guide you on your healing journey.

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Dr. Dennis Valerstain is a board-certified Adult and Child and Adolescent Psychiatrist. After completing his undergraduate education at Emory University, he attended medical school at the Northwestern University Feinberg School of Medicine. He subsequently completed psychiatry residency at University of Miami/Jackson Health System and further sub-specialized at University of Miami/Jackson Health System with a fellowship in Child and Adolescent Psychiatry. Dr. Valerstain has had the opportunity of working with a diverse array of patients including children, adolescents, the severely mentally ill, veterans, and cancer patients across three distinct hospital systems. Dr. Valerstain has had varied clinical experiences in specialty inpatient psychiatry units, emergency psychiatry, consultation liaison psychiatry, psycho-oncology, and outpatient clinics via telemedicine and face to face interactions. Dr. Valerstain has experience working with patients of all ages, particularly those with depression, anxiety, bipolar disorder, ADHD, Tic disorders, substance use disorders, and more. Dr. Valerstain's practice focuses on medication management and also employs empathic listening, supportive psychotherapy techniques, and a comprehensive and methodological approach to his visits. Given his broad and diverse training experiences, he enjoys problem solving and working collaboratively with patients (and their families) to navigate their complex issues and jointly focusing on simple solutions to work towards improving their mental health.

Background and credentials

Dr. Lillian Cole is a board-certified adult psychiatrist. She completed her undergraduate education at the University of North Carolina Wilmington and went on to earn both a master’s in biomedical sciences and a medical degree from Texas Tech University. She completed her psychiatry residency training at the University of Texas Southwestern Medical Center, where she gained experience working with a diverse range of patient populations across different ethnic, socioeconomic, and clinical backgrounds.

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Treatment approach

Dr. Cole emphasizes a holistic, patient-centered approach that integrates evidence-based medicine, psychotherapeutic techniques, lifestyle interventions, and psychoeducation. She believes that listening, collaboration, and compassion are essential to guiding patients toward recovery. Her practice primarily focuses on psychiatric medication management, and she has extensive experience treating mood disorders, anxiety, trauma-related disorders, and substance use disorders. When additional therapy is necessary for the best outcome, she may recommend integrating a therapist into the treatment plan.

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What you can expect in a first visit

Patients can expect a thorough and compassionate initial evaluation, where Dr. Cole takes the time to understand their symptoms, medical history, and treatment goals. She focuses on fostering a strong doctor-patient relationship and collaborates with each patient to create a personalized treatment plan that may include medication management, therapy, and lifestyle interventions. If additional therapy is indicated, she will coordinate with other providers to ensure comprehensive care tailored to the patient’s needs.

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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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