Michael Fiori, MD

Donna is a Board-Certified Psychiatric Nurse Practitioner dedicated to breaking down mental health stigma and expanding access to compassionate, quality care. With over 20 years of nurse practitioner experience, she has supported patients and families through life’s emotional and physical challenges across outpatient, inpatient, and telepsychiatry settings. Donna is passionate about creating a safe, empowering space where individuals feel seen, heard, and valued on their mental health journey.

Donna helps patients become the best, healthiest version of themselves, both mentally and emotionally. She values open communication, mutual respect, and collaborative decision-making. Her treatment plans include medication management, healthy coping strategies, and tools to build self-awareness and resilience. Known for her warmth and empathy, Donna creates a judgment-free environment where every voice matters.

Donna begins by building trust through a compassionate, in-depth initial interview. Together with each patient, she develops a personalized treatment plan that blends medication management with lifestyle recommendations tailored to individual goals and values. Her holistic approach focuses not just on symptom relief, but on fostering lasting growth, confidence, and overall well-being.

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Dr. Andrew Luy Tan is a board-certified adult psychiatrist at Talkiatry. He has experience treating a wide range of psychiatric conditions including depression, anxiety, ADHD, trauma-related disorders, and substance use disorders in both inpatient and outpatient settings.

Dr. Luy Tan takes a collaborative, patient-centered approach to care and values open communication and shared decision-making. He integrates supportive psychotherapy with evidence-based medication management as part of a comprehensive treatment approach.

In initial sessions, Dr. Luy Tan focuses on gaining a thorough understanding of each patient’s history, symptoms, and goals. He works with patients to develop individualized treatment plans and provides ongoing medication management with regular reassessment as needs and goals evolve.

Dr. Peppers works with patients to meet the goals that matter to them. She believes that feeling heard and being understood are key factors in a successful treatment relationship.

She has been working in telehealth since 2018. She has worked extensively with patients dealing with trauma from childhood abuse, assaults, combat, and accidents. She also has a lot of experience treating depression, anxiety disorders, bipolar disorder, ADHD, and personality disorders.

After completing her training, Dr. Peppers worked in private practice and in various roles for the Department of Veterans Affairs. She most enjoys working in the clinic because of the long term follow-up.        

Dr. Peppers enjoys her work and includes psychotherapy in her appointments. She offers medication options to treat symptoms but also works with patients to examine behaviors and defenses that may be contributing to their problems. For patients who would benefit from more extensive psychotherapy, she may refer patients to a therapist and work collaboratively with the therapist.

She starts off with a thorough evaluation to make a diagnosis. Then, she works with patients to determine what their treatment goals are and develops a treatment plan to meet those goals.

Elizabeth Shaffer, MD, is an accomplished psychiatrist specializing in child and adolescent psychiatry. She earned her M.D. degree from St. George's University School of Medicine and holds a Bachelor of Science in Child Development from Appalachian State University where she graduated summa cum laude. Dr. Shaffer's passion for working with children and families developed during her involvement in a pre-K Head Start Program in Rural North Carolina. She completed her General Psychiatry Residency and Child & Adolescent Psychiatry Fellowship at Jerry M. Wallace School of Osteopathic Medicine at Campbell University. Dr. Shaffer obtained ABPN Board Certification in General Psychiatry in 2023 and is working towards Board Certification in Child & Adolescent Psychiatry. Dr. Shaffer has received honors and awards for her contributions to psychiatry, including the Laughlin fellowship through The American College of Psychiatrists and Resident of the Year at Cape Fear Valley Health System in 2022.Her areas of interest focus on neurodevelopmental disorders such as ADHD, Autism, and Intellectual Delay. Dr. Shaffer is affiliated with professional organizations like AACAP and APA, demonstrating her commitment to professional development. Dr. Shaffer is dedicated to promoting mental health awareness and family and patient psychoeducation. Dr. Shaffer emphasizes a joint decision-making approach to treatment options and utilizes local resources to provide wrap-around support. Dr. Shaffer is a respected psychiatrist known for her excellence, compassion, and innovative approach to mental health care. Her extensive education, accolades, research contributions, professional affiliations, and community involvement reflect her commitment to making a positive impact in her patients' lives and the broader community.

Marie Thompson, PMHNP, has over a decade of experience practicing in outpatient settings. She earned her undergraduate, graduate, and post-graduate degrees from Ursuline College in Pepper Pike, Ohio. Marie is dual certified as a Family Nurse Practitioner and Psychiatric Mental Health Nurse Practitioner, allowing her to provide well-rounded, holistic care to her patients.

Marie uses a team-based approach to help patients meet their treatment goals. She is dedicated to creating a trusting, non-judgmental environment where individuals feel safe, heard, and supported. Her goal is to enhance daily functioning and improve each patient’s overall quality of life.

Marie creates individualized treatment plans to meet each patient's unique needs. She works collaboratively to develop patient-centered goals and uses a thoughtful, compassionate approach to guide treatment. Her process prioritizes open communication, shared decision-making, and long-term wellness.

Garmis Sena, LMHC, is a licensed therapist with experience supporting children, adolescents, adults, and families. She brings a background in community mental health, school-based services, and outpatient therapy. Her clinical work includes treating trauma, anxiety, depression, emotional regulation challenges, family conflict, and life transitions. She holds a bachelor’s degree in Psychology and a master’s degree in Mental Health Counseling.

Garmis believes therapy should feel safe while also encouraging growth. She values honesty, trust, and emotional safety, and incorporates a holistic lens that considers mind, body, relationships, and life experiences. Patients can expect to be heard without judgment as she meets them where they are and supports them in building toward meaningful change.

Garmis begins by learning each patient’s story, stressors, and goals. She works collaboratively to identify patterns, triggers, and emotional blocks, and together develops realistic and personalized treatment goals. Sessions are structured yet adaptable, incorporating practical tools patients can use outside the therapy room. She regularly reviews progress and adjusts the approach as growth evolves.