Michael Lukowski, MD

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Dr. Michael Underriner is an adult psychiatrist. His approach to treatment is holistic, taking into account the entire person, and emphasizes the importance of the therapeutic bond to help people reduce suffering and achieve their goals. He is a member of the Gold Humanism Honor Society. Dr. Underriner's practice focuses on a mix of medication management, offered in conjunction with supportive therapy in 30-minute follow-up visits, and insight-oriented psychotherapy offered in weekly 45-minute visits. He works with people struggling with ADHD, depression, anxiety, obsessive-compulsive and related disorders, and difficulties with self-esteem and relationships. Occasionally Dr. Underriner may believe that additional therapy is warranted and recommend a separate therapist to provide the best outcome. He received his medical degree from the University of Chicago Pritzker School of Medicine and completed his residency training at New York University. During training, he gained experience treating patients with various psychiatric illnesses in several different clinics and hospital-based settings. He worked with experts in the field of depression and provided consultations for patients considering transcranial magnetic stimulation. He also published a review article on long-term injectable medications for psychosis. Dr. Underriner has maintained an interest in teaching and remains connected to the psychiatry department at NYU. He has supervised and taught junior residents and medical students. Additionally, he is interested in global health and disparities in access to care and has traveled to Ghana to teach medical students rotating through psychiatry at the university there.

Michael Padua, MD

Staff Psychiatrist

Dr. Michael Padua is a graduate from the University of Nevada, Reno School of Medicine and completed his psychiatry residency training at Loyola University Medical Center at Maywood, IL. He is trained and experienced in diagnosing and treating various psychiatric disorders including depression, anxiety, psychosis, and bipolar disorder with a focus on posttraumatic stress disorder, women's mental health, and cultural psychiatry. He combines his clinical expertise with a passion for working with underserved populations and the LGBTQIA+ population to address mental health needs across various communities. Dr. Padua has experience working in a variety of settings, which includes working as an outpatient psychiatrist at a federally qualified health center (FQHC), and as a correctional psychiatrist at the Washoe County Sherriff's Office in Reno, NV. In addition to his clinical work, Dr. Padua has also participated in research and education, and has co-authored peer-reviewed articles in the fields of psychiatry and biology.

Luis Espinosa, MD

Staff Psychiatrist

Dr. Luis Espinosa holds the position of adult psychiatrist with Talkiatry. His practice focuses on medication management, and typically offers this in conjunction with supportive therapy in 30-minute follow-up visits. Dr. Espinosa's approach is holistic. Each patient's care is driven by their unique goals and values, whether they suffer from depression, anxiety, trauma, and stress-related disorders, or obsessive-compulsive disorders. Dr. Espinosa believes in serving patients by combining therapy with medication to provide an experience that is both therapeutic and informative and allows patients to guide their own outcomes in a supportive space. Dr. Espinosa completed his undergraduate studies in philosophy at the University of Florida as the 2013 Ellen Haring Award winner. He was then honored as a Docherty Foundation Scholar to attend the University of South Florida Morsani College of Medicine. He pursued his specialty training in psychiatry at Kaiser Permanente Northern California. Dr. Espinosa believes in a treatment modality that combines wellness of mind and body to help individuals who are suffering achieve their potential.

Maxwell Schauermann, MD

Staff Psychiatrist

Dr. Maxwell Schauermann is a board-certified addiction psychiatrist. He completed his medical school and residency training at Loma Linda University in sunny Southern California. He was recognized by his colleagues as Chief Resident of inpatient services for his leadership and problem-solving abilities. His passion for caring for people with substance use disorders led him to complete specialized training in Addiction Psychiatry at the University of Washington in 2024. Dr. Schauermann is known for his patient-centric approach and nonjudgmental, easy-going attitude. He typically offers 60-minute new visits and 30-minute follow-up visits. He excels in treating both psychiatric and addiction disorders, utilizing a broad array of therapeutic modalities, including psychiatric medications, supportive therapy, cognitive-behavioral therapy, dialectical behavior therapy, psychodynamic-based therapy, prolonged exposure therapy, and motivational enhancement therapy. His treatment philosophy centers on empowering patients to heal holistically�body, mind, spirit, and relationships�ensuring each individual receives tailored and evidence-based care.

Michael Watkins, MD

Staff Psychiatrist

Dr. Michael Watkins is a board-certified adult psychiatrist. He completed his residency at The University of Texas Health Science Center at Tyler. In addition to being thoroughly trained in psychopharmacology, Dr. Watkins has also received extensive training in psychotherapy. From traditional psychodynamic therapy to the more modern mindfulness-based dialectical behavior therapy, Dr. Watkins takes the approach that best serves his patients. In addition to being trained in a variety of therapies, Dr. Watkins also employs a positive psychiatry approach which, as well as addressing a patient's symptoms, also focuses on their strengths and how they can be used to overcome adversity. Prior to pursuing a career in psychiatry, Dr. Watkins was a high school math teacher, and prior to that, he was an NCAA Division I college athlete. His teaching and athletic careers have given him a well-rounded perspective on the human experience. Drawing on his academic training and life experiences, Dr. Watkins meets patients where they are at, helps them overcome their obstacles, and serves as a guide and a resource for them on their journey to their desired destination.

Devon Beal, PMHNP

Staff Nurse Pratitioner

With 18 years of adult psychiatry experience, Devon Beal, PMHNP brings 5 core features to her outpatient practice through Talkiatry: Respect, Safety, Active Listening, Collaboration and Partnership with the client. Devon's practice is client-centered, trauma- and LGBTQA+ - informed. Her style is to be authentic, collaborative, direct and compassionate.

Devon Beal, PMHNP received her master's in nursing degree from Yale School of Nursing with a concentration in Adult Psychiatry. She is board certified by ANCC as a Psychiatric Mental Health Nurse Practitioner, Psychiatric Mental Health Clinical Nurse Specialist and an Adult Nurse Practitioner. She has worked in Psychiatric Urgent Care in San Francisco, Inpatient Psychiatry at Walter Reed Army Medical Center, Outpatient and detox care in Fall River, MA, Boston VA Methadone Clinic, Geriatric Psychiatry Inpatient Service and most recently at Day Treatment programming in Central MA. This breadth of experience across the psychiatric - addiction continuum of care helps to assess accurate symptom acuteness and provide effective medication strategies. She has experience with Depression, Anxiety disorders, Bipolar Disorders, PTSD, Psychotic disorders and Personality Disorders.

A new client interview will consist of a 45-55 minute interview where the reason for entering treatment, current symptoms, psychiatric history, medication history, and a social history will be assessed. Provisional diagnoses or existing diagnoses will be discussed, along with client goals for treatment. There will be an opportunity for medication initiation or changes if mutually agreed upon. Devon's goals in providing care is to make the client comfortable, to offer accurate symptom assessment and diagnostic clarity, and to provide medication management strategies for symptom and functional improvement. Follow-up appointments will typically be 30 minutes with a portion dedicated to medication management and a portion to supportive psychotherapy.

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Sophie Weinberg, MD

Staff Psychiatrist

Dr. Sophie Weinberg is a compassionate and deeply dedicated physician, dually board-certified in Child, Adolescent, and Adult Psychiatry. Her journey through medicine has been shaped by rich and diverse training—completing her General Psychiatry residency at Maimonides Medical Center in Brooklyn, NY, and her fellowship in Child and Adolescent Psychiatry at Nassau University Medical Center in Long Island, NY.

Dr. Weinberg approaches healing as both a science and an art. Her care is profoundly patient-centered, collaborative, and holistic, honoring the intricate connection between body, mind, and spirit. She believes in the quiet power of nourishment, restful sleep, joyful movement, and meaningful connection as essential threads in the fabric of wellness.

With extensive experience in treating a wide spectrum of conditions—including mood disorders, anxiety, trauma, ADHD, and sleep disturbances—Dr. Weinberg tailors her approach to each individual’s unique story. She is a proud and affirming ally to the LGBTQIA community, creating a space where all identities are seen, respected, and supported.

Her treatment model includes thoughtful, personalized medication management, with generous 30-minute follow-up sessions to ensure care is never rushed and always attuned to the patient’s evolving needs. When appropriate, Dr. Weinberg may gently recommend the added support of a therapist, recognizing that healing is often a shared and layered journey.

With a heart rooted in empathy and a mind guided by clinical excellence, Dr. Weinberg walks beside her patients on the path to well-being—honoring their resilience and helping them rediscover their wholeness.

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Matthew Hamilton, MD

Staff Psychiatrist

Dr. Matthew Hamilton is a psychiatrist who works with adults at all stages of life in improving mental health. He emphasizes a holistic approach in collaboration with patients to help them identify and achieve their goals. He has experience helping adults from a diversity of backgrounds with depression, anxiety, bipolar disorder, PTSD, panic, OCD, ADHD, substance use and autism spectrum disorder. He offers one-hour initial consultation appointments, as well as 20 to 30 minutes for follow-up visits. Dr. Hamilton received his undergraduate education at the University of Texas at Austin, his medical degree at Texas Tech University Health and Sciences Center, and completed his residency training at the University of Texas Medical Branch. During training he worked primarily with adults in local clinics and acute care hospitals in the greater Houston area. He was honored with an award for his accomplishments in psychotherapy during his senior year of residency. Dr. Hamilton offers his expertise in both medication management and psychotherapy in his practice, including cognitive, behavioral, motivational, and supportive therapies. He will collaborate with your therapist when you are working with one and may offer a referral to a specialist therapist if indicated.

Emily Romeo, LPC

Staff Licensed Professional Counselor

Emily Romeo, LPC holds a license as a professional counselor in the state of Pennsylvania. She has over 15 years of experience working with a broad range of individuals at varying levels of care and clinical severity. Emily is board-certified in clinical mental health counseling by the National Board for Certified Counselors. Emily approaches therapy in an integrative, client-centered manner. She implements a variety of therapeutic techniques to include mindfulness, dialectical behavioral, acceptance and commitment concepts, psychoeducation, and trauma-informed care. She values the therapeutic relationship and strives to provide a safe, accepting atmosphere to ensure her clients feel heard, validated, and empowered. Emily received her master's degree from Messiah College and her undergraduate work was completed at the Pennsylvania State University. Emily has provided clinical care to a variety of individuals ranging from those struggling with complex trauma and substance use disorders to children/adolescents/adults dealing with anxiety, depression, mood instability and adjustment difficulties related to life changes. She has expertise in a variety of counseling settings including outpatient, partial hospitalization, residential, and in-home. She utilizes multiple treatment modalities which include individual, group, and couples/family therapy. An area of interest for Emily includes working with young adults struggling with co-occurring disorders. As the clinical coordinator of Silvermist Recovery, a premier residential treatment facility, she has been able to expand her clinical skills. Her philosophy is based on Acceptance and Commitment Therapy (ACT), a transdiagnostic model that allows her to provide high quality care to her patients.

Karla Garcia MD

Staff Psychiatrist

Dr. Karla Garcia is a board-certified psychiatrist trained in Adult Psychiatry. She graduated from the University of Notre Dame with a Bachelor of Science and a Master of Education. She then went on to complete her medical education and residency training at the University of Chicago. She is board certified in Adult Psychiatry by the American Board of Psychiatry and Neurology.

Dr. Garcia believes in patient-centered care, seeking to care for the whole person. She values the therapeutic relationship, working to guide patients in their treatment while also encouraging patients to take an active role in their care. Dr. Garcia cares about getting to know you as a person and helping you reconnect with your values. Her clinical approach is holistic, collaborative, and supportive.

Dr. Garcia focuses on evidence-based treatments for psychiatric illness that utilize a combination of medications and psychotherapy. Using a range of skills and interventions, Dr. Garcia believes in a multi-faceted approach to treatment.

Dr. Garcia has experience working in a wide variety of inpatient, emergency, partial hospitalization, intensive outpatient, and outpatient psychiatric settings and in treating a broad spectrum of psychiatric disorders including depression, anxiety, bipolar disorder, trauma, substance use disorders, personality disorders, ADHD, and OCD. She treats patients in English and Spanish.

Paulina Bollat Orbea, LCSW

Staff Therapist

Paulina Bollat Orbea is a Licensed Clinical Social Worker in Florida and Colorado. She earned her Master’s Degree in Social Work at Florida International University and has worked in a variety of clinical settings including outpatient clinic, psychiatric hospital, correctional facility, community mental health, university counseling and research and private practice environments.

Paulina has experience working with individuals who experience depression, anxiety, trauma, stress, family conflict, LGBTQ+ related concerns, substance use disorders and other mental health concerns. Paulina has worked with people of diverse ethnicities, cultures and identities. As a Guatemalan native, she is also able to offer therapy in Spanish.

Paulina’s therapeutic approach is dependent on the patient’s needs. She largely follows a Cognitive Behavioral approach, while also implementing psychodynamic, Internal Family Systems, Person-Centered and Solution-Focused orientations. Her treatment style prioritizes evidence-based practice and a therapeutic alliance built through empathy, collaboration and cultivating a safe, judgement-free space for the patient.

Leah Clary, LPC

Staff Licensed Professional Counselor

Leah E. Clary is a Licensed Professional counselor at Talkiatry. She has years of experience working with individuals of all ages from childhood to older adults. Leah E. Clary utilizes an eclectic counseling style. She understands that each and every person is unique and has individual needs, and is willing to adapt to what would benefit the individual. Leah believes that coordinating with all providers is important to achieving successful therapeutic experiences for the length of the engagement. After receiving her master's degree from Liberty University, Leah participated in an internship in Philadelphia working with first responders for crisis debriefing. While participating in this program, Leah also actively worked as an older adult protective services investigator within the city limits. In order to achieve her goal of becoming an LPC, Leah began working with families in a community-based program focusing on relational components. In this program, Leah worked with therapists of different backgrounds, building on her knowledge of communication techniques and team-based therapy, and even training new team members as needed. Throughout her professional career, Leah has worked with individuals with various diagnosed and undiagnosed conditions and adapted to their individual needs. Her passion is to assist the underserved demographic of individuals working through infertility issues and processing the idea of adoption.

Michael Lukowski, MD

Education and training

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