Michael Lukowski, MD

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.

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.

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.

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.

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.

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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