Molly Fels, MD

Tiffany Vickers is a board-certified Psychiatric Nurse Practitioner who earned her Master of Science Degree from Southeastern Louisiana University. She takes a holistic approach to mental health by recognizing the essential connection between the mind and body. Tiffany has 26 years of diverse experience in the clinical, home, and telepsychiatry settings.

Tiffany is committed to creating a safe, supportive, and nonjudgmental space where clients feel heard. She is especially passionate about reducing the stigma surrounding mental illness and believes in partnering closely with clients to help them achieve meaningful and lasting progress.

New patients working with Tiffany can expect a collaborative, respectful, and goal-oriented approach to care. She specializes in treating adults with ADHD, anxiety, bipolar disorder, depression, OCD, and PTSD. Tiffany's treatment approach utilizes a combination of medication management, lifestyle modifications, supportive therapy, and solution-focused techniques.

Her approach is grounded in empathy, clinical expertise, and a commitment to helping each individual achieve their mental health goals.

Tiffany follows a multi-stage, personalized approach when working with clients. She begins by gathering a comprehensive history, understanding the client's primary concerns, and identifying both short- and long-term goals. From there, she collaborates with each individual to develop a tailored treatment plan that includes client-specific interventions.

Tiffany's process is dynamic and adaptive! She monitors each client's progress and adjusts care as needed to ensure it remains aligned with their needs and goals. This thoughtful, individualized approach supports lasting outcomes and empowers clients to take an active role in their mental health journey.

Wendy Barajas is a Licensed Marriage and Family Therapist (LMFT) with over 15 years of experience working in community mental health outpatient settings. She earned her bachelor’s degree in Sociology from Mount St. Mary’s University in Los Angeles and her master’s degree in Marriage, Family, and Child Therapy from the University of Phoenix. Wendy works primarily with adults and couples and also enjoys supporting children and teens. As a first-generation Latina, she understands the challenges of navigating bicultural identity and generational trauma.

Wendy supports clients experiencing anxiety, depression, eating disorders, workplace or school concerns, peer challenges, and sexuality-related issues. She believes clients are the experts in their own lives and partners with them to find balance and clarity. Wendy integrates humor into sessions when appropriate and brings a firm yet friendly, honest, and down-to-earth approach. She adapts her communication style to meet each client’s needs and enjoys celebrating progress and accomplishments.

Clients can expect to feel heard and seen from the first session. Wendy focuses on building connection, understanding what led clients to prioritize their mental health, and establishing trust. Together, they identify meaningful, attainable goals. Wendy provides respectful and honest feedback while supporting steady progress, viewing therapy as a collaborative journey rather than a race.

Dr. Sheena Dohar is a board certified general psychiatrist. Before joining Talkiatry, she practiced extensively in community mental health with adults of all ages in both outpatient and inpatient settings and as the medical director of several intensive outpatient and dialectical behavioral therapy (DBT) based programs. She has experience in private practice and in the dual diagnoses of mental health and substance abuse disorders. Dr. Dohar graduated from Carnegie Mellon University with a Bachelor of Science in Biology and Psychology and then completed medical school at West Virginia University School of Medicine. She trained during her residency at WVU, where she served as a chief resident and received the Brandon K. Fuller Award for Physician Empathy in 2017. Dr. Dohar's practice focuses on medication management. Her goals include helping people feel comfortable seeking treatment as well as promoting an understanding of the purpose and reasoning behind the use of various medications to treat psychiatric disorders. Typically, she offers this in conjunction with supportive or emotionally focused therapy in 30-minute follow-up visits. When Dr. Dohar may believe that additional therapy is also needed, she will ask that you bring a therapist into your care team to provide the best outcome. Dr. Dohar appreciates and values working with therapists within the Talkiatry practice and in the community in a collaborative effort to promote wellness. She strives to build strong therapeutic relationships with the people that she sees in her practice. Her passions include working in the community at large to encourage a better understanding of mental health disorders and to promote suicide awareness and prevention. She has interests in pharmacogenomics as well as treatment resistant approaches to depression. Dr. Dohar appears in several professional publications.‍

Dr. Melody Stupey is a board-certified psychiatrist with over 26 years of experience treating adults in both inpatient and outpatient settings. She earned her medical degree from Oregon Health Sciences University and completed her residency at the University of Texas at San Antonio. Dr. Stupey is certified by the American Board of Psychiatry and Neurology.

Dr. Stupey believes in a collaborative approach to treatment, emphasizing active listening, compassion, and respect. She strives to create a warm, supportive environment where patients feel safe and empowered to speak openly without fear of judgment.

Her treatment process is holistic, considering physical, emotional, and lifestyle factors. She evaluates diet, physical activity, sleep habits, and thought patterns alongside medication needs. Dr. Stupey prioritizes using the lowest effective dose of medication to meet treatment goals while supporting the patient’s overall well-being.

Dr. Elizabeth Foote is a board-certified addiction and general psychiatrist practicing medicine for over 15 years.  

Dr. Elizabeth Foote focuses on providing integrated care for those with co-occurring disorders, depression, anxiety, obsessive-compulsive disorder, post-traumatic stress disorder and other forms of mental illness in the outpatient setting.  

She provides medication management as well as psychotherapy which includes drug and alcohol counseling, cognitive-behavioral therapy, psychodynamic psychotherapy, and cognitive processing therapy for trauma.  When combining these treatment approaches, patients receive more comprehensive mental health care.  Treatment begins with an initial assessment and a comprehensive treatment plan developed in coordination with the patient to best meet their needs.

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Dr. Thomas Spina is an adult psychiatrist who began his practice at Talkiatry after completing his psychiatry residency at the Eastern Long Island branch of Stony Brook University, where he treated a diverse patient population. Dr. Spina received his undergraduate degree from St. John's University in Queens where he studied Philosophy. Initially interested in a career in law, Dr. Spina decided to change gears and pursue a career in medicine after watching a relative struggle with her diagnosis of Diabetes Mellitus. Dr. Spina then completed medical school at Tel Aviv University in Israel, where he fell in love with psychiatry during his clerkship at Ichilov medical center. During that rotation, he came to appreciate how each patient has his or her own unique story, regardless of their diagnosis. Dr. Spina favors a holistic and integrative approach to psychiatry, combining medication management with supportive therapy, elements of cognitive behavioral therapy, while remaining open to other treatment modalities depending on the needs of his patients. When more focused therapy is indicated, Dr. Spina may recommend that his patient work with a provider specializing in a particular modality of therapy as part of their treatment. Dr. Spina treats adult patients with mood disorders including major depressive disorder and bipolar disorder, anxiety spectrum disorders, OCD, PTSD and specific phobias. In his spare time, Dr. Spina enjoys a variety of hobbies, including Brazilian Jiu-Jitsu, running, baseball, and exploring new eateries and shops.