Nereida Gonzalez-Berrios, MD

Dr. Debrey is board-certified in adult psychiatry. Her approach is client-centered, individualized, and collaborative. She focuses on building a strong therapeutic alliance with each client to work towards achieving enhanced functioning and meaning in their lives. She works with individuals experiencing a wide range of mental health concerns, including depression and other mood concerns, bipolar spectrum illnesses, OCD, PTSD, anxiety disorders, and substance use disorders. Though she specializes in medication management, she believes in an integrative and comprehensive treatment program that incorporates multiple aspects of an individual's health and wellness. Along with discussing physical health concerns, diet, exercise, personal connection, and stress management, she incorporates various therapeutic modalities, including CBT, DBT, ACT, and mindfulness, into her work. In some instances, Dr. Debrey may recommend more intensive psychotherapy with a collaborating therapist in order to help facilitate the best care possible. Dr. Debrey received her medical degree from Rush Medical College. She also holds a graduate degree in epidemiology from the Johns Hopkins Bloomberg School of Public Health. Following medical school, she completed her residency in psychiatry at Emory University School of Medicine. During her final year of residency, she served as chief resident at Grady Memorial Hospital. Prior to joining Talkiatry, Dr. Debrey was an assistant professor at Emory University Department of Psychiatry, where she worked as an attending psychiatrist at Grady Behavioral Health. While at Grady, Dr. Debrey worked primarily as a community psychiatrist with a focus on working with individuals experiencing psychosis. She also frequently worked on the inpatient psychiatry service at Grady. As an Emory faculty member, teaching and mentorship were an especially meaningful part of her work.‍

Dr. Avjola Hoxha, MD, has experience practicing in both outpatient and inpatient settings. She earned her medical degree from the University of South Carolina School of Medicine and completed her psychiatry residency and Child and Adolescent fellowship at the University of Florida. She is board-certified and passionate about providing comprehensive, patient-centered care.

Dr. Hoxha values open communication and works collaboratively with patients to set individualized treatment goals. She creates a warm, supportive environment where patients feel heard, respected, and empowered throughout their care.

During the initial session, Dr. Hoxha thoroughly explores each patient’s history, concerns, and goals. She ensures patients fully understand treatment options and develops individualized plans aligned with their goals, always respecting patient autonomy and fostering a collaborative approach to care.

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Dr. Jacqueline Lewandowski is a board-certified physician specializing in adult psychiatry. She obtained her undergraduate degree from New York University where she studied psychology and child/adolescent mental health. Dr. Lewandowski received her medical degree from St. George's University in Grenada, before moving back to New York to complete her residency at Morningside and West Mount Sinai Hospitals. Since completion of training, Dr. Lewandowski has practiced and held teaching positions in both the Comprehensive Psychiatric Emergency Department of Harlem Hospital and the inpatient units and psychiatric emergency rooms of Morningside and West Hospitals. Dr. Lewandowski has a wide range of experience treating a diverse spectrum of psychiatric diagnoses and populations. She strongly believes in tailoring treatments through a holistic and patient-centered lens based on individual and multi-faceted histories. During 30-minute monthly sessions, Dr. Lewandowski focuses on collaborating with patients using evidence-based treatments with an emphasis on medication management in conjunction with supportive therapy. Additionally, she may recommend bringing a therapist into your care team to help facilitate a more comprehensive treatment plan. Dr. Lewandowski looks forward to working with you to help achieve and optimize your wellness and improve your quality of life.

Dr. S. Taylor Williams is a psychiatrist with Talkiatry. She is board-certified in psychiatry and has been practicing over 14 years. Dr. Williams received her MD from the University of Alabama School of Medicine at UAB. She completed her psychiatry residency at the University of Tennessee Health Science Center. Prior to joining Talkiatry, she held an academic appointment at UTHSC as Assistant Professor of Psychiatry and was the Clinical Director of the Memphis Mental Health Institute. She specializes in the treatment of young adults and LGBTQ patients. Her practice focuses on medication management.‍

Dr. Seth Flesher is double board-certified in adult psychiatry and addiction medicine.  Dr. Flesher’s practice focuses on medication management of psychiatric illness without the use of controlled substances.  Typically, he offers this in conjunction with supportive or emotionally focused therapy in 30-minute follow-up visits. However, occasionally Dr. Flesher may believe that additional therapy is also needed and ask that you bring a therapist into your care team to provide the best outcome.

Before joining Talkiatry Dr. Flesher was Medical Director of Advanced Psychiatric Services [complex/high profile cases] at Kings County Hospital and Unit Chief of the Covid19 positive unit.  He was also a clinical professor at Downstate Medical College where he was voted educator of the year numerous times by psychiatric residents and medical students.  Dr. Flesher is a graduate of the prestigious combined 6-year BS/MD program at The Sophie Davis School of Biomedical Education.  He did research at the neuropsychiatric branch of the National Institute of Mental Health, completed his psychiatric residency at St. Lukes/Roosevelt Hospital, and he received his master’s degree in public health from Columbia University.

Dr. Flesher believes that psychiatry should start with a thorough assessment to arrive at an accurate diagnosis.  Then a discussion with the patient of the different evidence-based options available.  Followed by shared decision-making to arrive at an effective treatment plan to achieve the goals that the patient identifies as being important.  This should be done in an honest, open, non-judgmental, but realistic environment.  Understanding that the ultimate goal is to get the patient to a position where they will no longer need medication and/or therapy.

Dr. Goicochea is Peruvian and speaks Spanish fluently. She is a "triple Gator” having completed her undergraduate and medical degree at the University of Florida (UF) and psychiatric training at UF Jacksonville. She was recognized by the Gold Humanism Honor Society for exemplary service, integrity, clinical excellence, and compassion and awarded Resident of the Year for exceptional clinical skills and commitment to patients. Dr. Goicochea is a board-certified adult psychiatrist who specializes in providing person-centered mental health care. She believes in a comprehensive, holistic approach to best improve the overall well-being of her patients; she explores psychosocial and physical health contributions to psychiatric symptoms and incorporates therapy into visits to develop a deeper understanding of the particular psychiatric concerns and their impact on patients' lives. Dr. Goicochea actively listens and creates an empathetic, non-judgmental space to work collaboratively with patients in achieving treatment goals. Dr. Goicochea's expertise is in the combination of evidence-based medication management with psychotherapy, which includes supportive, person-centered, cognitive behavioral, acceptance and commitment, interpersonal, and solution-focused therapy. While she enjoys working with young adults, her skills and experience allow her to effectively assist patients of all ages. Her clinical areas of interest include the treatment of depression, bipolar disorder, anxiety, and ADHD.