Peter McGowan, MD

Dr. Amada holds the position of staff psychiatrist at Talkiatry. She was born and raised in Queens, NY. She completed her undergraduate education at New York University, followed by medical school at SUNY Downstate College of Medicine in Brooklyn, NY. She went on to complete her psychiatry residency at Stony Brook University Hospital, where she received an award for academic achievement. Dr. Amada believes in a holistic approach to mental health that addresses lifestyle factors alongside medication management. She values the importance of both therapy and medication in treating mental illness.

Dr. Amada takes a collaborative approach to care and strives to involve her patients in every step of the treatment process. She believes in creating a safe, supportive, and nonjudgmental space where patients can openly discuss their concerns. While her focus is on medication management, she often recommends incorporating additional therapy into the treatment plan and may ask that patients work with a therapist to help achieve the best outcomes.

Dr. Amada works closely with her patients to develop personalized treatment plans. She believes in open communication, shared decision-making, and taking into account the whole person when addressing mental health concerns. Her goal is to ensure that patients feel heard, supported, and actively engaged in their care.

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Dr. Brian Ameel is a board-certified psychiatrist with over 30 years of clinical experience and a deep specialization in remote mental health delivery. He has worked in inpatient, outpatient, and residential settings and has served in leadership roles as a Medical Director. Throughout his career, he has leveraged telehealth technology to bridge gaps in care, ensuring that distance is never a barrier to receiving compassionate, timely psychiatric treatment.

Dr. Ameel believes the most effective treatment begins with a genuine partnership where doctor and patient work together with transparency, collaboration, and mutual respect. He takes a “whole person” approach using a biopsychosocial model that considers physical health, life experiences, and environment alongside symptoms. His goal is to combine evidence-based medicine with a personal, accessible approach so patients feel heard and supported.

During the first visit, Dr. Ameel completes a comprehensive psychiatric consultation focused on the concerns that prompted you to seek care, along with a review of symptoms and treatment history. Together you will develop a treatment plan with clear goals. Care often begins with medication management and continues with supportive, insight-oriented conversations during follow-up visits, with additional therapy recommended when helpful

Ashley is an ANCC board-certified Psychiatric Mental Health Nurse Practitioner with over a decade of experience in Psychiatry. She has worked in inpatient and outpatient settings, crisis centers, and psychiatric emergency rooms. Ashley is deeply committed to working collaboratively with individuals to enhance their well-being, creating a personalized care plan tailored to each person’s unique needs.

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Her approach integrates medication management, supportive psychotherapy, and lifestyle interventions. As a prescriber specializing in psychopharmacology, Ashley provides comprehensive medication management while utilizing a shared decision-making model. She actively involves clients in their treatment planning, discussing various options to determine the most effective path forward.

During the initial session, Ashley prioritizes establishing a comfortable, open environment where clients feel at ease. She will review medical and psychiatric history, discuss treatment goals, and explore different therapeutic options based on individual preferences. Ashley encourages questions throughout the process to ensure a collaborative and supportive treatment experience.

Elizabeth Vah, LCSW, graduated from the University of Texas at Austin in 2008 with a master’s degree in clinical social work. She completed her internship at Seton Medical Center, gaining experience in the emergency room and specialty clinics. Elizabeth has worked in both inpatient and outpatient settings and has training in DBT, CBT, mindfulness, solution-focused, and person-centered counseling.

Elizabeth takes a collaborative approach, partnering with patients to clarify goals and create a roadmap for growth. She has supported individuals from diverse backgrounds facing anxiety, depression, grief, life transitions, interpersonal challenges, and severe mental illness. Her approach blends evidence-based therapies with individualized care, emphasizing a trusting, supportive relationship and a safe, nonjudgmental environment.

In the first session, Elizabeth creates a welcoming space to discuss challenges, goals, and personal history, reviewing confidentiality and treatment structure. Together, she and the patient develop a personalized plan. Ongoing sessions focus on exploring thoughts and feelings, identifying patterns, and practicing skills to support meaningful change, with regular goal review and reflection on progress.

Richard "Rick" States is a Licensed Professional Counselor, with broad and varied professional work experience in behavioral health (inpatient and outpatient, individuals and families, children and adults, direct service and program administration). Rick earned his B.A. in Psychology at Gannon University and his M.A. in Clinical Psychology at Edinboro University of Pennsylvania.

He's earned a Post-Master's Certificate in General Psychology from Northcentral University and has completed many doctorate credits in Psychology. Since 1999, Rick has taught university courses in Psychology, Sociology, and Human Services, most recently at Gannon University and Penn State University.

Rick's greatest area of clinical interest and skill centers around self-regulation or "how we manage" our thoughts, feelings, emotions, behaviors, etc. Rick appreciates the challenges related to anxiety, stress, depression, substance use, and trauma, and he employs various tools to help folks manage (e.g., cognitive behavioral therapy, psychodynamic therapy, humanism, mindfulness/somatic psychology, etc.).

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Laura Hickman, PMHNP, earned her BSN from the University of Iowa and her MSN from Saint Louis University. During her graduate training, she completed multiple outpatient internships, including one focused on Dialectical Behavioral Therapy, a modality she frequently incorporates into care. Board Certified as a Psychiatric Nurse Practitioner since 2014, she has practiced across Community Mental Health, inpatient psychiatry, crisis stabilization, TMS, and Suboxone treatment. She works with patients ages 5+ and specializes in ADHD, anxiety, and depression.

Laura’s priority is ensuring patients feel heard, valued, and respected. She fosters a collaborative, team-based environment where patients feel in control of their health. Rather than focusing solely on diagnosis, she emphasizes how someone is functioning in daily life. With warmth and “cheerleading” support, she helps patients feel less alone and more empowered to open up and pursue meaningful change.

Laura begins by exploring each patient’s history, past treatments, and current challenges at home, work, or in parenting. She develops individualized treatment plans in partnership with the patient, serving as a guide toward their goals. Together, they determine whether therapy, medication, or both best support improved functioning and well-being.