Rachel Cash, MD

Dr. Bryant graduated from Mount Sinai School of Medicine to complete her adult training and the Yale Child Study Center/Riverview Hospital for Children Program to complete her fellowship in Child and Adolescent Psychiatry. A native Texan, she returned to Tyler, TX in 2020 to accept the position of Chair of the Department of Psychiatry and Behavioral Medicine at the University of Texas Health Science Center at Tyler. She also established an accredited child and adolescent psychiatry fellowship in Tyler. Prior to that, she served as the Director of the Child and Adolescent Psychiatry Division at the University of Mississippi Medical Center where she was also the Program Director of the Child and Adolescent Psychiatry Fellowship. She received her medical degree from the University of Texas Southwestern Medical School. Working with survivors of trauma has always been an important part of Dr. Bryant's practice. She currently serves as the co-chair of the American Academy of Child and Adolescent Psychiatry's Committee on Child Maltreatment and Violence and she is a representative for the National Health Collaborative on Violence and Abuse. Dr. Bryant also served as the program director of the Eating Disorders and Trauma Recovery program at Menninger Clinic in Topeka. She is board certified in adult, child and adolescent psychiatry and she has over 32 years of experience as a practicing psychiatrist. Dr. Bryant specializes in the treatment of anxiety disorders, obsessive-compulsive disorder, mood disorders, developmental disorders, Post-Traumatic Stress Disorder, Attention Deficit Hyperactivity Disorder, and family relational problems for both children and adults. She believes that "knowledge is power" and that the more a person can understand about how the brain is affected by various mental health conditions, the more treatment makes sense.

Dr. McGowan is a board-certified adult psychiatrist with over 14 years of experience, during which time he primarily treated active-duty US Navy sailors, their family members, and military retirees in the outpatient setting. His practice focuses on medication management in addition to supportive and cognitive-behavioral therapy in 30-minute follow-up visits. He is a strong advocate of multiple treatment modalities and, in certain situations, may suggest that therapy and/or regular physical exercise be included in your treatment plan to provide the best outcome. He received his B.S. in Physics from the United States Naval Academy. After serving as an Intelligence Officer in the Navy for eight years, he transitioned to medicine and earned his medical degree from the Uniformed Services University of the Health Sciences in Bethesda, MD. After completing an intern year in Family Medicine, Dr. McGowan completed residency training in Psychiatry at Naval Medical Center Portsmouth, VA, where he remained on staff for the next ten years and was primarily involved in resident training and education. He held academic appointments at the Uniformed Services University and Eastern Virginia Medical School and served as the Psychiatry Residency Program Director for six years. He served his final four years in uniform running the behavioral health department at Naval Air Station Whidbey Island, WA. He recently retired from the Navy after a 30-year career. Dr. McGowan has extensive experience in outpatient psychiatric care. In addition to the full spectrum of mood and anxiety disorders, he has treated a very large number of patients with PTSD stemming from combat, natural disasters, and sexual trauma. He believes that, like his service to the country, working alongside others in their journey to better mental health is an incredible privilege.

Dr. Romanow is double board-certified in Adult Psychiatry and Forensic Psychiatry. He graduated summa cum laude from the University of Pittsburgh with a Bachelor of Science degree in Sports Medicine/Athletic Training and then attended Drexel University College of Medicine. After medical school, he completed his residency in Adult Psychiatry at the University of Virginia, where he obtained a certificate in additional psychotherapy training. After residency, Dr. Romanow completed a fellowship in Forensic Psychiatry at the University of Virginia. During his fellowship, he trained at the prestigious Institute of Law, Psychiatry, and Public Policy (ILPPP) and Western State Psychiatric Hospital where he performed criminal and civil forensic evaluations. He also provided clinical care at a maximum security prison. Prior to joining Talkiatry, Dr. Romanow worked at a healthcare system in Montana providing inpatient and outpatient psychiatric care involving medication management and psychotherapy. Additionally, he operates a private forensic psychiatry practice that conducts mental health evaluations for the legal system. Dr. Romanow has extensive experience treating various mental health disorders including depression, bipolar disorder, anxiety and obsessive-compulsive disorders, post-traumatic stress disorder, and ADHD. His clinical work includes assisting patients who experience mental health disorders with co-occurring substance use problems. He has training in various schools of psychotherapy including cognitive behavioral therapy (CBT), CBT for insomnia, motivational interviewing and supportive psychotherapy. Dr. Romanow incorporates treatment focusing on the importance of exercise, diet, and good sleep habits as a part of comprehensive mental health care.‍

Dr. Hess is double board-certified in Adult and Geriatric Psychiatry. He completed his psychiatry internship and residency training at St. Vincent's Hospital and Medical Center in New York City, and then completed a geriatric psychiatry fellowship at Mount Sinai Beth Israel Medical Center. Dr. Hess has practiced inpatient psychiatry at the Long Island College Hospital, NYU Langone Brooklyn, and Kingsbrook Jewish Medical Center. He has also worked in emergency rooms, day hospitals, and consultation-liaison settings, as well as seeing geriatric outpatients at a naturally-occurring retirement community (NORC) on the Lower East Side of Manhattan. Dr. Hess has taught St. George's University medical students during their clinical rotations in psychiatry. Dr. Hess has more than 24 years of experience providing patients with compassionate psychiatric care for depressive and bipolar disorders, anxiety, obsessive-compulsive disorder, post-traumatic stress disorder, and dementia. He uses pharmacotherapy as well as supportive psychotherapy. Dr. Hess may believe that additional therapy is also needed and ask that you bring a therapist into your care team to provide the best outcome. The philosophy of his practice is to collaborate with patients to meet their specific needs and make an impact in various stages of their lives.

Dr. Phelps is a board-eligible adult psychiatrist. She was elected chief resident by her residency program at the University of Central Florida. She obtained her medical degree at Nova Southeastern University. She graduated magna cum laude with a bachelor's degree in Kinesiology from Louisiana State University. Dr. Phelps believes in patient-centered care and a holistic approach to medicine. Her practice focuses on medication management, in conjunction with supportive therapy in 30-minute follow-up visits. If additional therapy is needed, she utilizes referrals to psychotherapists to enhance management of mental illness and provide the best treatment outcomes. Dr. Phelps has worked in a variety of medical settings with different patient populations, including outpatient, consult liaison, and inpatient psychiatry. Her primary focus is treating adults with depression, anxiety, ADHD, insomnia, and bipolar disorder. Dr. Phelps aims to build a strong therapeutic relationship and improve the quality of life of her patients.

Dr. Blanca Osorio-Candelaria is a board-certified adult psychiatrist and has been practicing for over 16 years. Her practice focuses on medication management, which she typically combines with supportive therapy in 30-minute follow-up visits. If Dr. Osorio-Candelaria feels you would benefit from working with a therapist in conjunction with medication management, she welcomes collaboration with your therapist to make for the best outcome. ‍Dr. Osorio-Candelaria is a graduate of the University of Puerto Rico School of Medicine in San Juan, PR. She completed her residency at Tripler Army Medical Center in Hawaii, followed by a fellowship in Child and Adolescent Psychiatry. Her years of experience started as a medical officer for the Army, including a deployment to Iraq. Her working experience after her military service includes working as a medical director of a community health center, a medical director of a community hospital, a medical director of an inpatient unit, and working for an Assertive Community Treatment Team (ACT) specializing in the Serious Mentally Ill population.‍Dr. Osorio-Candelaria specializes in psychopharmacology, especially tailoring individualized treatment to serve the needs of patients with a variety of conditions. She has a lot of experience in treating patients with depression, anxiety, bipolar disorders, post-traumatic stress disorders, Insomnia, and ADHD. She also has experience in treating patients with medical comorbidities.