Rachel Cash, MD

Dr. Cecilia Fitz-Gerald is a board-certified psychiatrist trained in adult psychiatry and consultation-liaison psychiatry, formerly known as psychosomatic medicine. She has been practicing for over five years and has extensive experience working in a variety of clinical settings, including inpatient, outpatient, and emergency psychiatry. In addition, she specializes in working with patients with acute and chronic medical conditions that may be affecting their mental health, such as cancer, stroke, or a heart condition. She provides patient-centered care utilizing a collaborative approach to help her patients reach their goals. She is a native of Louisiana and a graduate of the LSU School of Medicine in Shreveport. She was elected to the prestigious medical honor society, Alpha Omega Alpha, during her fourth year of medical school and was awarded the John W. Bick Excellence in Psychiatry award. She completed her psychiatry residency training at the University of Texas Southwestern Medical Center where she served as Chief Resident and was a PRITE Fellow. Afterwards, she completed a fellowship in consultation-liaison psychiatry at Yale-New Haven Hospital. Dr. Fitz-Gerald has multiple scholarly publications, particularly in the fields of emergency psychiatry and hospital delirium and has presented at the annual conference for the Academy of Consultation-Liaison Psychiatry. She is passionate about academic medicine and enjoys teaching medical students and residents. Her other areas of clinical interest include ICU delirium and cardiac psychiatry.

Dr. Pipalia is board-certified in both adult psychiatry and internal medicine. Since graduation from residency, he gained specialized experience in treating veterans with terminal illness, specifically Amyotrophic Lateral Sclerosis (aka Lou Gehrig's Disease), at the VA Medical Center in Portland, OR. He combines both psychotherapy and medication treatment to provide holistic care that addresses not only your mental health but also the parts of your life that surround and are deeply intertwined with your mental health. When more intensive psychotherapy is warranted, he collaborates with an experienced psychotherapist to serve you better. With his experience of internal medicine, he is also comfortable with navigating complex medical issues that may interact with your mental health. Dr. Pipalia is a graduate of St. George's University School of Medicine. He completed a combined Psychiatry & Internal Medicine residency training program at East Carolina University. He went on to complete a fellowship in Clinical Informatics at Oregon Health & Science University, learning how to use modern digital technologies and patient data to improve patient care. His academic activities include a presentation he has given multiple times on Illness Identity, teaching other clinicians how having an illness can change how we perceive our place in the world and how to help patients manage their relationship with illness.

Dr. John's practice focuses on medication management, offered in conjunction with emotionally focused therapy in 30-minute follow-up visits. Occasionally, Dr. John may believe that additional therapy is also needed and ask that you bring a therapist into your care team to provide the best outcome. Dr. John strongly believes in a compassionate, collaborative approach and will provide psychoeducation to help patients make informed decisions and achieve their treatment goals.

Erin Snider, PMHNP, brings more than seven years of experience as an Advanced Practice Registered Nurse at Lindner Center of HOPE, a full-service psychiatric facility affiliated with the University of Cincinnati and Cincinnati Children’s Hospital. Her work has spanned the full spectrum of psychiatric care, including inpatient crisis intervention, partial hospitalization, and outpatient services. She holds a bachelor’s degree in psychology from the University of Kentucky and both a BSN and MSN from Wright State University. Erin also recently earned a Mindfulness and Yoga-Studies Certificate from the University of Cincinnati.

Erin prioritizes building a strong therapeutic relationship and values open communication to create a supportive environment for healing. She views psychiatry as a holistic practice, integrating evidence-based approaches that address mental, emotional, physical, and spiritual well-being. Patients working with Erin can expect compassion, respect, and a collaborative partnership in their care.

Erin begins each appointment with open conversation to better understand each individual’s story and experiences. She works with patients to identify their concerns, explore barriers to growth, and highlight strengths. Together, she collaborates on a treatment plan that aligns with the patient’s personal goals, ensuring care is both personalized and empowering.

Akif A. Khawaja M.D. is a Clinical General Psychiatrist. He has worked in this field since graduating and obtaining his residency from the University of Mississippi Medical Center Department of Neurology and Behavioral Sciences in 1996. He has worked mostly with adults ranging from 18 to 90 years of age. He has served as a director of Intensive Outpatient Programs in the state of Mississippi. He currently focuses on medical management of patients above 50 years of age and has served as a director of Geriatric Psychiatric Units.

He has a particular interest in treating mood, anxiety, and cognitive disorders, including ADHD. Patients working with him can expect thorough and detailed appointments, as he places special emphasis on gathering comprehensive medical and psychiatric histories, including specific dates of past treatments. During initial visits, he carefully reviews previous medical interventions, particularly procedures such as electroconvulsive therapy (ECT) and vagus nerve stimulation (VNS).

His approach prioritizes thorough evaluations to ensure accurate diagnoses. He strongly believes that honesty is essential for achieving the best possible treatment outcomes.

Dr. Anne Rohs is board certified in both adult and geriatric psychiatry and has practiced psychiatry for over 10 years. She has extensive experience treating critically ill patients in hospital settings. This experience allowed her to hone skills necessary to care for individuals with complex psychiatric illnesses complicated by medical conditions. Dr. Rohs' approach to care involves providing a consistent, empathic, non-judgmental space to develop and attain shared treatment goals. She is committed to developing a partnership that is always respectful of patients' points of view, and she utilizes this knowledge to inform treatment plans that are safe, effective, and agreeable to patients. At the same time, she is sensitive to financial or insurance coverage factors that may impact treatment. After completing residency training at Montefiore Medical Center, Dr. Rohs was invited to serve an additional year as Senior Chief Resident for its adult psychiatry residency training program. She spent the next year as a fellow in Geriatric Psychiatry before her appointment as an attending physician on Montefiore's acute psychiatric inpatient unit. During her training years, Dr. Rohs made several trips to Uganda to serve as an attending physician with the Doctors for Global Health Project. Dr. Rohs subsequently transferred to Bronx Psychiatric Center (BPC), where she treated inpatients and outpatients suffering from severe mental disorders. At BPC, she expanded her knowledge base and became an expert in advanced psychopharmacology. Dr. Rohs also spent time prior to joining Talkiatry as an attending physician at NYU Langone Hospital. Dr. Rohs specializes in treating a variety of psychiatric conditions including mood disorders, psychotic disorders, anxiety disorders, PTSD, and dementia. She is attuned to the direct and indirect mental health impact of the pandemic and its aftermath on patients of all ages. Dr. Rohs does not usually treat ADHD patients. For the small number of patients she treats who have ADHD, Dr. Rohs requires comprehensive testing, multiple follow ups, and a full medical workup before confirming a diagnosis to ensure appropriateness and safety of chosen treatment.Dr. Anne Rohs is board certified in both adult and geriatric psychiatry and has been in practice for over ten years. She has an extensive background working in hospital settings treating critically ill patients. This experience has helped hone her skills in caring for individuals with complex psychiatric illnesses complicated by medical conditions. Dr. Rohs’ approach is to provide a consistent, empathic, non judgmental space to develop and attain shared treatment goals. Dr. Rohs is committed to developing a partnership which is always respectful of patients’ points of view, and she utilizes this knowledge to inform treatment plans that are safe, effective and agreeable to patients. She is sensitive to financial or insurance coverage factors that may impact treatment.

After completing residency training at Montefiore Medical Center, Dr. Rohs was invited to serve an additional year as Senior Chief Resident for their adult psychiatry residency training program. She spent the following year as a fellow in Geriatric Psychiatry before being appointed an attending physician on Montefiore’s acute psychiatric inpatient unit. Dr. Rohs subsequently transferred to Bronx Psychiatric Center, where she treated patients suffering from severe mental disorders in both inpatient and outpatient settings. As a result, she further expanded her knowledge base and became an expert in advanced psychopharmacology. Prior to joining Talkiatry, Dr. Rohs served as an attending physician at NYU Langone Hospital. She has also been an attending physician for the Doctors for Global Health Project in Uganda.

Dr. Rohs specializes in treating a variety of psychiatric conditions including schizophrenia, bipolar disorder, generalized anxiety disorder, depression, and dementia. She is attuned to the direct and indirect mental health impact of the pandemic on patients of all ages. As the Covid situation evolves, Dr. Rohs is available to see patients either in the office or via telehealth platforms.

Dr. Rohs does not usually treat ADHD patients. For the small number of patients she treats who have ADHD, Dr. Rohs requires comprehensive testing, multiple follow ups, and a full medical workup before confirming a diagnosis to ensure appropriateness and safety of chosen treatment.