Reaghan Hicks, MD

Dr. Jacobs is board-certified in Adult Psychiatry by the American Board of Psychiatry and Neurology. She specializes in medication management for adult patients across a range of psychiatric conditions, with a focus on treating depression, anxiety, bipolar disorders, and ADHD. Dr. Jacobs employs a therapeutic approach to medication management, incorporating supportive and psychodynamic psychotherapies into her sessions. She selects psychopharmacological treatments and therapies tailored to each patient's individual needs and symptoms. Dr. Jacobs earned her Bachelor of Science in Science and Business from the University of Notre Dame. She graduated from medical school at the University of Mississippi, where she was honored with membership in the Gold Humanism Honor Society for her exceptional clinical skills, interpersonal abilities, and dedication to patient care. She then returned to Texas to follow her passion for mental health, completing her residency in Psychiatry at the University of Texas Southwestern Medical Center. Dr. Jacobs developed a strong enthusiasm for enhancing mental health care within communities and completed a fellowship in Community Psychiatry through the UT Southwestern Altshuler Center for Education and Research in the Dallas-Fort Worth area. Over the years, she has worked with major community mental health organizations across Texas and has recently focused on leveraging telemedicine to coordinate mental health support with primary care providers. Throughout her career, Dr. Jacobs has been committed to psychiatric research, educational initiatives, and organizational efforts to advance mental health care education and patient care in communities. She is an active member and leader in several medical and psychiatric organizations. Dr. Jacobs takes great pleasure in connecting with patients via telemedicine, focusing on meeting them where they are in their mental health journey and supporting their needs and goals.

Dr. Alejandra Vivas is board-certified in adult psychiatry and board-eligible in child and adolescent psychiatry. She completed her general psychiatry residency at Montefiore Medical Center and a child and adolescent fellowship at Mount Sinai School of Medicine. Dr. Vivas brings extensive experience from outpatient, emergency, and telepsychiatry settings. She has advanced training in CBT, Motivational Interviewing, and Psychodynamic Therapy. Fluent in English and Spanish, she is committed to culturally sensitive, individualized care.

Dr. Vivas fosters a warm, respectful, and professional space where patients feel seen and empowered. She values open communication and builds collaborative relationships to align treatment with each person’s values, goals, and lifestyle. Her approach is integrative and flexible, grounded in evidence-based methods to support lasting, meaningful change.

Dr. Vivas begins with a thorough evaluation to understand each patient’s history and goals. She creates customized treatment plans that may include therapy, medication, or both. Drawing on CBT, Motivational Interviewing, and Psychodynamic Therapy, she adapts care to meet evolving needs, aiming to relieve symptoms, foster resilience, and support long-term well-being.

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Dr. Stephen Hawk is a board-certified psychiatrist with 25 years of experience. He earned his Doctor of Osteopathic Medicine from Kansas City University of Medicine and Biosciences and completed his psychiatry residency at the University of South Florida, Tampa. He has served in private practice and held leadership roles at the Veterans Administration, including Chief of Mental Health at Bay Pines VA. He led the launch of the VA Suicide Prevention 2.0 Telehealth Program and has training in AI in medicine.

Dr. Hawk combines talking therapies, neuromodulation, and modern psychopharmacology in a collaborative and empathic style. He focuses on family dynamics and integrates psychodynamic and biopsychosocial approaches, using creativity and open dialogue to tailor care.

He begins with open-ended conversations to help patients tell their story, then develops treatment plans together aligned with diagnostic standards. His approach includes medication review, mindfulness, CBT, supportive and psychodynamic therapy, and lifestyle education to support holistic wellness.

Dr. Ayanna Swinton Jamison is a board-certified psychiatrist with over 18 years of experience in general, as well as child and adolescent psychiatry. She has extensive experience in counseling, and medication management. Dr. Jamison is committed to educating her patients about their illness and providing personalized care for each patient. Dr. Jamison received her undergraduate degree from Jackson State University. She graduated from Saint Louis University Medical School and completed her residency training in general psychiatry and child and adolescent psychiatry at the University of South Carolina. Dr. Jamison is a proud mom of four who enjoys spending time with her family, and attending her kids' sports events.

Background and credentials

Dr. Schaefer is a board-certified adult psychiatrist with over 16 years of experience. She earned her medical degree from the University of Nebraska Medical Center in Omaha, NE, and completed her adult psychiatry residency at Oregon Health and Science University in Portland, OR. She then specialized further by completing a forensic psychiatry fellowship at Yale University. She has worked as a staff psychiatrist at Atrium Health System for over 16 years.

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Treatment approach

Dr. Schaefer’s practice primarily focuses on medication management, which she offers in conjunction with supportive therapy and elements of cognitive-behavioral therapy (CBT). She takes a patient-centered and collaborative approach, ensuring that treatment is tailored to each individual’s needs. If additional therapy is required, she may recommend working with a therapist as part of a comprehensive care plan. Her primary focus areas include depression, anxiety disorders, and obsessive-compulsive disorder (OCD).

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What you can expect in a first visit

During the first visit, patients can expect a thorough psychiatric evaluation, where Dr. Schaefer carefully assesses their symptoms, treatment history, and mental health goals. She works collaboratively with patients to develop a personalized treatment plan, which may include medication management and therapy recommendations. Follow-up visits are typically 30 minutes and focus on monitoring progress, adjusting treatment as needed, and ensuring the best possible patient outcomes.

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Why Talkiatry?

We’re a virtual mental health practice that makes it easy to find great care. We combine quality and convenience to help you thrive—faster. Our providers, like this one, are highly trained experts who specialize in medication management and collaborate with you on a treatment plan that fits your needs and comfort level.

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Dr. Michael Lukowski is an adult psychiatrist who holds board certification with the American Board of Psychiatry and Neurology. He has been practicing medicine for over 4 years. Dr. Lukowski focuses on medication management combined with supportive therapy in 30-minute follow-up visits. He practices whole-person medicine, caring for the wellness of your mind, body, and spirit and helping you enjoy your relationships with those around you. Dr. Lukowski received his medical degree from the University of Nevada School of Medicine in Reno, NV, before moving to southern California to complete his residency at Loma Linda University. After completing training, Dr. Lukowski began working with the Southern California Permanente Medical Group in Riverside, CA, where he treated a variety of psychiatric disorders in an outpatient setting. In March of 2020, as the pandemic changed life and medicine forever, Dr. Lukowski adopted a strictly telepsychiatry role at his clinic. He has also held a staff psychiatrist position as an adult inpatient psychiatrist in Tennessee. Dr. Lukowski treats a wide variety of psychiatric disorders within the adult demographic.