Richard Hess, MD

Christopher Zeoli, DNP, PMHNP, is a nationally board-certified Psychiatric Nurse Practitioner with over 20 years of certification and more than 30 years of experience in the psychiatric and mental health field. He earned his Doctor of Nursing Practice degree from Stony Brook University and has worked with patients across the lifespan in clinics, outpatient programs, hospitals, and private practices.

Christopher’s approach combines thoughtful medication management with supportive therapy. He is not only focused on addressing immediate concerns but also on guiding patients toward long-term well-being. Patients can expect a collaborative, compassionate, and goal-oriented partnership in their care.

Christopher values patient feedback as an essential part of treatment. He conducts careful evaluations, listens to each individual’s concerns, and tailors care to align with personal goals. By working together, he helps patients develop treatment plans that support both current needs and future growth.

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. Alexandra Dunn is a board-certified adult psychiatrist who completed her medical training at the University of California Irvine School of Medicine. She then moved to New York to complete her psychiatric residency training at Mount Sinai Beth Israel. During training, Dr. Dunn gained extensive clinical experience in psychiatric inpatient, outpatient, and emergency settings, allowing her the opportunity to treat patients of all ages and backgrounds. In addition, she co-led a mindfulness group at the outpatient clinic, worked with students at Baruch College, and rotated with the Assertive Community Treatment team at MSBI. Ultimately, Dr. Dunn chose outpatient care, focusing on treating patients with mood and anxiety disorders. While her practice primarily emphasizes medication management, she also incorporates supportive and cognitive behavioral therapy techniques in her sessions with patients. If appropriate, Dr. Dunn will refer you for psychotherapy and collaborate with your therapist to support your care. She looks forward to meeting and working with you to help you feel better.

Lance Briggs is a dedicated Psychiatric Nurse Practitioner with over a decade of clinical and leadership experience. A graduate of the University of North Dakota, Lance began as a psychiatric RN in acute inpatient settings before becoming a psychiatric RN supervisor in a major Houston hospital while pursuing advanced practice.

After becoming a PMHNP, Lance initially worked with outpatient addiction treatment and severe mental illness populations, later expanding into bariatric psychiatry to support patients preparing for weight-loss surgery. When the COVID-19 pandemic paused bariatric procedures, Lance founded a private practice—Grey Matters Mental Health—in Seattle, which was later sold to a larger healthcare organization in Minnesota. Lance then transitioned into correctional mental health, serving underserved populations within the criminal justice system. Currently, Lance is working at Talkiatry, providing compassionate, high-quality care informed by experience across diverse and challenging environments.

Lance understands that every patient is unique. His approach is grounded in Carl Rogers’ principle of unconditional positive regard, creating a safe, calming space where patients feel heard and valued. Lance takes time to explore developmental history, family background, and major life events, recognizing how past experiences shape present challenges. He aims to understand each symptom fully and offers thoughtful, collaborative treatment options.

Tiffany Vickers is a board-certified Psychiatric Nurse Practitioner who earned her Master of Science Degree from Southeastern Louisiana University. She takes a holistic approach to mental health by recognizing the essential connection between the mind and body. Tiffany has 26 years of diverse experience in the clinical, home, and telepsychiatry settings.

Tiffany is committed to creating a safe, supportive, and nonjudgmental space where clients feel heard. She is especially passionate about reducing the stigma surrounding mental illness and believes in partnering closely with clients to help them achieve meaningful and lasting progress.

New patients working with Tiffany can expect a collaborative, respectful, and goal-oriented approach to care. She specializes in treating adults with ADHD, anxiety, bipolar disorder, depression, OCD, and PTSD. Tiffany's treatment approach utilizes a combination of medication management, lifestyle modifications, supportive therapy, and solution-focused techniques.

Her approach is grounded in empathy, clinical expertise, and a commitment to helping each individual achieve their mental health goals.

Tiffany follows a multi-stage, personalized approach when working with clients. She begins by gathering a comprehensive history, understanding the client's primary concerns, and identifying both short- and long-term goals. From there, she collaborates with each individual to develop a tailored treatment plan that includes client-specific interventions.

Tiffany's process is dynamic and adaptive! She monitors each client's progress and adjusts care as needed to ensure it remains aligned with their needs and goals. This thoughtful, individualized approach supports lasting outcomes and empowers clients to take an active role in their mental health journey.

Dr. Patricia de la Cabada earned her medical degree from Ross University School of Medicine and completed her psychiatry residency at the University of Central Florida/HCA Consortium in Gainesville, where she served as outpatient chief resident and received the Excellence in Psychotherapy award. She holds a bachelor’s degree in Anthropology from the University of Florida and has experience in outpatient, inpatient, and consult-liaison psychiatry. Dr. de la Cabada is fluent in Spanish and has special interests in OCD, depression, perinatal depression, bipolar disorder, anxiety, and PTSD.

Dr. de la Cabada approaches care with empathy and compassion, creating a warm, supportive environment. She values strong therapeutic relationships and uses a holistic lens that considers lifestyle and psychosocial factors. Her collaborative, patient-centered style focuses on creating personalized treatment plans.

She begins with a thorough history and discussion of concerns and goals. Treatment plans include medication management, supportive therapy, and lifestyle strategies, with follow-up visits to monitor progress and adapt care as needed.