Richard Hess, MD

Dr. John Lundeen earned his medical degree from the Medical College of Georgia and completed his psychiatry residency at TriStar Centennial Medical Center. He has worked with adults of all ages in both outpatient and inpatient settings, bringing a wide range of experience to his practice.

Dr. Lundeen approaches every patient with respect, empathy, and a genuine desire to understand their unique experience. He recognizes that seeking treatment can be intimidating and strives to create a welcoming, non-judgmental environment where patients feel safe and heard.

Dr. Lundeen believes in a collaborative treatment process, prioritizing each patient’s goals, values, and input. He emphasizes mental health education as a core component of care, empowering patients to better understand their treatment options and take an active role in their well-being.

Dr. Kevin DiCesare is a board-certified psychiatrist, treating adults. He received his undergraduate degree at Harvard University, his medical degree at the University of Massachusetts Medical School, and then went on to train at Maine Medical Center for his psychiatric residency. He has 22 years of expertise in diagnosing and treating psychiatric conditions, including depression, anxiety, Bipolar spectrum disorders, adjustment problems, ADHD and other disorders. He is well versed in psychopharmacological interventions, but is a proponent of patients also being active in psychotherapy whenever appropriate. He prides himself in collaboratively arriving at treatment decisions with his patients, and taking the time to listen to their concerns and answer their questions.

Dr. DiCesare has worked in various settings, including community mental health centers and large hospital systems, with experience in inpatient, outpatient, and consultative roles. Prior to joining Talkiatry, he most recently served as an attending psychiatrist on the staff of Southern New Hampshire Health System, where he provided consultative care to referrals made from primary care providers and various specialists.

Tamara Lazenby, MD is a board-certified psychiatrist with more than 20 years of clinical and academic experience in emergency mental health, disaster response, and trauma-focused care. She earned her undergraduate degree at George Mason University and completed her medical degree at Eastern Virginia Medical School. After the September 11th attacks, Dr. Lazenby trained in psychiatry at New York Medical College’s Saint Vincent’s Hospital, specializing in emergency and trauma psychiatry.

She previously served as Associate Director of Wellness & Emergency Response Services at New York University’s Student Health Center, leading a team that cared for more than 50,000 global NYU students. Dr. Lazenby also previously served as Staff Psychiatrist and Team Lead for the Combat PTSD Clinical Team at the Hampton VA Medical Center, providing care for veterans with service-related trauma and implementing National VA Standards of Care.

Dr. Lazenby believes healing happens when mind, body, and spirit are aligned. She creates a compassionate and collaborative environment where patients feel deeply heard and empowered in their own care. Her approach blends conventional psychiatric treatment with nutrition, mindfulness, movement, and stress-reduction strategies to support long-term mental wellness.  She values authenticity, open communication, and shared decision-making, empowering patients to build resilience and restore balance in their lives.

She begins with a comprehensive assessment exploring medical, psychological, and lifestyle factors that influence mental health. Treatment plans are personalized and may include psychotherapy, targeted laboratory testing, lifestyle modifications, supplements, and medication when appropriate. Dr. Lazenby works closely with patients to restore balance, resilience, and overall well-being through a truly integrative approach. Regular collaboration and feedback, helping patients heal, grow, and thrive.

Gabrielle Delarose is a dually boarded Psychiatric Mental Health and Family nurse practitioner with over ten years of clinical experience. Gabrielle is dedicated to providing culturally competent and evidence-based medication management and psychotherapy to assist individuals in achieving their goals to live their best life. I believe in holistic treatment of individuals, and focus on the individual’s overall well-being, including how they are functioning socially and professionally. In addition to medication and psychotherapy, she is a proponent of incorporating research-supported alternative modalities, including dietary changes, exercise, social interaction, and yoga. She also advocates of forest bathing (“shinrin-yoku”), a practice of spending time in nature that yields both medical and mental health benefits as discovered in research trials from around the world. As a professionally trained cellist, she also frequently incorporates art and music into appointments and treatment plans with patients. Her goal for all her patients is to improve all facets of a person’s life with treatment. Gabrielle is an LGBTQ+ affirming provider and has extensive experience working with diverse populations.

New patients should know that the initial appointment will consist of obtaining their social history in addition to their medical history. This is an important part of establishing a therapeutic relationship in addition to obtaining health information to use in formulating treatment plans. A person’s identity and life experiences are a significant influence on a person’s health and well-being, and Gabrielle believes in discussing these experiences in order to best understand a patient’s background and incorporate that into their care. Patients are encouraged to write down any questions they may have prior to the appointment, as well as any significant points they want to discuss. This is encouraged because, as patients, we may forget to address these points without a prompt from the provider. Gabrielle also encourages patients to actively participate in their care and firmly believes in a patient’s right to autonomy and agency. This patient-centered approach empowers patients to help guide treatment plans that best fit the patient’s needs and abilities at any given time. Patients are also encouraged to discuss any concerns about medications or treatment, particularly if there are concerns about side effects.

Gabrielle works collaboratively with patients to determine appropriate and preferred treatment plans, including medication and therapy. She uses cognitive behavioral therapy (CBT) as the primary therapy modality, in conjunction with existential therapy, depending on the patient’s needs and preferences. She prefers to allow patients flexibility in their treatment, so the process may look less structured depending on the immediate needs of the patient. Other times, particularly while working through a specific problem in therapy, appointment agendas may be planned out for several weeks. If at any time, however, a need arises to deviate from preplanned appointment agenda, patients are encouraged to discuss this at the beginning of the appointment. Above all, patients’ needs will guide the agenda.

Dr. Marla Richard is a Stanford-trained board-certified psychiatrist and is board-eligible for geriatric psychiatry from UCSD. She has been practicing in a variety of settings for the last 30 years. Dr. Richard uses an integrated health paradigm with general and geriatric patients using traditional psychopharmacology, interpersonal neurobiology practices, and personality assessments to look at root motivations for behaviors to address core issues and with medication management as needed. Dr. Marla believes that you need to take a whole-person approach to both mental and physical health. She received her undergraduate degree from the University of Minnesota, Duluth, and then attended medical school at Stanford Medical School to complete her MD. With visions of becoming a general surgeon, she went to the University Hospitals of Cleveland and completed two years of general surgery training before seeing the light and transferring to psychiatry. She completed her psychiatry training at Stanford University and geriatric training many years later at UCSD. Her focus includes an integrated approach to the consideration of mental and physical health while incorporating mindfulness tools to teach skills of stress and anxiety management in everyday life. In conjunction with medication management, she uses interpersonal neurobiology to help clients understand triggers as well as methods to calm overactive stress responses and reactivity.

Dr. Laura Obler is board-certified in adult psychiatry. She received her medical degree from David Geffen School of Medicine at UCLA in Los Angeles, California, where she stayed to complete her psychiatry residency at the UCLA Semel Institute for Neuroscience. During residency she received specialized training in reproductive psychiatry (the treatment of women who are considering pregnancy or are pregnant or postpartum) and acted as Chief Resident of the Women's Life Center at UCLA. Dr. Obler has experience working with a diverse group of patients. She has previously worked in community clinics in the greater Los Angeles area and as a staff psychiatrist at UCLA. She prefers a holistic approach to psychiatric treatment and therefore uses a combination of medication management and talking therapies to treat patients. Techniques she may utilize include cognitive behavioral therapy, experiential psychodynamic therapy, mentalization based therapy, and medical hypnosis.