Robert Smeed, DO

Dr. Sarah Ramos, MD, has experience practicing in a variety of outpatient settings, including community mental health and military care, serving active-duty service members, their families, and veterans. She earned her medical degree from Vanderbilt School of Medicine and completed psychiatry residency training at the University of California San Diego and Thomas Jefferson University in Philadelphia.

Dr. Ramos values open communication, privacy, and a collaborative approach with her patients. She creates a warm, supportive environment where individuals feel heard, respected, and empowered to participate in their care.

In initial sessions, Dr. Ramos thoroughly assesses patients’ history, concerns, and goals to ensure care is personalized and effective. She develops comprehensive treatment plans that align with each patient’s objectives, providing ongoing support to help them achieve meaningful outcomes.

Dr. Siera Kirkland is an adult general psychiatrist. She is a diplomate of the American Board of Psychiatry and Neurology. She has been practicing for 8 years. Dr. Kirkland focuses on collaborative and evidence-based care. She believes it is imperative to form a therapeutic relationship with each individual and work together as a team to formulate the best treatment plan. Her passion is to educate, empower, and support. She specializes in medication management and brief psychotherapy .Dr. Kirkland received her medical degree from Ross University School of Medicine. She completed her residency at The Cleveland Clinic Akron General and Summa HealthSystem in her hometown of Akron, OH. Upon completion of residency, she relocated to Charlotte, NC to start her career as the Lead Psychiatrist at Novant Health Psychiatric Associates- Matthews. Dr. Kirkland has experience in treating various patient populations. Her areas of focus have been perinatal and postpartum depression and anxiety. She has also worked with adults with co-occurring substance use disorders. Special interests include women's health and minority mental health disparities.‍For established patients of Dr. Kirkland, call 917-634-5311 to schedule an appointment and let the care coordinator know you are an established patient.

Dr. Justin Uzl is double board-certified in adult and consultation liaison psychiatry. His fellowship training helped him gain greater insight into the interface between medicine and mental healthcare. He has been practicing for seven years and has worked closely with individuals with co-occurring chronic medical issues, specifically organ transplantation. Dr. Uzl takes a holistic approach to mental healthcare combining medication management, psychotherapy, and lifestyle modifications to help his patients achieve a quality of life that allows them to pursue their goals. He sees the position of the psychiatrist as helping to educate and guide patients, allowing them to take an active role in their own recovery. Dr. Uzl believes diversity is a strength and embraces providing high quality services that affirm the dignity, worth and value of all individuals including the LGBTQ+ community. Dr. Uzl takes an evidence-based approach in his treatment of individuals suffering with depression, anxiety, trauma, difficulty focusing and concentrating, sleep issues, and interpersonal problems. He utilizes insight-oriented care, believing that gaining understanding of a person's feelings, thoughts, and actions will provide them the knowledge needed to make the positive change they desire. Therapy may be a key part of a person's treatment, and if greater frequency is needed outside of sessions with Dr. Uzl, he will refer and collaborate with a psychotherapist to help maximize a patient's success.

Dr. Sean Culver is an outpatient psychiatrist with experience treating a wide variety of disorders across multiple distinct age groups. He completed his undergraduate education at the University of Pittsburgh, graduating summa cum laude while majoring in neuroscience. He attended medical school at the Ohio State University College of Medicine, where he was granted an annual merit scholarship. Dr. Culver then remained at the OSU Wexner Medical Center for residency training. Outside of psychiatry, he enjoys numerous interests including soccer, hockey, music, photography, and video games.

During residency, Dr. Culver developed particular interest in working with young adults, college students, and athletes, but is comfortable with patients of all ages. He strongly believes in the practice of evidence-based medicine, utilizing the most current research to guide recommendations. He is a strong advocate for patient autonomy and therefore provides psychoeducation on diagnoses and medications so that each patient can make informed decisions which align with their own values.

Dr. Culver approaches each patient in the context of their individual interests, family dynamics, and life goals. He understands that not every patient requires or desires medication and is comfortable in a number of psychotherapy techniques including cognitive behavioral therapy, psychodynamic therapy, and supportive therapy. He emphasizes a trusting and honest therapeutic relationship with his patients.

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For the past 20 years, Dr. Lavin has worked at the University of Denver Health and Counseling Center, where she has treated undergraduate and graduate students. She also worked at a training clinic for students pursuing their PsyD degree. She has supervised and taught psychiatry residents. She taught a psychopharmacology and differential diagnosis course to psychology trainees. Dr. Lavin has a strong interest in functional medicine and alternative therapies. Dr. Lavin has been in practice for 35 years. She is board certified in adult psychiatry. Dr. Lavin focuses on a comprehensive medical assessment, medication management, psychoeducation, wellness, and alternative therapies. She enjoys treating young adults. Dr. Lavin did her undergraduate work at the University of Rochester. She earned her MD from Cornell University Medical College in New York City. Her psychiatry residency was at the University of Boston Medical Center. After training, Dr. Lavin held administrative and clinical positions at Kaiser Permanente in Denver, CO and at the Harvard Community Health Plan in Braintree, Massachusetts. She has written clinical triaging guidelines and patient information pamphlets.‍

Dr. Scot McKay is board certified in Psychiatry and Child/Adolescent Psychiatry. He graduated medical school from the Medical University of South Carolina in Charleston, SC. He completed his residency and child/adolescent fellowship trainings at the University of Colorado - Anschutz Medical Center in Denver, CO. Previously, he has worked on the inpatient and partial hospitalization child/adolescent psychiatric units at Children's Hospital Colorado as well as in the school-based health clinics through Denver Health in partnership with Denver Public Schools. He has also worked in community mental health at the Mental Health Cooperative clinics throughout the Middle Tennessee region. He most recently joined a private practice before joining Talkiatry. He has been named to the Nashville Lifestyles Magazine's Top Doctors list in 2022, 2023, and 2024. He is a fellow of the American Psychiatric Association, and a member of the American Academy of Child and Adolescent Psychiatry. Dr. McKay enjoys working with patients going through life transitions such as high school to college and college to adult life. He believes it is important to understand the whole person (mind, body, and spirit) when treating them. He treats people struggling with depression, anxiety, bipolar, and ADHD, as well as trouble with relationships and family conflict. Dr. McKay provides both medication management and therapy. He believes that medication is just one of the items in a psychiatrist's toolbox and that therapy is equally important as medication.