Robynn Cavaliere, PMHNP

Dr. David Gomez is a board-certified psychiatrist who is bilingual and fluent in English and Spanish. He earned his Doctor of Medicine degree from Florida International University and completed a residency in Psychiatry at the University of Miami / Jackson Memorial Hospital. During his training, he worked closely with a diverse array of patients, including minority and underserved communities, military veterans, trauma survivors, medically complex individuals with HIV and cancer, geriatric patients, and individuals with severe mental illness in both outpatient and inpatient settings. He received additional training through his participation in specialty clinics focused on mood and anxiety disorders, trauma-related conditions, and geriatric / memory disorders.

Dr. Gomez specializes in providing comprehensive mental health care to diverse patient populations. He combines psychotropic medications with supportive therapy using a psychodynamic listening approach to understand his patients and achieve their treatment goals.

He believes in tailoring treatment plans to meet individual needs, fostering a collaborative environment that empowers patients in their recovery. Known for his warm demeanor and attentive listening skills, Dr. Gomez creates a safe space for patients to express themselves safely. He emphasizes the importance of a strong therapeutic alliance and integrates psychodynamic principles, mindfulness techniques, and lifestyle modifications into his practice.

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Dr. Krishna Divadeenam is a staff psychiatrist at Talkiatry. He trained in New York and earned his medical degree from Albany Medical College in 1997.  He finished his internship at Vanderbilt Medical Center and completed his psychiatric residency at the University of Kansas Medical Center in 2000. During his residency, he served as Chief Resident at the Kansas City VA Medical Center (KCVA).  His initial post-residency focus was with patients with serious and persistent mental illness (SPMI) when he worked at the Johnson County Mental Health Center.  He has served as a adjunct professor at the University of Kansas providing clinical supervision to residents and yearly lectures on Bipolar disorder, Tourette’s and Obsessive compulsive disorder for over 20 years.  He worked at Midwest Psychiatric associates in an outpatient private practice for nearly 3 years before returning to the KCVA.  There he oversaw care for combat veterans as a clinical psychiatrist and the supervisor for the PTSD Specialty outpatient clinic.  After 5 years he transitioned to the inpatient unit as the inpatient supervisor and one of the attending physicians of the acute inpatient psychiatric unit.  In addition, he served as the University of Kansas Site director for their psychiatric residency program.  

Dr. Divadeenam believes in a holistic approach to mental health treatment, integrating medication management, supportive psychotherapy, and collaboration with therapists and support staff. He tailors treatment to each patient's unique needs, ensuring a comprehensive and individualized approach to care. His expertise includes treating a variety of psychiatric diagnoses, such as mood disorders, anxiety disorders (including OCD), ADHD, and PTSD.

In a first visit, patients can expect a thorough evaluation, where Dr. Divadeenam takes the time to understand their medical history, symptoms, and treatment goals. He emphasizes open communication and collaborative decision-making, ensuring that patients feel heard and supported. Based on this initial assessment, he will develop a personalized treatment plan, which may include medication management and referrals to therapy or other supportive services as needed.

Cassandra Thomas-Jingles is a dedicated, board-certified Psychiatric Nurse Practitioner with dual certification as a Family Nurse Practitioner. She is deeply passionate about helping others and takes a holistic, evidence-based approach to mental healthcare, empowering patients to live life to their fullest potential.

Her practice focuses on medication management and supportive therapy, offering 30-minute follow-up sessions. When additional therapy is needed, she recommends including a therapist in the care team to ensure the best possible outcomes. With extensive experience in both outpatient and inpatient settings, Cassandra has worked with adults and children facing a wide range of mental health conditions, including ADHD, anxiety, depression, and psychotic disorders. She strongly believes in prioritizing client involvement and fostering interprofessional collaboration.

Your mental health journey is unique, and Cassandra is here to listen with compassion and without judgment. All conversations are confidential, and her goal is to create a safe, welcoming space where you feel comfortable sharing your thoughts and concerns.

During your initial appointment, Cassandra will review your mental health history, current symptoms, lifestyle factors, and any previous treatments to gain a comprehensive understanding of your needs. Together, you will develop a personalized treatment plan that may include therapy, medication, or other supportive strategies. She values shared decision-making, ensuring your input is considered at every step of the process.

If medication is part of your treatment, Cassandra will clearly explain its benefits, potential side effects, and how your progress will be monitored. Adjustments can be made as needed to achieve the best possible outcome.

Healing takes time, and Cassandra is committed to supporting you throughout the process. Follow-up appointments are essential for tracking progress, making necessary adjustments, and ensuring you receive the care you need.

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Dr. Bryant graduated from Mount Sinai School of Medicine to complete her adult training and the Yale Child Study Center/Riverview Hospital for Children Program to complete her fellowship in Child and Adolescent Psychiatry. A native Texan, she returned to Tyler, TX in 2020 to accept the position of Chair of the Department of Psychiatry and Behavioral Medicine at the University of Texas Health Science Center at Tyler. She also established an accredited child and adolescent psychiatry fellowship in Tyler. Prior to that, she served as the Director of the Child and Adolescent Psychiatry Division at the University of Mississippi Medical Center where she was also the Program Director of the Child and Adolescent Psychiatry Fellowship. She received her medical degree from the University of Texas Southwestern Medical School. Working with survivors of trauma has always been an important part of Dr. Bryant's practice. She currently serves as the co-chair of the American Academy of Child and Adolescent Psychiatry's Committee on Child Maltreatment and Violence and she is a representative for the National Health Collaborative on Violence and Abuse. Dr. Bryant also served as the program director of the Eating Disorders and Trauma Recovery program at Menninger Clinic in Topeka. She is board certified in adult, child and adolescent psychiatry and she has over 32 years of experience as a practicing psychiatrist. Dr. Bryant specializes in the treatment of anxiety disorders, obsessive-compulsive disorder, mood disorders, developmental disorders, Post-Traumatic Stress Disorder, Attention Deficit Hyperactivity Disorder, and family relational problems for both children and adults. She believes that "knowledge is power" and that the more a person can understand about how the brain is affected by various mental health conditions, the more treatment makes sense.

Damaris Chukwura, DNP, PMHNP-BC, is a Board-Certified Family Psychiatric Mental Health Nurse Practitioner with over a decade of experience in mental health care. She began her nursing career in 2007 and has been practicing as a psychiatric nurse practitioner since 2014. Damaris has worked in a wide range of settings including inpatient hospitals, residential treatment centers, partial and intensive outpatient programs, correctional psychiatry, and substance abuse treatment. Her clinical experience spans various conditions such as ADHD, eating disorders, mood disorders, psychotic disorders, PTSD, and treatment-resistant depression. She earned her BSN from Texas Christian University, MSN from The University of Texas at Arlington, and her DNP from The University of Alabama in Huntsville.

Damaris values open communication and collaboration with her patients. She creates a warm, caring environment where individuals feel heard and respected. Her approach is both evidence-based and supportive, blending professionalism with a welcoming demeanor. She is passionate about mental health advocacy and reducing stigma. Outside of work, Damaris enjoys spending time with her husband and three children, traveling, decorating, and watching reality TV.

During initial psychiatric evaluations, Damaris takes time to fully understand each patient’s history, concerns, and goals. She develops individualized treatment plans that align with these goals and may include supportive therapy or referrals for more intensive therapy if needed. Follow-up appointments typically last 30 minutes, allowing time to track progress and make adjustments as necessary.

Dr. Michael Fiori is Board Certified in Adult Psychiatry and Addiction Medicine. He has practiced general psychiatry for 37 years, and has also sub-specialized in Addiction Psychiatry for the past 20 years. Dr. Fiori's practice emphasizes Diagnostic Clarification, which is an ongoing process. He is highly trained and experienced in the biological and psychosocial underpinnings of psychiatric problems. He typically follows diagnostic evaluations with 30-minute follow up visits for medication adjustments and brief therapy. Dr. Fiori often enjoys collaborating with outside therapists when needed. Dr. Fiori graduated from Amherst College and received his medical degree from NY Medical College. He subsequently completed his residency in psychiatry at the Mount Sinai Medical Center in NYC. He excelled in Academic Psychiatry as both a teacher and a mentor. His practice has always combined medications with evidence-based therapies to alleviate suffering and maximize functioning. In addition to his work as a Board Certified Adult Psychiatrist, he has specialized in helping patients suffering from Substance Use Disorders. Dr. Fiori is Board Certified in Addiction Medicine, and helps patients understand the interrelationships between their Substance Use Disorders and their Psychiatric illnesses.