Sabrina Lefcochilos-Fogelquist, MD

Dr. Sierra-Cintron is board-certified in adult psychiatry by the American Board of Psychiatry and Neurology and has been in practice for 12 years. Dr. Sierra-Cintron focuses her practice on medication management. She also engages in supportive therapy in a comprehensive way, focusing on the patient as a whole and not just the symptoms. Dr. Sierra-Cintron has a broad understanding of vitamin support as an adjunctive treatment to traditional medication. She has broadened her understanding of second-line treatment, having been certified in Electroconvulsive Therapy (ECT), conducting clinics in Clozapine and Long-Acting Antipsychotics (LOA), and even conducting assessments for patients interested in weight loss surgery. Dr. Sierra-Cintron has a comprehensive approach to treatment, and might consider the addition of therapy, either by referral or collaborating with an existing therapist for a more rounded approach and improved outcome. Dr. Sierra-Cintron received her medical degree from the Universidad Central del Caribe located in Bayamon, Puerto Rico. Upon graduation, she relocated to Philadelphia, where she started her residency program at Einstein Medical Center. After completing her training, she worked for 8 years in a community mental health clinic, treating an underserved population in all modalities of psychiatric care. In her 12-year career, Dr. Sierra-Cintron has treated both adult males and females, including seniors. This has led to varied and wide-ranging diagnoses during the length of her career. After leaving the community clinic setting, she started working for an outpatient clinic in a suburb of Philadelphia. Dr. Sierra-Cintron's current areas of focus are adults with Mood Disorders, Anxiety Co-Occurring Substance disorders, as well as patients with varied concomitant medical problems.‍

Dr. Catherine Bledowski is board-certified in General Psychiatry and Consultation-Liaison Psychiatry (Psychosomatic Medicine) by the ABPN.  She received her medical degree from the University of South Carolina School of Medicine and completed her residency in General Psychiatry as well as her fellowship in Consultation-Liaison Psychiatry (Psychosomatic Medicine) at Virginia Commonwealth University.  Dr. Bledowski spent most of her career in large, urban academic medical centers, primarily taking care of patients with severe mental illness, as well as those with mental illness comorbid with other complex medical conditions.  

Dr. Bledowski has a passion for medical education and has held faculty appointments at Virginia Commonwealth University, University of Utah, Georgetown University, George Washington University, and Walter Reed National Military Medical Center.  Dr. Bledowski has authored numerous peer-reviewed journal articles and provided academic presentations to both national and international audiences.  Her interests include emergency psychiatry, brain stimulation therapies, complex psychopharmacology, and psychopharmacology in the medically ill.  Prior to joining Talkiatry, Dr. Bledowski held various leadership positions in academic medicine, emergency psychiatry, consultation-liaison psychiatry, and brain stimulation at multiple academic medical centers.  

Dr. Bledowski's approach to patient care is centered upon collaboration and utilizing the most up-to-date evidence-based practices.

Dr. Reaghan Hicks is a double board-certified psychiatrist in General and Addiction Psychiatry. She completed her undergraduate training at The College of Charleston followed by medical school at The University of South Carolina School of Medicine. Dr. Hicks completed Residency in General Psychiatry at The University of Florida College of Medicine in Jacksonville followed by Fellowship in Addiction Psychiatry at The Medical University of South Carolina. Dr. Hicks is an experienced clinician that specializes in treating individuals with a variety of diagnoses including adjustment disorders, depression, anxiety, PTSD, bipolar disorder, ADHD, and substance use disorders.‍She has an approachable style and values building rapport with her patients. She believes it is a privilege to be a part of someone's journey towards recovery and wellness. Dr. Hicks aims to meet each patient where they are while maintaining a nonjudgemental, patient-centered, and evidenced-based treatment approach. Dr. Hicks provides supportive psychotherapy, cognitive behavioral skills, and utilizes motivational interviewing to meet the needs of her patients. She believes effective utilization of therapy skills in conjunction with medication management can help patients meet their individualized treatment goals.

Background and credentials

Dr. Escamilla is a board-certified psychiatrist with over 20 years of experience in treating mental health conditions. He is a graduate of Harvard College and earned his medical degree from the University of Texas Southwestern Medical School. He completed his psychiatry training at the University of California at San Francisco and further specialized through a research fellowship with the American Psychiatric Association. In addition to his clinical work, he is a Jungian Analyst and holds academic positions as an adjunct professor at Rutgers University Department of Psychiatry and as the Frank McMillan Jr. Scholar at the Jung Center of Houston.

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Treatment approach

Dr. Escamilla brings a deeply analytical and research-driven approach to psychiatry, integrating traditional psychiatric treatment with Jungian analysis. He has a strong background in academic research and clinical psychiatry, contributing extensively to the field through research publications. His expertise spans a wide range of mental health challenges, and he is committed to understanding the complexities of each patient’s experience to tailor a treatment plan that best suits their needs.

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What you can expect in a first visit

During the first visit, patients can expect a comprehensive psychiatric evaluation that takes into account their personal history, psychological patterns, and treatment goals. Dr. Escamilla’s approach emphasizes thoughtful analysis and evidence-based care, ensuring that each patient receives a personalized and insightful treatment plan. His sessions may incorporate medication management, psychotherapy, and Jungian analytical techniques to provide a holistic and individualized treatment experience.

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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. Clayton Stone (he/him) is a native of the Tennessee mountains who specializes in treating both children and adults. He completed a fellowship in Child and Adolescent Psychiatry at Washington University in St. Louis and a general psychiatry residency in San Antonio, Texas. Dr. Stone has worked in academic medical centers, public schools, state hospitals, a transgender health clinic, and a residential eating disorder center. He is experienced in caring for LGBTQIA+ individuals and underserved rural communities.

Dr. Stone offers a friendly, nonjudgmental space where patients feel supported and empowered. His collaborative style emphasizes respect, transparency, and shared decision-making. He is especially passionate about helping people navigate stress, build self-esteem, and develop healthy relationships. Depending on patient needs, he uses tools like talk therapy, lifestyle changes, parent coaching, and medication management to support healing.

Sessions begin with a detailed review of each patient's history, current concerns, and goals. Dr. Stone then works together with the patient to create a personalized care plan that may include therapy techniques, medications, psychoeducation, or coping strategies. When treating children or teens, he often includes family involvement or parent coaching to promote meaningful progress.

Dr. Stephen Byrd is a clinical psychiatrist at Talkiatry. He is board-certified in both psychiatry and addiction medicine. He has been practicing for over 31 years in a wide variety of settings, including working with inpatients and outpatients in private practice, community mental health, geriatric, VA, and community hospital/medical center settings. Dr. Byrd's practice focuses on evidence-based medication management, usually provided in conjunction with 30-minute supportive psychotherapy, which is informed by cognitive behavior therapy, psychodynamic psychotherapy, and motivational enhancement. When more intensive therapy is needed, Dr Byrd may ask you to include a therapist as part of your care team. He received his medical degree from the University of Cincinnati College of Medicine in Ohio and completed his residency training in psychiatry at Case Western Reserve University School of Medicine, University Hospitals of Cleveland. Throughout his career, he has treated patients with a wide variety of conditions in both inpatient and outpatient settings. Additionally, He has served as director of inpatient geropsychiatry at Lutheran Hospital in Cleveland, Ohio, program manager of the substance abuse treatment program at the Charlie Norwood Veterans Affairs Medical Center in Augusta, Georgia, and medical director of outpatient behavioral health at Saint Alphonsus Regional Medical Center in Boise, Idaho. Throughout his career, Dr. Byrd has been active in training medical students and psychiatry residents, and he has held clinical teaching appointments at Case Western Reserve University School of Medicine, Northeastern Ohio Universities College of Medicine, Medical College of Georgia, University of Washington School of Medicine, Idaho College of Osteopathic Medicine and Pacific Northwest University of Health Sciences College of Osteopathic Medicine.�.�