Saisha Saint-Cyr, MD

Dr. Jiang is a board-certified adult psychiatrist. His practice focuses on medication management and supportive therapy. His major goal is for treatment to be patient centered, with a focus on high quality, evidence-based care in the safest and most meaningful way. Dr. Jiang completed an undergraduate degree at the University of California, Los Angeles. He received his medical degree from Oakland University William Beaumont, School of Medicine. He then completed his psychiatry residency at Loyola University Medical Center. Dr. Jiang's areas of interest include depression and post-traumatic stress disorder.‍

Megan is a Board-Certified Psychiatric Mental Health Nurse Practitioner specializing in medication management and various therapeutic techniques. She earned a Master of Science in Nursing as a Psychiatric Nurse Practitioner from Regis College and has board certification from the American Nurses Credentialing Center (ANCC).

Megan has extensive experience in psychiatric settings, including private practice, inpatient facilities, and substance use treatment programs. She has worked on community initiatives, such as the Mobile Suboxone Van program, which provides treatment to individuals in high-need areas.

She utilizes evidence-based practices in treating clients with mood and anxiety disorders, ADHD, trauma, and substance use disorders, among other mental health disorders.

The first priority is establishing a therapeutic relationship and providing adequate support, which can substantially impact outcomes. The combination of medication management and therapy can effectively reduce symptoms and contribute to the remission of mental health symptoms.

The first session will involve a 60-minute psychiatric evaluation to gather history and discuss current symptoms and goals. Clients starting medication will need more frequent 30-minute follow-up appointments for medication management and therapy, ensuring a positive response to treatment.

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Dr. Pressley Warrick is a double board-certified psychiatrist specializing in general psychiatry and child and adolescent psychiatry. Dr. Warrick currently practices full-time, offering comprehensive psychiatric care to children, adolescents, and adults. She previously established and led a Behavioral Health Clinic integrated within a Family Medicine Practice. Prior to this role, Dr. Warrick provided dedicated psychiatric care at a private psychiatry practice for over a decade.

Dr. Warrick earned her medical degree from the Medical University of South Carolina, completed residency training at Baylor College of Medicine's Menninger Department of Psychiatry and Behavioral Sciences, and pursued additional specialization through a Child and Adolescent Psychiatry fellowship at Palmetto Health/USC School of Medicine.

Known for a collaborative and holistic treatment approach, Dr. Warrick emphasizes individualized care and evidence-based practices to support patients’ mental wellness. Her professional excellence has earned recognition as Sumter’s Best Psychiatrist for consecutive years.

Dr. Warrick’s preferred treatment modalities include medication management, psychodynamic psychotherapy, and supportive psychotherapy. She specializes in treating depression, anxiety, ADHD, autism, OCD, bipolar disorder, and PTSD. Her typical approach for new patients involves taking a detailed patient history, establishing rapport, and setting clear treatment goals in partnership with her patients.

Dr. Thomas Spina is an adult psychiatrist who began his practice at Talkiatry after completing his psychiatry residency at the Eastern Long Island branch of Stony Brook University, where he treated a diverse patient population. Dr. Spina received his undergraduate degree from St. John's University in Queens where he studied Philosophy. Initially interested in a career in law, Dr. Spina decided to change gears and pursue a career in medicine after watching a relative struggle with her diagnosis of Diabetes Mellitus. Dr. Spina then completed medical school at Tel Aviv University in Israel, where he fell in love with psychiatry during his clerkship at Ichilov medical center. During that rotation, he came to appreciate how each patient has his or her own unique story, regardless of their diagnosis. Dr. Spina favors a holistic and integrative approach to psychiatry, combining medication management with supportive therapy, elements of cognitive behavioral therapy, while remaining open to other treatment modalities depending on the needs of his patients. When more focused therapy is indicated, Dr. Spina may recommend that his patient work with a provider specializing in a particular modality of therapy as part of their treatment. Dr. Spina treats adult patients with mood disorders including major depressive disorder and bipolar disorder, anxiety spectrum disorders, OCD, PTSD and specific phobias. In his spare time, Dr. Spina enjoys a variety of hobbies, including Brazilian Jiu-Jitsu, running, baseball, and exploring new eateries and shops.

Dr. Jylia Lobanova is a board-certified psychiatrist who began her medical career in Tashkent, Uzbekistan, where she worked at the Central Psychiatric Hospital. After moving to the U.S., she completed her residency at MetroHealth Medical Center, affiliated with Case Western Reserve University. She has treated diverse populations in both inpatient and outpatient settings, including work at Portage Health Clinic in Ohio, Harris Health in Houston, and Legacy Community Health, where she focused on LGBTQ and HIV-positive patients.

Dr. Lobanova values building a trustful and respectful therapeutic relationship. She creates a welcoming space for open communication and mutual understanding, which she believes is the cornerstone of effective treatment. She is especially passionate about supporting patients from diverse cultural backgrounds and has a special interest in women’s mental health across the lifespan.

Dr. Lobanova takes a holistic approach to care, combining medications, psychotherapy, psychoeducation, proper nutrition, and physical activity. She partners closely with each patient to develop an individualized treatment plan tailored to their unique goals and needs, always striving to empower them in their journey toward mental wellness.

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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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