Stephanie Negrey, MD

Elizabeth Vah, LCSW, graduated from the University of Texas at Austin in 2008 with a master’s degree in clinical social work. She completed her internship at Seton Medical Center, gaining experience in the emergency room and specialty clinics. Elizabeth has worked in both inpatient and outpatient settings and has training in DBT, CBT, mindfulness, solution-focused, and person-centered counseling.

Elizabeth takes a collaborative approach, partnering with patients to clarify goals and create a roadmap for growth. She has supported individuals from diverse backgrounds facing anxiety, depression, grief, life transitions, interpersonal challenges, and severe mental illness. Her approach blends evidence-based therapies with individualized care, emphasizing a trusting, supportive relationship and a safe, nonjudgmental environment.

In the first session, Elizabeth creates a welcoming space to discuss challenges, goals, and personal history, reviewing confidentiality and treatment structure. Together, she and the patient develop a personalized plan. Ongoing sessions focus on exploring thoughts and feelings, identifying patterns, and practicing skills to support meaningful change, with regular goal review and reflection on progress.

***Provider does not prescribe controlled substances*** Dr. David Eiler is a staff psychiatrist at Talkiatry. He is board certified in adult psychiatry. Before joining Talkiatry, Dr. Eiler was a staff psychiatrist at Dartmouth-Hitchcock Medical Center (DHMC), where he had an academic appointment and served as clinical director of transcranial magnetic stimulation (TMS) and intranasal esketamine services. In his practice, Dr. Eiler has focused on medication management and interventional techniques, including TMS, for the treatment of depression and other disorders. Dr. Eiler received his MD from the University of Wisconsin School of Medicine and Public Health and completed his residency at DHMC.

Dr. Komarczyk is a board-certified adult psychiatrist who takes a special interest in developing a therapeutic alliance with each patient by providing an informative, encouraging, and holistic approach to mental health. At the heart of her practice is creating a warm, empathetic, and nonjudgmental space that allows her to work collaboratively with her patients to help them achieve their goals. Her treatment plans include evidence-based medication management, cognitive behavioral therapy, mindfulness-based cognitive therapy, acceptance and commitment therapy, and dialectical behavior therapy.

Robin Lawson is a LCSW with 14 years of clinical experience, who has extensive experience with adults ages 18 and older who are experiencing anxiety, depression, and grief/loss. Robin earned her Bachelor of Arts degree from the University of North Carolina and her Master’s degree from the University of South Florida. Robin has worked in both inpatient and outpatient settings and has specialized experience with those facing chronic or serious medical illnesses. Robin finds joy in connecting with her clients and creating a safe space for them to gain insight on themselves, their strengths and their opportunities for growth.

Robin has been practicing as a Licensed Clinical Social Worker for 14 years, with an emphasis on Depression, Anxiety Disorders and Grief/Loss. Robin primarily utilizes Cognitive Behavioral Therapy and Solution-Focused Therapy in her practice as well as Acceptance and Commitment Therapy.

Emily-Rose Virden, PMHNP-BC, earned her advanced nursing degree at the Massachusetts General Hospital Institute of Health Professions and has many years of experience as both a psychiatric nurse and a Psychiatric Mental Health Nurse Practitioner. She has practiced across a wide range of mental health settings, including inpatient, outpatient, partial programs, and Emergency Room care.

She strives to build trusting relationships with her patients and values open, honest communication throughout the treatment process. Emily-Rose creates an inclusive, supportive environment where every patient feels heard, respected, and genuinely cared for.

During initial appointments, she explores each patient’s history and current concerns to determine the most appropriate treatment plan. She works collaboratively with patients to set meaningful goals and encourages ongoing participation in each session to support strong, successful outcomes.

Dr. Seth Flesher is double board-certified in adult psychiatry and addiction medicine.  Dr. Flesher’s practice focuses on medication management of psychiatric illness without the use of controlled substances.  Typically, he offers this in conjunction with supportive or emotionally focused therapy in 30-minute follow-up visits. However, occasionally Dr. Flesher may believe that additional therapy is also needed and ask that you bring a therapist into your care team to provide the best outcome.

Before joining Talkiatry Dr. Flesher was Medical Director of Advanced Psychiatric Services [complex/high profile cases] at Kings County Hospital and Unit Chief of the Covid19 positive unit.  He was also a clinical professor at Downstate Medical College where he was voted educator of the year numerous times by psychiatric residents and medical students.  Dr. Flesher is a graduate of the prestigious combined 6-year BS/MD program at The Sophie Davis School of Biomedical Education.  He did research at the neuropsychiatric branch of the National Institute of Mental Health, completed his psychiatric residency at St. Lukes/Roosevelt Hospital, and he received his master’s degree in public health from Columbia University.

Dr. Flesher believes that psychiatry should start with a thorough assessment to arrive at an accurate diagnosis.  Then a discussion with the patient of the different evidence-based options available.  Followed by shared decision-making to arrive at an effective treatment plan to achieve the goals that the patient identifies as being important.  This should be done in an honest, open, non-judgmental, but realistic environment.  Understanding that the ultimate goal is to get the patient to a position where they will no longer need medication and/or therapy.