Stephen Byrd, MD

Dr. Sabrina Lefcochilos-Fogelquist earned her bachelor’s degree from Georgetown University and her medical degree from Sidney Kimmel Medical College at Thomas Jefferson University. She completed her psychiatry residency at the Icahn School of Medicine at Mount Sinai Morningside/West in New York City. She has experience in outpatient, inpatient, and emergency psychiatry, treating a broad spectrum of mental health conditions across diverse populations.

Dr. Lefcochilos-Fogelquist values compassionate, holistic care and strives to build long-term, collaborative relationships with her patients. She is particularly drawn to the outpatient setting, where she can engage with the evolving narratives of her patients’ lives. She creates a warm, supportive environment where individuals feel safe, respected, and heard.

Her process begins with a comprehensive evaluation to understand each patient’s history, concerns, and goals. Treatment plans are individualized and may include medication management and psychotherapy. She integrates supportive, cognitive behavioral, psychodynamic, and mindfulness-based techniques to meet patients' evolving needs.

Dr. Daniel Azzopardi was born and raised in Malta where he attended medical school and worked in internal medicine for several years before moving to New York in 2017. He then completed a psychiatry residency at SUNY Downstate and stayed on for his Child and Adolescent Psychiatry fellowship, which he completed in June 2024. Dr. Azzopardi is a dedicated adult and child and adolescent psychiatrist who treats individuals of all ages and uses his strong foundation in internal medicine to handle complex cases requiring intricate medication management. This combination of skills allows for comprehensive care that addresses both mental and physical health challenges. Dr. Azzopardi's holistic approach ensures that each patient receives tailored treatment, fostering improved outcomes and overall well-being.

Dr. Tsujimoto-Ryzewski is a board-certified adult psychiatrist. She received her medical degree from the University of Nevada, Reno School of Medicine. She completed her residency at the University of Nevada, Reno School of Medicine, where she served as a chief resident during her last year of training. Dr. Tsujimoto-Ryzewski has treated patients with a wide variety of diagnoses both during her residency and after her training while working at a busy private practice clinic as well as for the Veterans Administration. Dr Tsujimoto-Ryzewski focuses on medication management and supportive psychotherapy. If she feels that additional therapy is needed, she will ask that you bring in a therapist as part of the treatment team. Dr. Tsujimoto-Ryzewski will work collaboratively with you in a caring environment to assist you in reaching your goals.

Dr. Anh Tran completed undergraduate studies, medical school, and psychiatry residency training at Saint Louis University. Following training, Dr. Tran joined the Department of Veterans Affairs, where they provided care in an outpatient setting with both telehealth and in-person services. With this experience, Dr. Tran brings a strong clinical background and a dedication to supporting patients through accessible and personalized psychiatric care.

New patients can expect Dr. Tran to respect their time and autonomy while working together to establish shared treatment goals. Dr. Tran values open candor and punctuality, aiming to create a therapeutic relationship grounded in mutual trust, transparency, and collaboration.

During the first visit, Dr. Tran takes a comprehensive history and background to determine if the therapeutic relationship is the right fit for both patient and provider. Ongoing care typically involves monthly appointments for medication management until stability is achieved, after which visits may shift to quarterly follow-ups. This structured yet flexible approach supports continuity and long-term well-being.

Dr. Kevin Lu is a board certified adult psychiatrist. In addition to medication management, he integrates elements of psychotherapy, psychoeducation, lifestyle changes, and relationship skills into his approach. He enjoys working with a variety of individuals and conditions, with particular experience with veterans, immigrants, and university students. He has a friendly and casual style, and prioritizes strong therapeutic relationships in his work. Dr. Lu completed his undergraduate studies at New York University's Stern School of Business, and after a short career in finance, he made a transition into medicine. He received his medical degree from the Zucker School of Medicine at Hofstra/Northwell, and completed residency training in psychiatry at the University of Arizona in Tucson.

Background and credentials

Dr. Agarwal is a board-certified adult psychiatrist. He obtained his bachelor's degree in Biological Sciences from the University of California at Irvine and graduated cum laude with his medical degree from the American University of Antigua. Dr. Agarwal completed his psychiatry residency training at the University of Central Florida, where he was elected chief resident.

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Treatment approach

Dr. Agarwal employs a collaborative and patient-centered approach, primarily focusing on medication management in combination with supportive therapy. He is a strong advocate of psychoeducation, believing it to be an integral part of effective psychiatric care. Dr. Agarwal specializes in treating adults experiencing depression, anxiety, PTSD, and insomnia. He is also experienced in managing patients with psychiatric conditions complicated by medical comorbidities such as obesity, hypertension, chronic pain, and diabetes.

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What you can expect in a first visit

Patients visiting Dr. Agarwal for the first time can anticipate a comprehensive evaluation conducted in a collaborative and supportive environment. Dr. Agarwal prioritizes understanding each patient's individual needs and concerns, creating a personalized treatment plan that integrates medication, supportive therapy, and psychoeducation. Follow-up visits typically last about 30 minutes, allowing time to adjust treatment and reinforce therapeutic strategies.

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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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