Stephen Byrd, MD

Dr. Romanow is double board-certified in Adult Psychiatry and Forensic Psychiatry. He graduated summa cum laude from the University of Pittsburgh with a Bachelor of Science degree in Sports Medicine/Athletic Training and then attended Drexel University College of Medicine. After medical school, he completed his residency in Adult Psychiatry at the University of Virginia, where he obtained a certificate in additional psychotherapy training. After residency, Dr. Romanow completed a fellowship in Forensic Psychiatry at the University of Virginia. During his fellowship, he trained at the prestigious Institute of Law, Psychiatry, and Public Policy (ILPPP) and Western State Psychiatric Hospital where he performed criminal and civil forensic evaluations. He also provided clinical care at a maximum security prison. Prior to joining Talkiatry, Dr. Romanow worked at a healthcare system in Montana providing inpatient and outpatient psychiatric care involving medication management and psychotherapy. Additionally, he operates a private forensic psychiatry practice that conducts mental health evaluations for the legal system. Dr. Romanow has extensive experience treating various mental health disorders including depression, bipolar disorder, anxiety and obsessive-compulsive disorders, post-traumatic stress disorder, and ADHD. His clinical work includes assisting patients who experience mental health disorders with co-occurring substance use problems. He has training in various schools of psychotherapy including cognitive behavioral therapy (CBT), CBT for insomnia, motivational interviewing and supportive psychotherapy. Dr. Romanow incorporates treatment focusing on the importance of exercise, diet, and good sleep habits as a part of comprehensive mental health care.‍

Dr. Stephanie Jarvie is a board-certified psychiatrist and has been practicing for over eight years. Stephanie completed her Bachelor's degree at the University of Bristol in her native United Kingdom. She attended Saint George's University school of medicine in Grenada and completed her residency training in psychiatry at New York Medical College Metropolitan Hospital in NYC, New York. As chief resident, Dr. Jarvie learned to balance her clinical experience with organizational duties and scholarly activities. She has played a crucial role, both clinically, and has been a part of multi-disciplinary treatment teams. More recently, she has been an inpatient clinical psychiatrist at Banner University medical center in Arizona and has served as an assistant professor of psychiatry at the University of Arizona for four years. Stephanie is from Edinburgh, Scotland. Her studies and training have taken her on a journey from the United Kingdom and the Caribbean to New York City and Arizona. She uses her exposure to diverse patient populations from around the world to help with her clinical skills and treatment plans. Dr. Jarvie has a wealth of knowledge and experience in treating a diverse range of psychiatric disorders such as major depression disorder, anxiety, bipolar spectrum disorder, and post-traumatic stress disorders. Dr. Jarvie's practice focuses on medication management. She offers this in conjunction with supportive therapy in 30-minute follow-up. She works collaboratively with patients to develop individualized treatment plans to help them achieve their goal, which may include medication management, lifestyle interventions, and stress reduction techniques. Dr. Jarvie believes that additional therapy may be necessary and asks that you bring a therapist into your care team to provide the best outcome.

Dr. Perington is a Staff Psychiatrist with Talkiatry. She previously served in the US Air Force, where she completed her residency training in psychiatry (Lackland AFB) and was the medical director for a small-sized mental health clinic (Hill AFB). Dr. Perington uses a person-centered approach to tailor treatment to the individual, with an emphasis on shared decision making. She prefers to focus on psychotherapy and behavioral interventions as a primary part of the treatment plan, in addition to any indicated medication.

Motivation for change is a large part of the healing process, and for many people recovery doesn't happen with medication alone. Dr. Perington asks all her patients to play an active role in their treatment.

A thorough diagnostic assessment with discussion of the best treatment setting and modality, then regular follow up visits with emphasis on psychotherapy in addition to medication management (if indicated).

Dr. Osman Athar is board certified in General Psychiatry and board eligible in Consult-Liaison Psychiatry. He graduated with a Bachelor of Arts in English from Rice University and McGovern Medical School for his medical doctorate, and went on to complete a psychiatry residency at the University of Texas-Houston, where he served as a chief resident. Afterward, he completed a fellowship in Consult-Liaison Psychiatry at Louisiana State University - Ochsner Medical Center in New Orleans. Dr. Athar has experience in treating a wide variety of conditions, including Major Depression, OCD, Bipolar Disorder, ADHD, Eating Disorders, Anxiety Disorders, PTSD, Substance Use Disorders, Delirium, Dementia, and Mental Disorders due to Another Medical Condition. Dr. Athar primarily focuses on medication management in his practice but will typically also use supportive therapy and cognitive behavioral therapy skills with his patients in order to maximize wellness and recovery. Dr. Athar held an academic appointment at the University of Mississippi Medical Center where he was an assistant professor of psychiatry. He served as the clerkship director for the Medical Neuroscience and Behavior Course during his appointment, which required a six-week course for third-year medical students, which included four weeks of psychiatry education. During his appointment, Dr. Athar was also very active in resident education, focusing on topics related to consult-liaison psychiatry. Dr. Athar has experience in treating a wide variety of conditions, including Major Depression, OCD, Bipolar Disorder, ADHD, Eating Disorders, Anxiety Disorders, PTSD, Substance Use Disorders, Delirium, Dementia, and Mental Disorders due to Another Medical Condition. Dr. Athar primarily focuses on medication management in his practice.

Dr. Ahmed Valdes is a board certified adult psychiatrist and burgeoning Geriatric Psychiatrist. After completing his undergraduate education at Florida State University, he attended medical school at the University of Miami Miller School of Medicine where he graduated with a combined M.D./M.S. in Genomic Medicine. He subsequently completed psychiatry residency at Jackson Health System/University of Miami and further subspecialized with a fellowship in Geriatric Psychiatry. Dr. Valdes has had the opportunity of working with a diverse array of patients including veterans, inmates, the severely mentally ill, geriatric, and cancer patients across three distinct hospital systems. Dr. Valdes has had varied clinical experiences in specialty inpatient psychiatry units (detox, geriatric, mood disorder), emergency psychiatry, consultation liaison psychiatry, psycho-oncology, and outpatient specialty clinics (HIV, dementia, integrative and collaborative care) via telemedicine and face to face interactions .Dr. Valdes has experience working with adults of all ages, particularly those with depression, anxiety, bipolar disorder, substance use disorders, PTSD, and more. Dr. Valdes employs empathic listening, supportive psychotherapy techniques, and a comprehensive and methodological approach to his visits. Given his broad and diverse training experiences, he enjoys problem solving and working collaboratively with patients to navigate their complex issues and jointly focusing on simple solutions to work towards improving their mental health.

Dr. Sophia Mikityanskiy is a board-certified psychiatrist with extensive experience in outpatient and psychiatric emergency settings in Brooklyn, where she served a diverse patient population. She earned her medical degree from the New York Institute of Technology College of Osteopathic Medicine and completed her adult psychiatry residency at Maimonides Medical Center, where she was Chief of Outpatient Psychiatry. Dr. Mikityanskiy spent six years as Associate Program Director and Director of Medical Student Education, mentoring future clinicians and leading initiatives to support mental health professionals.

Dr. Mikityanskiy creates a warm, supportive environment where patients feel heard and understood. She is collaborative, culturally sensitive, and integrates talk therapy with lifestyle interventions to address mental health holistically. She is thoughtful, detail-oriented, and values open communication to develop clear, personalized treatment plans with each patient.

Dr. Mikityanskiy begins with a comprehensive initial evaluation, listening closely to patient concerns, medical and psychiatric history, and treatment goals. She then develops an individualized plan, incorporating lifestyle modifications and shared decision-making. Throughout care, she remains actively involved, continuously adjusting plans to ensure patients feel informed and empowered.