Tetyana Tarnavsky, MD

Dr. Robert Smeed, DO, is a board-certified psychiatrist with a passion for healing the human mind and consciousness. He earned his Doctor of Osteopathic Medicine from Lake Erie College of Osteopathic Medicine and completed his Psychiatry Residency at Wayne State University College of Medicine. Certified by the American Board of Psychiatry and Neurology (ABPN), Dr. Smeed served as an outpatient psychiatrist at Veterans Affairs for 11 years, honing his expertise in mental health care. Driven by a deep interest in consciousness and innovative treatments, he combines talking therapies, neuromodulation, and modern psychopharmacology to help patients achieve lasting wellness.

Dr. Smeed is proficient in treating a wide range of psychiatric conditions while specializing in treatment-resistant depression, neurodevelopmental disorders, anxiety and trauma disorders. His treatment style is empathic and collaborative, emphasizing family dynamics and relationships while integrating psychodynamic principles with biopsychosocial models. He approaches each patient with creativity, using open-ended discussions and innovative therapeutic and psychopharmacologic strategies to tailor care, ensuring a personalized and effective treatment experience.

Dr. Smeed begins with open-ended dialogue, allowing patients to develop their narrative, which is often therapeutic. Treatment plans are customized to patient needs and align with diagnostic standards of care. He incorporates medication reviews, mindfulness techniques, cognitive behavioral therapy (CBT), supportive therapy, and psychodynamic approaches. Dr. Smeed also educates patients on lifestyle factors, such as diet and exercise, to support mental health, fostering a holistic and individualized path to wellness.

Dr. Catherine Shim is a board-certified psychiatrist and completed her training at the University of Washington, where she received additional certifications in Psychotherapy and Community Psychiatry.  Prior to joining Talkiatry, she spent years serving the mental health needs of underserved communities as well as our Veteran population.  Dr. Cat is excited to bring that same dedication and selfless service to her Talkiatry patients!

Dr. Cat is experienced in managing a multitude of mental health conditions, but her specialty is providing behaviorally oriented trauma-informed care.  Her approach is to treat primarily through psychotherapy and behavioral change, with medication management serving as an important (and often essential) adjuvant to optimizing mental health.

Dr. Cat tends to have a very casual engagement style, so expect a frank but open conversation during your first meetings with her.  Following that initial screening, anticipate a candid discussion about her approach to your condition and an initial treatment plan.  Please feel free to bring up any questions or concerns at any time during this process, and note-taking is highly encouraged!

‍

Dr. Yacoub received his medical degree from Alexandria University and completed his psychiatry residency at Stony Brook University Hospital. He is double board certified in both general adult psychiatry and consultation & liaison psychiatry with over 20 years of clinical experience. After serving as chief resident, he joined Stony Brook University and became Associate Professor in clinical psychiatry. During his tenure at Stony Brook, Dr. Yacoub was director of the ECT service treating many patients with complex psychiatric disorders, which include treatment-resistant depression, severe bipolar disorders, psychotic disorders, anxiety disorders, obsessive compulsive disorder, and post traumatic stress disorder. He also served as director of the medical student psychiatry clerkship where he received numerous teaching awards like Alpha Omega Alpha and Aesculapius Award for Excellence in Medical Education. Dr. Yacoub is an excellent diagnostician with expertise in complex mood disorders, psychotic disorders, interventional psychiatry, and advanced psychopharmacology. He has multiple publications and abstracts presented. Dr. Yacoub focuses on the interconnectivity of the mind, body, and soul. His care is only exceeded by his vast medical knowledge. In addition to medication management, he is proficient in supportive and interpersonal psychotherapy. He has treated adults, geriatric patients, and diverse populations including but not limited to LGBTQ+ and veterans. He is dedicated and empathetic to all his patients.

Dr. Emily Sykes is a board-certified adult psychiatrist. She received her Bachelor of Arts degree with Magna Cum Laude distinction from Carleton College, where she majored in biology. Dr. Sykes completed her Doctor of Medicine degree from the University of Toledo. She completed her psychiatry residency at the University of Cincinnati and was the outpatient chief resident physician. Dr. Sykes' specialty interests include mood disorders, anxiety disorders, post-traumatic stress disorder (PTSD), obsessive-compulsive and related disorders, Cognitive-Behavioral Therapy (CBT) and holistic wellness. She is a certified Cognitive Processing Therapy (CPT) provider for PTSD. Dr. Sykes provides compassionate, evidence-based, individualized, holistic care for patients suffering from a variety of mental health diagnoses and concerns. She incorporates supportive therapy, cognitive-behavioral therapy and solutions-focused therapy into her sessions.

Background and credentials

Dr. Diane Lewis is board-certified in general psychiatry by the American Board of Psychiatry and Neurology. She earned both her undergraduate and medical degrees at Texas A&M University (College Station and Temple, TX) before completing her general psychiatry residency at UT Southwestern - Austin Programs (now Dell Medical School residency programs). After her residency, she practiced for eight years as a staff psychiatrist at the University of Texas' student counseling center. She also has experience working in hospital admissions and emergency department settings.

‍

Treatment approach

Dr. Lewis employs a medication-management-focused approach typically paired with supportive therapy during 30-minute follow-up visits. She strongly values a collaborative treatment approach, frequently encouraging patients to incorporate additional therapy for the best outcomes. Her primary specialty is college mental health, treating patients aged 18-45 with a range of mental health conditions from mild to complex. Dr. Lewis emphasizes authenticity, compassion, and recognizing patients beyond their diagnoses, providing care tailored to individual circumstances and goals.

‍

What you can expect in a first visit

During a first visit, patients can expect Dr. Lewis to conduct a thorough evaluation, carefully listening to their concerns, and considering their symptoms within the broader context of their lives. Her patients appreciate her down-to-earth and compassionate communication style. She aims to create an environment where patients feel understood, respected, and actively involved in shaping their personalized treatment plan, often recommending additional therapy support when beneficial for achieving optimal outcomes.

‍

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.

‍

Dr. Antonio Ramirez earned his medical degree from Ponce Health Sciences University, where he also served as Chief Resident in Psychiatry. He completed residency training at Ponce Health Sciences University and the U.S. Veterans Health Administration, Caribbean Healthcare System, followed by a Fellowship in Consultation–Liaison Psychiatry at Montefiore Medical Center, Albert Einstein College of Medicine. Board-certified in both Psychiatry and Consultation–Liaison Psychiatry, he has served as Director of Psychiatry at the Roberto Clemente Center and Clinical Assistant Professor at NYU Grossman School of Medicine. Dr. Ramirez is bilingual in Spanish and bicultural, with published research in cultural psychiatry and stress biology, and has been recognized for teaching and leadership.

Dr. Ramirez focuses on compassionate, evidence-based care that integrates psychotherapy and psychotropic medications to promote recovery and growth. His collaborative and respectful style ensures patients feel heard while working toward meaningful goals. He emphasizes setting clear expectations from the start to foster confidence and engagement. With his background in consultation–liaison psychiatry, Dr. Ramirez brings expertise in caring for individuals managing psychiatric conditions alongside significant medical illness.

The first appointment is a comprehensive evaluation, during which Dr. Ramirez carefully explores a patient’s history, conditions, and symptoms. Based on this, he develops a personalized treatment plan and reviews it collaboratively, so expectations are clear. Future visits focus on monitoring progress, adjusting the plan as needed, and integrating both psychotherapy and medication management to best support the patient’s needs and long-term growth.