Tetyana Tarnavsky, MD

More Clinicians

Dr. Saria El Haddad is double boarded in general psychiatry and addiction psychiatry. She previously held the leadership role of medical director for the dual diagnosis partial hospitalization program at the Brigham and Women's Faulkner hospital, where she helped create and establish this program, and she also worked as an outpatient addiction psychiatrist. She has been involved in teaching and currently maintains academic affiliation with the Harvard Medical School. In addition, she has appeared in numerous professional publications and authored several research papers. Dr. El Haddad received her medical degree from the American University of Beirut, Lebanon and completed her psychiatry residency program at the University of Virginia. She completed a fellowship in addiction psychiatry through Boston University, after which she started working at the Brigham and Women's Hospital. Dr. El Haddad's approach to treatment focuses on adopting a holistic approach through behavioral change, medication management, and brief psychotherapy.

Jenny Joseph, MD

Staff Psychiatrist

Background and credentials

Dr. Jenny Joseph is a board-certified adult psychiatrist. She earned her medical degree from St. George's University School of Medicine and completed her adult psychiatry residency at New York Medical College at Metropolitan Hospital Center. She has experience working with diverse patient populations and treating a range of psychiatric conditions.

‍

Treatment approach

Dr. Joseph specializes in medication management for various psychiatric conditions, including mood, anxiety, and psychotic disorders. She employs a patient-centered approach that emphasizes empathy, open communication, and collaboration. In addition to pharmacological treatment, she incorporates psychoeducation and supportive therapy to help patients better understand and manage their conditions. When beneficial, she may recommend additional therapy and coordinate care with a therapist to ensure comprehensive treatment.

‍

What you can expect in a first visit

During the first visit, patients can expect a thorough evaluation that explores their symptoms, treatment history, and personal goals. Dr. Joseph takes the time to listen and understand each patient's needs, ensuring that their treatment plan is tailored to their specific concerns. She provides a compassionate and structured approach to medication management while fostering a collaborative environment where patients feel supported in their mental health journey.

‍

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.

‍

Ernesto Gonzalez, MD

Staff Psychiatrist

Dr. Ernesto Gonzalez is a board certified adult psychiatrist. He completed his undergraduate training at Yale University and received his medical degree from the University of Pennsylvania School of Medicine. He completed his residency training at the Cambridge Health Alliance/Harvard Medical School Adult Psychiatry Training Program. Dr. Gonzalez prefers a holistic approach that takes the time to know the whole patient, incorporating biological, psychological, social, and cultural perspectives in crafting a comprehensive, individualized, treatment plan. He practices medication management combined with supportive therapy, typically delivered within 30 minute sessions. Elements of psychodynamic, dialectical behavior and cognitive-behavioral therapy will also be incorporated into sessions based on a patient's individual needs. If additional therapy is needed, Dr. Gonzalez will recommend the addition of an individual therapist to the patient's treatment team. Having dedicated his career to adult outpatient psychiatry, Dr. Gonzalez has worked with patients from a wide range of ages, cultures, ethnicities, and social settings across the New York City area. His primary focus is working with patients with depression, anxiety, ADHD, and PTSD. He also values working with people adjusting to changes in their lives, whether it be grieving the loss of a loved one, changes in employment, relationships, or adjusting to changes that come with age. Prior to joining Talkiatry, Dr. Gonzalez was an Assistant Professor at the NYU Grossman School of Medicine and served as Director of the Adult Outpatient Psychiatric Department, Assertive Community Treatment (ACT) Team, and Collaborative Care Departments at Woodhull Hospital in Brooklyn, New York. He also had a small practice near his home. Dr. Gonzalez has also had a lifelong interest in meeting new people and experiencing different cultures. This interest has taken him as far away as the townships of Cape Town, South Africa and as close as his local diner, and it edifies the work he does with patients.

Wendy You, MD

Staff Psychiatrist

Dr. Wendy You (they/them/their) is a Board-Certified adult psychiatrist. Dr. You focuses on medication management in the setting of 30-minute follow-up visits in conjunction with psychoeducation and therapeutic techniques. They received their medical degree as well as their psychiatry residency training from Rosalind Franklin University in North Chicago, IL. Special interests include mental illness in the setting of co-occurring medical illness, the spectrum of bipolarity, and borderline personality disorder. Dr. You believes that a collaborative approach with the patient yields better outcomes and likes to work with patients to assess their personal preferences and goals for treatment. In an effort to promote the use of medications that are both effective and safe, Dr. You prefers to avoid the use of controlled substances whenever possible. As a first-generation descendant of immigrants, Dr. You has insight into the potential challenges of addressing mental illness in other cultural settings. They also aim to provide care that affirms LGBTQIA+ identities and neurodivergence. Their interviewing style often incorporates humor, and they will probably ask you about your pets.

Ruosi Liu, MD

Staff Psychiatrist

Dr. Liu is board certified in Adult Psychiatry. She primarily focuses on medication management but integrates therapeutic support into her sessions. For more in-depth therapy needs, Dr. Liu encourages patients to have their own individual therapist. She received her undergraduate and medical degrees at the University of South Carolina in Columbia, SC. She then moved to Morgantown, West Virginia to complete her psychiatry residency. Dr. Liu has experience working with patients from different backgrounds in inpatient, outpatient, and partial hospitalization settings. She particularly enjoys working with young adults and in areas related to women's health, such as perinatal mental health. She welcomes people from all cultures and is LGBTQ+ friendly.

Lemaire Pierre, MD

Staff Psychiatrist

Dr. Lemaire Leo Pierre is a board certified adult psychiatric provider with over 10 years of experience. He has additional years working in the medical field as a physician assistant. Dr. Pierre's practice entails medication management accompanied by supportive psychotherapy. He frequently encourages other forms of psychotherapy with a counselor to maximize treatment outcomes. After completing medical school at Central America Health Science University, he returned to New York City and completed his psychiatry residency at New York Medical College Program at Metropolitan Hospital Center. Subsequently, he moved to Minnesota and worked with Park Nicollet Health Service/HealthPartners. He had been there for 10.5 years, where he oversaw a successful psychiatric practice and helped his patients who had been struggling with their conditions. Dr. Pierre is a member of the American Board of Psychiatry and Neurology, in addition to the American Psychiatry Association and State Psychiatry Association. He also enjoys attending conferences and reading journals to learn about cutting-edge treatments so that he is updated on the most recent FDA-approved medications.

Michael Lukowski, MD

Staff Psychiatrist

Dr. Michael Lukowski is an adult psychiatrist who holds board certification with the American Board of Psychiatry and Neurology. He has been practicing medicine for over 4 years. Dr. Lukowski focuses on medication management combined with supportive therapy in 30-minute follow-up visits. He practices whole-person medicine, caring for the wellness of your mind, body, and spirit and helping you enjoy your relationships with those around you. Dr. Lukowski received his medical degree from the University of Nevada School of Medicine in Reno, NV, before moving to southern California to complete his residency at Loma Linda University. After completing training, Dr. Lukowski began working with the Southern California Permanente Medical Group in Riverside, CA, where he treated a variety of psychiatric disorders in an outpatient setting. In March of 2020, as the pandemic changed life and medicine forever, Dr. Lukowski adopted a strictly telepsychiatry role at his clinic. He has also held a staff psychiatrist position as an adult inpatient psychiatrist in Tennessee. Dr. Lukowski treats a wide variety of psychiatric disorders within the adult demographic.

Puja Kumar, MD

Staff Psychiatrist

Background and credentials

Dr. Puja Kumar is trained in adult, child, and adolescent psychiatry and is a board-certified pediatrician. She earned her Bachelor of Science from the University of Calgary and her medical degree from St. George’s University in Grenada. She completed her pediatrics residency at Maimonides Medical Center in New York and practiced pediatrics with MedStar Shah Medical Group in Maryland before transitioning to psychiatry. She later trained in child and adult psychiatry at University Hospitals Cleveland Medical Center.

‍

Treatment approach

Dr. Kumar provides medication management combined with supportive therapy, typically in 30-minute follow-up visits. She takes a holistic approach to treatment, considering the impact of lifestyle, parenting practices, and family dynamics on mental health. She emphasizes integrative care, ensuring that treatment plans are tailored to each patient’s unique needs and circumstances.

‍

What you can expect in a first visit

During the first visit, patients can expect a thorough and compassionate evaluation, where Dr. Kumar takes time to understand their symptoms, medical history, and environmental influences. She prioritizes collaborative decision-making, working closely with patients and, when applicable, their families, to develop a comprehensive and personalized treatment plan. Follow-up visits typically focus on medication adjustments, supportive therapy, and lifestyle recommendations to optimize mental health outcomes.

‍

Why Talkiatry?

‍

Kenneth Kavanagh, PMHNP

Staff Nurse Practitioner

Kenneth Kavanagh is board certified as both a Psychiatric/Mental Health Nurse Practitioner and an Adult Nurse Practitioner. His career has spanned 30 years with the last 17 years devoted exclusively to psychiatry. He integrates his knowledge of psychiatry and primary care into evidence-based medication management strategies. He also possesses a good working knowledge of alternative treatments and integrating alternative treatments into more traditional approaches. When needed to enhance patient care outcomes, he frequently works collaboratively with psychotherapists, primary care providers, and/or medical specialists.

Kenneth currently focuses on managing depressive disorders, anxiety disorders, adjustment disorders, ADHD, somatic disorders, OCD, and bipolar disorders. Kenneth has significant experience in working with diverse groups, including urban and rural populations across socioeconomic spectrums, professionals and college students on all levels, members of the LGBTQ community, individuals confronting life stage transitions, and people living with chronic medical conditions.

Kenneth’s psychotherapeutic methods are diverse and evolve to meet collaboratively developed treatment goals. Kenneth’s interaction style is always empathic and respectful but can range from comforting and supportive to more directive and therapeutically confrontational strategies to maximize treatment goals, often with significant doses of humor throughout the therapeutic relationship.

Gisela Ayub, PMHNP

Staff Nurse Practitioner

Gisela Ayub, DNP, PMHNP-BC is a Nationally Certified Psychiatric Nurse Practitioner who received her first master's in nursing from Point Loma Nazarene University (PLNU) and her second Masters of Nursing with emphasis in Psychiatry from Gonzaga University. Gisela also completed her Doctorate in Nursing Practice Degree from PLNU. Gisela’s passion for helping those most in need started when she was just a young girl with a dream of becoming a physician someday. Life did not work the way it was planned for Gisela and she decided to become a nurse. Gisela worked as a registered nurse for over 13 years in different areas of nursing before focusing solely in the area of psychiatry. She has experience working in the areas of medical surgical, medical rehab, cardiac, oncology, labor and delivery and kidney dialysis. But her inspiration to help psychiatric patients was born from seeing the unmet needs of those patients, and the desire to be able to provide more compassionate care. Gisela's desire to become a Psychiatric Nurse Practitioner grew stronger with time, with the only idea in her mind to provide better care for those patients.

During the 1990’s, Gisela served her country proudly and spent 4yrs in the Navy. While attending her first master's in nursing at PLNU, she volunteered at the PLNU city clinic for the uninsured and under-privileged, providing mental health assessments and therapy. After graduating PLNU, Gisela continued providing free therapy to patients at the clinic. In addition, due to her strong background in nursing, Gisela has been able to identify other medical issues that correlate to patients' mental health, and through the use of an extensive questionnaire and ongoing assessment of presenting problems, she has been able to refer patients for additional care. Gisela has also worked as a preceptor, helping other new nurse practitioners understand how to provide the best care possible and communicate with patients.

Gisela believes that it is very important to help the patient feel they are in a safe space, establish a therapeutic environment that builds trust and openness, she listens fully, and uses a comprehensive questionnaire to obtain as much information as possible from the patient, in order to make an accurate diagnosis and select the correct treatment plan. Gisela always works with the collaboration of the patient, as this is the most important part of the treatment plan. Educating patients is also one of her strong suits. Gisela wants to make sure all of her patients are aware of the type of medications they are taking, explore options if needed, and the pros and cons of medications.

Michelle Hamilton, PMHNP

Staff Nurse Practitioner

Michelle Hamilton is a Board-Certified Psychiatric Mental Health Nurse Practitioner with a special interest in the care of adults with mood disorders, anxiety disorders, and PTSD. She earned her Master of Science Degree from The Ohio State University and her Bachelor’s Degree in Nursing from The Oregon Health & Science University in Portland, Oregon. Her background includes both inpatient and outpatient psychiatry, crisis stabilization, and Consult-Liaison Psychiatry. Michelle has a passion for incorporating a holistic, evidenced-based approach to improve the mental health needs of each individual client through medication and therapy while emphasizing practical lifestyle changes such as the incorporation of exercise, healthy nutrition, and stress management techniques.

Tyler O'Brien, MD

Staff Psychiatrist

Dr. O'Brien is a board-certified adult psychiatrist who completed his medical education at Northeast Ohio Medical University. Following his graduation from NEOMED, he completed a residency in Psychiatry and Behavioral Medicine at West Virginia University/Charleston Area Medical Center. Throughout his training, he has enjoyed working in both outpatient and hospital settings and has a great passion for medical education and teaching the next generation of mental healthcare providers. Dr. O'Brien's practice focuses on medication management for a wide variety of mental health diagnoses, including anxiety disorders, depression, Bipolar Disorders, Obsessive Compulsive Disorder, Tic Disorders, and Post Traumatic Stress Disorder. In addition to medication, he offers a mixture of Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, and Psychodynamic Therapy during 30 minute follow up appointments. Dr. O'Brien believes in a truly collaborative and holistic approach to mental healthcare, striving to involve patients and all members of the healthcare team in every aspect of care.‍

Tetyana Tarnavsky, MD

Education and training

Get to know