Thomas Spina, MD

Dr. Earl De Guzman is a psychiatrist who values therapeutic partnership, working with patients to balance symptom relief with meaningful self-exploration. He earned his BS in Psychology from the University of California, Davis, and his MD from Ross University School of Medicine. He completed his psychiatry residency at Los Angeles County + University of Southern California Medical Center and a consultation-liaison psychiatry fellowship at Stanford University Medical Center. He is triple-board-certified in psychiatry, consultation-liaison psychiatry, and addiction medicine, and holds psychoanalytic psychotherapy training certification from the Psychoanalytic Center of California. Currently, he is a psychoanalyst-in-training at the New Center for Psychoanalysis. His expertise spans medication management, supportive therapy, and psychodynamic therapy.

Dr. De Guzman takes a collaborative, patient-centered approach, creating a warm and nonjudgmental environment. He listens deeply, asks thoughtful questions, and encourages honest exploration of symptoms and underlying patterns. He values authenticity, curiosity, and respect for each patient’s unique experiences. While symptom relief is important, his goal is to foster self-understanding and long-term growth. He works best with patients open to collaboration and motivated for change, whether through medication management, therapy, or both.

Dr. De Guzman begins with a consultation phase to ensure a good fit, listening carefully to understand each patient’s challenges and goals. Together, he and his patients build a working alliance by clarifying difficulties, identifying realistic changes, and exploring deeper patterns. When appropriate, he prescribes medication thoughtfully, aiming to support therapy rather than replace it. Each session integrates supportive and psychodynamic elements, combining medication review with therapeutic dialogue. Treatment plans are regularly revisited, allowing flexibility and growth, with the ultimate aim of empowering patients toward lasting change.

Dr. Jency Cynthia Sachidanandam completed her Residency and Fellowship at Texas Tech University Health Science Center in El Paso, gaining extensive training in diagnosing and treating various psychiatric conditions. As a Child and Adolescent Psychiatrist at Texas Tech, she works with a diverse patient population, addressing psychiatric disorders like depression, anxiety, bipolar disorders, PTSD, and OCD. Dr. Sachi emphasizes the importance of addressing both physical and mental health to achieve a good quality of life. She believes that mental health is interconnected with physical well-being and that treating one aspect without the other leads to incomplete care. Her holistic approach involves medication management, psychotherapy, and lifestyle modifications to promote overall health. Dr. Sachi is skilled in providing supportive psychotherapy and using psychodynamic therapy techniques to help patients understand and address their current stressors and underlying issues. Dr. Sachi has shown a genuine commitment to her patients and a passion for helping them achieve their best possible outcomes. She is dedicated to staying current with the latest advancements in psychiatry and continuously improving her skills to provide the highest standard of care. Her compassionate and patient-centered approach has earned her the respect and trust of her patients and colleagues alike.

Dr. Michael A. Murphy is board-certified in General Psychiatry as well as Child and Adolescent Psychiatry by the American Board of Psychiatry and Neurology. He has over 20 years of experience practicing medicine in outpatient, acute, and residential settings. He provides psychiatric assessments and medication management along with brief supportive psychotherapy. He is a strong advocate of collaboration between psychiatric care and psychotherapeutic interventions and encourages the utilization of therapists and counselors. Dr. Murphy holds a bachelor's degree in Chemistry Pre-med from Florida A & M University and a Medical Degree from the University of Florida College of Medicine. He completed both his residency in General Psychiatry and Fellowship in Child and Adolescent Psychiatry at the University of Virginia. He formally served as Chief of Behavioral Health Services at Ft. Eustis, Virginia. He has previously provided acute care and residential treatment at Newport News Behavioral Health Center, outpatient services in the community, and the foster care system. He has recently served as medical director of Harbor Point Behavioral Health Center. Dr. Murphy has an extensive history of providing care for both the adult and child population. He specializes in the treatment of children with Mood Disorders, Anxiety Disorders, ADHD, and Pervasive Developmental Disorders.

Dr. Daniel Weiss is a double board-certified psychiatrist in adult and forensic psychiatry. His expertise is in diagnosing and treating psychiatric conditions, including depression and bipolar spectrum disorders, anxiety, stress and adjustment problems, maternal mental health, OCD, and other disorders. In addition, he has extensive experience working with individuals from diverse backgrounds, college and graduate students, creative professionals, and a range of working adults. Through a supportive psychopharmacologic approach, Dr. Weiss strives to provide a comfortable experience in which doctor and patient work to understand the presenting problems, reduce symptoms, and optimize functioning. In addition, Dr. Weiss encourages concurrent therapy and will communicate with that provider in a collaborative care arrangement. Dr. Weiss previously served as an attending psychiatrist on the staff of Montefiore Medical Center and was formerly a faculty member at the Albert Einstein College of Medicine. Before joining Talkiatry, Dr. Weiss spent a decade working at The New School as the university's staff psychiatrist.

Dr. Mary Lou Gutierrez is board-certified in both Child & Adolescent Psychiatry and General Psychiatry, with over 20 years of clinical experience. She earned her M.D. from Loyola University Medical Center, where she also completed her residency in Adult Psychiatry. She pursued fellowship training in Child and Adolescent Psychiatry at Northwestern University’s Children’s Memorial Hospital. Her past roles include Medical Director for Compass Health Center’s Under 18 Program and Attending Psychiatrist at Loyola. She has been recognized as a “Top Doctor” in Child and Adolescent Psychiatry by US News and World Report and Negocios Now.

Dr. Gutierrez fosters a warm, collaborative environment where patients and families feel supported and understood. She emphasizes open communication and works closely with patients to define meaningful, realistic treatment goals. Her holistic, family-centered approach integrates medication management, therapy, and psychoeducation with a deep commitment to cultural sensitivity and compassionate care.

Dr. Gutierrez begins by learning each patient’s personal story, clinical history, and goals through a comprehensive evaluation. She creates individualized, evidence-based treatment plans tailored to each child’s unique needs and family context. She continuously collaborates with patients, families, and care teams to ensure treatment remains effective, combining psychotherapy, medication management, and coordination with other providers and resources.

Dr. John's practice focuses on medication management, offered in conjunction with emotionally focused therapy in 30-minute follow-up visits. Occasionally, Dr. John may believe that additional therapy is also needed and ask that you bring a therapist into your care team to provide the best outcome. Dr. John strongly believes in a compassionate, collaborative approach and will provide psychoeducation to help patients make informed decisions and achieve their treatment goals.