Thomas Spina, MD

Dr. James “Jim” Staudenmeier is a physician with a distinguished career in military and civilian psychiatry. A retired Colonel in the U.S. Army, he has served as a plenary and invited speaker at national and international conferences on topics including addiction, electroconvulsive therapy, hypnotherapy, and quality improvement. He is a Certified Healthcare Executive, holds a master’s degree in preventive medicine and biometrics, and has published in peer-reviewed journals. His clinical background includes pain management, addiction psychiatry, child and adult psychiatry, and academic appointments at multiple universities.

Dr. Staudenmeier values collaboration and encourages patients to ask questions, clarify expectations, and identify their primary concerns from the start. While medication management is part of care, he emphasizes insight, goal setting, and skill building. He integrates hypnotherapy, guided imagery, relaxation, and meditation to support wellness, pain management, sleep, anxiety, and addiction, tailoring treatment to each patient’s needs.

Dr. Staudenmeier takes a flexible, whole-person approach, combining medication management with evidence-based therapies such as CBT, CPT, motivational interviewing, and family-based interventions. He works comfortably with children, adults, families, service members, Veterans, and individuals facing life transitions, including end-of-life concerns. His goal is to help patients develop practical tools for lasting mental, emotional, and spiritual well-being.

Roel Sepulveda is a board-certified psychiatric mental health nurse practitioner (PMHNP-BC) with a Master of Science in Nursing from the University of Alabama at Birmingham. Certified by the American Nurses Credentialing Center (ANCC), he has over 10 years of experience providing mental health care in psychiatric emergency rooms, outpatient psychiatry, and telehealth settings. Roel is committed to delivering comprehensive and accessible care that supports patients across diverse needs and backgrounds.

As a provider, Roel values creating a compassionate and collaborative environment where patients feel comfortable sharing their experiences. He takes a patient-centered approach, meeting individuals where they are and working together to identify treatment goals. Patients can expect a nonjudgmental space where their concerns are heard, respected, and addressed with empathy and understanding.

When working with patients, Roel begins by taking time to understand their history, symptoms, and current challenges. He develops individualized treatment plans that may include a combination of medication management, lifestyle strategies, and coordination with therapy or other supports. His goal is to provide evidence-based care while empowering patients to actively participate in their mental health journey and achieve lasting well-being.

Background  and credentials    

Dr. Columban Heo is a board-certified psychiatrist. He earned his medical  degree from Touro University Nevada and completed his residency at Unity  Health White County Medical Center. Dr. Heo further specialized by completing  a fellowship in Consultation-Liaison Psychiatry at the Cleveland Clinic,  where he gained extensive experience working within multidisciplinary  healthcare teams, particularly focused on psychiatric care for patients with  complex medical conditions.    

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Treatment approach  

Dr. Heo specializes in treating a broad range of psychiatric conditions,  notably mood and anxiety disorders. He integrates medication management with  a holistic, personalized approach to treatment, emphasizing the  interconnectedness of mind, body, and spirit. Dr. Heo believes in tailoring  treatment plans individually, combining therapy and medications to suit each  patient’s unique needs, and highlights the importance of healthy  relationships in achieving overall mental health.    

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What you can expect in a first visit    

Patients visiting Dr. Heo for the first time can expect a comprehensive and  personalized assessment that explores not just their psychiatric symptoms but  their overall well-being and personal relationships. Dr. Heo prioritizes a  holistic evaluation, carefully balancing medication considerations and  therapeutic interventions tailored specifically to each patient’s situation  and goals. He creates an empathetic, collaborative atmosphere to discuss and  develop personalized plans for mental and emotional wellness.  

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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.

Angelica Luciano, PMHNP, has been dedicated to health care for over 22 years. Her journey began in 2003 when she enlisted in the Air Force as a medic and later served as a nurse in the Department of Defense. She earned her bachelor’s degree in Nursing from Indiana State University, was commissioned as a Nurse Officer in the U.S. Public Health Service, and went on to complete her master’s at Gonzaga University. Inspired by her work as a psychiatric RN, Angelica pursued her calling in mental health and became board certified as a Psychiatric-Mental Health Nurse Practitioner in 2017.

Angelica provides care through a warm, direct, and nonjudgmental style. She takes a biopsychosocial approach, recognizing the interplay of biological, psychological, and social factors in mental health. By combining psychopharmacology, patient education, and brief supportive therapy, she offers care that is accessible, collaborative, and authentic. Patients can expect to feel heard, respected, and actively involved in their treatment decisions.

Angelica begins with a comprehensive consultation to understand each patient’s history, concerns, and goals. This may take several appointments before finalizing a treatment plan. Plans may include lab work, collaboration with a patient’s broader health care team, and involvement of supportive family members if desired. Her goal is to create individualized care tailored to patient needs while ensuring comfort, advocacy, and trust. She emphasizes that patients are never defined by a diagnosis but valued as whole individuals.

Sonya R. Isler, PMHNP-BC, began her nursing journey over 30 years ago in a state psychiatric hospital in Goldsboro, NC, inspired by the poised nurse she admired at church as a child. Her path includes roles as LPN, RN, BSN, and multiple advanced practice degrees. Sonya has worked in inpatient and outpatient settings, VA clinics, and private practices. She also serves as a preceptor for PMHNP students at her alma mater, the University of North Carolina at Chapel Hill.

Sonya creates a welcoming, respectful space where patients feel safe to communicate openly. She practices active listening and values patient input when setting therapy goals. Her approach is holistic—treating the whole person—and she encourages collaboration, helping patients feel seen, heard, and empowered in their care.

Sonya reviews a patient's history before each session and begins with clear introductions and goal setting. She invites open discussion of concerns and tailors' treatment plans with patient input. She often incorporates CBT, motivational interviewing, and solution-focused therapy into care, promoting growth through supportive, personalized strategies.

Dr. Lauren Miller earned her medical degree from Loma Linda University and completed her psychiatry residency at the University of Miami. She has experience working in both inpatient and outpatient psychiatry, caring for individuals from diverse backgrounds and with a wide range of clinical needs. Dr. Miller has a special clinical interest in lifestyle and integrative psychiatry, particularly the role of nutrition, exercise, sleep, and mind-body practices in supporting mental health.

Dr. Miller strives to create a warm, collaborative, and non-judgmental environment where patients feel truly heard and supported. She values whole-person care, addressing not only mental and emotional health, but also physical and spiritual well-being. She believes in partnering with patients to create treatment plans that reflect their values, goals, and strengths. Her approach emphasizes accessibility, practicality, and empowerment, providing patients with tools they can integrate into daily life.

Dr. Miller begins with a thorough, compassionate evaluation, taking into account both medical and psychiatric history as well as personal goals. She develops personalized treatment plans that may include a blend of medication, psychotherapy, and lifestyle approaches. Dr. Miller encourages small, sustainable steps in areas such as nutrition, sleep, movement, and stress management, with the goal of not only reducing symptoms but also building resilience and long-term wellness.