Thomas Spina, MD

Dr. Ann Landowne is Board Certified in Adult, Adolescent, and Child Psychiatry. She has over thirty-five years of experience helping people of all ages cope with a wide range of problems. Dr. Landowne received her medical and psychiatric training at Albert Einstein College of Medicine and advanced training in psychotherapy at the Psychoanalytic Association of New York where she is on the faculty. She focuses on medication management and is holistic in her approach to people and the difficulties they face in life. She has expertise in the treatment of children and adolescents with emotional and behavioral problems, and people struggling with anxiety, depression, bipolar disorder, obsessive-compulsive symptoms, and eating disorders.�

Dr. Dave Kopacz studied psychology, medicine, and psychiatry at the University of Illinois. He has over 25 years of clinical experience, most recently 11 years at the Seattle Veterans Affairs and as a national VA Whole Health Education Champion, teaching holistic self-care to staff and veterans. Prior to that, Dr. Kopacz was Clinical Director of a psychiatric rehabilitation center in New Zealand. He has worked in private practice, rural community mental health, and ran a VA tele-health program for Native American/Alaskan and Pasifika veterans.

Dr. Kopacz is board certified in Psychiatry & Integrative Medicine, a certified yoga instructor and a certified iRest (Integrative Restoration) meditation teacher. He is an author and international speaker on topics of burnout, well-being, medical humanities, creativity and health, and cross-cultural approaches to healing. His books include Caring for Self & Others: Transforming Burnout, Compassion Fatigue, and Soul Loss, and Re-humanizing Medicine. He has also co-authored four books with Joseph Rael (Beautiful Painted Arrow), including Walking the Medicine Wheel: Healing Trauma & PTSD.

"What is your typical process for working with patients?"

Dr. Kopacz combines psychiatric diagnosis with a collaborative and holistic focus on your strengths and personal growth. Combining a psychiatric and self-care assessment, he will help you find a plan for medication, psychotherapy, and well-being work that feels right for you.

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Dr. Pipalia is board-certified in both adult psychiatry and internal medicine. Since graduation from residency, he gained specialized experience in treating veterans with terminal illness, specifically Amyotrophic Lateral Sclerosis (aka Lou Gehrig's Disease), at the VA Medical Center in Portland, OR. He combines both psychotherapy and medication treatment to provide holistic care that addresses not only your mental health but also the parts of your life that surround and are deeply intertwined with your mental health. When more intensive psychotherapy is warranted, he collaborates with an experienced psychotherapist to serve you better. With his experience of internal medicine, he is also comfortable with navigating complex medical issues that may interact with your mental health. Dr. Pipalia is a graduate of St. George's University School of Medicine. He completed a combined Psychiatry & Internal Medicine residency training program at East Carolina University. He went on to complete a fellowship in Clinical Informatics at Oregon Health & Science University, learning how to use modern digital technologies and patient data to improve patient care. His academic activities include a presentation he has given multiple times on Illness Identity, teaching other clinicians how having an illness can change how we perceive our place in the world and how to help patients manage their relationship with illness.

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.

Dr. Thomas Simeone is Board Certified by the American Board of Psychiatry and Neurology in Psychiatry.  Following his completion of medical school at Universidad Autonoma de Guadalajara, he completed his Fifth Pathway Clinical Training at New York Medical College.  He then completed his Psychiatry Residency at Tuft's University in Boston, MA, and went on to complete a Child and Adolescent Fellowship Program at the University of Florida in Gainesville FL.  He has since worked in both hospital inpatient and outpatient settings, as well as in Residential Treatment for adolescents. Dr. Simeone has treated a wide spectrum of mental health conditions including Anxiety and Depression Disorders, as well as Mood Disorders and Post Traumatic Stress Disorder. He has also treated ADHD, OCD and Eating Disorders in adults and adolescents. Dr. Simeone has worked in Telehealth Practice for the past 4 years. He is a Fellow of the American Psychiatric Association (APA) and a member of the American Medical Association (AMA).

Dr. Simeone utilizes medication management and psychotherapy practices to achieve treatment goals for his patients.  During an initial assessment and evaluation, a thorough review of the patient's previous mental health treatment is considered.  Dr. Simeone assesses patients' acute symptoms including recent stressors and exacerbating factors and then establishes a comprehensive treatment plan with the patients' goals in mind.  Psychotherapy with medication is incorporated into the treatment plan of all patients.  Dr. Simeone always aims to achieve full remission of symptoms for his patients.

Dr. Simeone's practice focuses on medication management with facets of various psychotherapeutic techniques.  He conducts 30 medication management follow up sessions. Dr. Simeone is a sincere and empathic physician who advocates for patient autonomy and believes in a direct and transparent approach to patient treatment. He encourages active patient participation in their treatment plans.

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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.

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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.

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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.

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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.

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