Tyler Josephs, DO

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.

Cassandra Thomas-Jingles is a dedicated, board-certified Psychiatric Nurse Practitioner with dual certification as a Family Nurse Practitioner. She is deeply passionate about helping others and takes a holistic, evidence-based approach to mental healthcare, empowering patients to live life to their fullest potential.

Her practice focuses on medication management and supportive therapy, offering 30-minute follow-up sessions. When additional therapy is needed, she recommends including a therapist in the care team to ensure the best possible outcomes. With extensive experience in both outpatient and inpatient settings, Cassandra has worked with adults and children facing a wide range of mental health conditions, including ADHD, anxiety, depression, and psychotic disorders. She strongly believes in prioritizing client involvement and fostering interprofessional collaboration.

Your mental health journey is unique, and Cassandra is here to listen with compassion and without judgment. All conversations are confidential, and her goal is to create a safe, welcoming space where you feel comfortable sharing your thoughts and concerns.

During your initial appointment, Cassandra will review your mental health history, current symptoms, lifestyle factors, and any previous treatments to gain a comprehensive understanding of your needs. Together, you will develop a personalized treatment plan that may include therapy, medication, or other supportive strategies. She values shared decision-making, ensuring your input is considered at every step of the process.

If medication is part of your treatment, Cassandra will clearly explain its benefits, potential side effects, and how your progress will be monitored. Adjustments can be made as needed to achieve the best possible outcome.

Healing takes time, and Cassandra is committed to supporting you throughout the process. Follow-up appointments are essential for tracking progress, making necessary adjustments, and ensuring you receive the care you need.

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Background and credentials

Dr. Lillian Cole is a board-certified adult psychiatrist. She completed her undergraduate education at the University of North Carolina Wilmington and went on to earn both a master’s in biomedical sciences and a medical degree from Texas Tech University. She completed her psychiatry residency training at the University of Texas Southwestern Medical Center, where she gained experience working with a diverse range of patient populations across different ethnic, socioeconomic, and clinical backgrounds.

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Treatment approach

Dr. Cole emphasizes a holistic, patient-centered approach that integrates evidence-based medicine, psychotherapeutic techniques, lifestyle interventions, and psychoeducation. She believes that listening, collaboration, and compassion are essential to guiding patients toward recovery. Her practice primarily focuses on psychiatric medication management, and she has extensive experience treating mood disorders, anxiety, trauma-related disorders, and substance use disorders. When additional therapy is necessary for the best outcome, she may recommend integrating a therapist into the treatment plan.

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What you can expect in a first visit

Patients can expect a thorough and compassionate initial evaluation, where Dr. Cole takes the time to understand their symptoms, medical history, and treatment goals. She focuses on fostering a strong doctor-patient relationship and collaborates with each patient to create a personalized treatment plan that may include medication management, therapy, and lifestyle interventions. If additional therapy is indicated, she will coordinate with other providers to ensure comprehensive care tailored to the patient’s needs.

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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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Dr. Anna Ostrovskaya is a board-certified psychiatrist with over 20 years of experience working with adults of all ages. She earned a bachelor’s degree in psychology from NYU, a medical degree from Rush Medical College, and completed her psychiatry training at Yale. Dr. Ostrovskaya has practiced in inpatient, consultation-liaison, and emergency psychiatry settings, though her primary passion is outpatient care, where she builds long-term therapeutic relationships. She has worked in private practice and clinic settings and serves on the faculty at Yale’s Psychiatry Department, teaching and supervising trainees. She treats a wide range of conditions, including anxiety, OCD, ADHD, PTSD, depression, bipolar disorder, and more, with experience across diverse populations.

Dr. Ostrovskaya emphasizes integrating therapy and medication management. She creates a warm, safe, and respectful space where patients feel understood and supported in their journey to recovery. Her approach focuses on treating the whole person, recognizing that everyone’s story is unique and informs the best path forward.

She conducts thorough evaluations and uses evidence-based prescribing while incorporating psychotherapeutic modalities such as CBT, executive skills training, insight-oriented approaches, and motivational interviewing. Understanding a patient’s history, current symptoms, and treatment goals is central to developing an effective plan and building a strong therapeutic relationship.

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Dr. Ali Imran is double board-certified in Adult Psychiatry and Child and Adolescent Psychiatry by the American Board of Psychiatry and Neurology. He completed his psychiatry residency training at SUNY Downstate Medical Center. He completed his Child and Adolescent Psychiatry Fellowship at Hofstra/Northwell Zucker Hillside Hospital. He has practiced in various settings over his career, including inpatient psychiatric units, adult and child outpatient treatment clinics, urgent care centers, and emergency psychiatric treatment centers. Dr. Imran has more than five years of experience treating patients with depression, anxiety, OCD, bipolar disorder, ADHD, and learning disorders. Dr. Imran's approach is collaborative, supportive, and patient-centered.�

Dr. Elizabeth Cox is a board-certified psychiatrist with over 20 years of experience providing compassionate, evidence-based care to adults. She believes healing begins with being heard and strives to create a supportive, nonjudgmental environment where patients feel comfortable sharing their experiences and working toward meaningful change.

Dr. Cox takes a collaborative approach to mental health, considering biological, psychological, social, and environmental factors. She values empathy, curiosity, and respect, and partners with patients to explore treatment options that align with their goals, including therapy, medication, and lifestyle changes.

Your first visits with Dr. Cox will focus on understanding your history, challenges, and treatment goals. Together, you will develop a personalized plan that is manageable, supportive, and grounded in trust. She ensures each patient feels safe, respected, and truly heard throughout the care process.