Tyler Josephs, DO

Dr. Stephanie Negrey is a board certified psychiatrist. She completed her undergraduate degree in Biology and History at Fordham University in the Bronx and then attended medical school at the Renaissance School of Medicine at Stony Brook University. She completed her residency at Wright State University in Dayton, Ohio as a member of the United States Air Force. Dr. Negrey served as an active duty psychiatrist; her duties included medical director of the mental health clinic at a special operations base as well as a program manager for the Air Force substance use program.

Dr. Negrey has experience treating a wide range of ages and diagnoses, with particular emphasis on personality disorders, depression, anxiety, and post traumatic stress disorder. She integrates supportive and psychodynamic therapies into her medication management appointments with a goal of achieving improvement through a holistic approach. Dr. Negrey will work with patients to reach their goals for their mental health care while also providing a compassionate and collaborative environment.

Dr. Joshua Kane is a board certified psychiatrist who completed his undergraduate studies at Yale University, medical school at SUNY Downstate and Psychiatry Residency at Brown. Dr. Kane also completed a five-year training program in psychoanalysis and psychodynamic therapy at the Boston Psychoanalytic Society and Institute. Dr. Kane has worked in a variety of treatment settings, including partial hospitals, outpatient community mental health clinics, and private practices. Dr. Kane also worked at Brown University Counseling and Psychological services providing medication management and supervision to therapists. Dr. Kane's extensive therapy training sets him apart as a psychiatrist, and his treatment approach reflects this knowledge. While medications play an important role in treatment, Dr. Kane believes that lasting change involves a patient working with a therapist to better understand themselves. Dr. Kane enjoys working with adults who face challenges with depression, anxiety and PTSD.

Dr. Tamoria is a California native whose career has taken him around the country. As a medical student at Temple School of Medicine in Philadelphia, PA he worked in a culturally diverse, urban community. He was Chief Resident at the “President’s Hospital” in Washington DC and spent the first part of his career serving as an active-duty Navy psychiatrist helping servicemembers and veterans. After the Navy, he returned west to WA whereas a Medical Director he led one of the state’s most successful behavioral health programs through COVID and into the telehealth revolution. Now he serves as Talkiatry’s first West Coast Chief leading and supporting psychiatrists across the western US.

Dr. Tamoria works with adults to diagnose and treat a wide variety of mental health conditions including Depression, Anxiety, ADHD, Bipolar Disorder, PTSD, and more. He uses a combination of medication management and psychotherapy treatment to help patients improve and thrive. He is well experienced in caring for patients with complex histories or co-morbid medical conditions.

In the first appointment with Dr. Tamoria he completes a comprehensive evaluation of mental health symptoms, medical history, social supports, and stressors. He works collaboratively with patients to develop a treatment plan that may include lab tests, managing medications, initiating psychotherapy, or referring to other specialists. Over time he builds on the patient’s strengths and resilience to lead to recovery.

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Dr. Santos is a psychiatrist with more than 4 years of experience practicing in a variety of settings with an emphasis on psychiatric outpatient care. She is experienced in treating several psychiatric disorders including but not limited to: Bipolar and Related Disorders, Depressive Disorders, Anxiety Disorders, Trauma and Stressor Related Disorders, Obsessive-Compulsive and Related Disorders, and Substance Related and Addictive Disorders. Dr. Santos received her medical degree from the University of Queensland in Brisbane, Australia / Ochsner Clinical School in New Orleans, Louisiana. She completed her residency training at Louisiana State University in Shreveport, Louisiana. Dr. Santos tailors her approach to the individual patient. She focuses on medication management and incorporates several therapeutic techniques including supportive therapy, cognitive behavioral therapy, acceptance therapy and mindfulness.

Dr. Michael Fiori is Board Certified in Adult Psychiatry and Addiction Medicine. He has practiced general psychiatry for 37 years, and has also sub-specialized in Addiction Psychiatry for the past 20 years. Dr. Fiori's practice emphasizes Diagnostic Clarification, which is an ongoing process. He is highly trained and experienced in the biological and psychosocial underpinnings of psychiatric problems. He typically follows diagnostic evaluations with 30-minute follow up visits for medication adjustments and brief therapy. Dr. Fiori often enjoys collaborating with outside therapists when needed. Dr. Fiori graduated from Amherst College and received his medical degree from NY Medical College. He subsequently completed his residency in psychiatry at the Mount Sinai Medical Center in NYC. He excelled in Academic Psychiatry as both a teacher and a mentor. His practice has always combined medications with evidence-based therapies to alleviate suffering and maximize functioning. In addition to his work as a Board Certified Adult Psychiatrist, he has specialized in helping patients suffering from Substance Use Disorders. Dr. Fiori is Board Certified in Addiction Medicine, and helps patients understand the interrelationships between their Substance Use Disorders and their Psychiatric illnesses.

Megan is a Board-Certified Psychiatric Mental Health Nurse Practitioner specializing in medication management and various therapeutic techniques. She earned a Master of Science in Nursing as a Psychiatric Nurse Practitioner from Regis College and has board certification from the American Nurses Credentialing Center (ANCC).

Megan has extensive experience in psychiatric settings, including private practice, inpatient facilities, and substance use treatment programs. She has worked on community initiatives, such as the Mobile Suboxone Van program, which provides treatment to individuals in high-need areas.

She utilizes evidence-based practices in treating clients with mood and anxiety disorders, ADHD, trauma, and substance use disorders, among other mental health disorders.

The first priority is establishing a therapeutic relationship and providing adequate support, which can substantially impact outcomes. The combination of medication management and therapy can effectively reduce symptoms and contribute to the remission of mental health symptoms.

The first session will involve a 60-minute psychiatric evaluation to gather history and discuss current symptoms and goals. Clients starting medication will need more frequent 30-minute follow-up appointments for medication management and therapy, ensuring a positive response to treatment.

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