Wayne McIntosh, PMHNP

Svetlana Schwartz, PMHNP, is a board-certified psychiatric nurse practitioner with 18 years of experience in outpatient psychiatry. She provides care for individuals with a wide range of mental health conditions, including depression, anxiety, substance use disorders, ADHD, bipolar disorder, OCD, schizoaffective disorder, and schizophrenia.

Her practice focuses on medication management, often combined with supportive or cognitive behavioral therapy. Svetlana earned her Master of Science in Nursing with a specialty in adult psychiatry from the University of Massachusetts Lowell and her Bachelor of Science in Nursing from the University of Massachusetts Boston. She is trained in psychiatric diagnosis, medication management, and both psychodynamic and cognitive-behavioral therapies.

Over the past 18 years, Svetlana has gained extensive experience evaluating and treating adults in outpatient settings. She previously worked at Arbour HRI Outpatient Clinic in Massachusetts and, for the past decade, has served patients at Memorial Healthcare System in Florida.

Svetlana believes that addressing mental health is just as important as addressing physical health. At Memorial Healthcare System, she collaborated with the Mind-Body Wellness Clinic to support both the medical and psychiatric needs of her patients. She has also contributed to the training of psychiatric and internal medicine residents in outpatient psychiatry. Her approach emphasizes the integration of medication management with individual therapy to provide comprehensive, patient-centered care.

‍

Background and credentials

Dr. Tyler Josephs is a staff psychiatrist at Talkiatry. He earned his medical degree from Kansas City University in 2017 and completed his psychiatric residency at the University of Kansas Medical Center in 2021. During his residency, he served as Chief Resident at both the University of Kansas Medical Center and the Kansas City VA Medical Center. Most recently, Dr. Josephs worked at the Kansas City VA Medical Center, where he was the psychiatric director of the outpatient mental health clinic and served as Psychiatry Executive for behavioral health services.

‍

Treatment approach

Dr. Josephs believes in a holistic approach to mental health treatment, integrating medication management, supportive psychotherapy, and collaboration with therapists and support staff. He tailors treatment to each patient's unique needs, ensuring a comprehensive and individualized approach to care. His expertise includes treating a variety of psychiatric diagnoses, such as depression, anxiety disorders (including OCD), ADHD, and PTSD.

‍

What you can expect in a first visit

In a first visit, patients can expect a thorough evaluation, where Dr. Josephs takes the time to understand their medical history, symptoms, and treatment goals. He emphasizes open communication and collaborative decision-making, ensuring that patients feel heard and supported. Based on this initial assessment, he will develop a personalized treatment plan, which may include medication management and referrals to therapy or other supportive services as needed.

‍

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.

‍

Dr. Jaffarzad is a board eligible adult psychiatrist who completed her undergraduate training at the University of Texas at Austin and earned her medical degree at the American University of the Caribbean. She completed her psychiatry residency at Louisiana State University Our Lady of the Lake Psychiatry Residency Program. After completing residency, she worked in an outpatient setting and provided consultation liaison services at Our Lady of the Lake Hospital. Moreover, she held volunteer academic positions supervising and instructing residents and medical students. She has experience treating culturally diverse patient populations with a variety of mental health conditions. Dr. Jaffarzad primarily offers medication management in conjunction with supportive therapy during follow-up visits. She values the importance of open communication and a strong doctor-patient therapeutic alliance.

Dr. Abby Reineck currently serves as an outpatient child and adolescent psychiatrist. She has been practicing for 13 years. Dr. Reineck's practice primarily offers medication-management services in conjunction with either supportive or eclectic therapy. Follow-up appointments average 30 minutes, but may be more or less. Occasionally, Dr. Reineck believes the addition of a therapist is needed and will request you bring a therapist into your care team. This will be asked of individuals if she believes it will lead to an improved clinical outcome. Reineck received her medical degree from Boonshoft School of Medicine at Wright State University, located in Dayton, OH. She completed her psychiatry residency and child and adolescent fellowship at Dartmouth-Hitchcock Medical Center, in Hanover, NH. After completing her training, Dr. Reineck moved to Brattleboro, VT, where she became an attending psychiatrist at The Brattleboro Retreat, working on both the child and adolescent inpatient units. The Brattleboro Retreat's location was such that it served a large number of patients from nearby states, which included New Hampshire, Massachusetts, Connecticut, and New York. However, it also served as the only psychiatric inpatient facility for children and adolescents in the entire state of Vermont. Dr. Reineck also worked as the lead psychiatrist on the inpatient, adult, dual-diagnosis unit. This unit provided care for individuals struggling with addiction and mental-health related issues, some of whom required medically supervised detoxification. After roughly five years, Dr. Reineck moved from Vermont to Erie, PA. She began working at a residential treatment facility for child and adolescent patients who required care in a highly supervised and highly structured setting. Dr. Reineck also began serving as a child and adolescent psychiatrist for patients enrolled in a school-based partial-hospitalization program. Dr. Reineck gradually transitioned from these roles into strictly outpatient work. She worked as an outpatient psychiatrist in Butler, PA, where she treated child, adolescent, and adult patients. Dr. Reineck eventually narrowed her scope of practice to providing psychiatric treatment for only outpatient children and adolescents. She did so out of facilities located in Erie and Meadville, PA. Drr. Reineck completed her undergraduate studies at Ohio University. While Dr. Reineck has experience treating a wide variety of patients, her primary focus has been treating children and adolescents with a vast array of presenting concerns.

Dr. O’Mara is a board-certified geriatric and general adult psychiatrist. She is originally from Ohio where she obtained her bachelor’s degree in neuroscience and psychology from Wright State University and attended medical school at Ohio University. She completed her psychiatry residency and geriatric psychiatry fellowship through Michigan State University at Pine Rest in Grand Rapids, Michigan. She has provided psychiatric care in both inpatient and outpatient settings. She was a faculty member and Associate Program Director for Trinity Health Livonia’s psychiatry residency. In her free time, she enjoys drawing and hiking.

Dr. O’Mara eagerly treats a wide range of age groups and conditions and is passionate about patients coping with chronic medical conditions and caregivers. She also has experience with perinatal mood disorders, obsessive compulsive disorder, and PTSD. She strives to deliver evidence-based treatment tailored to her patient’s individual needs.

In addition to medication management, she incorporates brief therapy modalities into her appointments including supportive therapy, cognitive behavioral therapy, and dialectical behavioral therapy skills. She will work with you to determine if more comprehensive therapy may be needed. She also can provide practical and realistic behavioral strategies to caregivers and patients with memory changes. Dr. O’Mara prefers to meet patients where they are in a supportive, safe, and non-judgmental environment.

Dr. Alexandra ("Sasha”) Blaes is a board-certified psychiatrist. Before joining Talkiatry, she practiced consult-liaison psychiatry, seeing medically ill patients with psychiatric problems at the Department of Veterans Affairs, where she also treated veterans in nursing homes. Dr. Blaes graduated from New York University with a B.A. in philosophy and photography and worked in nonprofit marketing in New York before deciding she wanted to pursue a life in medicine. Following a post-baccalaureate, pre-medical program at Columbia University, Dr. Blaes completed medical school at The University of Maryland, followed by a psychiatry residency at The Johns Hopkins Hospital. While at Johns Hopkins, she mastered clinical assessment and treatment of general psychiatric problems. She also received specialized training in eating disorders, addiction, reproductive psychiatry, chronic pain, and geriatric psychiatry, an interest she pursued further with a fellowship at University of Pittsburgh Medical Center. In fellowship and in her subsequent experience at the VA, she developed expertise in caring for the difficulties that can accompany aging, including depression, anxiety, and memory loss, as well as the stress of medical illness. Dr. Blaes' practice focuses on medication management. She works to foster a safe and collaborative space in which patients can address psychiatric illness and other barriers holding them back from the lives they want to lead. Typically, she offers appointments for medication management coupled with supportive or emotionally focused therapy in 30-minute sessions. When Dr. Blaes feels that additional therapy is needed, she will suggest inviting a therapist to join the team for additional support and guidance. She welcomes collaborations with other clinicians, be they therapists or other physicians caring for her patients. She strives to build strong therapeutic relationships that help patients grow and meet their goals - whatever their situation, challenge, or life stage. Dr. Blaes welcomes patients from all walks of life and cultural backgrounds and is LGBTQ+ friendly. In addition to her background in geriatrics, she has experience working with peripartum women and enjoys working with patients navigating major life changes.