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Luis Espinosa, MD
Staff Psychiatrist
Languages
English
Specialties
Medication Management

Dr. Luis Espinosa holds the position of adult psychiatrist with Talkiatry. His practice focuses on medication management, and typically offers this in conjunction with supportive therapy in 30-minute follow-up visits. Dr. Espinosa’s approach is holistic. Each patient’s care is driven by their unique goals and values, whether they suffer from depression, anxiety, trauma, and stress related, or obsessive-compulsive disorders.

Dr. Espinosa believes in serving patients by combining therapy with medication to provide an experience that is both therapeutic and informative and allows patients to guide their own outcomes in a supportive space.  

Dr. Espinosa completed his undergraduate studies in philosophy at the University of Florida as the 2013 Ellen Haring Award winner. He was then honored as a Docherty Foundation Scholar to attend the University of South Florida Morsani College of Medicine. He pursued his specialty training in psychiatry at Kaiser Permanente Northern California.

Dr. Espinosa believes in a treatment modality that combines wellness of mind and body to help individuals who are suffering achieve their potential.

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Lucas Hansen, DO
Staff Psychiatrist
Languages
English
Specialties
Medication Management, Child/Adolescent

Dr. Lucas Hansen is a double board-certified psychiatrist in General Psychiatry and Child and Adolescent Psychiatry. He earned his medical degree from Rocky Vista University, College of Osteopathic Medicine, where he developed his interest in the mind-body connection integral to holistic psychiatric care. Dr. Hansen completed his General Psychiatry residency and Child and Adolescent Psychiatry fellowship at the University of Nevada, Reno. As Chief Fellow he enjoyed training medical students, residents, and fellows with a firm foundation of psychiatric principles to best serve their patients.

Dr. Hansen's experience spans patients across the lifespan, enabling him to adopt a comprehensive approach to diagnosing and addressing issues, particularly within family dynamics. He has enjoyed serving his patients and their families in the outpatient setting and while working in acute and residential inpatient settings, which has contributed to a well-rounded approach. He values the experience managing complex cases while collaborating with multidisciplinary teams.

Dr. Hansen welcomes patients with a wide spectrum of concerns, from everyday challenges to more complex psychiatric conditions. He integrates a diverse range of therapeutic modalities including supportive therapy, Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), and psychodynamic approaches. Coupled with medication management when appropriate, Dr. Hansen collaborates closely with patients to formulate personalized treatment plans tailored to their unique goals and circumstances. No matter the scale of the issue, Dr. Hansen is committed to guiding his patients towards achieving their optimal mental health and well-being.

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Jennifer Lyman, MD
Staff Psychiatrist
Languages
English
Specialties
Medication Management

Dr. Lyman is a board-certified psychiatrist who values the lived experience of every individual seeking treatment. She completed her undergraduate studies at Stanford University, received her MPH from University of Hawai'i, Manoa and graduated with her MD from the John A. Burns School of Medicine. She completed her residency training in Psychiatry at the Queens Medical Center, where she served as chief resident. She is currently pursuing a nutritional psychiatry certificate through the Integrative Psychiatry Institute and has a particular interest in the connection between the food we consume and our emotional well-being.

While her practice focuses on medication management, she often takes the time to provide supportive, cognitive or dialectical based therapy in a follow-up visit. She believes that achieving mental wellness extends beyond addressing one's symptoms and hopes to guide her patients towards feeling aware and empowered. She has experience treating depression, anxiety, OCD, PTSD, bipolar as well as other conditions.

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Chad Terry, DO
Staff Psychiatrist
Languages
English
Specialties
Medication Management, Geriatric, Child/Adolescent

Dr. Chad Terry is trained in adult psychiatry and child and adolescent psychiatry. He has experience treating a wide variety of conditions including depression, anxiety, and ADHD. He provides medication management in conjunction with supportive therapy in 30-minute follow-up visits.Dr. Terry received his medical degree from Touro University Nevada College of Osteopathic Medicine. He completed his psychiatry residency at Detroit-Wayne County Health Authority in Michigan and then received Child & Adolescent Fellowship training at University of Nevada Las Vegas.Dr. Terry looks forward to the opportunity to help patients understand their diagnosis and help them lead more fulfilling lives.

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Rishell Tsujimoto-Ryzewski
Staff Psychiatrist
Languages
English
Specialties
Medication Management

Dr. Tsujimoto-Ryzewski is a board-certified adult psychiatrist.  She received her medical degree from the University of Nevada, Reno School of Medicine.  She completed her residency with the University of Nevada, Reno School of Medicine where she served as a chief resident during her last year of training.  Dr. Tsujimoto-Ryzewski has treated patients with a wide variety of diagnoses both during her residency and after her training while working at a busy private practice clinic as well as for the Veteran’s Administration.  

Dr Tsujimoto-Ryzewski focuses on medication management and supportive psychotherapy.  If she feels that additional therapy is needed, she will ask that you bring in a therapist as part of the treatment team.  Dr. Tsujimoto-Ryzewski will work collaboratively with you in a caring environment to assist you in reaching your goals.

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More psychiatrists coming soon
Staff Psychiatrist
Languages
Coming soon
Specialties
Coming soon

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How it works

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Online assessment
Tell us how you've been feeling. It only takes about 10 minutes.
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Meet your psychiatrist
Have your first visit in days with a psychiatrist that fits your needs.
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Treatment plan
Treatment typically includes medication and supportive therapy.
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Insurance accepted

The majority of our visits cost patients $30 or less after insurance.*

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*Includes all types of patient costs: copayment, deductible, coinsurance, and $0 payments. Excludes no-shows. Your medical visit costs can vary depending on insurance coverage. Learn more.

Care by the numbers

1,000

,000+

visits completed

300

+

expert psychiatrists

175

,000+

people matched with a psychiatrist

Mental health care that cares

Our team of psychiatrists are vetted for experience, expertise, and empathy and adhere to the highest standards of care.
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Frequently asked questions

What is a psychiatrist?

Psychiatrists are medical doctors who specialize in diagnosing and treating mental health conditions through medication management and supportive therapy. Think of a psychiatrist as a doctor for your mind. If you’re struggling with your mental health and aren’t sure where to start, a psychiatrist can help.

Take our 10-minute assessment to see if Talkiatry is right for you and get matched with a psychiatrist in

Nevada

who meets your needs.

Is it better to see a psychiatrist or psychologist?

You may not need to choose between a psychologist and a psychiatrist—although there are differences in the types of treatment and expertise mental health professionals can provide, they often collaborate on your care.

That said, here’s a quick guide to help you decide if a psychologist or psychiatrist is the best starting place.

See a psychiatrist if:

  • You’re experiencing symptoms of a mental health condition that are making it hard to go about your day-to-day life.
  • You’re experiencing symptoms of a mental health condition and/or have a family history of mental health issues.
  • You’re interested in exploring psychiatric medications, such as antidepressants, for mental health treatment.

See a psychologist if:

  • You’re looking for a psychotherapy outlet to help address behavioral or emotional challenges.
  • The concern you’re hoping to address is specific to relationship challenges, stress, grieving, or a life transition.  

Not sure if your symptoms are severe enough to warrant medication? We always recommend consulting with a psychiatrist first to discuss your options. Also, keep in mind that if you’re looking for virtual care, you need to be sure your doctor or psychologist is registered to practice in

Nevada

(or, for non-

Nevada

residents, the state where you live).

What is a psychiatrist vs therapist?

The term “therapist” can apply to a range of professionals including social workers, mental health counselors, psychologists, professional counselors, marriage and family therapists, and psychoanalysts. Working with a therapist generally involves regular talk therapy sessions where you discuss your feelings, problem-solving strategies, and coping mechanisms to help with your condition.

Psychiatrists are doctors who have specialized training in diagnosing and treating complex mental health conditions through medication management. If you are experiencing symptoms of a mental health condition such as depression, anxiety, bipolar disorder, PTSD, or similar, a psychiatrist may be a good place to start. Other signs that you should see a psychiatrist include:

  • Your primary care doctor or another doctor thinks you may benefit from the services of a psychiatrist and provides a referral
  • You are interested in taking medication to treat a mental health condition
  • Your symptoms are severe enough to regularly interfere with your everyday life

While both therapy and psychiatry are both available online, you’ll still need to be sure that the therapist or clinician is licensed to practice in

Nevada

(or, for non-

Nevada

residents, the state where you live).

What to expect from your first psychiatrist visit?

It’s ok to be a little nervous about your first visit with your psychiatrist. But remember, they’re there to help you feel better. Psychiatrists have years of experience working with new patients and will help you feel comfortable during your sessions.

Here’s what to expect in your first visit at Talkiatry:

Evaluation: During your first visit with a Talkiatry psychiatrist, you’ll get to meet each other and answer questions about your current symptoms, personal history, medical history, and mental health goals.

Diagnosis: Based on the information you’ve shared, your psychiatrist will be able to provide a diagnosis of your condition, if you have one. Getting a diagnosis can feel scary, but it can also feel validating to finally put a name to what you've been experiencing. Your psychiatrist will help you navigate any emotions that come up and work with you on a path to move forward.

Treatment plan: You’ll collaborate with your psychiatrist on the best way to manage your symptoms. If medication is appropriate, you’ll discuss your options, including the benefits and potential side effects of each medication. Your psychiatrist will provide supportive therapy throughout your session and may also recommend working with one of our therapists. Our therapists partner with our psychiatrists in a collaborative model to provide holistic care.

To get started, take our free online assessment, to see if Talkiatry is right for you and get matched with a psychiatrist.

Will I need medication?

Medication can be an effective part of your treatment plan but medication is not right for everyone. Your psychiatrist will work with you to determine if medication is right for you.  

Ready to talk with a psychiatrist? Take our 10-minute online assessment

to see if Talkiatry is right for you and get matched with a psychiatrist who serves in

Nevada

.

Also note that prescribing laws can vary from state to state. During your first visit, your doctor will be able to talk you through how it works in

Nevada

(or, for non-

Nevada

residents, the state where you live).

What is the cost of a psychiatrist visit in
Nevada

The main factor that determines the cost of your visit is your insurance coverage. The majority of our patients pay $25 or less per visit.* If you have a deductible plan and haven’t met your deductible yet, the average cost is between $325 and $414. The best way to get an estimate of your total cost is to contact your insurance company and ask about their coverage for outpatient psychiatric services.

*Includes all types of patient costs: copayment, deductible, and coinsurance. Excludes no-shows and includes $0 payments.

What treatments are available for mental disorders?

Medication and talk therapy (also called psychotherapy) are the gold standard for treating mental health conditions but treatment is highly personalized. A treatment that works for you may not work for someone else. Luckily, psychiatrists are experts in treating mental health conditions and can guide you through different treatment options and help you find one that’s right for you.

At Talkiatry, we make it easy to find a psychiatrist in

Nevada

who matches your needs. Take our 10-minute online assessment to see if Talkiatry is right for you.

What can’t Talkiatry treat?

Our goal is to help you find the best treatment option for your needs and there may be some cases where virtual care isn't the right fit. If this is the case, your psychiatrist will be able to recommend other treatment options within your first visit. Our 10-minute online assessment will also help you determine whether or not Talkiatry is the right fit for your care.

What we can’t treat: Schizophrenia or schizoaffective disorders: This is a complex condition that responds best to treatments that aren’t safe to provide in an online-only setting. Since we’re a virtual practice, we aren’t able to treat patients with schizophrenia or schizoaffective disorders.

Certain personality disorders, like borderline personality disorder: Generally, borderline personality disorder doesn’t respond well to medication. As a psychiatry practice, one of our main focuses is medication management. One of the most effective treatments for borderline personality disorder is dialectical behavioral therapy, which is something our clinicians aren’t specialized in.

Patients who have been hospitalized or required to stay overnight in a clinic or in-patient setting for a mental health condition in the last 6 months: Our goal is to provide safe, effective care. For patients who have been required to stay overnight for a condition, a virtual practice can’t provide the right level of care.

Patients looking for therapy only: Our psychiatrists specialize in medication management. While we do have some therapists on staff to support patients who’d benefit from both medication and dedicated therapy, we don’t treat patients looking for talk therapy only.

We have excellent clinicians serving in

43

states, including

Nevada

. Want to find a psychiatrist in

Nevada

? We’ll match you with one through our online assessment. It just takes 10 minutes.

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