Emily Komarczyk, MD

Elizabeth Shaffer, MD, is an accomplished psychiatrist specializing in child and adolescent psychiatry. She earned her M.D. degree from St. George's University School of Medicine and holds a Bachelor of Science in Child Development from Appalachian State University where she graduated summa cum laude. Dr. Shaffer's passion for working with children and families developed during her involvement in a pre-K Head Start Program in Rural North Carolina. She completed her General Psychiatry Residency and Child & Adolescent Psychiatry Fellowship at Jerry M. Wallace School of Osteopathic Medicine at Campbell University. Dr. Shaffer obtained ABPN Board Certification in General Psychiatry in 2023 and is working towards Board Certification in Child & Adolescent Psychiatry. Dr. Shaffer has received honors and awards for her contributions to psychiatry, including the Laughlin fellowship through The American College of Psychiatrists and Resident of the Year at Cape Fear Valley Health System in 2022.Her areas of interest focus on neurodevelopmental disorders such as ADHD, Autism, and Intellectual Delay. Dr. Shaffer is affiliated with professional organizations like AACAP and APA, demonstrating her commitment to professional development. Dr. Shaffer is dedicated to promoting mental health awareness and family and patient psychoeducation. Dr. Shaffer emphasizes a joint decision-making approach to treatment options and utilizes local resources to provide wrap-around support. Dr. Shaffer is a respected psychiatrist known for her excellence, compassion, and innovative approach to mental health care. Her extensive education, accolades, research contributions, professional affiliations, and community involvement reflect her commitment to making a positive impact in her patients' lives and the broader community.

Dr. Caitlin Gardiner is a board-certified psychiatrist specializing in child and adolescent psychiatry and psychotherapy. Dr. Caitlin Gardiner's practice is based on the biopsychosocial model and believes that the foundation of healing is in psychotherapy and human connection. She is known for incorporating therapy into her medication management practice. Typically she offers 30-minute follow-up visits for medication management with focused therapy based on individual needs. As a known helper, Dr. Gardiner started her career with a bachelor's degree in social work from Cazenovia College in Cazenovia, NY. After changing career paths, she received her medical degree from SUNY Upstate Medical University in Syracuse, NY. She stayed upstate to complete her general psychiatry residency, where she was chief resident at the beginning of the COVID-19 pandemic. Following this, she completed her child and adolescent psychiatry fellowship at Upstate due to the high quality of training. Dr. Gardiner has completed 3 years of advanced training in Dynamic Deconstructive Psychotherapy as well as specialized training in DBT. Dr. Gardiner is a well-rounded psychiatrist who enjoys treating youth and young adults during transitional phases of life while providing a safe and supportive environment. She believes strongly in reducing polypharmacy and providing high-quality medication management through a therapeutic and developmental lens.

Dr. Robert Smeed, DO, is a board-certified psychiatrist with a passion for healing the human mind and consciousness. He earned his Doctor of Osteopathic Medicine from Lake Erie College of Osteopathic Medicine and completed his Psychiatry Residency at Wayne State University College of Medicine. Certified by the American Board of Psychiatry and Neurology (ABPN), Dr. Smeed served as an outpatient psychiatrist at Veterans Affairs for 11 years, honing his expertise in mental health care. Driven by a deep interest in consciousness and innovative treatments, he combines talking therapies, neuromodulation, and modern psychopharmacology to help patients achieve lasting wellness.

Dr. Smeed is proficient in treating a wide range of psychiatric conditions while specializing in treatment-resistant depression, neurodevelopmental disorders, anxiety and trauma disorders. His treatment style is empathic and collaborative, emphasizing family dynamics and relationships while integrating psychodynamic principles with biopsychosocial models. He approaches each patient with creativity, using open-ended discussions and innovative therapeutic and psychopharmacologic strategies to tailor care, ensuring a personalized and effective treatment experience.

Dr. Smeed begins with open-ended dialogue, allowing patients to develop their narrative, which is often therapeutic. Treatment plans are customized to patient needs and align with diagnostic standards of care. He incorporates medication reviews, mindfulness techniques, cognitive behavioral therapy (CBT), supportive therapy, and psychodynamic approaches. Dr. Smeed also educates patients on lifestyle factors, such as diet and exercise, to support mental health, fostering a holistic and individualized path to wellness.

Dr. Katherine Vital-Daley is an adult psychiatrist at Talkiatry. She treats all adults and her passion lies in providing accessible care for women facing challenges throughout pregnancy, childbirth, and postpartum and in reproductive psychiatry. Dr. Vital-Daley's academic background is rooted in science, with an undergraduate degree in biochemistry and molecular biology from the University of California, Merced. She then pursued her medical doctorate at the Medical University of the Americas. Following medical school, she completed her psychiatry residency training. The first two years were spent at East Carolina University, Brody School of Medicine, with a culmination of her last two years of residency at Allegheny Health Network in Pittsburgh, Pennsylvania, to further specialize in women's mental health, which solidified her expertise in this vital area.‍At Allegheny Health Network's Women's Behavioral Health clinic, Dr. Vital-Daley honed her skills in treating a range of conditions, including depression, anxiety, PTSD, OCD, bipolar disorder, and related issues, and served as a medical provider for their intensive perinatal/postpartum outpatient clinic. She also developed a deep understanding of perinatal mental health, supporting patients coping with perinatal loss and traumatic birthing experiences. In her practice, she employs supportive psychotherapy and mindfulness along with evidence-based medication management, utilizing the most current clinical guidelines and treatment modalities. ‍Dr. Vital-Daley's approach is rooted in a collaborative treatment approach. She works closely with patients, exploring past and current stressors and any relevant medical conditions to develop a comprehensive understanding of their individual needs. Recognizing the importance of cultural competency, she incorporates patients' unique backgrounds, beliefs, and core values into her care plans.

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. Catherine Cashman is triple board-certified by the American Board of  Psychiatry and Neurology in Adult Psychiatry, Child & Adolescent  Psychiatry, and Forensic Psychiatry. She holds two Bachelor’s degrees: one in  Finance from New York University, and another in Biology from the University  of New Orleans. She earned her medical degree from Nova Southeastern  University and completed an Adult Psychiatry residency at LSU Health Sciences  Center in New Orleans. Dr. Cashman subsequently completed two fellowships:  the first in Child & Adolescent Psychiatry at LSU New Orleans, along with  a certification in Infant Mental Health (working with children ages 0–6 years  and their caregivers); the second fellowship was in Forensic Psychiatry at  the University of Rochester and the Rochester Regional Forensic Unit.    

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Treatment approach    

Dr. Cashman brings an extensive and specialized skillset to psychiatry,  informed by her triple board-certifications. Her treatment approach  integrates clinical expertise from adult, child and adolescent, and forensic  psychiatry, emphasizing accurate diagnosis, risk assessment, and  evidence-based care. With specialized expertise in forensic psychiatry and  competency assessments, she employs rigorous evaluation methods to accurately  inform treatment planning and risk management, particularly in complex or  legally-involved cases.    

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What you can expect in a first visit    

Patients visiting Dr. Cashman for the first time can expect a detailed and  comprehensive psychiatric evaluation. Given her forensic and clinical  experience, initial assessments are thorough, focusing on clear diagnostic  understanding, individualized risk assessment, and appropriate treatment  planning. Patients can anticipate a collaborative, professional, and  structured environment aimed at clarifying diagnoses and addressing their  unique mental health needs effectively.    

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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.