Amy Bichsel Pacheco Pina, LCSW

More Clinicians

Bracha (Brooke) Winograd is a licensed clinical social worker with comprehensive experience working in the mental health field. Brooke has worked directly with clients of various ages and demographics living with a variety of mental health conditions. Brooke completed her undergraduate degree with The College at Brockport in Upstate New York and her master's degree in social work through Nazareth University in Rochester, NY. In her work with an outpatient mental health clinic and day treatment programming, Brooke collaborated closely with psychiatric prescribers to meet clients� diagnostic and therapeutic mental health needs. Brooke has been practicing clinical social work in a variety of settings, focusing on treating depression, anxiety, trauma, and other mental health symptoms that challenge individuals on their journey to wellness. Working with Brooke is collaborative in nature, with the goal being to have the client's goals and preferences front and center throughout treatment. Brooke is trained in cognitive behavioral therapy (CBT), dialectical behavioral therapy (DBT), trauma-focused CBT, person-centered care, and motivational interviewing (MI). Brooke is passionate about her work and empowering her clients to build the skills necessary to reach their goals.

Melissa Buhler, LMHC

Staff Licensed Mental Health Counselor

Melissa knows first-hand how powerful the counseling experience can be. Melissa committed herself to the hard work of deep interpersonal counseling and has a passion to help others build a life of hope, joy, and resiliency. As an undergraduate, she studied at Toccoa Falls College in the mountains of North Georgia. She finished her master's degree in Clinical Mental Health Counseling and began working in the Crisis Stabilization Unit. Melissa assisted with the opening of a psychiatric hospital, advocating for the needs of the patient. She has served in Jerusalem and Africa and strives to be inclusive of everyone as an individual of significant value. Melissa focuses on building a strong rapport with her patients, highlighting their strengths, teaching mindfulness, boundaries, emotional regulation strategies, and often writing trauma narratives. She utilizes Solution Focused Therapy, Dialectical Behavioral Therapy, and Trauma-Focused Cognitive Behavioral Therapy. ‍

Carly Moskowitz, MD

Staff Psychiatrist

Dr. Moskowitz (she/her) is a licensed adult psychiatrist. She earned her medical degree from Albert Einstein College of Medicine and completed her psychiatry residency at the University of Arizona. She has extensive experience treating a wide range of mental health conditions, including depression, anxiety, ADHD, bipolar disorder, PTSD, OCD, and psychotic disorders. Dr. Moskowitz is especially passionate about working with transgender and other LGBTQ+ patients, offering inclusive, identity-affirming care tailored to each individual’s experience and needs.

Dr. Moskowitz takes a warm, collaborative approach grounded in empathy and trust. She believes in meeting patients where they are and working together to build a therapeutic relationship that supports healing, self-understanding, and personal growth. Patients can expect a nonjudgmental, respectful environment where their goals and concerns are genuinely heard and addressed.

Dr. Moskowitz integrates elements of psychodynamic, supportive, and cognitive-behavioral therapy into her work and offers medication management when appropriate. She emphasizes a personalized treatment plan for each patient, designed to align with their unique values, history, and goals. Her process includes thorough assessment, open dialogue, and flexible adjustments as needs evolve over time.

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Maxine Minto, MD

Staff Psychiatrist

Dr. Maxine Minto is a double board-certified psychiatrist. She is board certified in General Adult Psychiatry and Child and Adolescent Psychiatry. She is a Distinguished Fellow of the American Psychiatric Association (APA). Dr. Minto is an associate professor of psychiatry at the University of Central Florida College of Medicine. She is an active member of both the APA and American Academy of Child and Adolescent Psychiatry. Dr. Minto received her medical degree from the University of Miami Miller School of Medicine. She completed her general psychiatry residency and child-adolescent fellowship at the University of Miami/Jackson Memorial Hospital. She has more than 25+ years of experience working in the psychiatric profession. She has previously worked extensively in the role of medical director in multiple settings. Dr. Minto was honored with the role of medical director of a large community mental health center, child psychiatry inpatient program, adult and child inpatient residential treatment program, and outpatient residential day treatment program. She also has 8 years of experience working with the Deaf community. Dr. Minto specializes in psychopharmacology and supportive therapy. She performs comprehensive psychiatric evaluations, develops patient-centered individualized treatment plans, and schedules regular follow-up appointments. She has a wealth of experience in treating patients with depression, bipolar disorder, ADHD, and anxiety disorders.

Jeffrey Seley, MD

Staff Psychiatrist

Dr. Jeffrey Seley is board certified in adult psychiatry. He has been in practice for over 21 years. Dr. Seley's practice focuses on medication management in conjunction with supportive therapy and psychoeducation in 20-30 minute follow-up visits. At times, Dr. Seley may recommend additional therapy and ask that you bring another therapist into your care team to provide the best outcome. Dr. Seley graduated from Cornell University with a B.A. degree in psychology. He received his medical degree from the University of South Florida and completed his residency at New York University and its affiliated hospitals, including Tisch and Lenox Hill, where he served as chief resident. He has worked for over twenty years in private practice and at a large community hospital in Pennsylvania. His extensive hospital experience kept him sharply focused on the connection between medical issues and mental health presentations. Dr. Seley brings to his patients over twenty years of experience in general adult psychiatry treating a wide variety of conditions including depression, anxiety, bipolar disorder, ADHD, addiction, and geriatric issues. His treatment philosophy stresses the importance of being responsive, compassionate, and kind. He sees his work as the enhancement of hope.

Gretchen Sutphin, LCSW

Staff Therapist

Gretchen attended James Madison University for her undergraduate studies and graduate school at Virginia Commonwealth University and Boston University. She has practiced for three years in various settings, including residential facilities for children, acute care facilities, and private practice, where she successfully supported clients with neurodiversity in improving executive function, emotional regulation, and interpersonal relationships. Recognizing the complexities of neurodiversity beyond traditional clinical frameworks, Gretchen collaborates with medical professionals, educators, and families to create inclusive environments that foster success for individuals with neurodivergent traits.

Clients can expect to gain a deeper understanding of their thought patterns and uncover the underlying meanings behind their reactions. Through a collaborative and reflective process, they’ll develop greater self-awareness, challenge limiting beliefs, and gain clarity in their personal growth journey. This approach empowers clients to make more informed, intentional choices in their lives.

Gretchen takes a direct yet supportive approach, evident from the very first session. She integrates psychoeducation, somatic techniques to enhance body awareness, and strategic reframing to help clients uncover core beliefs that may be contributing to their challenges.

Ian Provo, LCSW

Staff Licensed Clinical Social Worker

Ian Provo is a Licensed Clinical Social Worker who is also certified in Complex Trauma treatment. He has held a clinical license for 27 years, where he has worked in a number of capacities as a mental health professional, including Clinical Director, Director of Treatment, private practice, direct care services, and case management. Ian completed his Bachelor's degree from Arizona State University and his Master's Degree from the University of Illinois. Ian is passionate about his work and believes strongly in the human potential and resilience in overcoming life's obstacles and barriers. His therapeutic model focuses on multidimensional modalities, including cognitive behavioral therapy, psychodynamic model, psychoeducational approaches, and mindfulness techniques. Ian has vast experience in working with victims of sexual abuse and trauma in addition to treating anxiety, depression, ADHD, PTSD and providing couple's therapy. In addition to his professional work, Ian is actively engaged in volunteer work where he helps victims of sexual human trafficking, providing clinical assessments and engaging in public awareness campaigns. He recently composed, produced, and directed an anti-human trafficking music video for an organization.

Sunny Bowers, LPC

Licensed Professional Clinical Counselor

Sunny Bowers is a licensed professional clinical counselor (LPCC) based in Ohio. She holds an undergraduate Bachelor of Science in Human Development and Family Studies from Kent State University, complemented by a graduate degree in a Master of Arts in Education with a focus in Clinical Counseling from Malone University.‍With a rich professional background spanning over 10 years, Sunny has dedicated her expertise to working with diverse populations, including adults, first responders, and teenagers. Her scope of practice covers all phases of addiction, trauma, and mood disorders with a particular emphasis on addressing issues related to depression, anxiety, adjustment concerns, and relational difficulties.‍Sunny's therapeutic approach places a strong emphasis on the value of the therapeutic relationship. Recognizing the pivotal role of comfort and trust in the therapeutic process, she believes that lasting change is built on authentic exploration. Sunny employs several different therapeutic approaches, tailoring her methods to individual needs. Grounded in the development of insight and awareness, her overarching goal is to support empowerment and personal freedom for her clients.‍Sunny is enthusiastic about the prospect of working collaboratively with individuals seeking positive change and personal growth. If you're looking for a therapist who values authenticity and is dedicated to supporting your journey towards lasting change.

Kaycia Vansickle, MD

Staff Psychiatrist

Background and credentials

Dr. Vansickle is a board-certified adult psychiatrist with over 25 years of clinical experience. She earned her medical degree from the University of Texas Health Sciences Center San Antonio and completed her internship at UAB. She then completed her psychiatry residency at the University of Louisville Hospital, where she served as chief resident and received a national award in community psychiatry. Throughout her career, she has worked in both inpatient and outpatient settings as a staff psychiatrist, primarily in Texas and Alabama.

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Treatment approach

Dr. Vansickle places a strong emphasis on establishing trust and building therapeutic relationships to help patients achieve their goals. Her practice focuses on medication management, often combined with supportive or emotionally focused therapy during 30-minute follow-up visits. If she believes additional therapy would be beneficial, she may recommend that patients work with a therapist as part of their care team. She has extensive experience treating patients in various settings, including community mental health centers, VAMC-affiliated clinics, and hospital-based psychiatric units. She also has expertise in psychiatric consultations for medically ill patients, as well as guardianship and competency evaluations.

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What you can expect in a first visit

Patients can expect a thorough initial evaluation, where Dr. Vansickle takes the time to understand their symptoms, history, and treatment goals. She provides a structured yet compassionate approach to care, ensuring that each patient feels heard and supported. Follow-up visits typically last 30 minutes, during which she monitors progress and adjusts treatment as necessary. If additional therapy is needed, she collaborates with therapists to ensure comprehensive care tailored to each 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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Natalie Armijo, MD

Staff Psychiatrist

Dr. Natalie Armijo is a board-certified adult psychiatrist with over twenty years of experience. She completed medical school, internship and residency at the University of New Mexico. She has worked for private HMOs and government facilities. Her private practice combines conventional treatment with nutrition and physical activity to support total health.

Dr. Armijo treats patients, ages 18 to 64, who have conditions related to anxiety, depression, trauma and ADHD with medication and supportive therapy. Her clinical interests include integrative medicine and nutritional psychiatry.

Your first visit with Dr. Armijo will range from thirty minutes to one hour and is designed to collect and clarify information about you. Topics will include your current symptoms, previous mental health treatment, medical conditions, substance use and family history. She will review treatment options, including their risks and benefits. At the end of the visit, she will let you know if her clinical experience and the limitations of an online platform are compatible with your needs. Your safety is her priority.

Follow-up visits range from twenty to thirty minutes and will initially focus on how you are responding to treatment. As your condition stabilizes, she will help you.

- Organize a long-term mental health

- Develop discipline to accomplish your goals

- Evaluate your progress

- Maintain motivation to reach your highest potential

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Heidi Kilmer, LMFT

Staff Therapist

Heidi is a Licensed Marriage and Family Therapist (LMFT) with 15 years of professional experience teens, adults, and seniors with concerns and challenges related to divorce, family conflict, parenting challenges, dysfunctional relationships, low self-esteem, sexuality, and addiction. Heidi earned her Master's degree in Human Services, Marriage, Couple, and Family Therapy from Capella University.

Heidi uses theories that include Relational, Motivational Interviewing, Solution Focused Brief (SFBT), Humanistic / Rogerian, Psychoanalytic / Psychodynamic, Mindfulness-Based (MBCT), Attachment-Based, Adlerian, Positive Psychology, Person-Centered, Christian Counseling, Family Systems, CBT / Cognitive Behavioral Therapy, Gottman Trained, Internal Family Systems (IFS), Narrative, Emotionally Focused, DBT / Dialectical Behavior Therapy. Our first session will be about getting to know each other and developing a sense of understanding and connection. We will establish rapport and develop a picture of your personal and family history. Heidi strives to represent authentic self, work affectively, giving assignments, providing tools and teach techniques.

Heidi enjoys working with married couples and individuals experiencing pressing issues who are wanting to quickly move towards their goals and are driven towards change. Her approach to therapy is collaborative and flexible; Heidi strives to encourage her clients to improve their relationships and personal experiences by being their authentic selves. She can help you navigate life transitions, heal from traumatic experiences, and improve communication skills. Heidi seeks to provide a warm, trusting, nonjudgmental environment where you'll know that you are deeply listened to, and can safely and freely discuss your challenges, concerns, and vulnerabilities. Heidi is here to offer you her honest and supportive feedback.

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Paula Wilt, MD

Staff Psychiatrist

Dr. Wilt is board certified in adult psychiatry. She earned her medical degree from Louisiana State University in New Orleans, where she also completed her four-year residency in psychiatry. Dr. Wilt takes a biopsychosocial approach to mental health and has over 13 years of experience with an array of mental health diagnoses including Depression, anxiety, ADHD, PTSD, bipolar disorder, and sleep disorders. Dr. Wilt enjoys spending time getting to know her patients and working hand in hand with them to accurately diagnose and treat the symptoms they are experiencing. Dr. Wilt employs a holistic approach to mental health with a focus on incorporating medication management and supportive therapy to improve her patients' quality of life.‍

Amy Bichsel Pacheco Pina, LCSW

Education and training

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