Amy Bichsel Pacheco Pina, LCSW

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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.

Meghan Hebishi, DO

Staff Psychiatrist

Dr. Meghan Fahy Hebishi is double-board certified in General Psychiatry and Child and Adolescent Psychiatry. Originally from Delaware, Dr. Hebishi earned her medical degree from the Philadelphia College of Osteopathic Medicine in 2017. She also obtained a Master of Science in Biological Sciences from Drexel University and a Bachelor of Science in Biology from Juniata College. In 2017, Dr. Hebishi moved south and is happy to call North Carolina her home. She completed her internship at Campbell University/Harnett Health in 2018. She went on to complete a General Psychiatry Residency followed by a Fellowship in Child and Adolescent Psychiatry at East Carolina University Brody School of Medicine. Prior to joining Talkiatry in 2025, Dr. Hebishi was in private practice at North Raleigh Psychiatry in Raleigh, NC.

Dr. Hebishi is experienced in treating children, adolescents and adults. She utilizes medication management and psychotherapy in her clinical practice. Her areas of interest include ADHD across the lifespan, anxiety disorders, mood disorders (depression and bipolar disorder) and OCD. She is dedicated to building a collaborative relationship with patients and their families where shared-decision making is respected and encouraged. She is passionate about providing continuity of care to her patients as they navigate life's changes and challenges.

Brittany Bridges, LMHC

Staff Licensed Mental Health Counselor

Brittany Bridges received her Bachelor's of Science (BS) in Human Development and Family Studies from the University of North Carolina at Greensboro, as well as her Master's (MS) in Mental Health Counseling, from North Carolina Agricultural and Technical State University. Ms. Bridges is a Licensed Clinical Mental Health Counselor (LCMHC) for the state of North Carolina as well as a National Certified Counselor (NCC). Ms. Bridges utilizes an array of therapeutic modalities and techniques based on the needs of the clients, including but not limited to cognitive behavioral therapy (CBT), dialectical behavioral therapy (DBT), and Solution-focused Therapy. ‍Ms. Bridges' prior experience entails working in a clinical outpatient setting and on a North Carolina college campus where she's treated a variety of mental health conditions. She leads with openness and empathy as she strives to provide a safe and respectful environment in which clients from various backgrounds and cultures can explore a myriad of issues. Ms. Bridges enjoys working with a broad range of clients and concerns. Her professional interests include working with young adults, women's issues, diversity, and multicultural experiences

Tetyana Tarnavsky, MD

Staff Psychiatrist

Dr. Tetyana Tarnavsky is a board-certified psychiatrist trained in Adult Psychiatry. She attended Dnipropetrovsk State Medical Academy in Ukraine where she received her M.D., M.S. and Ph.D. degrees in Psychiatry. Dr. Tarnavsky completed her residency at Harvard South Shore Psychiatry Residency Training Program in MA, where she was elected chief resident. Dr. Tarnavsky has an extensive research experience in Ukraine and the USA. She had studied computer addiction for her dissertation; had multiple abstracts and presentations; published several articles in peer-reviewed psychiatric journals as well as a book entitled Computer Addiction: Formation, Diagnosis, Correction and Prophylaxis. She has helped organize international conferences with the goal of improving access to and quality of healthcare in Dnipropetrovsk, Ukraine, and providing a national model for health care reform. Dr. Tarnavsky has worked with a variety of patients with diverse backgrounds in a Community Health Center and in the Partial Hospitalization Program as well as supervised medical students, psychiatry residents, and nurse practitioners. She has been a lecturer on psychiatry at Harvard Medical School and was involved in the training of psychiatry residents in the Harvard South Shore Psychiatry Training Program. Her primary focus has been on treating adults with depression, anxiety, post traumatic stress disorder, adjustment disorder, ADHD and other disorders. Dr. Tarnavsky strives to provide quality and compassionate treatment to individuals and their families.‍

Laura Rosas, MD

Staff Psychiatrist

Dr. Laura Rosas is an adult psychiatrist at Talkiatry who practices compassionate, patient-centered care. As a multiracial psychiatrist, she serves diverse communities and focuses on treatment plans that respect each patient's background. She treats various diagnoses, including trauma, mood, personality, and eating disorders, with a particular interest in the student and LGBTQ+ communities. Using a range of skills and interventions from psychodynamic therapy, cognitive behavioral therapy (CBT), dialectical behavior therapy (DBT), acceptance and commitment therapy (ACT), and mentalization-based therapy (MBT), Dr. Rosas prioritizes a collaborative approach. She ensures patients are actively involved in shaping their treatment, including decisions about medication and supplements. This cooperation allows for personalized care plans that align with each patient's needs, values, and goals. Recognizing that cultural influences, substance use, financial constraints, and other societal factors impact mental health, Dr. Rosas examines these personal aspects to provide effective, holistic care in a non-judgmental space. She graduated from McGovern Medical School (UT Houston) and completed her residency in psychiatry at the University of Chicago. She aims to make healthcare more accessible and affordable, driving systemic changes in mental health care.

Deborah Bearman, PMHNP

Staff Nurse Practitioner

Deborah Bearman, PMHNP, is a board-certified psychiatric nurse practitioner who is dedicated to helping those struggling with mental health concerns to live a more fulfilling life. Deborah received her Master of Science in Nursing with a specialty in psychiatry from SUNY Upstate Medical University. She is trained in psychiatric diagnosis, medication management, and psychodynamic and cognitive behavioral therapies. Over the past 10 years, she has gained valuable experience in a number of settings, including inpatient and outpatient facilities, community mental health clinics, and private practice. Deborah is devoted to addressing adult mental health from a holistic perspective, utilizing a combination of medication management with supportive counseling, which she offers during 30-minute follow up sessions. While she focuses on medication management, she believes most people benefit from therapy as well and has extensive experience in psychodynamic and cognitive behavior therapies. She also believes in providing psychoeducation to patients, families, and caregivers. As a psychiatric nurse practitioner, Deborah understands the value of the therapeutic relationship and the positive impact it can have on daily function. By working with patients to create comprehensive and effective treatment plans, Deborah supports her patients in living healthier and more satisfying lives.

Deora Johnson, PMHNP

Staff Psychiatric Nurse Practitioner

Deora Johnson, DNP, PMHNP is a board certified Adult Psychiatric Nurse practitioner with 24 years of experience. He has a passion for providing clients with a holistic approach to mental health care which includes both pharmacologic and non-pharmacologic interventions. He works with adult and senior populations focusing on assessment, diagnosis and treatment of mental health issues. He works closely with you to help guide you through the process of understanding and deciding on the most effective interventions/medication management options for your diagnosis. Supportive therapy, Solution Focused therapy, or Motivational Interviewing are integral components of medication management appointments with Deora. Deora completed the Master of Science in Nursing degree at Vanderbilt University in Nashville, Tennessee. He also completed a Doctor of Nursing Practice degree at the University of Alabama in Birmingham, Alabama. He has experience in treating patients in a variety of outpatient and inpatient settings. His areas of specialty include treatment of Major Depressive Disorder, Anxiety Disorders, Bipolar Disorder, ADHD, PTSD and Insomnia. His doctoral research focus was nonpharmacologic interventions for insomnia in depressed patients. Deora has experience working with the military veteran population. His clinical experience with the VA Outpatient Clinic in Baltimore, Maryland focused on treating PTSD, Major Depressive Disorder, Anxiety Disorder, and Bipolar Disorders in returning veterans from Operation Iraqi Freedom and Operation Enduring Freedom. His clinical case load also included veterans from Vietnam and Korean war eras. Deora believes a therapeutic relationship provides a unique opportunity to work with your provider through whatever life challenges and issues you may be dealing with right now. Medication management is an important adjunct to a treatment plan, which also includes therapy.

Amy Bichsel Pacheco Pina, LCSW

Education and training

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