Andrew Lelin, MD

Cosima Robinson holds a distinguished profile as a Licensed Professional Counselor, a Licensed Chemical Dependency Counselor, and a National Certified Counselor. She earned her Master of Science in Counseling from University of Houston-Clear Lake. Presently, her licensure allows her to provide counseling services within the state of Texas.

Drawing upon her extensive experience, Cosima Robinson adeptly delivers tailored therapeutic interventions catering to individuals of all age groups. She proficiently addresses a spectrum of mental health challenges, including but not limited to depression, anxiety, and various life obstacles. Her therapeutic approach is characterized by an impartial, supportive, and uplifting environment designed to foster healing.

Cosima's professional background encompasses a diverse range of settings. She has proficiently guided individuals in contexts such as dual-diagnosis scenarios, substance abuse recovery, residential and intensive outpatient care facilities, correctional institutions, survivors of domestic violence, and at-risk youth and families.

Her counseling methodology is an incorporation of person-centered, cognitive-behavioral, and solution-focused modalities. Notably, she remains flexible in her application of techniques, ensuring that each intervention is meticulously tailored to suit the distinct requirements of her clients.

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 at 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 Veterans 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.

Cherese Allen is a Licensed Professional Counselor with extensive experience working with adolescents, teens, and adults. She completed her undergraduate studies at the University of Houston and earned her master's degree from Houston Christian University. Additionally, she completed an internship at a private practice in Texas. Upon obtaining her license, she achieved certifications in Dialectical Behavior Therapy, Eye Movement Desensitization and Reprocessing, Shame-Informed Therapy, and Eating Disorders.

With years of experience in both education and private practice, Cherese has helped individuals, couples, and families overcome a wide range of mental health challenges. Her expertise includes, but is not limited to, addressing depression, anxiety, self-esteem issues, mood disorders, career changes, and major life transitions.

Cherese employs a holistic approach that integrates Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, Solution-Focused Therapy, and Person-Centered Therapy. She believes that with the right tools, you can conquer many obstacles and reach your desired destination. Cherese looks forward to supporting you on your journey!

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Background and credentials

Dr. Sinner is board-certified in Psychiatry. He completed his psychiatry residency training at Dartmouth-Hitchcock Medical Center. With over 14 years of experience, he has worked in a variety of settings, including five years in inpatient psychiatry in Vermont, where he served as Medical Director for a state hospital psychiatric unit and taught medical students. He then spent five years working in an outpatient community mental health center in Pennsylvania before transitioning to telepsychiatry, providing care to individuals in Pennsylvania, Florida, and New York.

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Treatment approach

Dr. Sinner employs a collaborative, patient-centered approach, tailoring treatment plans to meet each individual's specific needs. His practice integrates pharmacotherapy with cognitive behavioral therapy (CBT) and supportive therapy as needed. He specializes in treating a wide range of psychiatric conditions, including depression, bipolar disorder, anxiety, ADHD, neuropsychiatric disorders, developmental disorders, and personality disorders. His philosophy is to provide personalized care that makes a meaningful impact at different stages of a patient’s life.

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What you can expect in a first visit

During the first visit, patients can expect a comprehensive evaluation focused on understanding their mental health concerns, history, and treatment goals. Dr. Sinner takes a compassionate and collaborative approach, working closely with patients to create individualized treatment plans. He ensures that each patient receives a balanced and effective combination of medication management and therapeutic interventions suited to their unique 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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Dr. Michael Bartolac is a board-certified psychiatrist with experience in both outpatient and inpatient psychiatric care. He has treated a wide range of psychiatric conditions including affective, psychotic, anxiety, trauma-related, substance use, neurodevelopmental, personality, and neurocognitive disorders. His clinical experience includes hybrid remote outpatient work, inpatient psychiatry on locked units, consultation for medically hospitalized patients, and performing electroconvulsive therapy (ECT). He earned his medical degree from Lake Erie College of Osteopathic Medicine and completed psychiatry residency at West Virginia University/Charleston Area Medical Center.

Dr. Bartolac values creating a space where patients feel comfortable voicing their concerns. His treatment style is rooted in open communication and trust. He primarily focuses on medication management and supportive therapy, while incorporating psychodynamic and cognitive behavioral techniques during 30-minute follow-up visits.

Dr. Bartolac is committed to providing competent and compassionate care. He takes a collaborative approach, working closely with patients and their healthcare team to ensure all aspects of care are aligned with the patient’s needs and goals.

Maria Fiore is a Licensed Professional Counselor who has experience with a broad range of people and situations. Maria attended school at the University of Houston - Victoria, and practices in Texas. She continues to study and research in order to bring the best quality of care to each individual that she works with.‍In the time that Maria has been a therapist, she has worked directly with clients needing intense inpatient care, clients in an educational setting, and clients in various outpatient settings. She believes that every individual is unique and the care they receive should reflect that. Maria will work with you to develop therapeutic goals so you can grow into being the best version of yourself.‍She bases her treatment approach on Cognitive Behavioral Therapy, with elements of mindfulness and solutions focused therapy. Outside of work, Maria enjoys gardening, reading, and spending time in nature.‍