Andrew Li, MD

Dr. Ioana Horotan-Enescu is a board-certified Psychiatrist. Before joining Talkiatry, she was an Active-Duty staff psychiatrist at Blanchfield Army Community Hospital, Fort Campbell, KY. Her military service also included roles such as Medical Director of Behavioral Health and Interim Clinic Chief for Embedded Behavioral Health Clinic. She completed her internship and residency at Walter Reed National Military Medical Center and earned her Doctor of Osteopathy Degree from the University of New England College of Osteopathic Medicine. Her clinical experience spanned from the inpatient to the outpatient setting and afforded her the opportunity to develop comprehensive skills in the treatment of PTSD, mood disorders, thought disorders, addiction and perinatal mood disorders. Her teaching experience spanned multiple institutions, where she has served as a preceptor and mentor for medical students, nurse practitioner and physician assistant students. In addition to medication management, she augments her practice by implementing mindfulness, psychodynamic and supportive therapy techniques in her everyday practice to enhance treatment and improve treatment response. Dr. Horotan-Enescu holds several certifications, including in Cognitive Behavioral Health Therapy for Suicide Prevention, Motivational Interviewing and Battlefield Acupuncture. She has delivered presentations at national and international conferences on various topics, reinforcing her commitment to advancing the field of psychiatry.

Background and credentials

Dr. Tyler Josephs is a staff psychiatrist at Talkiatry. He earned his medical degree from Kansas City University in 2017 and completed his psychiatric residency at the University of Kansas Medical Center in 2021. During his residency, he served as Chief Resident at both the University of Kansas Medical Center and the Kansas City VA Medical Center. Most recently, Dr. Josephs worked at the Kansas City VA Medical Center, where he was the psychiatric director of the outpatient mental health clinic and served as Psychiatry Executive for behavioral health services.

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Treatment approach

Dr. Josephs believes in a holistic approach to mental health treatment, integrating medication management, supportive psychotherapy, and collaboration with therapists and support staff. He tailors treatment to each patient's unique needs, ensuring a comprehensive and individualized approach to care. His expertise includes treating a variety of psychiatric diagnoses, such as depression, anxiety disorders (including OCD), ADHD, and PTSD.

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What you can expect in a first visit

In a first visit, patients can expect a thorough evaluation, where Dr. Josephs takes the time to understand their medical history, symptoms, and treatment goals. He emphasizes open communication and collaborative decision-making, ensuring that patients feel heard and supported. Based on this initial assessment, he will develop a personalized treatment plan, which may include medication management and referrals to therapy or other supportive services as needed.

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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. Candice Hacker is a board-certified Psychiatrist at Talkiatry. She completed her Psychiatry residency and a fellowship in Consultation Liaison Psychiatry at Mount Sinai/St. Luke's Hospital. She is passionate about a holistic approach to patient care, trained in psychosomatic medicine, and she has a deep appreciation for the intricate connection between the mind and body. With over 20 years of experience, Dr. Hacker has facilitated excellent outcomes in the treatment of various mental health conditions, including anxiety disorders, mood disorders, and trauma-related conditions. Dr. Hacker believes in creating a safe, nurturing and non-judgmental environment where patients can openly explore their emotions and experiences. By integrating evidence-based psycho-pharmacological modalities with mindfulness and cognitive-behavioral techniques, she empowers her patients to challenge a negative mindset and reach their goals. Beyond her clinical practice, Dr. Hacker is deeply committed to community mental health advocacy and the destigmatization of mental illness.

Dr. Carrie Ramos is a compassionate and skilled adult general psychiatrist with a commitment to providing comprehensive mental health care. A native of Texas, Dr. Ramos embarked on her medical journey at the Burrell College of Osteopathic Medicine in New Mexico, where she obtained her medical degree. Following her passion for psychiatry, she completed her residency at HCA Florida Woodmont Hospital, honing her expertise in adult psychiatric care. Dr. Ramos brings a diverse background to her practice, having earned her Bachelor's degree in Exercise Science from the University of Mary Hardin-Baylor. This foundational knowledge underscores her holistic approach to mental health, recognizing the interconnectedness of physical and emotional well-being. As a board eligible psychiatrist, Dr. Ramos is dedicated to staying current with the latest advancements in psychiatry and utilizing evidence-based treatments to support her patients. Her approach is characterized by empathy, active listening, and a commitment to fostering a therapeutic alliance with each individual under her care. With a deep-rooted passion for helping others, Dr. Ramos is driven to empower her patients on their journey toward mental wellness. Her Texas roots, coupled with her diverse educational background and clinical experiences, uniquely position her to understand and address the diverse needs of her patients. In her role as a psychiatrist, Dr. Ramos is poised to make a meaningful impact in the lives of those she serves, offering hope, healing, and support to individuals seeking guidance on their path to mental health recovery.

Dr. Jacqueline Hong is a board-certified adult psychiatrist who takes a genuine interest in her patients and values collaborative decision-making. Over the past 4 years of practicing, she has followed a holistic model of care that accounts for the physical, mental, social, and spiritual needs of the individual. She has a down-to-earth, patient, and warm personality, and prides herself on timeliness and professionalism. Though Dr. Hong focuses on medication management, she has a passion for supportive therapy with elements of CBT, psychodynamic therapy, and mindfulness. She may also recommend that a therapist be included in your care team if more specialized therapy is required. Dr. Hong graduated summa cum laude from Grove City College, and completed medical school at UTMB at Galveston. She finished her residency at Memorial Healthcare System in FL, where she held a leadership position in Graduate Medical Education. Dr. Hong has experience in treating a wide range of disorders, including depression, anxiety, OCD, PTSD, ADHD, schizophrenia, bipolar disorder, and addiction. She has worked with adolescent, geriatric, pregnant, and medically complex patients. Growing up in a Korean immigrant household and training in the ethnically diverse South Florida region has informed her of the unique struggles that immigrant populations face. Dr. Hong has a special interest in treating mood and anxiety disorders. Outside of the office, Dr. Hong enjoys art, cinema, and powerlifting.

Michelle Harris is a board-certified psychiatric mental health nurse practitioner (PMHNP). She earned her Master of Science in Nursing in the psychiatric mental health track at the University of Saint Joseph and her Bachelor of Science in Nursing from the University of Connecticut. Her training includes psychiatric diagnosis, medication management, cognitive behavioral therapy, and motivational interviewing. With over a decade in psychiatric mental health care and 5+ years as a PMHNP, she has worked in outpatient, private practice, telehealth, inpatient, and homecare settings, treating patients from diverse backgrounds, including neurodivergent, LGBTQ+, BIPOC, and immigrant populations. She has a particular interest in ADHD, depression, anxiety, and OCD.

Michelle values a holistic approach to mental health and believes culturally sensitive care is essential. She strives to create a supportive environment for patients of all backgrounds and sexual orientations, ensuring each person feels understood, respected, and empowered in their care.

Michelle focuses on medication management with supportive therapy as appropriate. Initial sessions involve gathering a detailed patient history and discussing individual concerns. She works collaboratively with each patient to develop a personalized treatment plan, addressing their unique needs and goals.