Ayanna Swinton Jamison, 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.

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.

Dr. Antonio Ramirez earned his medical degree from Ponce Health Sciences University, where he also served as Chief Resident in Psychiatry. He completed residency training at Ponce Health Sciences University and the U.S. Veterans Health Administration, Caribbean Healthcare System, followed by a Fellowship in Consultation–Liaison Psychiatry at Montefiore Medical Center, Albert Einstein College of Medicine. Board-certified in both Psychiatry and Consultation–Liaison Psychiatry, he has served as Director of Psychiatry at the Roberto Clemente Center and Clinical Assistant Professor at NYU Grossman School of Medicine. Dr. Ramirez is bilingual in Spanish and bicultural, with published research in cultural psychiatry and stress biology, and has been recognized for teaching and leadership.

Dr. Ramirez focuses on compassionate, evidence-based care that integrates psychotherapy and psychotropic medications to promote recovery and growth. His collaborative and respectful style ensures patients feel heard while working toward meaningful goals. He emphasizes setting clear expectations from the start to foster confidence and engagement. With his background in consultation–liaison psychiatry, Dr. Ramirez brings expertise in caring for individuals managing psychiatric conditions alongside significant medical illness.

The first appointment is a comprehensive evaluation, during which Dr. Ramirez carefully explores a patient’s history, conditions, and symptoms. Based on this, he develops a personalized treatment plan and reviews it collaboratively, so expectations are clear. Future visits focus on monitoring progress, adjusting the plan as needed, and integrating both psychotherapy and medication management to best support the patient’s needs and long-term growth.

Dr. Alexandre is a board-certified psychiatrist who completed his psychiatry training both in Brazil and in the United States, where he served as Chief Resident in both programs. He is fluent in both English and Portuguese and is especially attuned to the unique challenges faced by international and immigrant populations. Dr. Alexandre is passionate about helping patients achieve meaningful and sustained improvements in their mental health.

He brings over a decade of experience in mental health care and has a strong foundation in evidence-based treatment. His clinical interests include mood and anxiety disorders, ADHD, and cross-cultural psychiatry.

Dr. Alexandre incorporates a collaborative and compassionate approach to care, combining medication management with elements of cognitive behavioral therapy, behavioral activation, and interpersonal strategies when appropriate.

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Background and credentials

Dr. Escamilla is a board-certified psychiatrist with over 20 years of experience in treating mental health conditions. He is a graduate of Harvard College and earned his medical degree from the University of Texas Southwestern Medical School. He completed his psychiatry training at the University of California at San Francisco and further specialized through a research fellowship with the American Psychiatric Association. In addition to his clinical work, he is a Jungian Analyst and holds academic positions as an adjunct professor at Rutgers University Department of Psychiatry and as the Frank McMillan Jr. Scholar at the Jung Center of Houston.

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Treatment approach

Dr. Escamilla brings a deeply analytical and research-driven approach to psychiatry, integrating traditional psychiatric treatment with Jungian analysis. He has a strong background in academic research and clinical psychiatry, contributing extensively to the field through research publications. His expertise spans a wide range of mental health challenges, and he is committed to understanding the complexities of each patient’s experience to tailor a treatment plan that best suits their needs.

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What you can expect in a first visit

During the first visit, patients can expect a comprehensive psychiatric evaluation that takes into account their personal history, psychological patterns, and treatment goals. Dr. Escamilla’s approach emphasizes thoughtful analysis and evidence-based care, ensuring that each patient receives a personalized and insightful treatment plan. His sessions may incorporate medication management, psychotherapy, and Jungian analytical techniques to provide a holistic and individualized treatment experience.

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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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Amber Boyd, LPC, has experience working in inpatient, outpatient, and virtual therapy settings. She has provided care for individuals with depression, anxiety, PTSD, adjustment disorder, schizophrenia, schizoaffective disorder, and bipolar disorder. Amber offers individual, group, family, and couples counseling, and is skilled in developing treatment plans, clinical documentation, and administering screenings such as the PHQ-9, GAD-7, and C-SSRS. She earned her B.S. in Psychology from Jackson State University and her M.S. in Counseling from Mississippi College. Amber completed her supervision hours at Mississippi State Hospital and obtained her LPC in Mississippi in 2019 and in Oklahoma later that same year.

Amber values honesty, trust, courage, and integrity. She believes in building strong rapport through open communication and mutual respect. Her approach is compassionate, direct, and goal-oriented, using a collaborative style to help clients increase emotional resilience, develop self-awareness, and strengthen coping skills to manage life’s challenges.

Amber strives to create a calm, nonjudgmental environment where clients feel safe to share their background, expectations, and therapy goals. Together, she and her clients create individualized treatment plans that reflect each person’s unique needs and diagnosis. Each plan includes realistic short- and long-term goals designed to promote growth, self-understanding, and lasting emotional well-being.