Christine Reyes, MD

Background and credentials

Dr. Ian Goldberg is a board-certified adult and child/adolescent psychiatrist and a licensed physician in New York state. He has been practicing since 1988 and has extensive experience working with patients in private practice, hospital settings, and community-based mental health programs. His professional career has included work both in and outside of the United States.

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Treatment approach

Dr. Goldberg takes an eclectic approach to psychiatric care, integrating various treatment modalities, including psychodynamic perspectives and medication management. His focus is on improving his patients' overall quality of life by tailoring treatment strategies to their unique needs.

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What you can expect in a first visit

During the initial visit, patients can expect a comprehensive and individualized evaluation. Dr. Goldberg values collaboration and strives to create a treatment plan that is both effective and adaptable. His experience allows him to approach each case with insight and flexibility, ensuring that patients receive care that is aligned with their personal goals and circumstances.

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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. 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. Sujith Maracheril is a board-eligible psychiatrist who provides comprehensive patient care while building a physician-patient relationship centered on communication, empathy, and respect. His primary focus is medication management, and he also provides supportive psychotherapy to help patients work toward long-term improvements. While aligning treatment toward patient goals, he takes a practical approach to changes that can be made to empower patients in their lives. Dr. Maracheril is a graduate of the Sophie Davis Biomedical Education Program at the CUNY School of Medicine, a 7-year BS/MD program. He completed his residency training in psychiatry at the Zucker School of Medicine/Northwell Health at Mather Hospital. He has trained in many settings including inpatient psychiatric units, general and specialized outpatient clinics, and at a partial hospitalization program. Dr. Maracheril has experience treating a broad range of mental health conditions including depressive disorders, bipolar disorder, anxiety disorders, ADHD, and OCD. He understands that people may experience these conditions in different ways, and he aims to treat each patient in an individualized and holistic way.

Jos� holds the position of Psychotherapist for Michigan, Florida, and South Carolina at Talkiatry. After completing his Master of Arts in Community Counseling in 2012, he spent 7 years fulfilling his passion for integrated care for adults suffering from substance use disorder and mental health challenges. For the past four years, he has been working in private practice working with clients exclusively via telehealth. Jos� provides cognitive therapy, motivational enhancement therapy, and logotherapy to help his patients gain insight into current stressors related to various diagnoses, including post-traumatic stress, affective mood disorder, depression, anxiety, ADHD, and substance use disorder. He strongly believes that collaborating with a physician for medication management allows patients to be more engaged in therapy, resulting in improved treatment outcomes.

Helen Fitzpatrick, LCSW, is a Licensed Clinical Social Worker with over 20 years of experience supporting individuals and families through life’s challenges. She earned her Master’s in Social Work from Loyola University–Chicago and has worked in diverse settings, including crisis centers, hospitals, senior services, and the VA. Helen has extensive experience with adults and children with disabilities, caregivers, and veterans, as well as those managing trauma, medical recovery, or ongoing health issues.

Helen believes that therapy should be a collaborative and supportive process. She takes time to truly listen and understand her clients’ experiences, helping them identify goals that feel meaningful and attainable. Helen creates a space where clients can speak freely—especially when it feels difficult to open up to family or friends—and she brings compassion, patience, and understanding to every session.

Helen begins by exploring what her clients would like to focus on and works together with them to develop realistic and personalized goals. She values open communication and mutual respect, adjusting her approach to meet each person’s unique needs and pace. Her process emphasizes healing, empowerment, and helping clients build confidence as they move toward greater emotional well-being.

Biankah Kiser-Miranda is a Licensed Mental Health Counselor with seven years of experience supporting teens, adults, and families. She specializes in trauma, depression, anxiety, grief, obsessive-compulsive disorder, mood disorders, and concerns related to self-esteem and self-advocacy. Her approach is warm, collaborative, and strengths-based, with an emphasis on creating a safe, supportive space where clients feel heard and understood.

Biankah believes that every individual has the capacity to heal and grow. She works to build trusting relationships and partners closely with clients to identify goals that feel meaningful and attainable. Drawing from evidence-based practices such as CBT, DBT, person-centered therapy, solution-focused therapy, and mindfulness, she tailors treatment to each client’s unique needs.

Biankah begins by learning about each client’s experiences, strengths, and challenges. Together, they develop a collaborative treatment plan that supports growth, resilience, and practical skill-building. Her work is paced thoughtfully, ensuring clients feel supported as they navigate challenges and move toward lasting change.