Cosima Robinson, LPC

Garmis Sena, LMHC, is a licensed therapist with experience supporting children, adolescents, adults, and families. She brings a background in community mental health, school-based services, and outpatient therapy. Her clinical work includes treating trauma, anxiety, depression, emotional regulation challenges, family conflict, and life transitions. She holds a bachelor’s degree in Psychology and a master’s degree in Mental Health Counseling.

Garmis believes therapy should feel safe while also encouraging growth. She values honesty, trust, and emotional safety, and incorporates a holistic lens that considers mind, body, relationships, and life experiences. Patients can expect to be heard without judgment as she meets them where they are and supports them in building toward meaningful change.

Garmis begins by learning each patient’s story, stressors, and goals. She works collaboratively to identify patterns, triggers, and emotional blocks, and together develops realistic and personalized treatment goals. Sessions are structured yet adaptable, incorporating practical tools patients can use outside the therapy room. She regularly reviews progress and adjusts the approach as growth evolves.

Dr. David Guggenheim is an experienced clinical psychologist and health care administrator. He has worked with patients at different stages of life, including children, adolescents, and adults, and he has treated patients living with a wide range of mental health conditions, including anxiety, depression, post-traumatic stress disorder (PTSD), substance use, and attention-deficit hyperactivity disorder. Dr. Guggenheim has specific training in Trauma-Focused Cognitive Behavioral Therapy, Motivational Interviewing, and foundational training in dialectical behavioral therapy. Prior to joining Talkiatry, Dr. Guggenheim served as the Chief Behavioral Health Officer at Callen-Lorde Community Health Center in New York City, specializing in LGBTQ+ health care. In that role, he oversaw teams of providers including psychiatrists, psychologists, and social workers, who collectively provided care to thousands of patients in the New York metropolitan area. While at Callen-Lorde, he also served as co-chair for the behavioral health subcommittee of the Community Health Center Association of New York State; worked as an Adjunct Professor at Post University; and performed volunteer clinical work at the Weill Cornell Center for Human Rights. Before joining Callen-Lorde, Dr. Guggenheim worked as Associate Chief Behavioral Health Officer at Community Health Center, Inc., a federally qualified health center in Connecticut. A recognized expert, Dr. Guggenheim has delivered lectures to audiences ranging from medical schools to corporate executives, and he has been quoted in national media including The Advocate, Yahoo Finance, and Teen Vogue. Dr. Guggenheim has also been honored with an Early Career Achievement Award from the American Psychological Association in 2016. Dr. Guggenheim received his Bachelor of Arts from the University of Connecticut in 2002 and his Doctor of Psychology in Clinical Psychology from the American School of Professional Psychology at Argosy University/Washington, DC in 2009.

Ronnie Butler is a Licensed Professional Counselor with over 20 years of experience practicing in psychiatric, clinical, and inpatient settings. After completing an undergraduate degree in psychology in Oklahoma, Ronnie earned a graduate degree in Counseling Psychology from Sam Houston State University in Huntsville, Texas. He is licensed in Oklahoma, Texas, and New Mexico, and holds an endorsement from the Oklahoma State Board of Behavioral Health as a Clinical Supervisor for LPC Interns. Ronnie is also an active member of the American Counseling Association and the Oklahoma Counseling Association’s Mental Health Counselors Division.

Ronnie focuses on supporting individuals facing depression, anxiety, mood instability, trauma, adjustment challenges, attention difficulties, and substance use concerns. He values open communication and collaboration, helping patients set clear and realistic treatment goals. Ronnie strives to create a warm, supportive environment where patients feel heard, respected, and empowered to engage in their own growth process.

In the initial session, Ronnie takes time to thoroughly understand each patient’s history, concerns, and personal goals. He then develops an individualized, measurable treatment plan that aligns with each patient’s needs. Throughout the therapeutic process, Ronnie regularly reassesses progress to ensure therapy remains meaningful, effective, and tailored to achieving lasting change.

LaTreece Ross is a Licensed Professional Counselor in Texas who has been practicing for 4+ years in a variety of settings including mental health clinics, school settings, foster homes & resident treatment care centers (RTC). She also has 3 + years of trauma experience at the Children's Advocacy Center of Collin County (CACCC) for her practicum, internship, and post grad clinical hours.LaTreece is dedicated to helping clients find new ways to cope with everyday life as they reframe their thought patterns. During therapy, she incorporates multiple modalities of treatment into her practice to give each client a unique experience that meets their specific needs. LaTreece offers cognitive behavioral therapy, client-centered therapy, Solution-focused Therapy, and trauma-informed therapy. She specializes in working with clients dealing with depression, anxiety, life transitions, adolescent and peer issues, relationship and family distress, and grief and loss. During the initial sessions, LaTreece will collaborate with the client to create a treatment plan and set goals for therapy.

Eyerusalem Mulatu practices as a Licensed Professional Counselor, Chemical Dependency Counselor, and Certified Clinical Trauma Professional. She has provided over a decade of experience in treating clients with mental health, trauma, and substance abuse addiction in a residential, PHP and IOP level of care. Eyerusalem's passion is providing education on how childhood trauma impacts daily life, coping skills to maintain sobriety, confronting the past, and living a healthy life. Eyerusalem's goal is to ensure clients feel heard, safe, and secure with their right to confidentiality. She has identified creative ways to build therapeutic rapport in a telehealth platform to strengthen the virtual care experience. Eyerusalem is qualified in caring for the family as a whole and identifying underlying issues such as unresolved trauma that exacerbate feelings of depression and anxiety. She empowers individuals on their road to healing. Eyerusalem is a Master's level clinician with over a decade of experience in treating Adults and Adolescents. Eyerusalem is also a post-induction therapist trained in the Meadows Model. In addition, Eyerusalem is a Certified Clinical Trauma Professional specializing in treating childhood trauma. Eyerusalem uses a variety of modalities to help treat patients from CBT, Narrative, and DBT.

Nicole Estevez is a licensed mental health counselor in New York and an out-of-state telehealth provider in Florida. She received her Master of Mental Health Counseling from Alliance Graduate School of Counseling (now Alliance University). Nicole has 9 years of experience providing client-centered individual and family therapy services to a wide variety of clients. Nicole has worked in a variety of settings including an outpatient community clinic, in-home family therapy, treating undocumented minors with trauma history, and telehealth. Nicole has experience working with clients who are experiencing anxiety, depression, bipolar disorder, borderline personality disorder, grief, post traumatic stress disorder, and other mental health concerns. Over the years in the mental health field, she believes that the best approach to therapy is a collaborative process with the client to assist in achieving their goals. Nicole has experience with modalities including cognitive behavioral therapy, psychodynamic, motivational interviewing, and dialectical behavioral therapy.