Geoffrey Edelstein, LCSW

Dr. Ernesto Gonzalez is a board certified adult psychiatrist. He completed his undergraduate training at Yale University and received his medical degree from the University of Pennsylvania School of Medicine. He completed his residency training at the Cambridge Health Alliance/Harvard Medical School Adult Psychiatry Training Program. Dr. Gonzalez prefers a holistic approach that takes the time to know the whole patient, incorporating biological, psychological, social, and cultural perspectives in crafting a comprehensive, individualized, treatment plan. He practices medication management combined with supportive therapy, typically delivered within 30 minute sessions. Elements of psychodynamic, dialectical behavior and cognitive-behavioral therapy will also be incorporated into sessions based on a patient's individual needs. If additional therapy is needed, Dr. Gonzalez will recommend the addition of an individual therapist to the patient's treatment team. Having dedicated his career to adult outpatient psychiatry, Dr. Gonzalez has worked with patients from a wide range of ages, cultures, ethnicities, and social settings across the New York City area. His primary focus is working with patients with depression, anxiety, ADHD, and PTSD. He also values working with people adjusting to changes in their lives, whether it be grieving the loss of a loved one, changes in employment, relationships, or adjusting to changes that come with age. Prior to joining Talkiatry, Dr. Gonzalez was an Assistant Professor at the NYU Grossman School of Medicine and served as Director of the Adult Outpatient Psychiatric Department, Assertive Community Treatment (ACT) Team, and Collaborative Care Departments at Woodhull Hospital in Brooklyn, New York. He also had a small practice near his home. Dr. Gonzalez has also had a lifelong interest in meeting new people and experiencing different cultures. This interest has taken him as far away as the townships of Cape Town, South Africa and as close as his local diner, and it edifies the work he does with patients.

Marcela Medina is a Licensed Clinical Social Worker who earned both her undergraduate and graduate degrees in Social Work from Florida International University. She is a dedicated and passionate clinician who understands the challenges individuals and families face across different stages of life. Marcela has worked with diverse populations experiencing homelessness, substance use, mental health disorders, and behavioral concerns. She has extensive experience working with children, adolescents, families, and adults, and provides therapy in both English and Spanish.

Marcela is authentic, realistic, and reliable, and believes therapy should be a supportive and empowering experience. She is deeply committed to helping clients reach their maximum potential by fostering insight, resilience, and personal growth. Marcela focuses on empowering clients to take control of their lives while creating a safe, nonjudgmental space where they feel heard, respected, and supported throughout the therapeutic process.

After the initial introduction, Marcela collaborates with clients to discuss what to expect from therapy and to establish clear goals and objectives. She uses open-ended questions to help clients identify triggers, strengths, and coping strategies. Together, they build a strong, individualized treatment plan that supports meaningful and sustainable progress.

Dr. Sarah Ramos, MD, has experience practicing in a variety of outpatient settings, including community mental health and military care, serving active-duty service members, their families, and veterans. She earned her medical degree from Vanderbilt School of Medicine and completed psychiatry residency training at the University of California San Diego and Thomas Jefferson University in Philadelphia.

Dr. Ramos values open communication, privacy, and a collaborative approach with her patients. She creates a warm, supportive environment where individuals feel heard, respected, and empowered to participate in their care.

In initial sessions, Dr. Ramos thoroughly assesses patients’ history, concerns, and goals to ensure care is personalized and effective. She develops comprehensive treatment plans that align with each patient’s objectives, providing ongoing support to help them achieve meaningful outcomes.

Dr. Stephane Louis, LMFT, QS, earned a B.S. in Psychology and Biblical Studies from Palm Beach Atlantic University, followed by her M.S. and PhD in Marriage and Family Therapy from Nova Southeastern University. In 2020, she was featured in Forbes for her study of resilience and intersecting identities in queer women of Afro-Caribbean descent. Past roles include bilingual mental health assessor, psychology instructor at Broward College, and Student Counselor at Lynn University. As a therapist, Dr. Louis’ work has given her in-depth insight into how multiple systems and important relationships can influence the course of a person’s life.

As a queer woman of Haitian descent, Dr. Louis explores different ways the intersectionality of culture, family, identity, and sexuality can impact our lives. She is fascinated by stories of vulnerability, always looking for strengths and solutions. She helps people feel safe to be themselves and go from where they are to where they can be.

Dr. Louis provides individual, couples, and family therapy, integrating Accelerated Resolution Therapy (ART), Solution-Focused Therapy, collaborative conversations, and systemic approaches to address LGBTQ+ issues, racial trauma, cultural identity exploration, and relational wounds. Dr. Louis will meet you where you are and help you grow into the most authentic version of yourself.

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Background and credentials

Dr. Munoz is a board-eligible adult psychiatrist. He earned his medical degree from Rutgers, New Jersey Medical School and completed his psychiatric residency at Mount Sinai Beth Israel. Throughout his training, he gained experience in a variety of clinical settings, including outpatient and inpatient care, as well as psychiatric emergency services.

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Treatment approach

Dr. Munoz provides compassionate psychiatric care through a combination of pharmacotherapy and supportive therapy. He specializes in treating depression, anxiety, bipolar disorder, and psychotic disorders. He has extensive experience working with LGBTQ+ and Spanish-speaking communities. His treatment philosophy is holistic, viewing patients as whole individuals and addressing their specific needs at different stages of life. He also emphasizes the importance of exercise, relationships, and overall well-being in his approach to mental health care.

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What you can expect in a first visit

During the first visit, patients can expect a comprehensive and patient-centered evaluation. Dr. Munoz takes the time to understand each patient’s symptoms, background, and personal goals. He collaborates with patients to develop an individualized treatment plan that may include medication management, supportive therapy, and lifestyle modifications to support their overall well-being.

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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. Jon-Kar Zubieta is a board-certified psychiatrist and nuclear medicine physician whose work bridges neuroscience and clinical care. He focuses on understanding how the brain regulates motivation and stress, applying this knowledge to mood disorders, pain, and substance use. With extensive experience in functional imaging, Dr. Zubieta explores how neurobiological mechanisms shape emotional and physical well-being.

Dr. Zubieta takes a collaborative and evidence-based approach to care. He values patient perspectives and prioritizes creating a supportive environment where patients feel heard. His goal is to tailor treatment plans that address both the psychological and biological aspects of mental health conditions.

Dr. Zubieta begins with a thorough assessment of each patient’s history, symptoms, and goals. He integrates clinical evaluation with insights from neuroscience and imaging research when relevant. Together with patients, he develops a personalized treatment plan that may include therapy, medication, or combined approaches, continually adjusting strategies to optimize outcomes.