George Ellis, MD

Dr. Kristin Ratz is a Board-Certified psychiatrist who is an expert in the diagnosis, treatment, and prevention of mental, emotional and behavioral disorders. She specializes in medication management combined with supportive therapy during 30-minute follow-up sessions. Dr. Ratz recognizes that each patient is unique and believes in an environment of collaboration, in which the patient and psychiatrist work together in order to develop the best individualized treatment plan. A California local, Dr. Ratz obtained her undergraduate education at University of California, Davis, graduating magna cum laude with a degree in Human Development. She then attended medical school at Loma Linda University School of Medicine, obtaining her Medical Doctorate. Following this, she completed her adult psychiatry residency training at the distinguished University of California, Irvine. Dr. Ratz has worked in a diverse range of healthcare settings, including county and community clinics, and is very experienced in telepsychiatry. She pays close attention to not only an individual's emotional state, but also their physical, spiritual, and social well-being, in order to provide her patients with exceptional holistic care.

Dr. Michael Lukowski is an adult psychiatrist who holds board certification with the American Board of Psychiatry and Neurology. He has been practicing medicine for over 4 years. Dr. Lukowski focuses on medication management combined with supportive therapy in 30-minute follow-up visits. He practices whole-person medicine, caring for the wellness of your mind, body, and spirit and helping you enjoy your relationships with those around you. Dr. Lukowski received his medical degree from the University of Nevada School of Medicine in Reno, NV, before moving to southern California to complete his residency at Loma Linda University. After completing training, Dr. Lukowski began working with the Southern California Permanente Medical Group in Riverside, CA, where he treated a variety of psychiatric disorders in an outpatient setting. In March of 2020, as the pandemic changed life and medicine forever, Dr. Lukowski adopted a strictly telepsychiatry role at his clinic. He has also held a staff psychiatrist position as an adult inpatient psychiatrist in Tennessee. Dr. Lukowski treats a wide variety of psychiatric disorders within the adult demographic.

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. Inano is a board-certified adult psychiatrist. She earned her bachelor's degree in psychology from Xavier University in New Orleans and obtained her medical degree from the University of California Davis. She completed her general psychiatry residency at the University of Texas at Austin Dell School of Medicine. Before transitioning to private practice, Dr. Inano worked within the Veterans Affairs healthcare system, where she gained extensive experience treating a diverse range of mental health conditions. She has also served as an Affiliate Faculty member at the University of Texas at Austin Dell School of Medicine, supervising and training psychiatry residents.

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Treatment approach

Dr. Inano employs a kind, collaborative, and patient-centered approach to psychiatry. She specializes in treating depression, anxiety, and trauma-related disorders, with additional training in psychotherapeutic modalities for PTSD. She strives to create a safe and supportive environment where patients feel comfortable exploring their concerns and working toward healing.

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What you can expect in a first visit

During the first visit, patients can expect a thorough and compassionate evaluation aimed at understanding their unique experiences, symptoms, and treatment goals. Dr. Inano emphasizes collaboration, ensuring that each patient is actively involved in their treatment plan. She provides a supportive space where patients can discuss their concerns, and she tailors treatment options—including therapy and medication management—to meet individual needs.

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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. Mouneimne is a Board-Certified bilingual psychiatrist specializing in general adult psychiatry, bringing extensive experience from her residency training in the underserved area of East Texas. She earned her medical degree from the Texas College of Osteopathic Medicine in Fort Worth and has received broad exposure to child/adolescent, geriatric, and adult inpatient and outpatient psychiatry. With a background in Engineering from Texas A&M University, Dr. Mouneimne employs an analytical approach to diagnose and treat mental health issues through personalized and collaborative care. Her training has included both in-person and virtual encounters to extend care across larger geographic areas. She has experience managing psychiatric care in acute behavioral health units as well as long-term facilities and has focused training in applied Cognitive Behavioral Therapy (CBT). Dr. Mouneimne prioritizes maintaining strong patient-provider relationships, ensuring that patients feel heard and seen to optimize treatment outcomes. She is committed to de-stigmatizing mental health services and providing culturally competent care. Her practice incorporates medication management as part of a comprehensive treatment strategy, emphasizing a deep understanding of the underlying etiology rather than merely addressing symptoms. Known for her compassionate and open bedside manner, she values each patient's unique story as essential to their care. ‍In addition to medication management, her practice includes Cognitive Behavioral Therapy (CBT) and supportive psychotherapy to effectively address complex mental health needs. Dr. Mouneimne strives to promote overall well-being and encourage active patient engagement in their care, ensuring that treatment plans support patient goals, comfort, and meaningful outcomes.

Margaret Mary Reyes, MSN, APRN, PMHNP-BC, is a board-certified Psychiatric Mental Health Nurse Practitioner committed to delivering patient-centered and compassionate mental health care. A proud Florida native, she earned her Bachelor of Science in Nursing (BSN), Master of Science in Nursing (MSN), and post-master’s certification in Psychiatric Mental Health Nursing from Florida Atlantic University (FAU). Her academic research focused on improving outcomes for women living with Premenstrual Dysphoric Disorder (PMDD).

Margaret has advanced practice experience in both inpatient and outpatient psychiatric settings. She has treated individuals with a wide range of mental health conditions, including psychotic disorders, bipolar spectrum disorders, depressive and anxiety disorders, trauma-related disorders, attention deficit disorders, personality disorders, substance use and co-occurring disorders, eating disorders, suicidality, homelessness, and severe mental illness (SMI) within the criminal justice system. Her clinical background also includes acute care experience in oncology, medical-surgical, telemetry/cardiac step-down, intensive care, nursing research, and consultation-liaison psychiatry.

She takes an integrative and comprehensive approach to mental health care, combining medication management with evidence-based complementary and alternative interventions. Her practice is grounded in the understanding of the mind-body-spirit connection and the gut-brain axis. Margaret incorporates supportive therapy, motivational interviewing, and mindfulness-based cognitive techniques to support her patients’ overall well-being.

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