Heather Inano, MD

Giulia Ferrero earned her Bachelor of Arts and Sciences in Sociology, Ethnic Studies, and Women & Gender Studies at the University of Colorado in Boulder, and received her Master of Social Work from Columbia University with an emphasis in children, youth, and families. Giulia is licensed by the State of Texas as a master social worker (LMSW), and is dedicated to helping people who struggle with mental health concerns. She believes that change happens when people are given the support they need to draw on their own strengths and realize their potential to live fulfilling, happy lives. Giulia advocates a holistic approach when working with her clients and incorporates various treatment styles including, but not limited to, cognitive-behavioral, family systems, solution-focused, and psychodynamic. During her graduate program, Giulia worked extensively with children, utilizing play therapy techniques alongside a trauma-focused treatment approach. She specializes in individual therapy with an emphasis on issues such as PTSD, autism, stress, anxiety and depression, grief and loss, women's issues, family/relationship issues, life transitions, and personal growth. Giulia especially enjoys working with young adults and is committed to working with each person in a confidential, effective manner to help the individual accomplish his/her/their goals.

Roel Sepulveda is a board-certified psychiatric mental health nurse practitioner (PMHNP-BC) with a Master of Science in Nursing from the University of Alabama at Birmingham. Certified by the American Nurses Credentialing Center (ANCC), he has over 10 years of experience providing mental health care in psychiatric emergency rooms, outpatient psychiatry, and telehealth settings. Roel is committed to delivering comprehensive and accessible care that supports patients across diverse needs and backgrounds.

As a provider, Roel values creating a compassionate and collaborative environment where patients feel comfortable sharing their experiences. He takes a patient-centered approach, meeting individuals where they are and working together to identify treatment goals. Patients can expect a nonjudgmental space where their concerns are heard, respected, and addressed with empathy and understanding.

When working with patients, Roel begins by taking time to understand their history, symptoms, and current challenges. He develops individualized treatment plans that may include a combination of medication management, lifestyle strategies, and coordination with therapy or other supports. His goal is to provide evidence-based care while empowering patients to actively participate in their mental health journey and achieve lasting well-being.

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.

Dr. Patricia Michel-Garrison is a board-certified psychiatrist by the American Osteopathic Board of Neurology and Psychiatry (AOBNP) with over a decade of experience in inpatient psychiatry. She completed her undergraduate training in Chemistry in Florida, having moved there from Chicago in 2000, followed by medical school at the Lake Erie College of Osteopathic Medicine (LECOM). She completed her residency in Psychiatry in Largo, Florida. Dr. Michel-Garrison specializes in treating adults aged 18 and over, addressing a wide range of psychiatric conditions including anxiety, mood disorders, and personality disorders. She is known for her holistic approach, integrating both traditional and osteopathic principles to provide comprehensive care. Her treatment style is patient-centered, emphasizing individualized care plans tailored to each patient's unique needs. Dr. Michel-Garrison fosters a collaborative therapeutic relationship, promoting open communication and trust with her patients. Throughout her career, Dr. Michel-Garrison has remained committed to staying current with the latest advancements in psychiatric care. She is dedicated to helping her patients achieve optimal mental health and well-being through a combination of evidence-based practices and empathetic support.

Background and credentials

Dr. Tyler Josephs is a staff psychiatrist at Talkiatry. He earned his medical degree from Kansas City University in 2017 and completed his psychiatric residency at the University of Kansas Medical Center in 2021. During his residency, he served as Chief Resident at both the University of Kansas Medical Center and the Kansas City VA Medical Center. Most recently, Dr. Josephs worked at the Kansas City VA Medical Center, where he was the psychiatric director of the outpatient mental health clinic and served as Psychiatry Executive for behavioral health services.

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Treatment approach

Dr. Josephs believes in a holistic approach to mental health treatment, integrating medication management, supportive psychotherapy, and collaboration with therapists and support staff. He tailors treatment to each patient's unique needs, ensuring a comprehensive and individualized approach to care. His expertise includes treating a variety of psychiatric diagnoses, such as depression, anxiety disorders (including OCD), ADHD, and PTSD.

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What you can expect in a first visit

In a first visit, patients can expect a thorough evaluation, where Dr. Josephs takes the time to understand their medical history, symptoms, and treatment goals. He emphasizes open communication and collaborative decision-making, ensuring that patients feel heard and supported. Based on this initial assessment, he will develop a personalized treatment plan, which may include medication management and referrals to therapy or other supportive services as needed.

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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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* THIS PROVIDER CANNOT PRESCRIBE CONTROLLED SUBSTANCES FOR MN PATIENTS * Dr. Dung ("Young”) Truong is board-certified in both psychiatry and family medicine. Prior to joining Talkiatry, he worked in a busy Minneapolis emergency room for 20 years. He cared for patients presenting in mental health crisis, treating their acute presentation and helping find solutions to their concerns, ranging from starting and adjusting medications to identifying and addressing contributing factors such as medical illness, substance use, and life stressors. Dr. Truong has extensive experience and can comfortably manage a wide range of illnesses and problems. He sees patients of all ages and ethnicities, including LGBTQ+ populations. He has interests in mood disorders during and after pregnancy, and immigrant and refugee mental health. Dr. Truong's approach is to help you ultimately feel better and move forward with a hopeful plan involving medication management, education about your illness, and therapy to manage your emotional and environmental stressors. He is known for his calm demeanor and his excellent instincts. He strives to meet your expectations. Recognizing the challenges and complexities of the mental health condition, he also encourages input from your established care provider, therapist, and loved ones who want to be involved in your care. He feels such collaboration provides optimal treatment .Dr. Truong has also worked as a psychiatrist in an integrated primary care clinic. He has taught and supervised medical students, psychiatric residents/fellows and family medicine residents. He has collaborated extensively with social workers, therapists, and other health care providers to achieve the best outcomes for his patients. He works on staying current with the latest evidence-based care and mental health treatments.