Ioana Horotan-Enescu, DO

Violetta Aranda, LPC is a native South Texan and second generation Mexican- American. She is a 2011 graduate of St. Edward's University in Austin, Texas and obtained full LPC licensure in Texas in August of 2017. Her practice focuses on cognitive behavioral modalities within a humanistic client-centered approach to foster healing through self-acceptance and self-awareness. She has over a decade's worth of experience working within the mental health field and fifteen years working directly with children and adolescents in various capacities. Before joining Talkiatry, Miss Aranda practiced exclusively within the community health sector and these experiences provided the opportunity to become fully immersed in Trauma and Crisis Management and fostered the passion for evolving research in the treatment of trauma-informed care. She now aspires to utilize these allocated experiences and passion for the field to promote mental health awareness, client advocacy, and quality of care.

Dr. Fatemeh Safian is a board-certified psychiatrist with experience in outpatient, inpatient, and telepsychiatry settings. She completed her residency at Larkin Community Hospital, caring for a diverse range of patients. Dr. Safian diagnoses and treats a wide variety of conditions, including depression, anxiety, OCD, PTSD, trauma-related disorders, phobias, personality disorders, ADHD, bipolar disorder, postpartum depression, and concerns across all age groups. She is dedicated to creating a safe, supportive space where people feel truly heard—believing good psychiatry starts with listening.

Dr. Safian fosters a warm, respectful, and judgment-free environment where patients can share openly. She takes time to understand each person’s symptoms, story, values, and goals. Medication is just one option; she also considers therapy, lifestyle changes, and other supports. Collaboration and trust are central to her approach, with patients guiding the care decisions.

During the first appointment, Dr. Safian conducts an in-depth, unhurried conversation to explore the patient’s history and goals. Together, they develop a personalized treatment plan that may include medication, therapy referrals, and practical strategies. Ongoing follow-ups provide space to track progress, make adjustments, and ensure the patient feels comfortable and empowered.

Dr. Caitlin Gardiner is a board-certified psychiatrist specializing in child and adolescent psychiatry and psychotherapy. Dr. Caitlin Gardiner's practice is based on the biopsychosocial model and believes that the foundation of healing is in psychotherapy and human connection. She is known for incorporating therapy into her medication management practice. Typically she offers 30-minute follow-up visits for medication management with focused therapy based on individual needs. As a known helper, Dr. Gardiner started her career with a bachelor's degree in social work from Cazenovia College in Cazenovia, NY. After changing career paths, she received her medical degree from SUNY Upstate Medical University in Syracuse, NY. She stayed upstate to complete her general psychiatry residency, where she was chief resident at the beginning of the COVID-19 pandemic. Following this, she completed her child and adolescent psychiatry fellowship at Upstate due to the high quality of training. Dr. Gardiner has completed 3 years of advanced training in Dynamic Deconstructive Psychotherapy as well as specialized training in DBT. Dr. Gardiner is a well-rounded psychiatrist who enjoys treating youth and young adults during transitional phases of life while providing a safe and supportive environment. She believes strongly in reducing polypharmacy and providing high-quality medication management through a therapeutic and developmental lens.

Background and credentials

Dr. Jonathan Myrtil is a board-certified adult psychiatrist. He earned his medical degree from Ross University School of Medicine and completed his residency in Adult Psychiatry at the University of Central Florida, affiliated with North Florida Regional Medical Center. After completing his training, he remained at North Florida Regional as an adult psychiatrist and supervising physician, gaining experience treating patients in inpatient, outpatient, partial hospitalization, and intensive outpatient program (IOP) settings.

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Treatment approach

Dr. Myrtil takes a collaborative approach to psychiatric care, integrating medication management with supportive therapy to provide well-rounded treatment. His primary focus is on treating adults with mood and anxiety disorders, PTSD, and ADHD. He prioritizes patient involvement in treatment decisions, ensuring that care plans align with individual needs and goals.

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What you can expect in a first visit

Patients meeting Dr. Myrtil for the first time can expect a thorough evaluation where he assesses their symptoms, treatment history, and personal goals. He fosters a supportive and collaborative environment, working closely with patients to create a personalized treatment plan that incorporates medication management and therapeutic interventions tailored to their specific 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. Velda Pugh-Kinsey is a Board-Certified Psychiatrist with over three decades of experience in both outpatient and inpatient settings. She earned her medical degree from the University of Alabama School of Medicine and completed her psychiatry residency at University Hospital. She has previously served as Chief of Mental Health at a VA Hospital and has maintained a successful private practice focused on medication management and supportive therapy.

Dr. Pugh-Kinsey values open communication and believes in building a warm, respectful environment where patients feel heard. She works collaboratively with patients to set clear treatment goals and tailors her approach to meet each person’s unique needs. Her practice emphasizes both medication management and supportive therapy to promote long-term well-being.

During initial sessions, Dr. Pugh-Kinsey takes time to understand each patient’s history, concerns, and goals. She uses a team-based approach, partnering with patients in treatment planning and decision-making to ensure care is both effective and aligned with their values.

Dr. McGowan is a board-certified adult psychiatrist with over 14 years of experience, during which time he primarily treated active-duty US Navy sailors, their family members, and military retirees in the outpatient setting. His practice focuses on medication management in addition to supportive and cognitive-behavioral therapy in 30-minute follow-up visits. He is a strong advocate of multiple treatment modalities and, in certain situations, may suggest that therapy and/or regular physical exercise be included in your treatment plan to provide the best outcome. He received his B.S. in Physics from the United States Naval Academy. After serving as an Intelligence Officer in the Navy for eight years, he transitioned to medicine and earned his medical degree from the Uniformed Services University of the Health Sciences in Bethesda, MD. After completing an intern year in Family Medicine, Dr. McGowan completed residency training in Psychiatry at Naval Medical Center Portsmouth, VA, where he remained on staff for the next ten years and was primarily involved in resident training and education. He held academic appointments at the Uniformed Services University and Eastern Virginia Medical School and served as the Psychiatry Residency Program Director for six years. He served his final four years in uniform running the behavioral health department at Naval Air Station Whidbey Island, WA. He recently retired from the Navy after a 30-year career. Dr. McGowan has extensive experience in outpatient psychiatric care. In addition to the full spectrum of mood and anxiety disorders, he has treated a very large number of patients with PTSD stemming from combat, natural disasters, and sexual trauma. He believes that, like his service to the country, working alongside others in their journey to better mental health is an incredible privilege.