Ioana Horotan-Enescu, DO

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Dr. Webb is board-certified by the American Board of Psychiatry and Neurology. She earned a Bachelor of Science in Biological Sciences from the University of Miami in Coral Gables, Florida, and obtained her medical degree in Osteopathic Medicine from the West Virginia School of Osteopathic Medicine. Dr. Webb completed her psychiatry residency training at Palm Beach Consortium for Graduate Medical Education in Tamarac, Florida. After her training, she served as an attending psychiatrist with the Department of Veterans Affairs in Miami, Florida, and as an attending psychiatrist and mentor for psychiatry residents in training at the University of Miami, Florida International University, and University Hospital and Medical Center in Tamarac.

Treatment approach

Dr. Webb believes in building strong therapeutic relationships with her patients, integrating conservative psychological treatments and lifestyle modifications to enhance overall well-being and quality of life. She primarily provides medication management combined with supportive or emotionally focused therapy. Dr. Webb emphasizes creating individualized care plans tailored to each patient’s unique needs. While medication and supportive therapy are central to her approach, she occasionally recommends involving an additional therapist to optimize treatment outcomes. Dr. Webb specializes in managing a broad range of psychiatric conditions, including depression, anxiety, bipolar disorder, postpartum depression, OCD, and PTSD.

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What you can expect in a first visit

Patients meeting Dr. Webb for the first time can expect a thoughtful and comprehensive assessment focused on building rapport and understanding their personal and clinical needs. Dr. Webb emphasizes creating a strong therapeutic relationship, developing an individualized care plan designed specifically to address each patient's symptoms and lifestyle. Follow-up appointments typically last around 30 minutes, during which medication management and supportive therapy are provided. Depending on patient needs, Dr. Webb might suggest incorporating additional therapeutic support to achieve the best possible results.

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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.

Maxine Zhou, MD

Staff Psychiatrist

Dr. Zhou is a board-certified psychiatrist who has more than 4 years of experience practicing in various clinical settings with an emphasis on mental health care in outpatient settings. She practices a holistic approach to developing an individualized plan to work toward a patient's goals. Dr. Zhou is experienced in treating depression, bipolar spectrum disorders, obsessive-compulsive disorders, post-traumatic stress disorder, generalized anxiety, and other related psychiatric disorders. Dr. Zhou received her medical degree from Texas Tech University Health Sciences Center School of Medicine and completed her adult psychiatry residency training at LSU Health Shreveport. Dr. Zhou's background and experiences have broadened her understanding of cultural stigmas and the relationship it plays in psychiatric care. She incorporates a multitude of treatment modalities such as supportive therapy, cognitive behavioral therapy, and mindfulness practices as an adjunct to pharmacotherapy. Dr. Zhou recognizes the value of a multifaceted approach to wellbeing and may recommend treatment modalities that are complementary to medication management.

Gregory Miller, DO

Staff Psychiatrist

Gregory Miller, DO, is an adult psychiatrist who prioritizes understanding his patients by first listening to their stories. He collaborates with them to develop both pharmacological and non-pharmacological solutions aimed at improving their functionality. Dr. Miller emphasizes that functioning better often leads to feeling better. Whenever possible, he approaches treatment within the context of the family system surrounding the individual. Raised in South Carolina, and now residents of Florida, Dr. Miller and his wife of 31 years have six children. He enjoys outdoor activities and team sports and is an avid fan of Tolkien and C.S. Lewis. He at times incorporates analogies from their works into therapy if appropriate.

Dominique Holley, DO

Staff Psychiatrist

Dr. Dominique Holley is a triple board-certified psychiatrist in Adult Psychiatry, Child and Adolescent Psychiatry, and Addiction Medicine. Dr. Holley completed her post-doctoral residency and fellowship training at Walter Reed National Military Medical Center. She has served as an active US Army officer and recently separated from the US Army after 11 years of service. In her most recent role, she served as the Deputy Chief of the Department of Behavioral Health at Fort Campbell, KY where she provided clinical and administrative supervision, as well as mentorship and guidance for an interdisciplinary team of over 140 personnel. She maintained oversight of behavioral health care being delivered through 11 clinics and satellite locations, providing patient care for over 30,000 beneficiaries. While in leadership, she continued to provide direct patient care for service members and dependents including child and adolescent populations. Due to her experience with this unique population, she has extensive experience in treating individuals with trauma. She offers an holistic approach when caring for individuals dealing with mental illness as well as phase of life circumstances. She believes in treating the whole person and attending to physical, spiritual, and mental health. Dr. Holley provides supportive, cognitive behavioral, acceptance and commitment, and psychodynamic therapy skills that complement medication management in order to help improve wellness.

Lindsay Works, DO

Staff Psychiatrist

Background and credentials

Dr. Lindsay Works is board-certified in psychiatry and addiction medicine. She earned her Doctor of Osteopathic Medicine (DO) degree from Rocky Vista University in Colorado and completed her internship and psychiatry residency at Walter Reed National Military Medical Center. She has extensive experience in both inpatient and outpatient psychiatric care, particularly in military and veteran populations.

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Treatment approach

Dr. Works specializes in psychiatric care and addiction medicine, offering treatment for a range of mental health and substance use disorders. She takes a comprehensive and structured approach, integrating medication management with individualized treatment planning. Her background in military psychiatry allows her to provide specialized care for veterans and active-duty service members, particularly those experiencing PTSD, substance use issues, and other psychiatric conditions.

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What you can expect in a first visit

During the first visit, patients can expect a detailed and structured psychiatric evaluation, where Dr. Works carefully assesses mental health concerns, treatment history, and personal goals. She prioritizes collaboration and patient engagement, ensuring that each treatment plan is tailored to the individual’s needs. She works with patients to develop an approach that may include medication management, therapy referrals, and support for addiction-related challenges, depending on each patient's unique situation.

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Why Talkiatry?

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Michelle Hornbaker-Park, MD

Staff Psychiatrist

Dr. Michelle Hornbaker-Park is a board-certified General and Child and Adolescent Psychiatrist with over nine years of experience. Her practice focuses on medication management, which is founded not only on evidence-based medicine but also on the understanding that a trusting therapeutic relationship is the cornerstone of behavioral health healing. She incorporates CBT, supportive therapy, and psychoeducation into her medication management appointments and may refer patients for additional psychotherapy to improve outcomes. Dr. Hornbaker-Park received her Bachelor of Science degree from Ursinus College, with a dual major in Biochemistry/Molecular Biology and Neuroscience. After receiving a Health Professions Scholarship from the Army, she obtained her medical degree from Jefferson Medical College. She went on to enter active duty military service and complete General Psychiatry residency training and Child and Adolescent Psychiatry fellowship training at Tripler Army Medical Center before completing active duty service as a staff psychiatrist and 101st Airborne Division psychiatrist at Fort Campbell, KY. There she cared for active duty service members and their families to manage depression, anxiety, trauma, and the unique stressors of military service. She later transitioned to federal civilian service and served as a preceptor for Phase II Physician Assistant trainees and Army Social Work interns, reinforcing a passion for education that carried her to Walter Reed National Military Medical Center (WRNMMC). During her time at WRNMMC, she served in several roles including Deputy Medical Director of Inpatient Psychiatry, core faculty for the National Capital Consortium Psychiatry Residency Program, Associate Program Director, and associate faculty at the Uniform Services University for Health Sciences (USUHS). Prior to transitioning out of federal service to join Talkiatry, she was repeatedly recognized for excellence in academics and mentorship and received multiple teaching awards. This zeal for education and mentorship, as well as humility, personal growth, and learning, translates directly into her philosophy for patient care. She believes a whole-person approach with open, collaborative teamwork is the key to progress.

Ruben Mendez, MD

Staff Psychiatrist

Dr. Mendez obtained his medical degree from the University of Texas Medical School in Houston. He subsequently completed his Psychiatry residency training at the same institution, UT Medical School in Houston. Dr. Mendez has extensive training in the field and is board certified in Adult Psychiatry by the American Board of Psychiatry and Neurology. After professional training, Dr. Mendez has had vast experience of 15 years primarily in the outpatient setting including ample experience with telemedicine services to patients. He has extensive experience in diagnosing and treating adult patients dealing with attention deficit disorders and a wide spectrum of adjustment and anxiety disorders. Dr. Mendez has a special interest in the treatment of mood disorders from Major Depression to Bipolar spectrum disorders. Dr. Mendez prioritizes the development of great communication, mutual understanding and trust with his patients as he finds these elements to be key to a successful treatment. He establishes his treatment plans upon evidence-based guidelines and encourages a holistic approach for optimal well-being. Through effective medication management and supportive psychotherapy, Dr. Mendez leads his patients to optimal mental health. He encourages patients to strive to develop fulfillment and optimal functionality in their life's roles.

Sophia Monsour, DO

Chief Psychiatrist, Pennsylvania

Dr. Sophia Monsour holds the position of Chief Psychiatrist for Pennsylvania at Talkiatry. After completing residency in 2013 at Albany Medical Center, she has spent the past 9 years fulfilling her passion for integrated and specialty care for adults suffering from mental illness. Her years of experience have included working as an integrated care Psychiatrist at a community health center, a medical director of a Partial Hospital and Intensive Outpatient Program (PHP/IOP), and also working for an Assertive Community Treatment Team (ACT) specializing in the Serious Mentally Ill (SMI) population. Most recently, she has been serving our veterans as the Outpatient Section Chief, Primary/Mental Health Integration Medical Director and Resident/Medical Student Coordinator at VA Pittsburgh. Dr. Monsour has an approachable style when treating individuals who suffer from various diagnoses, especially those with prior trauma. She provides supportive psychotherapy and at times uses psychodynamic therapy skills to address her patient's current stressors and to identify the root cause of their ailment. She believes in a holistic approach and utilizes mindfulness as a technique along with medication management.

Maria Carvajal-Ramirez, MD

Staff Psychiatrist

Dr. Maria Teresa Carvajal is an adult, child, and adolescent psychiatrist. She is originally from Guayaquil, Ecuador, and is bilingual in Spanish and English. Dr. Carvajal earned her medical degree from Universidad de Guayaquil in Ecuador. She then participated in a medical program at The William J. Harrington Training Program for Latin America and the Caribbean, at Jackson Memorial Hospital, an affiliate of the University of Miami in Florida. Afterwards, she completed her adult psychiatry residency at Icahn School of Medicine at Mount Sinai, Bronx Care Health System, and her fellowship in child and adolescent psychiatry at Northwell Health in New York. She has experience working in various settings, including inpatient, outpatient, and emergency departments. Dr. Carvajal has submitted and presented work to the American Psychiatric Association and has also collaborated on a book publication. Dr. Carvajal has experience treating children and adults with anxiety, depression, OCD, PTSD, ADHD, dementia, etc. She utilizes medication management in conjunction with emotional and supportive therapy in 30-minute follow-up visits. She is passionate about her work and understands the impact of mental illnesses in daily life activities and in the family system. She will work with each patient in an individualized manner and will tailor personalized treatment plans that may include pharmacological treatment. In addition, Dr. Carvajal may recommend including a therapist in your care team to provide the best outcome.‍

Tait Dalton, MD

Staff Psychiatrist

Dr. Dalton is a board-certified psychiatrist who has specialized in treating adults with mental health issues for over 16 years. He received his medical degree in 2004 from the American University of the Caribbean School of Medicine. He completed his residency in General Psychiatry in 2008 at Cooper University Hospital in New Jersey. He has extensive experience working with adults in a wide variety of psychiatric settings. His adventurous spirit led to his first job out of residency in New Zealand, where he worked as a psychiatric consult liaison in both the hospital and ER settings. He has also worked for several years as an Outpatient Psychiatrist within the VA Medical Healthcare System. He worked for Presbyterian Medical Services in New Mexico as an Outpatient Psychiatrist for 4 years where he was eventually promoted to Regional Director of Psychiatry. He also worked for several years as an inpatient staff psychiatrist for the New Mexico State Hospital in both urgent and long-term care settings. He has spent the last several years as a traveling Outpatient Psychiatrist. His travels have taken him all over the country including Alaska, Hawaii, Texas, Washington, Minnesota, Alabama and California. ‍Dr. Dalton believes in a comprehensive, compassionate, and collaborative approach to patient care. He specializes in psychiatric medication management, while also providing supportive therapy and psychoeducation. If warranted, he may ask that you bring a therapist into your care team to help facilitate an optimal therapeutic outcome. He treats a wide array of psychiatric issues including, but not limited to, the following: Depressive Disorders, Anxiety Disorders, Post-Traumatic Stress Disorder (PTSD), Bipolar Disorder, Sleep Disorders, Obsessive-Compulsive Disorder (OCD), and Attention-Deficit/Hyperactivity Disorder (ADHD).

Joanne Cedeno, LMHC

Staff Therapist

Joanne is a Latinx, first generation, biliterate licensed mental health counselor- LMHC-D. Joanne enjoys working with individuals from diverse populations facing grief/loss, relational difficulties as well as anxiety/depression stemming from life and identity transitions through a trauma-focused and culturally responsive lens.

Joanne's previous experience includes supporting clients across a variety of outpatient settings that includes private practice and community based mental health organizations. She has experience working with clients across the lifespan with concerns ranging from anxiety and depression to serious and persistent mental health issues via individual therapy, group counseling and family therapy. Joanne's therapeutic approach is highly empathetic, client-centered, and strengths-based, which aims to empower individuals to tap into their inherent potential. As a direct clinician, a client can expect a mix of humor and curiosity as they work collaboratively to explore their mental health needs, co-create resilience, and cultivate the best version of themselves.

Joanne combines a mix of evidence-based practices such as Motivational Interviewing, Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Acceptance and Commitment Therapy as well as Internal Family Systems. Additionally, Joanne is also certified in Cognitive Processing Therapy for PTSD. Clients can expect an individualized therapeutic experience that aims to help them walk away from their sessions feeling supported, empowered and energized to work on their personal growth.

Luis Espinosa, MD

Staff Psychiatrist

Dr. Luis Espinosa holds the position of adult psychiatrist with Talkiatry. His practice focuses on medication management, and typically offers this in conjunction with supportive therapy in 30-minute follow-up visits. Dr. Espinosa's approach is holistic. Each patient's care is driven by their unique goals and values, whether they suffer from depression, anxiety, trauma, and stress-related disorders, or obsessive-compulsive disorders. Dr. Espinosa believes in serving patients by combining therapy with medication to provide an experience that is both therapeutic and informative and allows patients to guide their own outcomes in a supportive space. Dr. Espinosa completed his undergraduate studies in philosophy at the University of Florida as the 2013 Ellen Haring Award winner. He was then honored as a Docherty Foundation Scholar to attend the University of South Florida Morsani College of Medicine. He pursued his specialty training in psychiatry at Kaiser Permanente Northern California. Dr. Espinosa believes in a treatment modality that combines wellness of mind and body to help individuals who are suffering achieve their potential.

Ioana Horotan-Enescu, DO

Education and training

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