Jessica Brusgul, LMHC

Maryanne Garnsey is a Licensed Marriage and Family Therapist, who has extensive experience working in multiple disciplines, modalities, and stages of life. Maryanne has worked directly with clients of various demographics, living with a variety of mental health conditions. Maryanne completed her BFA at Rutgers University in New Brunswick, New Jersey, and MS in Mentally Health Counseling and Marriage and Family Therapy from Palm Beach Atlantic University in West Palm Beach, Florida.  

Maryanne’s approach is eclectic, integrative, interdisciplinary, and holistic. This approach incorporates humanistic, family systems, lifestyle, cognitive behavioral, acceptance and commitment, mindfulness, strengths-based, and healthy attachment, as well as many other techniques into each session based on the unique needs, interests, and goals of each client. Maryanne’s love of nature, science, people, and lifelong learning creates a therapeutic environment of curiosity, care, support, guidance, and hope.

Maryanne has experience in finance, education, wellness, entertainment, hospitality, marketing, and sales working with individuals, couples, families, and groups of all ages. Maryanne is easily inspired and enjoys discovering each client’s personal story. Maryanne believes that working as a team with a common goal can foster personal growth, healing, health, and optimum wellbeing.

Melissa Medina, LCSW, began her journey in mental healthcare with a Bachelor’s in Psychology followed by a Master of Social Work degree. From 2015 to 2018, she completed her clinical hours at a community mental health agency in Los Angeles, where she gained experience working with diverse populations facing complex challenges. Melissa’s therapeutic approach integrates psychodynamic, cognitive behavioral, interpersonal, strengths-based, dialectical behavioral, and EMDR modalities. She is dedicated to providing culturally sensitive, neurodivergent-friendly, person-centered care to support individuals and families navigating trauma, anxiety, depression, mood disorders, panic attacks, grief, family conflict, and life transitions.

Melissa believes therapy is both a journey and a destination. She takes an eclectic approach, tailoring interventions and communication to best fit each patient’s needs and preferences. Patients can expect an atmosphere of warmth, empathy, and collaboration. Through motivational interviewing and narrative techniques, Melissa helps individuals articulate their stories, identify strengths, and reframe challenges as opportunities for growth. She is committed to meeting patients where they are while supporting them in reaching their goals.

Melissa’s process begins with building rapport, listening to each patient’s story, and understanding their unique needs and hopes for therapy. Early sessions focus on creating a safe, supportive space while developing a treatment plan tailored to the individual. Patients can expect to gain fresh perspectives, practical coping strategies, and deeper self-awareness. Melissa’s goal is for patients to feel heard, understood, and empowered as they strengthen relationships, build resilience, and move toward a greater sense of fulfillment.

Dr. Perington is a Staff Psychiatrist with Talkiatry. She previously served in the US Air Force, where she completed her residency training in psychiatry (Lackland AFB) and was the medical director for a small-sized mental health clinic (Hill AFB). Dr. Perington uses a person-centered approach to tailor treatment to the individual, with an emphasis on shared decision making. She prefers to focus on psychotherapy and behavioral interventions as a primary part of the treatment plan, in addition to any indicated medication.

Motivation for change is a large part of the healing process, and for many people recovery doesn't happen with medication alone. Dr. Perington asks all her patients to play an active role in their treatment.

A thorough diagnostic assessment with discussion of the best treatment setting and modality, then regular follow up visits with emphasis on psychotherapy in addition to medication management (if indicated).

Matthew Twomey, PMHNP, earned his BSN and MSN from the Massachusetts General Hospital Institute of Health Professions School of Nursing. He began his career as an adult psychiatric nurse practitioner in community health centers before commissioning as an officer in the U.S. Army Nurse Corps. After five years of active duty, he continued caring for service members and families at Fort Bliss as a civilian provider for nearly six years. He now practices in the private sector, bringing broad clinical experience to diverse patient populations.

Matthew is skilled in psychopharmacology, evidence-based practice, and telehealth delivery. He combines strong clinical expertise with a patient-centered approach to improve outcomes and streamline care. Patients can expect thoughtful collaboration, clear communication, and treatment planning grounded in the latest research and tailored to their individual goals.

He specializes in psychopharmacology and precise medication management tailored to each patient’s unique needs. He also integrates supportive psychotherapy, motivational interviewing, psychoeducation, and cognitive behavioral therapy. Through active listening and mutual respect, he fosters a safe, supportive environment where patients feel heard, engaged, and empowered in their care.

Dustin Cooley, LISW-S, earned a Master of Clinical Social Work from Ohio University and obtained independent licensure while working in community mental health. With over a decade of experience, Dustin has supported clients from all walks of life, addressing a wide range of emotional and behavioral concerns. In addition to his clinical work, he has served as a consultant for primary care physicians, providing guidance on integrating mental health support into overall patient care.

Dustin values a person-centered and conversational approach to therapy, focusing on individual growth and meaningful change. He tailors his work to each patient’s goals, ensuring that therapy aligns with their unique needs and values. His goal is to create a collaborative environment where patients feel comfortable exploring their challenges and empowered to make positive changes in their lives.

Dustin begins by exploring each patient’s goals and expectations of therapy, emphasizing the importance of creating a safe, authentic space. He collaborates with patients to develop a personalized treatment plan, drawing from various therapeutic approaches to best support their individual needs and objectives. His process is flexible and adaptive, ensuring care that is both effective and deeply personal.

Ms. Walkiewicz is a licensed professional counselor and is certified by the NBCC. She also has Certifications in Telehealth EMDR, and as a Certified Clinical Telemental Health Provider. Her position at Talkiatry is that of a psychotherapist who works along with a licensed psychiatrist in the states of Pennsylvania and New York. In her career of over 25 years, her areas of focus are: child/adolescents/adults. Pamela offers modalities in CBT, DBT, Trauma Focused CBT, EMDR, Motivational Interviewing, Problem Solving Therapy, Psychoanalytical Therapies, and Adult ADHD. Also trained in modalities for specialty groups such as LGBTQ+. Family/couples Therapy, and Personality Disorders. Also has experience with DID, and Depersonalization. Pamela received her Undergraduate and Master's degree from Gannon University in Erie, Pa. Her majors are Political Science, and Psychology, Master's in Community Counseling. She began her career as a therapist at Sarah Reed Children's Center. She did individual therapy, family, crisis, and assessments. From there, she moved to Alabama to do administrative work and private practice. Now back in Pa. Her work in Pennsylvania and New York focuses on Outpatient Therapy as a Licensed Professional Counselor. Her most recent Certifications are within the work with Telemedicine for mental health conditions. Her work in Pennsylvania and New York focuses on Outpatient Therapy as a Licensed Professional Counselor. Her most recent Certifications are within the work with Telemedicine for mental health conditions.