Jessica Vassallo, LCSW

Deborah Unger, LCSW, earned her Master’s Degree in Social Work from Yeshiva University Wurzweiler School of Social Work and her Bachelor of Arts in Elementary Education/Psychology from Hofstra University. Her background in education and psychology informs her thoughtful, developmentally attuned clinical perspective.

Deborah’s counseling style is warm and interactive. She treats each individual with respect, sensitivity, and compassion, creating a safe and supportive space for growth. She believes meaningful change begins with feeling heard, understood, and empowered.

Deborah integrates Cognitive-Behavioral Therapy, Psychodynamic therapy, and Problem-Solving Therapy (PST), tailoring treatment to each client’s unique needs. She collaborates with patients to develop personalized goals and practical strategies, supporting them as they take courageous steps toward a more fulfilling life.

Tammy Fischer, LCSW, has been a social worker in human services for over 25 years, including nearly 10 years as an outpatient therapist. She earned her Master’s in Social Work from Aurora University of IL and is trained in evidence-based modalities including CBT, DBT, and mindfulness. Tammy is trauma-informed and skilled in Theraplay, sand tray, EFT, Motivational Interviewing, and TF-CBT. She has also provided counseling to military families at Fort McCoy, WI.

Tammy brings warmth, empathy, and an open, nonjudgmental approach to every session. She values trust, clear communication, and cultural competency. Tammy believes clients are not broken—they have the ability to empower themselves with the right tools and guidance. She collaborates with patients to set goals and supports them in building skills to navigate life’s challenges.

Using a person-centered approach, Tammy develops rapport and carefully explores each patient’s history, concerns, and goals. She creates individualized treatment plans and a supportive environment where patients feel heard, respected, and encouraged to grow at their own pace.

Kara Burdelski is a Licensed Professional Counselor who has been working as an experienced psychotherapist for over the last twelve years. She has worked with a variety of demographics in various settings such as health care settings, community mental health, and even mobile therapy. Kara attended undergraduate school in Springfield, MO and obtained her graduate degree, a Master's of Science in Counseling Psychology, from Chatham University in Pittsburgh, PA. Over the last six years, she has worked predominately with adults with serious and persistent mental illness (SPMI) in a health care setting with patients who have been diagnosed with HIV/AIDS as well as other varieties of chronic conditions. Kara has experience in working with individuals who have disorders like depression, anxiety, psychosis, PTSD, bipolar, trauma, chronic medical issues, grief, and substance abuse disorders. She allows her clients to direct the type of treatment they need since every human is an expert of their own experience. The style of treatment Kara uses is tailored to meet the needs of each individual client with compassion and respect. She values the entire person. Kara utilizes unconditional positive regard with each individual she works with. Kara specializes in working with minorities, and the LGBTQAI+ community, and has considerable experience serving individuals who face chronic pain and disabling health conditions. She also practices in a harm reduction approach. Kara engages in a respectful position towards people using substances including alcohol and can assist with strategies for reduction including abstinence-based recovery. She believes in an all-inclusive approach that utilizes mindfulness, cognitive behavioral therapy, solution focused, behavioral activation techniques, and acceptance and commitment therapy. Kara is committed to providing you with a space to grow, learn self-acceptance, and focus on your commitment to yourself.

Dr. Bloom is a psychiatrist with over 30 years of clinical experience. She earned her medical degree from the University of Rochester School of Medicine & Dentistry in Rochester, NY, and completed her psychiatry residency at the University of Cincinnati.

"What should a new patient know about working with you?"

Throughout her career, Dr. Bloom has worked in a variety of settings including inpatient, outpatient, emergency, and consultation services, with a focus on the public sector. She has been privileged to treat underserved populations and military veterans and has enjoyed mentoring medical students and psychiatry residents. Dr. Bloom has expertise in treating a wide range of psychiatric conditions, including clinical depression, post-traumatic stress disorder, and other anxiety disorders.

Dr. Bloom takes a collaborative approach to care, believing that the best outcomes are achieved through a close partnership with her patients. She views them as experts in their own experiences and works with them to combine their insights with her expertise in medication management to minimize suffering. Patient education is a cornerstone of her practice. She typically combines supportive psychotherapy with medication management and is also trained in mindfulness techniques and Internal Family Systems psychotherapy.

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Dr. Maxine Minto is a double board-certified psychiatrist. She is board certified in General Adult Psychiatry and Child and Adolescent Psychiatry. She is a Distinguished Fellow of the American Psychiatric Association (APA). Dr. Minto is an associate professor of psychiatry at the University of Central Florida College of Medicine. She is an active member of both the APA and American Academy of Child and Adolescent Psychiatry. Dr. Minto received her medical degree from the University of Miami Miller School of Medicine. She completed her general psychiatry residency and child-adolescent fellowship at the University of Miami/Jackson Memorial Hospital. She has more than 25+ years of experience working in the psychiatric profession. She has previously worked extensively in the role of medical director in multiple settings. Dr. Minto was honored with the role of medical director of a large community mental health center, child psychiatry inpatient program, adult and child inpatient residential treatment program, and outpatient residential day treatment program. She also has 8 years of experience working with the Deaf community. Dr. Minto specializes in psychopharmacology and supportive therapy. She performs comprehensive psychiatric evaluations, develops patient-centered individualized treatment plans, and schedules regular follow-up appointments. She has a wealth of experience in treating patients with depression, bipolar disorder, ADHD, and anxiety disorders.

Dr. Luna Sanchez Rivera holds the position of Staff Psychiatrist at Talkiatry. After completing residency in 2016 at the Ponce Medical School Psychiatry Residency in Puerto Rico, she then moved to North Carolina to complete a subspecialty in Child and Adolescent Psychiatry at Duke University Health System. There, she transitioned into an assistant professor position, focused on structuring pediatric emergency psychiatric services, and helped support the consult and liaison pediatric service. Her years of experience have included working as an integrated care child psychiatrist within outpatient clinics at Duke University Health System, and she trained and worked as a staff psychiatrist at the Inpatient State Facility in North Carolina. She also served in the Dayton Children's Hospital outpatient clinics in Dayton, Ohio, the Appalachian Health System outpatient clinics in Linville, North Carolina, and more recently has been serving the Child and Adolescent inpatient population in Bangor, Maine. Dr. Sanchez Rivera has an approachable style aimed at providing a comprehensive evaluation for all age ranges and is comfortable managing various levels of diagnostic complexities. She provides supportive psychotherapy while using psychodynamic therapy skills to clarify her patient's constellation of symptoms, identify unifying themes and provide thorough psychoeducation throughout the process to drive positive outcomes. She integrates psychodynamic medication management approaches and is adept at family therapy interventions.