Joanne Cedeno, LMHC

Dr. Nicole Martinez received her Master's and Doctorate from the Illinois School of Professional Psychology and completed her pre-doctoral and post-doctoral fellowship at Gateway Foundation in Lake Villa, Illinois. She earned a double major in Psychology and Therapeutic Recreation at the University of St. Francis. Dr. Martinez has extensive experience working with children, adolescents, and adults in individual, family, and group treatment. Her therapeutic approach is integrative, combining Cognitive Behavioral Psychotherapy (CBT) with holistic methods, emphasizing Solution Focused Therapy, Reality Therapy, and Positive Psychology. She believes in the mind-body connection and that exploring various areas of an individual's functioning is essential for optimum physical and emotional health. Dr. Martinez emphasizes a collaborative therapist-client relationship, where both act as partners in designing treatment goals. She values identifying ineffective past modalities to avoid frustration and ensure personalized care. Recognizing that each person is unique, she adapts to the patient's evolving needs, ensuring they feel heard and supported for positive outcomes. Her areas of expertise include health psychology, complex trauma, PTSD, depression, anxiety, social anxiety, bipolar disorder, ADHD, autism spectrum disorders, LGBTQIA populations, bereavement, forensics, substance abuse, couples work, MISA, co-occurring disorders, domestic violence, sex offenders, special needs populations, and chronic medical issues and rare diseases. She is skilled in the evaluation and assessment of these populations.

Dr. Mark Varela is a board-certified psychiatrist joining Talkiatry directly out of residency. He focuses primarily on medication management, often accompanied by brief cognitive, motivational, or supportive therapy. He may request that you also meet with a therapist regularly for your benefit. Dr. Varela received his medical degree and general psychiatric residency training both from Texas Tech University Health Sciences Center in West Texas. He treats young adults and adults with a wide variety of mental health concerns, including ADHD, mood disorders, anxiety, OCD, and PTSD.

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.

Dr. Sabrina Ghim is a board-certified physician specializing in adult psychiatry and practices adult psychiatric medication management. She focuses on building a strong therapeutic and collaborative environment with patients. She works with individuals struggling with depression, ADHD, obsessive compulsive disorder, anxiety disorders, including generalized anxiety, and social anxiety. Dr. Ghim usually meets with patients monthly for psychiatric follow up appointments. She provides psychiatric medication management in a comprehensive manner, paying careful attention to each patient's unique biological, psychological, and cultural make-up. She is diligent about keeping up-to-date on the research and expanding frontiers of psychiatry and psychopharmacology. She strongly believes in tailoring treatment in an integrative and collaborative manner to provide the best outcome for each unique patient. In some instances, Dr. Ghim may recommend the addition of a separate therapist in order to help facilitate the best care possible. Dr. Ghim experienced various cultures growing up in different countries and environments, shaping her open-minded demeanor and views, and eventually her interest in the human mind and psychiatry. She earned her bachelor's degree in Molecular Biology with honors, and a Doctor of Medicine (M.D.) degree from the University of Central Florida College of Medicine. She completed her Adult Psychiatric Internship and Residency training in New York City, at the Mount Sinai Morningside and West Hospitals, where she treated a diverse patient population with psychiatric illnesses in emergency, inpatient, and outpatient settings. Dr. Ghim is currently licensed in and seeing patients located in the states of New York, Florida, and Texas for medication management.

Vincent is a licensed professional counselor who has earned his full licensure from the State of Texas. Vincent earned his bachelor's degree in Criminal Justice with a Minor in History from the University of Texas at San Antonio. He earned his Master of Arts in Counseling and Guidance from Texas A&M San Antonio. Vincent's counseling approach is eclectic, utilizing various modalities including, but not limited to Gestalt, Reality, Narrative, and Solution focused therapy. He is devoted to empowering individuals to free themselves from the excessive burdens of life by a remorseless society. He encourages you to become genuinely free and absolutely understand that you are the master of your own destiny. Vincent's treatment specialties and experience include working with adults, seniors, and adolescents from diverse populations and cultures. Whose suffering included, but not limited to anger, depression, career dilemmas, anxiety, stress, marital problems, collegiate status, self-esteem, family issues, as well as other unforeseen predicaments life unveils. Vincent uses these modalities in a holistic approach assessing clients within their culture, environment, community, and family system to gain a better insight into your distinctive reality. This holistic approach allows us to work together and tailor therapy to your needs. Allowing our collaboration to address the root causes of your current state of wellbeing. Our sessions, along with my education, background, and extensive life experience, have given me a reinforced foundation to assist you in facing the harsh realities of the world. Vincent will inspire you to live your life to its fullest without regret and create healthy tools of positive armor that will guide you eternally. Vincent's platform of therapy will fortify your weaknesses, enhance your strengths, and alleviate your fears where your voice is amplified and capable of surviving the vile discernment of others.

Dr. Bryant graduated from Mount Sinai School of Medicine to complete her adult training and the Yale Child Study Center/Riverview Hospital for Children Program to complete her fellowship in Child and Adolescent Psychiatry. A native Texan, she returned to Tyler, TX in 2020 to accept the position of Chair of the Department of Psychiatry and Behavioral Medicine at the University of Texas Health Science Center at Tyler. She also established an accredited child and adolescent psychiatry fellowship in Tyler. Prior to that, she served as the Director of the Child and Adolescent Psychiatry Division at the University of Mississippi Medical Center where she was also the Program Director of the Child and Adolescent Psychiatry Fellowship. She received her medical degree from the University of Texas Southwestern Medical School. Working with survivors of trauma has always been an important part of Dr. Bryant's practice. She currently serves as the co-chair of the American Academy of Child and Adolescent Psychiatry's Committee on Child Maltreatment and Violence and she is a representative for the National Health Collaborative on Violence and Abuse. Dr. Bryant also served as the program director of the Eating Disorders and Trauma Recovery program at Menninger Clinic in Topeka. She is board certified in adult, child and adolescent psychiatry and she has over 32 years of experience as a practicing psychiatrist. Dr. Bryant specializes in the treatment of anxiety disorders, obsessive-compulsive disorder, mood disorders, developmental disorders, Post-Traumatic Stress Disorder, Attention Deficit Hyperactivity Disorder, and family relational problems for both children and adults. She believes that "knowledge is power" and that the more a person can understand about how the brain is affected by various mental health conditions, the more treatment makes sense.