Joseph Smith, LMHC

Yvette Ramirez is a Licensed Professional Counselor with over a decade of experience providing care to individuals, couples, and families. She began her career working in-home with patients to build understanding around diagnosis, symptoms, and medication adherence. She later transitioned to integrated care, using solution-focused therapy for clients with co-occurring medical and mental health conditions. Yvette is trained in Cognitive Behavioral Therapy, Cognitive Processing Therapy, and Eye Movement Desensitization Reprocessing (EMDR), and has provided trauma-informed care across various populations, including children, adolescents, and teenagers.

Yvette offers a compassionate, supportive space where patients feel heard, safe, and respected. She integrates EMDR and trauma-focused CBT to help adolescents, teenagers, and adults process trauma and enhance well-being. Her creative use of play, art, and narrative therapy fosters emotional expression in younger clients. She has experience supporting LGBTQ+ individuals and families navigating identity and relationship concerns. Patients can expect open communication and collaborative goal setting throughout their journey.

Yvette begins treatment by learning about the patient’s concerns and sharing the therapies she offers. By the second session, she works collaboratively with patients to create personalized treatment goals. From the third session onward, sessions focus on progress, practical tools, and check-ins to reinforce healing. Every step of care is structured, collaborative, and empowering.

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Background and credentials

Dr. Puja Kumar is trained in adult, child, and adolescent psychiatry and is a board-certified pediatrician. She earned her Bachelor of Science from the University of Calgary and her medical degree from St. George’s University in Grenada. She completed her pediatrics residency at Maimonides Medical Center in New York and practiced pediatrics with MedStar Shah Medical Group in Maryland before transitioning to psychiatry. She later trained in child and adult psychiatry at University Hospitals Cleveland Medical Center.

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Treatment approach

Dr. Kumar provides medication management combined with supportive therapy, typically in 30-minute follow-up visits. She takes a holistic approach to treatment, considering the impact of lifestyle, parenting practices, and family dynamics on mental health. She emphasizes integrative care, ensuring that treatment plans are tailored to each patient’s unique needs and circumstances.

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What you can expect in a first visit

During the first visit, patients can expect a thorough and compassionate evaluation, where Dr. Kumar takes time to understand their symptoms, medical history, and environmental influences. She prioritizes collaborative decision-making, working closely with patients and, when applicable, their families, to develop a comprehensive and personalized treatment plan. Follow-up visits typically focus on medication adjustments, supportive therapy, and lifestyle recommendations to optimize mental health outcomes.

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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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Anne Tormos, LCPC, LPC-MHSP, believes that every person has the ability to live a happy, healthy, engaging life, but at times individuals need an objective observer to help uncover what that life looks like. She treats clients ages 15 and up struggling with a variety of challenges, including mood disorders, anxiety, and life transitions. Anne is a National Board-Certified Counselor. She is a Licensed Clinical Professional Counselor in the State of Illinois and a Licensed Professional Counselor � MHSP in the State of Tennessee. Anne earned a BA in Psychology from North Central College and an MS in Clinical Psychology from Benedictine University. Her experience includes working at an inpatient psychiatric hospital and outpatient group practice, which allowed her to utilize different types of care with people from all backgrounds with many different life stressors. She also has experience working within PHP and IOP settings. Anne is trained to utilize many therapeutic techniques, including CBT and DBT.‍Anne is prepared to join you on your journey to self-fulfillment. She believes that everyone has their own story to tell, and her approach is client-centered, strength-based, and solution focused. She cherishes all client relationships and devotes her time and energy to the healing process.

Laura Hickman, PMHNP, earned her BSN from the University of Iowa and her MSN from Saint Louis University. During her graduate training, she completed multiple outpatient internships, including one focused on Dialectical Behavioral Therapy, a modality she frequently incorporates into care. Board Certified as a Psychiatric Nurse Practitioner since 2014, she has practiced across Community Mental Health, inpatient psychiatry, crisis stabilization, TMS, and Suboxone treatment. She works with patients ages 5+ and specializes in ADHD, anxiety, and depression.

Laura’s priority is ensuring patients feel heard, valued, and respected. She fosters a collaborative, team-based environment where patients feel in control of their health. Rather than focusing solely on diagnosis, she emphasizes how someone is functioning in daily life. With warmth and “cheerleading” support, she helps patients feel less alone and more empowered to open up and pursue meaningful change.

Laura begins by exploring each patient’s history, past treatments, and current challenges at home, work, or in parenting. She develops individualized treatment plans in partnership with the patient, serving as a guide toward their goals. Together, they determine whether therapy, medication, or both best support improved functioning and well-being.

Barbara (Barb) Pack is a Licensed Professional Clinical Counselor with the Supervision Endorsement and a Licensed Independent Chemical Dependency Counselor, Clinical Supervisor Endorsement who has been providing mental health treatment for over 24 years and addiction treatment for over 27 years. Barb utilizes a combination of approaches in working with her clients, including person-centered, cognitive behavioral therapy, motivational interviewing, solution focused techniques, and a variety of other techniques. She has experience in several different types of treatment settings and treatment modalities in both Ohio and Florida. Barb enjoys working with individuals who also have co-occurring disorders, both mental health and substance use. Barb has experience working with a wide range of age groups and mental health issues including but not limited to depression, anxiety, trauma, stress management, grief, relationship issues, and a wide range of substance use issues. She will assess individuals' needs in their first few visits and work with them to develop an individualized treatment plan. Barb works to provide the empathetic listening and emotional support that her clients need to reach their goals. Her dream has been to work herself out of a job, as she wants to help her clients find healing and happiness. Barb attended the University of Akron for graduate school in a Community Counseling Program and attended Malone College, now University, and majored in Psychology.

Nicole Groves, LPC, LMHC, earned a Bachelor of Science in English and Psychology from Grand Valley State University and a Master of Education in Clinical Mental Health Counseling from Lamar University. She spent five years as a K–12 English and Special Education teacher before transitioning to community mental health, serving children and adolescents across three East Texas counties. She later moved into private practice and now practices at Talkiatry. Nicole is trained in EMDR, somatic therapy, TF-CBT, and DBT, and is also a registered yoga teacher.

Nicole brings a direct, nonjudgmental, and holistic approach to therapy. She is caring and compassionate, creating a safe, affirming space where clients can explore their needs without fear or shame. She encourages each person to show up authentically, supporting them as they navigate complex emotions, relationships, and life transitions.

Nicole believes nothing in therapy is one size fits all. She partners with clients to identify strengths, address challenges, and build practical skills. Sessions focus on empowerment and actionable insights clients can use immediately. Progress is celebrated, and treatment evolves as clients grow and their needs change.