Karelis Sierra-Cintron, MD

Anthony Capozzi, MD, is a board-certified psychiatrist with 35 years’ experience in clinical psychiatric practice who has seen patients both in the hospital setting and out-patient care. He is a Diplomate of the American Board of Psychiatry and Neurology as well as the National Board of Physicians and Surgeons and the American Association of Psychiatric Medicine. Originally from Brooklyn, New York and received his MD from New York University after completing a 5th pathway at Booth Memorial Hospital in Queens, New York. He began his experience seeing patients with treatment refractory major psychiatric illnesses at Rockland Psychiatric Center in Rockland County, New York. He served on the psychopharmacology committee at the time. He then went on to practice outpatient psychiatry both at Rockland County Community Mental Health and Westchester County Mental Health for over 20 years in addition to having a private practice while living in New York.  He held the position as Associate Director of the division in Westchester County for over 18 years. He has been exposed to all levels of psychiatric care since it was a mixture of patients in the community as well as patients with limited income and dual diagnoses including substance abuse. His approach is to get to know his patients well in order to provide more comprehensive care. He prefers Cognitive Behavioral therapy or Rational Emotive therapy, which he feels is the most time effective and enduring therapy to help patients needs. He also has extensive experience having worked with patients with developmental disabilities, since this is an underserved need. He then went on to work in Florida both for Florida Health Care Plans, which is an HMO, and in private practice for the past 13 years.  He worked at the Counseling Center of New Smyrna Beach, providing comprehensive care. He then helped establish the Center for Behavioral Medicine in Port Orange, Florida, which provided care as part of a multidisciplinary practice. He then went on to establish Advanced TMS in Port Orange, Florida. He is interested in treatment-resistant Depression and Anxiety Disorders. He went on to work for Greenbrook TMS in the greater Orlando area practicing Interventional Psychiatry. He is certified in TMS for brain mapping with Neurostar and Cloud TMS and has experience in the use of intranasal ketamine for treatment resistant depression. He has been a member of the Neuroscience Education Institute since 2012, where he holds a certificate as a Master Psychopharmacologist and a member of the Clinical TMS Society. He has active medical licenses in Florida, Arizona and New York. He is also certified in Medical Marijuana and has completed the IV Ketamine Infusion therapy course as well as Botox training certification.

Patients working with Dr. Capozzi know that he is easy to engage with and is most interested in his patients overcoming their obstacles to reach their optimal level of functioning. He enjoys working with patients who have anxiety, mood disorders and ADHD. It is very gratifying watching patient’s blossom and overcome their psychiatric disorder and then function at their best in work, leisure pursuits and relationships. Patients working with Dr. Capozzi should know that he realizes they have been suffering with their symptoms for some time or they would not be seeking help, and he will work with the patient in collaboration to help receive the proper care.

The typical process in working with patients is to first spend time gathering a history of the symptoms. It is then important to also include significant medical history which may be primary or secondary contributing factors. Also, it is important to look at psychosocial profile and how that may contribute to the initiation of the symptoms and prevention of improvement. It is essential to form a differential diagnosis and continue to look at any ongoing issues as well as co-morbidities. He believes it is most important to discuss possible treatment modalities and take into consideration the patient’s participation in ongoing care. It is most essential to be up to date on the latest modalities in treatment and use a combination of medication, nutritional supplements and behavioral therapies that can foster lasting improvement.

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Background and credentials

Dr. Nereida Gonzalez-Berrios is a general psychiatrist fluent in English and Spanish. She earned her bachelor’s degree in Microbiology from the University of Puerto Rico and her medical doctorate from Ponce School of Medicine (now Ponce Health Sciences University). She completed her General Psychiatry Training Program at the University of Puerto Rico Medical Sciences Campus, graduating in 2008. After practicing privately in Puerto Rico, she relocated to Texas, where she worked for over five years at the Michael E. DeBakey VA Health System, providing mental health care to veterans. She has also gained extensive experience in telemedicine, working both within the VA system and as a locum tenens provider.

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Treatment approach

Dr. Gonzalez-Berrios has extensive experience treating a wide range of psychiatric conditions, including mood disorders, anxiety disorders, psychotic disorders, intellectual impairment, ADHD, eating disorders, PTSD, and personality disorders. She integrates traditional psychiatric treatment with a holistic wellness approach, drawing on her background as a motivational speaker, wellness coach, certified personal fitness trainer, nutrition coach, and weight-loss specialist. Her approach emphasizes improving overall mental and physical well-being through personalized treatment plans that incorporate psychiatric care, wellness strategies, and lifestyle modifications.

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What you can expect in a first visit

Patients can expect a comprehensive psychiatric evaluation where Dr. Gonzalez-Berrios carefully assesses their symptoms, medical history, and personal wellness goals. She takes a collaborative and patient-centered approach, ensuring that treatment is tailored to each individual’s mental and physical health needs. As an experienced telemedicine provider, she offers accessible and flexible mental health care, combining medication management and holistic wellness strategies to help patients achieve lasting well-being.

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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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Rebecca Siwanowicz is a Licensed Clinical Social Worker who began her career in 2013, maintaining various positions in both inpatient and outpatient settings while treating substance use and mental health disorders. Rebecca graduated with her BSW from Florida Atlantic University in 2013 and graduated with her MSW in 2016. Rebecca is trained in Accelerated Resolution Therapy and is a Master's Level Certified Addiction Professional in the state of Florida.‍Rebecca's areas of expertise are trauma, anxiety and depressive disorders, issues related to codependency and low self-esteem, life transitions, self-care and emotion regulation. Rebecca takes an individualistic approach when treating clients, greatly valuing and promoting individuality and autonomy. Rebecca practices through the lens of Family Systems Theory and Attachment Theory, utilizing components of Existentialism, Strength Based Therapy, Dialectical Behavior Therapy, 12 Step Principles, and Client Centered Therapy. Rebecca takes a psychosocial approach toward treatment, providing her clients with unconditional positive regard, psychoeducation, and practical coping skills to support them in building a life of their choosing.

Karen Tonner, MSN, PMHNP-BC is an ANCC board-certified Psychiatric Mental Health Nurse Practitioner with over eight years of experience providing psychiatric care in outpatient and community mental health settings. She works with patients across the lifespan and treats a broad range of mental health conditions, including depression, anxiety disorders, attention-deficit/hyperactivity disorder (ADHD), obsessive-compulsive disorder (OCD), and post-traumatic stress disorder (PTSD).

Karen primarily provides medication management in conjunction with supportive therapy, using evidence-based practices to help patients achieve symptom relief and improved functioning. Her approach to care is holistic, person-centered, and collaborative, emphasizing shared decision-making and individualized treatment planning. She strives to create a welcoming, approachable, and supportive environment where patients feel comfortable being themselves and actively participating in their care. She believes that understanding each patient’s unique experiences, goals, lifestyle, and strengths is essential to effective mental health treatment.

Karen earned her Bachelor of Science in Nursing from Kennesaw State University and her Master of Science in Nursing from the University of Alabama at Birmingham. She is dedicated to continuing education to remain current with psychiatric research and is committed to delivering compassionate, high-quality care that helps patients feel heard, respected, and empowered.

Dr. Orejarena is board certified by the American Board of Psychiatry and Neurology. She finished her residency from Yale University and the University of Texas Houston. She has done extensive research on psychiatry during her PhD in Neuropsychopharmacology and a Master's in Neuroscience. She is bilingual in Spanish and English. She incorporates different therapy modalities and evidence-based treatments, tailored to each person's needs. She enjoys applying her knowledge in neuroscience and pharmacology into her clinical practice and believes a combination of medication and psychotherapy yields the best treatment outcomes.

Her ultimate goal is to help patients feel their best and accomplish their own goals by developing tools to navigate internal or external obstacles that are part of life. Dr. Orejarena is originally from Colombia, where she earned her medical degree from Universidad Industrial de Santander. She pursued a Master's in Neuroscience at the University of Barcelona and a PhD in Neuropharmacology at the Universidad Pompeu Fabra in Barcelona, Spain. Her PhD thesis was honored summa cum laude.

She completed a postdoctoral fellowship training at the Institut de Neurobiologie de la Mediterranee in Marseille, France. She is the author of multiple peer-reviewed publications and has presented her research at national and international meetings. Over the years, she has worked in a variety of settings including outpatient clinics, acute care, psychiatric hospitals as an Assistant Professor of Psychiatry at the University of Texas Health Sciences Center.‍‍

Dr. Garrick Gaffney is board certified in psychiatry by the American Board of Psychiatry and Neurology (ABPN). He earned his medical degree from Kansas City University and completed his psychiatry residency at John Peter Smith Hospital in Fort Worth, Texas. A combat veteran, he served in the U.S. Marine Corps, including a tour in Iraq, and was honored with the Navy and Marine Corps Achievement Medal and a Certificate of Commendation for exemplary leadership.

During medical school, Dr. Gaffney pursued advanced training as an Osteopathic Manipulative Medicine fellow. As a resident, he served as Chief Academic Resident and earned accolades such as Intern of the Year and Outstanding Educator of the Year twice consecutively.

Dr. Gaffney specializes in treating complex psychiatric conditions, including depression, anxiety, PTSD, OCD, bipolar disorder, and insomnia. He has presented case studies and quality improvement projects at national conferences, including the American Psychiatric Association (APA), Academy of Consultation-Liaison Psychiatry, and Association for Academic Psychiatry.

A proponent of holistic care, Dr. Gaffney integrates psychotherapy into medication management and emphasizes lifestyle modifications and evidence‑based integrative medicine.

New patients receive comprehensive evaluations to rule out medical causes of symptoms, followed by tailored treatment plans combining therapy, medication, and lifestyle adjustments. Follow‑up visits focus on symptom management through supportive, brief dynamic, or cognitive behavioral therapy, with frequent appointments until stabilization is achieved.

Dr. Gaffney is committed to collaborative, patient‑centered care that addresses both mental and physical well‑being.