Karelis Sierra-Cintron, MD

Dr. Ruiz is a compassionate psychiatrist specializing in adult and maternal mental health. She develops personalized treatment plans to address anxiety, depression, bipolar disorder, ADHD, OCD, PTSD, PMDD, and perinatal conditions. Her goal is to help patients reconnect with their values and live balanced, fulfilled, and meaningful lives.

Her passion for medicine began in childhood, inspired by curiosity about the mind and body. She earned an Honors Chemistry degree with  magna cum laude and completed her medical training and psychiatry residency at Texas Tech University Health Sciences Center. With a strong scientific foundation, Dr. Ruiz understands the role of medications, and embraces holistic healing through connection, gratitude, and spirituality.

Dr. Ruiz has experience in diverse clinical settings and has received national awards including the AWP International Fellowship and ADMSEP Innovations Award. She is dedicated to advancing maternal mental health screening and treatment through clinical care and education.

Dr. Ruiz combines pharmacotherapy (medication) with psychotherapy to create individualized treatment plans. Therapy provides powerful tools to manage thoughts, emotions, and behaviors that support balanced brain chemistry. Research shows that medication helps restore this balance more quickly and effectively, especially in moderate to severe cases.  

Dr. Ruiz likens medication for the brain to fertilizer for a garden. Imagine your mental health as a vibrant garden—when well-nourished, it can thrive with resilience, beauty, and balance. But when symptoms like depression, anxiety, ADHD, or mood instability take hold, they act like invasive weeds, crowding out healthy growth and making it hard to enjoy the space. Medication acts like fertilizer, strengthening the garden’s natural systems so the healthy parts can reclaim their place and flourish. Just as some gardens need only seasonal care while others require more consistent tending, medication plans are personalized to support each person’s long-term mental wellness. When the garden is healthy, there's more room to grow, connect, and fully enjoy life.

With a strong background in chemistry and pharmacology, Dr. Ruiz prioritizes educating her patients about how medications work and why they can be helpful. She believes patients should take an active role in understanding their diagnosis and treatment. Her approach emphasizes diagnostic clarity, medication management, patient education, and brief psychotherapy based on cognitive behavioral therapy (CBT) and acceptance and commitment therapy (ACT).

Your first appointment is a supportive, in-depth conversation to share your story, challenges, and goals. Dr. Ruiz will review your medical and psychiatric history and assess symptoms using a whole-person approach that considers biological, psychological, and social factors.

Together, you’ll develop a personalized plan that may include lab work, medication, and therapy. Initial visits last 60 minutes for thorough evaluation; follow-ups typically last 20–30 minutes, focusing on medication management and brief therapy. If needed, Dr. Ruiz can refer you to in-house or community therapists for add-on therapy support.  

Throughout your care, Dr. Ruiz prioritizes shared decision making to ensure you feel informed, empowered, and supported.

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Dr. Ariela Karasov completed her psychiatry residency at Stanford, serving as Chief Resident in her final year, and pursued a fellowship in Neuropsychiatry at Stanford Hospital. She is board certified in Behavioral Neurology and Neuropsychiatry and has worked as a National Expert in bipolar disorder at the VA. She has experience treating Generalized Anxiety Disorder, Obsessive-Compulsive Disorder, Bipolar Disorder, PTSD, and Depression, as well as patients with comorbid neurologic and mental health conditions. Dr. Karasov has also taught residents as adjunct clinical faculty at the University of Wisconsin Hospital and Clinics.

Dr. Karasov takes a collaborative approach, actively engaging patients in treatment planning and decision-making. She incorporates therapy into her practice, emphasizing each individual’s values and what gives their life meaning and purpose. Patients can expect a thoughtful, empathetic, and patient-centered environment where their goals and experiences are prioritized.

She values a thorough evaluation to understand how medical, psychological, and social factors contribute to a patient’s presentation. When appropriate, she invites family members or friends to provide collateral information to ensure a complete understanding, guiding a tailored and effective treatment plan.

Dr. Mousavi holds the position of attending psychiatrist at Talkiatry. She is Board certified in adult psychiatry and has been practicing for over 6 years. Dr. Mousavi's practice focuses on medication management. Typically, she offers this in conjunction with supportive therapy in 30-minute follow up visits. Dr. Mousavi may believe that additional therapy is also needed and ask that you bring a therapist into your care team to provide the best outcome. She has completed her residency at Westchester Medical Center/New York Medical College. She has experience of working in private practice at the Institute for Family Therapy in Miami. She has also worked as an outpatient psychiatrist at Montefiore in NY and INOVA outpatient clinic in Virginia.

Dr. Clara Kim is a board-certified psychiatrist trained in Adult Psychiatry. She received her medical degree from Yale University and completed her residency training at Cambridge Health Alliance - Harvard Medical School, where she served as Chief Resident of Quality Improvement. Dr. Kim treats each patient with a holistic, evidence-based approach that incorporates psychopharmacological and psychotherapeutic best practices. Her priority is to build a safe and trusting working relationship with each patient, keeping in mind their unique biological, psychological, social, and spiritual contexts. Dr. Kim has extensive experience treating depression, anxiety, trauma-related disorders, personality disorders, OCD, and perinatal conditions such as postpartum depression. Other professional interests include forensic psychiatry, combined psychopharmacological and psychotherapy treatment, and ECT, in which she was certified by the Beth Israel Deaconess Medical Center. She has worked with individuals from diverse backgrounds and all socioeconomic strata.

Dr. Zeshen Wu is an ABPN board certified psychiatrist with more than 10 years of experience. He completed his undergraduate studies at the University of Texas at Austin, followed by medical school at the University of Texas Medical Branch. He completed residency in psychiatry at Dell Medical School in Austin. Dr. Wu focuses on effective and safe medication management as well as supportive and psychodynamic therapy in his practice. He likes to focus on a gentle, collaborative, and patient-centered approach. He specializes in forming individualized pharmacological treatments as well as taking time to explore stressors and psychological issues to achieve complete and comprehensive care. Dr. Wu had previously served as assistant professor of psychiatry at UTHealth McGovern Medical School in Houston and has been involved in many years of teaching and mentorship. At UTHealth, he also served as clinical faculty in one of the nation's largest inpatient psychiatric campuses and is experienced in treating a wide range of adult mental illnesses including mood disorders, anxiety, OCD, and ADHD.

Dr. Juan Carlos Gonzalez is board-certified by the American Board of Psychiatry and Neurology and has 32 years of experience in treating adults. He completed his undergraduate education at Harvard University and earned his medical degree at Baylor College of Medicine in Houston, Texas. He completed his psychiatry residency training at Baylor College of Medicine, where he served as Chief Resident and subsquently was an Associate Professor of Psychiatry for ten years. During his tenure as a faculty member at Baylor, he served as Medical Director for the Baylor Psychiatry Clinic and also maintained a private practice, where he provided psychotherapy and medication management. 

In 2004, Dr. Gonzalez moved to Austin, Texas where he joined the US Veterans Administration, serving in various administrative positions, including Medical Director for the Central Texas VA Outpatient Clinics.

He provides compassionate, evidence-based care to thousands of service members, treating a broad spectrum of psychiatric conditions. Fluent in both English and Spanish, Dr. Gonzalez employs a humanistic approach to patient care, deeply understanding how patients’ past experiences affect their present.

Dr. Gonzalez provides compassionate, humanistic care, recognizing how past experiences shape the present. His treatment integrates medication management with psychoanalytic, cognitive-behavioral, and supportive psychotherapy.

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