Kyra Munzenmaier, MD

Richard "Rick" States is a Licensed Professional Counselor, with broad and varied professional work experience in behavioral health (inpatient and outpatient, individuals and families, children and adults, direct service and program administration). Rick earned his B.A. in Psychology at Gannon University and his M.A. in Clinical Psychology at Edinboro University of Pennsylvania.

He's earned a Post-Master's Certificate in General Psychology from Northcentral University and has completed many doctorate credits in Psychology. Since 1999, Rick has taught university courses in Psychology, Sociology, and Human Services, most recently at Gannon University and Penn State University.

Rick's greatest area of clinical interest and skill centers around self-regulation or "how we manage" our thoughts, feelings, emotions, behaviors, etc. Rick appreciates the challenges related to anxiety, stress, depression, substance use, and trauma, and he employs various tools to help folks manage (e.g., cognitive behavioral therapy, psychodynamic therapy, humanism, mindfulness/somatic psychology, etc.).

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Dr. Sophia Mikityanskiy is a board-certified psychiatrist with extensive experience in outpatient and psychiatric emergency settings in Brooklyn, where she served a diverse patient population. She earned her medical degree from the New York Institute of Technology College of Osteopathic Medicine and completed her adult psychiatry residency at Maimonides Medical Center, where she was Chief of Outpatient Psychiatry. Dr. Mikityanskiy spent six years as Associate Program Director and Director of Medical Student Education, mentoring future clinicians and leading initiatives to support mental health professionals.

Dr. Mikityanskiy creates a warm, supportive environment where patients feel heard and understood. She is collaborative, culturally sensitive, and integrates talk therapy with lifestyle interventions to address mental health holistically. She is thoughtful, detail-oriented, and values open communication to develop clear, personalized treatment plans with each patient.

Dr. Mikityanskiy begins with a comprehensive initial evaluation, listening closely to patient concerns, medical and psychiatric history, and treatment goals. She then develops an individualized plan, incorporating lifestyle modifications and shared decision-making. Throughout care, she remains actively involved, continuously adjusting plans to ensure patients feel informed and empowered.

Dr. Carrie Ramos is a compassionate and skilled adult general psychiatrist with a commitment to providing comprehensive mental health care. A native of Texas, Dr. Ramos embarked on her medical journey at the Burrell College of Osteopathic Medicine in New Mexico, where she obtained her medical degree. Following her passion for psychiatry, she completed her residency at HCA Florida Woodmont Hospital, honing her expertise in adult psychiatric care. Dr. Ramos brings a diverse background to her practice, having earned her Bachelor's degree in Exercise Science from the University of Mary Hardin-Baylor. This foundational knowledge underscores her holistic approach to mental health, recognizing the interconnectedness of physical and emotional well-being. As a board eligible psychiatrist, Dr. Ramos is dedicated to staying current with the latest advancements in psychiatry and utilizing evidence-based treatments to support her patients. Her approach is characterized by empathy, active listening, and a commitment to fostering a therapeutic alliance with each individual under her care. With a deep-rooted passion for helping others, Dr. Ramos is driven to empower her patients on their journey toward mental wellness. Her Texas roots, coupled with her diverse educational background and clinical experiences, uniquely position her to understand and address the diverse needs of her patients. In her role as a psychiatrist, Dr. Ramos is poised to make a meaningful impact in the lives of those she serves, offering hope, healing, and support to individuals seeking guidance on their path to mental health recovery.

Wayne R. McIntosh, PMHNP-BC, is a dedicated mental health professional with over a decade of experience in psychiatric care. He earned his advanced nursing degree with distinction from Arizona State University and also holds a Bachelor of Science in Nursing from Grand Canyon University and an Associate of Science in Nursing from Harry S. Truman College. He has been a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) since 2015.

Wayne specializes in family-centered care, working with individuals aged 18 to 65. Whether supporting patients through anxiety, depression, ADHD, or life transitions, he develops personalized diagnostic and treatment plans that may include therapy, coping strategies, and, when appropriate, medication. His approach emphasizes clear communication and collaboration, empowering patients to understand their challenges, apply practical tools, and achieve lasting change.

Throughout his career, Wayne has served as a Psychiatric Nurse Practitioner and Associate Director of Medical Services, leading multidisciplinary teams and promoting accessible, high-quality care. As a Faculty Associate at Arizona State University, he has mentored future nurse leaders, focusing on clinical excellence and patient advocacy. His military background and volunteer work further reflect his commitment to serving diverse populations with compassion and respect.

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Dr. Jennifer Ruch is a board-certified psychiatrist who strives to understand her patients' lived experiences and aspirations to develop supportive therapeutic relationships through empathetic listening, mutual trust, and respect. She collaboratively creates individualized care plans that align with personal treatment goals in a safe and judgment-free environment. After completing her Bachelor of Science degree in Human Biology with a focus in psychology from the University of California, Merced, she earned her medical degree from Lake Erie College of Osteopathic Medicine. Dr. Ruch completed her General Psychiatry Residency at Arnot Ogden Medical Center in New York. Her clinical experience involves treating individuals of all age groups from diverse populations and socioeconomic backgrounds suffering from anxiety, depression, bipolar disorder, psychotic disorders, neurodevelopmental disorders, and neurocognitive disorders. She has provided care in inpatient and outpatient psychiatric facilities, the Veterans Affairs Medical Center, emergency rooms, state facilities, and an inpatient chemical dependency center. She also performed pre-procedure psychological evaluations for bariatric and spinal cord surgeries, and psychiatric consult liaison services on medical units and has clinical training in inpatient and outpatient neurology. Her clinical experience incorporated treatment modalities such as pharmacotherapy and interventional psychiatry, including Transcranial Magnetic Stimulation and Spravato. Dr. Ruch integrates a wide array of psychotherapy as needed; however, her practice primarily focuses on medication management while utilizing referrals to therapists and providing collaborative care for optimal outcomes.

Dr. Daniel Weiss is a double board-certified psychiatrist in adult and forensic psychiatry. His expertise is in diagnosing and treating psychiatric conditions, including depression and bipolar spectrum disorders, anxiety, stress and adjustment problems, maternal mental health, OCD, and other disorders. In addition, he has extensive experience working with individuals from diverse backgrounds, college and graduate students, creative professionals, and a range of working adults. Through a supportive psychopharmacologic approach, Dr. Weiss strives to provide a comfortable experience in which doctor and patient work to understand the presenting problems, reduce symptoms, and optimize functioning. In addition, Dr. Weiss encourages concurrent therapy and will communicate with that provider in a collaborative care arrangement. Dr. Weiss previously served as an attending psychiatrist on the staff of Montefiore Medical Center and was formerly a faculty member at the Albert Einstein College of Medicine. Before joining Talkiatry, Dr. Weiss spent a decade working at The New School as the university's staff psychiatrist.