Kyra Munzenmaier, MD

Dr. William Richie is an adult General and Forensic Psychiatrist. He earned his undergraduate and medical degrees from the University of Missouri Kansas City, completed his psychiatry residency at Howard University Hospital in Washington, DC, and later served as a Major in the United States Air Force. After his service, he returned to Howard as Chief of the Inpatient Psychiatric Service and completed fellowship training in Forensic Psychiatry at LSU Medical Center. Dr. Richie specializes in personality and dissociative disorders, pre-trial evaluations, and is especially interested in Men’s Mental Health.

Dr. Richie brings decades of clinical and academic experience to his practice. He believes that the foundation of effective care lies in a strong, respectful patient-psychiatrist relationship. His interpersonal and dialectical approach fosters collaboration, trust, and deeper understanding.

Dr. Richie takes time to listen carefully, ask thoughtful questions, and offer meaningful feedback. He works closely with each patient to develop a personalized treatment plan that supports long-term well-being and meaningful progress.

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Background and credentials

Dr. Munoz is a board-eligible adult psychiatrist. He earned his medical degree from Rutgers, New Jersey Medical School and completed his psychiatric residency at Mount Sinai Beth Israel. Throughout his training, he gained experience in a variety of clinical settings, including outpatient and inpatient care, as well as psychiatric emergency services.

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Treatment approach

Dr. Munoz provides compassionate psychiatric care through a combination of pharmacotherapy and supportive therapy. He specializes in treating depression, anxiety, bipolar disorder, and psychotic disorders. He has extensive experience working with LGBTQ+ and Spanish-speaking communities. His treatment philosophy is holistic, viewing patients as whole individuals and addressing their specific needs at different stages of life. He also emphasizes the importance of exercise, relationships, and overall well-being in his approach to mental health care.

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What you can expect in a first visit

During the first visit, patients can expect a comprehensive and patient-centered evaluation. Dr. Munoz takes the time to understand each patient’s symptoms, background, and personal goals. He collaborates with patients to develop an individualized treatment plan that may include medication management, supportive therapy, and lifestyle modifications to support their overall 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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Dr. Sara Mateo holds the position of staff Psychiatrist at Talkiatry. She is a board-eligible adult Psychiatrist. Dr. Mateo completed her Medical degree at the University of Benghazi- Faculty of Medicine and finished General Psychiatry Residency training at Tower Health/DrexelPhoenixville Hospital. Throughout her career, Dr. Mateo has actively contributed to various leadership roles and committees, demonstrating her commitment to advancing medical education and promoting diversity in the field. During her training, she generously shared her knowledge through educational presentations and lectures, fostering the growth of fellow trainees and medical students. Dr. Mateo is dedicated to creating a therapeutic environment characterized by warmth, empathy, and nonjudgmental support. Her approach involves collaborating with patients to develop individualized treatment plans that consider cultural, biological, psychological, and social factors. With a primary focus on medication management, Dr. Mateo's keen interest in psychotherapy is evident, as she often integrates supportive therapy, cognitive behavioral therapy, and psychodynamic psychotherapy during 30-minute follow-up visits to optimize wellness and recovery. Dr. Mateo brings a wealth of experience in caring for individuals of diverse ages and backgrounds, adeptly addressing a wide spectrum of conditions. Her expertise extends to treating depressive disorders, bipolar disorders, anxiety disorders, trauma and stress related disorders, ADHD, OCD, Insomnia, psychotic disorders; she also has experience treating individuals with medical comorbidities.

Dr. Luna Sanchez Rivera holds the position of Staff Psychiatrist at Talkiatry. After completing residency in 2016 at the Ponce Medical School Psychiatry Residency in Puerto Rico, she then moved to North Carolina to complete a subspecialty in Child and Adolescent Psychiatry at Duke University Health System. There, she transitioned into an assistant professor position, focused on structuring pediatric emergency psychiatric services, and helped support the consult and liaison pediatric service. Her years of experience have included working as an integrated care child psychiatrist within outpatient clinics at Duke University Health System, and she trained and worked as a staff psychiatrist at the Inpatient State Facility in North Carolina. She also served in the Dayton Children's Hospital outpatient clinics in Dayton, Ohio, the Appalachian Health System outpatient clinics in Linville, North Carolina, and more recently has been serving the Child and Adolescent inpatient population in Bangor, Maine. Dr. Sanchez Rivera has an approachable style aimed at providing a comprehensive evaluation for all age ranges and is comfortable managing various levels of diagnostic complexities. She provides supportive psychotherapy while using psychodynamic therapy skills to clarify her patient's constellation of symptoms, identify unifying themes and provide thorough psychoeducation throughout the process to drive positive outcomes. She integrates psychodynamic medication management approaches and is adept at family therapy interventions.

Dr. Ioana Horotan-Enescu is a board-certified Psychiatrist. Before joining Talkiatry, she was an Active-Duty staff psychiatrist at Blanchfield Army Community Hospital, Fort Campbell, KY. Her military service also included roles such as Medical Director of Behavioral Health and Interim Clinic Chief for Embedded Behavioral Health Clinic. She completed her internship and residency at Walter Reed National Military Medical Center and earned her Doctor of Osteopathy Degree from the University of New England College of Osteopathic Medicine. Her clinical experience spanned from the inpatient to the outpatient setting and afforded her the opportunity to develop comprehensive skills in the treatment of PTSD, mood disorders, thought disorders, addiction and perinatal mood disorders. Her teaching experience spanned multiple institutions, where she has served as a preceptor and mentor for medical students, nurse practitioner and physician assistant students. In addition to medication management, she augments her practice by implementing mindfulness, psychodynamic and supportive therapy techniques in her everyday practice to enhance treatment and improve treatment response. Dr. Horotan-Enescu holds several certifications, including in Cognitive Behavioral Health Therapy for Suicide Prevention, Motivational Interviewing and Battlefield Acupuncture. She has delivered presentations at national and international conferences on various topics, reinforcing her commitment to advancing the field of psychiatry.

Dr. Samuel Russell is a psychiatrist at Talkiatry. He is board certified in Addiction Psychiatry and Adult Psychiatry. His particular clinical focus is on the treatment of Obsessive Compulsive Disorder, and behavior addictions, as well as trauma, mood, and anxiety disorders. Dr. Russell's practice focuses on evidence-based treatments for psychiatric illness that utilizes a combination of medications and psychotherapy modalities best suited for an individual patient and their needs. He offers this in conjunction with supportive or emotionally focused therapy in 30-minute follow-up visits. Weekly hour-long psychotherapy may be available if indicated. However, occasionally, Dr. Russell may believe that different therapies are also needed and ask that you bring a therapist into your care team to provide the best outcome. He received his medical education at the University of Washington in Seattle after completing undergraduate studies in psychology and later a post-baccalaureate at Boston University. After residency at the University of Chicago where he specialized in addiction psychiatry and psychotherapy, he completed an Addiction Psychiatry Fellowship at the University of Washington in Seattle.