LaTreece Ross, LPC

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Jami Jacobson, LMHC

Staff Licensed Mental Health Counselor

Jami Jacobson, MA, LMHC is a psychotherapist at Talkiatry. She achieved her Bachelor of Science in Psychology from the University of New Orleans in 2014, and her Master of Arts in Mental Health Counseling and Wellness from New York University in 2017. Jami has experience as both a mental health professional and as a social worker in a variety of settings in New York City. She has worked with individuals, families and the LGBTQIA+ community in hospitals, educational training centers, community outreach and housing programs, and family services. Her specializations include treating Phobias, Trauma, and Anxiety Disorders: specifically Obsessive Compulsive Disorder, Generalized Anxiety and Social Anxiety. She utilizes techniques from Cognitive Behavioral Therapy (CBT) and Dialectical Behavior Therapy (DBT). She has also completed Phase One training in Brainspotting, which specializes in addressing traumas in the subconscious and unconscious mind. Jami believes therapy should be a wholistic approach that incorporates both the body and the mind. She has a warm demeanor and seeks to create a safe, comfortable, and judgement-free zone, personalized for each client's unique needs. She seeks to educate her clients on the ties between feelings, thoughts, and behaviors, as well as how our environment and our past can have an influence on our day-to-day lives. ‍

Lillian Cole, MD

Staff Psychiatrist

Background and credentials

Dr. Lillian Cole is a board-certified adult psychiatrist. She completed her undergraduate education at the University of North Carolina Wilmington and went on to earn both a master’s in biomedical sciences and a medical degree from Texas Tech University. She completed her psychiatry residency training at the University of Texas Southwestern Medical Center, where she gained experience working with a diverse range of patient populations across different ethnic, socioeconomic, and clinical backgrounds.

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Treatment approach

Dr. Cole emphasizes a holistic, patient-centered approach that integrates evidence-based medicine, psychotherapeutic techniques, lifestyle interventions, and psychoeducation. She believes that listening, collaboration, and compassion are essential to guiding patients toward recovery. Her practice primarily focuses on psychiatric medication management, and she has extensive experience treating mood disorders, anxiety, trauma-related disorders, and substance use disorders. When additional therapy is necessary for the best outcome, she may recommend integrating a therapist into the treatment plan.

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What you can expect in a first visit

Patients can expect a thorough and compassionate initial evaluation, where Dr. Cole takes the time to understand their symptoms, medical history, and treatment goals. She focuses on fostering a strong doctor-patient relationship and collaborates with each patient to create a personalized treatment plan that may include medication management, therapy, and lifestyle interventions. If additional therapy is indicated, she will coordinate with other providers to ensure comprehensive care tailored to the patient’s needs.

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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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Austin Lin, MD

Staff Psychiatrist

Dr. Austin Lin is a double board-certified adult and addiction psychiatrist who has been in practice for over 9 years. At the center of Dr. Lin's clinical approach is a strong emphasis on establishing trust and using a collaborative approach to help patients develop an individualized and cohesive plan so that they are able to achieve their goals. Dr. Lin's practice focuses on medication management. Typically, he offers this in conjunction with supportive therapy, motivational interviewing, and/or cognitive behavioral therapy in 30-minute follow-up visits. Occasionally, Dr. Lin may recommend that additional therapy is needed and ask that you bring a therapist into your care team in order to provide the best outcome. Dr. Lin received his medical degree from St. George's University School of Medicine. He went on to complete his residency in psychiatry at Harvard South Shore, an affiliate of Harvard Medical School, where he served as Chief Resident and earned his 360° Professionalism award. He then had additional training in Addiction Psychiatry through his fellowship at the University of Texas Southwestern Medical Center. After completing training, Dr. Lin has worked as an Addiction Psychiatrist and Director of Adult Services in the Trauma and Resilience Center (TRC) at the University of Texas Health Science Center at Houston (UTHealth). He specialized in treating patients with a history of depression, anxiety, trauma, and substance use disorders. Dr. Lin has held an academic appointment at UTHealth, and he has spent his professional career supervising and teaching medical students and psychiatry residents.

Richard States, LPC

Staff Therapist

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 199, 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 is writing a book on self-regulation and uses the concepts in day-to-life and behavioral health practice. Rick enjoys addressing challenges related to anxiety, stress, depression, substance use, and trauma. Rick employs eclectic but methodical tools, including cognitive behavioral therapy, psychodynamic therapy, humanism, and somatic psychology, to assist with these challenges. Rick is EMDR trained and DBT Certified. On a more personal level, Rick is a long-term martial arts instructor, T'ai Chi instructor, and meditator. Relatedly, he also offers a variety of Mindfulness-based tools to clients.

Maria Carvajal-Ramirez, MD

Staff Psychiatrist

Dr. Maria Teresa Carvajal is an adult, child, and adolescent psychiatrist. She is originally from Guayaquil, Ecuador, and is bilingual in Spanish and English. Dr. Carvajal earned her medical degree from Universidad de Guayaquil in Ecuador. She then participated in a medical program at The William J. Harrington Training Program for Latin America and the Caribbean, at Jackson Memorial Hospital, an affiliate of the University of Miami in Florida. Afterwards, she completed her adult psychiatry residency at Icahn School of Medicine at Mount Sinai, Bronx Care Health System, and her fellowship in child and adolescent psychiatry at Northwell Health in New York. She has experience working in various settings, including inpatient, outpatient, and emergency departments. Dr. Carvajal has submitted and presented work to the American Psychiatric Association and has also collaborated on a book publication. Dr. Carvajal has experience treating children and adults with anxiety, depression, OCD, PTSD, ADHD, dementia, etc. She utilizes medication management in conjunction with emotional and supportive therapy in 30-minute follow-up visits. She is passionate about her work and understands the impact of mental illnesses in daily life activities and in the family system. She will work with each patient in an individualized manner and will tailor personalized treatment plans that may include pharmacological treatment. In addition, Dr. Carvajal may recommend including a therapist in your care team to provide the best outcome.‍

Kevin Seske, LCPC

Staff Therapist

Kevin Seske is a Licensed Clinical Professional Counselor who specializes in Sport and Health Psychology. His approach to therapy is collaborative, empowering, nonjudgmental, trauma informed, and goal-focused. He sees therapy as a method to find the individual's strengths to help overcome any hardships.‍Kevin integrates treatment modalities such as Cognitive Behavioral Therapy, Trauma-Focused CBT, Existential Therapy, and mindfulness techniques. In addition, he incorporates Sports Psychology in sessions where appropriate as he believes physical activity can empower us and teach us life skills that boost self-esteem, promote team building, and aid in relaxation. These methods are proven to show reduction in anxiety and depression.‍Kevin specializes in treating PTSD among young adults, adults, and/or immigrant populations. He is also skilled in treating mental illnesses such as anxiety, depression, grief, emotional abuse, and life transitions. Kevin has been told by clients and colleagues that he has a calming presence and is a good listener.‍Kevin's 10 years of experience as a counselor has included providing trauma-informed care for undocumented minors who arrived at the US border seeking refuge from their home countries, including ones experiencing Adjustment Disorder, PTSD, and ODD. Additionally, Kevin served in a FQHC on the Southwest side of Chicago, in their clinical setting and school-based health center.

Carly Frix-Rhyne, LPC

Staff Therapist, Clinical Lead

Carly Frix-Rhyne is a Licensed Professional Counselor (LPC), in both Texas and Arkansas, who has extensive experience working in the mental health field. She has worked directly with clients of various demographics, living with a variety of mental health conditions. Carly attended undergraduate and graduate school in her hometown of Texarkana, Texas at Texas A&M University - Texarkana. She completed her practicum and internship working as a therapist in therapeutic foster care, with children, teens, foster parents, and biological families. Carly has been practicing for 7 years as a LPC, focusing on individuals working to cope with trauma, stressful life events, anxiety, depression, and issues coping with and communicating their own needs. Carly has worked for community mental health agencies, non-profit agencies, and private practice organizations. Much of Carly's past work involves providing therapy services to children, teens, and adults who survived abuse/trauma. Carly enjoys working with clients of all ages and with a variety of different presenting mental health needs. She uses different techniques including cognitive behavioral approaches and attachment-based approaches, while maintaining a person-centered theoretical orientation with all clients. Carly utilizes a range of therapeutic tools in hopes of providing clients with practical skills they can begin using immediately. She believes in meeting clients exactly where they are and helping them understand their own needs.

Matthew Koller, MD

Staff Psychiatrist

Background and credentials

Dr. Matthew Koller is a board-certified adult psychiatrist who completed his undergraduate training at The University of Texas at Austin. He earned his medical degree from The University of Texas Health Science Center at San Antonio and completed his general adult psychiatry residency at Baylor College of Medicine in Houston, TX, where he served as Chief Resident of Education in his final year of training.

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Treatment approach

Dr. Koller believes that understanding a patient fully is essential before treatment begins, emphasizing a collaborative and patient-centered approach to care. His practice is primarily focused on medication management, but he also incorporates supportive therapy and other therapeutic modalities as needed. He may recommend including a therapist in the treatment plan to ensure comprehensive, well-rounded care. He has experience treating a wide range of mental health conditions, including depression, anxiety, insomnia, personality disorders, bipolar disorder, PTSD, and psychotic disorders.

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What you can expect in a first visit

During the first visit, patients can expect a thorough and individualized psychiatric evaluation, where Dr. Koller takes the time to understand their symptoms, history, and treatment goals. He prioritizes open communication and shared decision-making, working closely with patients to develop personalized treatment plans. While medication management is the foundation of his approach, he remains flexible and adaptive, incorporating therapy and other interventions as needed to help patients achieve optimal mental health.

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Why Talkiatry?

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Troy Grantham, MD

Staff Psychiatrist

Dr. Troy Grantham is a board-certified staff psychiatrist who treats adult patients. A former engineer, Dr. Grantham has developed a passion for guiding patients along the road to recovery. He completed his undergraduate studies at The University of Texas at Austin and later completed medical school and residency in General Psychiatry at The University of Texas Medical Branch at Galveston. Dr. Grantham's practice focuses on medication management. He utilizes a systematic approach to ensure diagnoses are accurate and treatment plans are optimized to each individual patient. His approach is also holistic in nature, often incorporating therapy and lifestyle modification into the treatment plan. Dr. Grantham employs multiple therapeutic approaches in his practice depending on the needs of the patient including supportive therapy, Cognitive Behavioral Therapy (CBT), and Acceptance and Commitment Therapy (ACT). He places great emphasis on psychoeducation so that patients are aware of the nature and prognosis of their conditions as well as the treatment options available. When multiple treatment options are reasonable, Dr. Grantham takes patient preference into account, offering flexibility to the patient experience. He treats a variety of psychiatric disorders with a particular focus on mood disorders, anxiety disorders, obsessive-compulsive disorders, and trauma-related disorders. Please note: Dr. Grantham does not prescribe long-term, daily benzodiazepine medications, however, he is happy to help you taper off of these medications and transition to a safer, long-term medication regimen. In addition, Dr. Grantham does not treat ADHD nor prescribe stimulant medications.

Maria Lourdes Castineira Garcia, MD

Staff Psychiatrist

Dr. Castineira Garcia is a highly experienced, board-certified psychiatrist specializing in adult and addiction psychiatry, with nearly 20 years of clinical experience in both English and Spanish. Originally from Galicia, Spain, she earned her medical degree from the Facultad de Medicina y Odontología in Santiago de Compostela. After several years as a primary care physician in her home region, she moved to the United States, where she was able to pursue her true passion: psychiatry. Dr. Castineira Garcia has provided high-quality care to culturally diverse communities, working in public sector, non-profit, and for-profit organizations. She has extensive experience helping patients with depression, anxiety, PTSD, and various other mental health conditions.‍Taking a personalized approach to treatment, Dr. Castineira Garcia considers the unique psychology, biology, and lifestyle of each individual when determining the best course of action. Her practice focuses on medication management in conjunction with supportive therapy, conducting follow-up visits in 30-minute increments. She believes that the most successful treatments integrate physical health, therapy, mindfulness, and medication�when necessary�to provide the most effective solutions for her If you are looking for a compassionate and experienced psychiatrist who is fluent in both English and Spanish, Dr. Castineira Garcia is an excellent choice for those seeking to improve their mental health patients.

Lauren Treharn, PMHNP

Staff Nurse Practitioner

Lauren is a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) who earned her Masters of Science in Nursing from Kent State University in 2020. Lauren has experience treating patients with depression, anxiety, psychotic disorders, bipolar, ADHD, OCD, PTSD and substance abuse.

Lauren’s approach integrates both medication management and psychotherapy, creating a balanced treatment plan. She takes the time to listen to concerns, creating a safe space for open dialogue. Lauren utilizes supportive therapy, motivational interviewing, and cognitive behavioral therapy in her sessions. Lauren knows that medication alone often isn't enough to fully address the root causes of distress. With a laid-back, non-judgmental, and empathetic approach, she collaborates with you to build a comprehensive treatment plan that may include talk therapy, lifestyle modifications, stress management, self-care, supplements, and social health. Every decision is rooted in evidence-based practices and patient-centered care, ensuring that your treatment is tailored to your unique needs and goals.

Lauren will conduct a thorough initial assessment, gathering detailed information about your mental and physical health history, lifestyle, symptoms, concerns, and goals. This information guides a potential diagnosis, which then serves as the foundation for creating a personalized treatment plan with regular follow-up appointments to track progress, make any necessary adjustments, and receive ongoing support.

Tony Tu, MD

Staff Psychiatrist

Dr. Tony Tu is a board certified adult psychiatrist who emphasizes patient education and a psychodynamic approach to outpatient psychiatry. His passion for empowering patients with knowledge stems from his academic experience in psychiatry residency training. Dr. Tu's practice focuses on blending medication management together with psychotherapy. He also prioritizes collaboration with your therapist and encourages working together as a team. Dr. Tu is a graduate of the University of Chicago Pritzker School of Medicine where he completed an MD and PhD combined program which helped develop his "doctors as teachers” style of practice. Dr. Tu completed his psychiatry residency training at Loyola University Medical Center in Illinois. Dr. Tu served as an Associate Program Director of Loyola's Psychiatry residency training program for two years, and now maintains an Affiliate Assistant Professor of Psychiatry role with Loyola. He continues to contribute to residency training, as well as mentorship of medical students and psychology externs. Over the years, Dr. Tu has received several awards that demonstrate his affinity for teaching, including the Educator of the Year Award in 2022 from the Loyola Psychiatry Residency Program. Areas of specialization include psychopharmacology, patient-centered medicine, and combination treatment of psychiatry and psychotherapy. Dr. Tu understands that medications are not the end-all-be-all of treatment, but just the beginning. For trauma and acute stress, he understands that the journey starts at the tip of the iceberg, with much to explore as you feel more ready.

LaTreece Ross, LPC

Education and training

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