Maria Carvajal-Ramirez, MD

Dr. Routhier was born in Quebec, Canada. She attended medical school at Ross University School of Medicine and graduated in three years with high honors. She trained as a psychiatry resident at Case Western Reserve School of Medicine in Cleveland, OH where she served as a junior attending and the medical student coordinator. She then was recruited by Monterey County Behavioral Health, CA as a clinical psychiatrist where she provided medication management and psychotherapy services to over 400 patients over the course of five years. She also created and led two dialectical behavior therapy groups for teens and young adults while training therapists and social workers to become group facilitators.

Dr. Routhier firmly believes in the mind-body connection. She feels that when the mind suffers, the body hurts as well and vice versa. As a result, she has developed a holistic approach to psychiatry and is comfortable offering a wide array of treatment modalities such as breathwork, dialectical behavior therapy, guided meditation, supportive psychotherapy, behavioral activation and medication management. She maintains that autonomy and a thorough understanding of one’s diagnosis and prognosis are critical for progress and healing. Her broad range of worldly experiences gives her the ability to work in a non judgemental, open-minded and authentic fashion. She connects with clients with ease and is passionate about self-awareness, constant evolution and empowering people so they can find their own way to happiness and health. She pushes her clients to find ways to build a life worth living, way beyond the goal of symptom resolution typical to psychiatry.

1. Getting to know you/understanding your “why”. Why are you seeking mental health treatment and why now? 2. Establish a list of issues and improvement zones. 3. Creating therapeutic goals. What do you want to work on? 4. Choosing treatment modalities to directly address these goals within a specific time frame. I provide updated and evidence-based information, and YOU choose what we do. 5. Figuring out the root causes to problems, symptoms and maladaptive behaviors/habits. How did this all start? Where does it come from? 6. Regular check-ins on how the treatment plan and therapeutic relationship are working for you. Are we a good fit? Are we meeting your goals/expectations? If not, back to the drawing board!

Dr. Connie Hsiao is a double board-certified Adult and Child & Adolescent Psychiatrist. She earned her medical degree from Texas A&M College of Medicine, completed her Adult Psychiatry Residency at UT Health San Antonio, and pursued Child & Adolescent Psychiatry Fellowship at Baylor College of Medicine. Dr. Hsiao has extensive experience treating diverse patient populations across various clinical settings.

Dr. Hsiao values open communication, collaboration, and building a safe, supportive environment where patients feel heard and respected. She treats a wide range of mental health concerns—including depression, anxiety, ADHD, and life transitions—in children, adolescents, and adults. She emphasizes trust and mutual understanding in the therapeutic relationship.

In the initial visit, Dr. Hsiao conducts a comprehensive evaluation to understand each patient’s unique history, concerns, and goals. She utilizes evidence-based medication management alongside therapeutic strategies to create personalized treatment plans that reflect and support her patients’ needs and aspirations.

Dr. Ocean Workman, MD, has experience in outpatient, inpatient, and psychiatric emergency settings. They earned their medical degree from the University of Maryland School of Medicine and completed residency in psychiatry at the University of Washington, where they served as Outpatient Chief Resident and completed an area of distinction in psychotherapy. Dr. Workman also holds a Master of Science in Nutrition and Human Performance from Logan University and is a 500-hour Registered Yoga Teacher trained in Rishikesh, India. They have a special interest in serving LGBTQIA+, kink/sex-positive, and non-monogamous communities.

Dr. Workman’s style is warm, collaborative, and grounded in respect for each patient’s individuality. They combine evidence-based and personalized treatments that may include medication management, psychotherapy (ACT, DBT, CBT, psychodynamic, and supportive modalities), and holistic wellness approaches. Dr. Workman strives to create a safe, affirming space where patients can explore and grow in ways aligned with their values.

In the initial sessions, Dr. Workman conducts a comprehensive assessment of the patient’s goals, values, history, and concerns. Together, they develop a tailored treatment plan that reflects the patient’s unique needs, emphasizing shared decision-making and ongoing collaboration.

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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Dr. Michael Lukowski is an adult psychiatrist who holds board certification with the American Board of Psychiatry and Neurology. He has been practicing medicine for over 4 years. Dr. Lukowski focuses on medication management combined with supportive therapy in 30-minute follow-up visits. He practices whole-person medicine, caring for the wellness of your mind, body, and spirit and helping you enjoy your relationships with those around you. Dr. Lukowski received his medical degree from the University of Nevada School of Medicine in Reno, NV, before moving to southern California to complete his residency at Loma Linda University. After completing training, Dr. Lukowski began working with the Southern California Permanente Medical Group in Riverside, CA, where he treated a variety of psychiatric disorders in an outpatient setting. In March of 2020, as the pandemic changed life and medicine forever, Dr. Lukowski adopted a strictly telepsychiatry role at his clinic. He has also held a staff psychiatrist position as an adult inpatient psychiatrist in Tennessee. Dr. Lukowski treats a wide variety of psychiatric disorders within the adult demographic.

Xavier Diao, MD (he/him) is a board-certified psychiatrist. He earned his undergraduate degrees in Psychology and Biological Sciences at the University of Maryland, where he also obtained his medical degree. Dr. Diao completed his psychiatry residency at the Icahn School of Medicine at Mount Sinai, received additional training in child and adolescent psychiatry at Columbia and Cornell, and finished a psychoanalytic fellowship at the New York Psychoanalytic Society & Institute. Prior to joining Talkiatry, he was an Assistant Professor of Clinical Psychiatry at the University of Pennsylvania, where he provided clinical care and teaching along the undergraduate-graduate medical education continuum.

Dr. Diao's therapeutic orientation is informed by psychodynamic, cognitive behavioral, and dialectical behavior modalities. He has expertise in the treatment of a diverse range of mental health conditions, including depression, anxiety, OCD, and PTSD. Dr. Diao uses a developmentally informed and LGBTQ-affirmative approach in his practice, with the aim of enriching meaning and alleviating suffering in the domains of work, play, and love.

Dr. Diao begins each encounter with gentle curiosity, inviting patients to share their stories without fear of judgment. Together, he crafts an individualized treatment plan with the patient that may include medication, psychotherapy, and/or referrals to subspecialty care, always in close collaboration with other members on the treatment team.

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