Maria Carvajal-Ramirez, MD

Dr. Zadoo graduated from the University of Texas at Austin. She attended medical school at Texas Tech University Health Sciences Center and went on to complete her residency at UT Health San Antonio.

Dr. Zadoo is passionate about getting to know her patients and helping them live happier, healthier, and more productive lives. She specializes in treating a wide range of mental health conditions, including depression, anxiety, bipolar disorder, OCD, and trauma-related disorders. Her approach is rooted in empathy, active listening, and shared decision-making. She believes that every patient’s story matters and tailors treatment plans to meet each patient’s needs, values, and goals. By fostering a safe and respectful space, Dr. Zadoo helps patients navigate times of stress, life transitions, behavioral problems, communication issues, relationship difficulties, poor self-esteem, grief, loss, and other concerns.

Dr. Zadoo first completes an initial psychiatric evaluation to establish diagnoses and create a comprehensive plan for treatment. She is passionate about forming a strong therapeutic alliance and empowering patients to improve their lives through a variety of holistic modalities. While medications are a mainstay of psychiatric care, Dr. Zadoo is also skilled at using existential, psychodynamic, cognitive behavioral, and Gestalt psychotherapy techniques.

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Dr. Goel holds the position of Staff Psychiatrist at Talkiatry. She has completed adult psychiatry training and is board certified. She has been actively involved in mental health care in various capacities over the past 7 years.

Dr. Goel's practice focuses on psychopharmacological interventions. Typically, she combines this with a strong emphasis on Cognitive Behavior Therapy (CBT). Dr. Goel also strongly believes that the best outcomes are achieved, when you treat a person and not just illness.

She received her medical degree from one of the largest publicly funded medical schools in India, L.L.R.M. Medical College, Meerut, India, before moving to the US. She gained experience in mental and behavioral health in various roles at some of the most prestigious institutions in the US, namely Northwestern University, Emory University, and North Shore-LIJ. She completed her residency at Nassau University Medical Center, East Meadow, NY. Dr. Goel has been a co-author of several research papers. Her team's research work has also been presented at national and international meetings as well.

While Dr. Goel enjoys working with adults with various psychiatric disorders, her primary focus is on treating adults with various anxiety and depressive disorders. Dr. Goel also has a special interest in co-occuring sleep disorders with these conditions.

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Background and credentials

Dr. Escamilla is a board-certified psychiatrist with over 20 years of experience in treating mental health conditions. He is a graduate of Harvard College and earned his medical degree from the University of Texas Southwestern Medical School. He completed his psychiatry training at the University of California at San Francisco and further specialized through a research fellowship with the American Psychiatric Association. In addition to his clinical work, he is a Jungian Analyst and holds academic positions as an adjunct professor at Rutgers University Department of Psychiatry and as the Frank McMillan Jr. Scholar at the Jung Center of Houston.

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Treatment approach

Dr. Escamilla brings a deeply analytical and research-driven approach to psychiatry, integrating traditional psychiatric treatment with Jungian analysis. He has a strong background in academic research and clinical psychiatry, contributing extensively to the field through research publications. His expertise spans a wide range of mental health challenges, and he is committed to understanding the complexities of each patient’s experience to tailor a treatment plan that best suits their needs.

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What you can expect in a first visit

During the first visit, patients can expect a comprehensive psychiatric evaluation that takes into account their personal history, psychological patterns, and treatment goals. Dr. Escamilla’s approach emphasizes thoughtful analysis and evidence-based care, ensuring that each patient receives a personalized and insightful treatment plan. His sessions may incorporate medication management, psychotherapy, and Jungian analytical techniques to provide a holistic and individualized treatment experience.

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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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Deborah Bearman, PMHNP, is a board-certified psychiatric nurse practitioner dedicated to helping individuals facing mental health challenges live more fulfilling lives.

She earned her Master of Science in Nursing with a specialty in psychiatry from SUNY Upstate Medical University. Deborah is trained in psychiatric diagnosis, medication management, and both psychodynamic and cognitive behavioral therapies. Over the past 10 years, she has gained valuable experience in a variety of settings, including inpatient and outpatient facilities, community mental health clinics, and private practice.

Deborah approaches adult mental health from a holistic perspective, combining medication management with supportive counseling, which she offers during 30-minute follow-up sessions. While her primary focus is medication management, she believes most individuals benefit from therapy as well. She has extensive experience in both psychodynamic and cognitive behavioral therapies and is committed to providing psychoeducation to patients, families, and caregivers.

As a psychiatric nurse practitioner, Deborah values the therapeutic relationship and its positive impact on daily functioning. By working collaboratively with patients to create comprehensive and effective treatment plans, she supports them in achieving healthier, more satisfying lives.

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Dr. Bryce Toburen is a board-certified psychiatrist dedicated to compassionate, collaborative care across the lifespan. His training includes an MD from the Medical College of Wisconsin, residency at The Ohio State University where he served as Chief Resident, and a fellowship in Child & Adolescent Psychiatry at Nationwide Children's Hospital. Outside the clinic, he enjoys sports, tennis, exploring nature, traveling, and spending time with loved ones.

Each patient brings a unique story, and he strives to create a safe, respectful space where you feel heard and supported. His interest in psychiatry stems from a desire to maximize the well-being of patients and their families through strong therapeutic relationships. Compassion and curiosity guide his work, along with a strong belief in the power of connection and collaboration. You can expect open communication and a focus on your personal goals throughout your time together.

Treatment is personalized using evidence-based approaches that include psychotherapy, medication management, and lifestyle strategies. He specializes in addressing anxiety, depression, ADHD, OCD, and trauma-related concerns. Collaboration and trust are central to his approach, with an emphasis on empowering patients to take an active role in their healing and well-being.

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Dr. Garrick Gaffney earned his medical degree from Kansas City University and completed his psychiatry residency at John Peter Smith Hospital in Fort Worth, Texas. A combat veteran, he served in the U.S. Marine Corps, including a tour in Iraq, and was honored with the Navy and Marine Corps Achievement Medal and a Certificate of Commendation for exemplary leadership.  During medical school, Dr. Gaffney pursued advanced training as an Osteopathic Manipulative Medicine fellow. As a resident, he served as Chief Academic Resident and earned accolades such as Intern of the Year and Outstanding Educator of the Year twice consecutively.  

Dr. Gaffney specializes in treating complex psychiatric conditions, including depression, anxiety, PTSD, OCD, bipolar disorder, and insomnia. He has presented case studies and quality improvement projects at national conferences, including the American Psychiatric Association (APA), Academy of Consultation-Liaison Psychiatry, and Association for Academic Psychiatry.  

A proponent of holistic care, Dr. Gaffney integrates psychotherapy into medication management and emphasizes lifestyle modifications and evidence-based integrative medicine

New patients receive comprehensive evaluations to rule out medical causes of symptoms, followed by tailored treatment plans combining therapy, medication, and lifestyle adjustments. Follow-up visits focus on symptom management through supportive, brief dynamic, or cognitive behavioral therapy, with frequent appointments until stabilization is achieved.  

Dr. Gaffney is committed to collaborative, patient-centered care that addresses both mental and physical well-being

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