Maria Carvajal Ramirez, MD

Background and credentials

Dr. Joyln Ferrell is a board-certified psychiatrist with specialized training in treating depression and anxiety disorders. She earned her medical degree from Howard University College of Medicine and also holds a doctorate in pharmacy from the University of Georgia. She completed her residency training in psychiatry at VA Boston/Harvard Medical School and gained significant clinical experience at McLean Hospital. Additionally, she completed a fellowship in psychoanalytic psychotherapy at Columbia University Center for Psychoanalytic Training and Research.

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Treatment approach

Dr. Ferrell focuses on providing patient-centered care, emphasizing improving quality of life and helping patients reach their specific treatment goals. Her approach integrates medication management with supportive therapy. She believes in a collaborative treatment process and may recommend additional therapy support when necessary to optimize outcomes. She takes a cautious and limited approach to the use of controlled medications, ensuring responsible medication management.

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What you can expect in a first visit

During the first visit, patients can expect a comprehensive assessment of their symptoms, medical history, and treatment goals. Dr. Ferrell takes a thoughtful and individualized approach to care, working with patients to develop a treatment plan that incorporates medication management and supportive therapy. Follow-up visits typically last 20-30 minutes and focus on monitoring progress and adjusting treatment as needed. In some cases, she may recommend involving an additional therapist to further enhance the effectiveness of the treatment plan.

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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. Breaunnah Bloomer Jackson is a board-certified Child & Adolescent Psychiatrist who earned her undergraduate degree from Howard University and a master’s in biological sciences from Mississippi College. She completed medical school at LSU Health Sciences Center – Shreveport, followed by a general psychiatry residency and child & adolescent psychiatry fellowship at LSU Health Sciences Center – New Orleans, where she served as Chief Fellow.

Dr. Breaunnah Bloomer Jackson creates a welcoming, supportive space for children, adolescents, and their families. She takes a compassionate and collaborative approach to care, focusing on medication management while integrating supportive therapy, brief cognitive techniques, parent guidance, psychoeducation, and motivational strategies. When ongoing therapy is needed, she works closely with therapists to ensure connected, comprehensive care.

She is passionate about meeting young people where they are, honoring their individuality, and working with families to navigate challenges together. With a strong foundation in human development and a deep commitment to equity, Dr. Bloomer Jackson is building a practice that supports the whole person—and every story.

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Dr. Zac Myslinski is a staff psychiatrist who provides thoughtful, evidence-based care for adults facing a wide range of difficulties. He is committed to creating a welcoming, collaborative space where patients from all backgrounds, including but not limited to the LGBTQ+ community, feel heard and supported.

He earned his undergraduate degree in chemistry from Dartmouth College and his medical degree from Weill Cornell Medicine, where he received the Richard Kohl Prize for Excellence in Psychiatry. He completed his psychiatry residency at Harvard-Beth Israel Deaconess Medical Center, where he served as chief resident of the Consult-Liaison/Emergency Department Psychiatry service. He has also conducted research on Alzheimer’s disease and health system economics.

New patients can expect a personalized approach that includes discussion of both medication and therapy. Dr. Myslinski values understanding your treatment preferences and aims to serve as a consultant and collaborator in identifying the best path forward. He believes that developing a shared understanding of your background and current difficulties is essential to effective treatment.

Dr. Myslinski is well-trained in using a wide range of medications and interventions alongside talk therapy, especially cognitive behavioral therapy (CBT) and acceptance and commitment therapy (ACT). His approach emphasizes flexibility, autonomy, and curiosity, with a focus on symptom relief and deeper self-understanding.

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Dr. Fatima Ghandour is an adult psychiatrist originally from Southeast Michigan. She earned her undergraduate degree at the University of Michigan and her medical degree at Western Michigan University Homer Stryker MD School of Medicine. She completed her psychiatry residency at Authority Health in Detroit, where she was recognized as Resident of the Year in her graduating class. Dr. Ghandour has experience practicing in both outpatient and inpatient settings and has treated a wide range of conditions including depression, anxiety, ADHD, and PTSD.

Dr. Ghandour values open communication and collaboration, working closely with patients to set clear and meaningful treatment goals. She fosters a warm, supportive environment where patients feel heard, respected, and empowered to take an active role in their care. Her empathetic and patient-centered approach helps individuals feel safe sharing their unique experiences and challenges.

Dr. Ghandour begins each relationship with a thorough evaluation, taking time to understand each patient’s history, concerns, and goals. From there, she develops an individualized treatment plan that reflects the patient’s needs and preferences. She combines evidence-based strategies with ongoing dialogue to ensure treatment remains responsive and aligned with each patient’s progress and well-being.

Tiffany Vickers is a board-certified Psychiatric Nurse Practitioner who earned her Master of Science Degree from Southeastern Louisiana University. She takes a holistic approach to mental health by recognizing the essential connection between the mind and body. Tiffany has 26 years of diverse experience in the clinical, home, and telepsychiatry settings.

Tiffany is committed to creating a safe, supportive, and nonjudgmental space where clients feel heard. She is especially passionate about reducing the stigma surrounding mental illness and believes in partnering closely with clients to help them achieve meaningful and lasting progress.

New patients working with Tiffany can expect a collaborative, respectful, and goal-oriented approach to care. She specializes in treating adults with ADHD, anxiety, bipolar disorder, depression, OCD, and PTSD. Tiffany's treatment approach utilizes a combination of medication management, lifestyle modifications, supportive therapy, and solution-focused techniques.

Her approach is grounded in empathy, clinical expertise, and a commitment to helping each individual achieve their mental health goals.

Tiffany follows a multi-stage, personalized approach when working with clients. She begins by gathering a comprehensive history, understanding the client's primary concerns, and identifying both short- and long-term goals. From there, she collaborates with each individual to develop a tailored treatment plan that includes client-specific interventions.

Tiffany's process is dynamic and adaptive! She monitors each client's progress and adjusts care as needed to ensure it remains aligned with their needs and goals. This thoughtful, individualized approach supports lasting outcomes and empowers clients to take an active role in their mental health journey.

Mahreen Rashid, PMHNP, has over ten years of experience treating patients with a variety of psychiatric diagnoses across inpatient, intensive outpatient, and outpatient settings. While she has cared for children, adolescents, and adults, her primary focus and passion is supporting adults with their mental health needs. She earned her medical degree and completed her training with a commitment to compassionate, evidence-based care.

Mahreen takes a collaborative approach, working closely with each patient to understand their emotional needs and medication preferences. She values a team-based approach, integrating input from patients and other care providers to create a holistic treatment plan that supports overall well-being.

During initial evaluations, Mahreen gathers a thorough history, including medical background, mental health concerns, and personal goals. She reviews past medication trials, discusses previous experiences with providers, and assesses each patient’s comfort level with new treatments. Together, she and her patients develop individualized plans to support long-term mental health and wellness.