Maria Lourdes Castineira Garcia, 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. Romanow is double board-certified in Adult Psychiatry and Forensic Psychiatry. He graduated summa cum laude from the University of Pittsburgh with a Bachelor of Science degree in Sports Medicine/Athletic Training and then attended Drexel University College of Medicine. After medical school, he completed his residency in Adult Psychiatry at the University of Virginia, where he obtained a certificate in additional psychotherapy training. After residency, Dr. Romanow completed a fellowship in Forensic Psychiatry at the University of Virginia. During his fellowship, he trained at the prestigious Institute of Law, Psychiatry, and Public Policy (ILPPP) and Western State Psychiatric Hospital where he performed criminal and civil forensic evaluations. He also provided clinical care at a maximum security prison. Prior to joining Talkiatry, Dr. Romanow worked at a healthcare system in Montana providing inpatient and outpatient psychiatric care involving medication management and psychotherapy. Additionally, he operates a private forensic psychiatry practice that conducts mental health evaluations for the legal system. Dr. Romanow has extensive experience treating various mental health disorders including depression, bipolar disorder, anxiety and obsessive-compulsive disorders, post-traumatic stress disorder, and ADHD. His clinical work includes assisting patients who experience mental health disorders with co-occurring substance use problems. He has training in various schools of psychotherapy including cognitive behavioral therapy (CBT), CBT for insomnia, motivational interviewing and supportive psychotherapy. Dr. Romanow incorporates treatment focusing on the importance of exercise, diet, and good sleep habits as a part of comprehensive mental health care.‍

Dr. Mann is a double board-certified psychiatrist specializing in the care of adults, with additional expertise in the care of older adults. Her practice focuses on medication management for a wide range of psychiatric conditions. It incorporates various therapeutic modalities in order to optimize symptomatic improvement and enhance quality of life. Dr. Mann received her medical degree from St. George's University School of Medicine. She completed her residency training in psychiatry at Maimonides Medical Center, and fellowship training in geriatric psychiatry at Columbia University Irving Medical Center. Dr. Mann's approach is rooted in empathy. She believes in the importance of a strong therapeutic relationship in facilitating the healing process. She strives to empower patients on their journey to recovery by partnering with them in their care.

Maria Fiore is a Licensed Professional Counselor who has experience with a broad range of people and situations. Maria attended school at the University of Houston - Victoria, and practices in Texas. She continues to study and research in order to bring the best quality of care to each individual that she works with.‍In the time that Maria has been a therapist, she has worked directly with clients needing intense inpatient care, clients in an educational setting, and clients in various outpatient settings. She believes that every individual is unique and the care they receive should reflect that. Maria will work with you to develop therapeutic goals so you can grow into being the best version of yourself.‍She bases her treatment approach on Cognitive Behavioral Therapy, with elements of mindfulness and solutions focused therapy. Outside of work, Maria enjoys gardening, reading, and spending time in nature.‍

Mary Poupon is an experienced board certified psychiatric APRN/psychiatric nurse practitioner with over 30 years' experience in her field. She completed her graduate work at Columbia University and is published in her field. Her practice sites have included inpatient hospital treatment, partial hospital programs, in-home programs, outpatient clinics and alternative therapy including equine assisted therapy.  She was the program director and clinician with the Ryan White Mental Health Program in New York providing innovative mental health treatment for adolescents and adults living with HIV/AIDS in the boroughs of Manhattan, Queens, Brooklyn and the Bronx.  In 2013 she became certified as an equine assisted psychotherapist and served as the Director of Mental Health at Embrace Hope in Sandy Hook, CT. She was appointed as the Executive Director of Embrace Hope in 2017. Embrace Hope provided treatment to children, adolescents and adults who were victims of trauma related to the shooting at the Sandy Hook Elementary School. She presented a TED x talk in 2018 regarding her work with victims of trauma. She has provided treatment in the outpatient setting for children, teens, and adults. She has provided treatment to young adults at the Covenant House New York shelter program for homeless young adults.

Mary believes the human spirit is resilient. There are many challenges in the lifespan and self-care is paramount to success. Mary provides psychiatric consultation and assessment and provides a pathway to change. Treatment may include medication management, therapy, and coping skills to assist with life challenges. Mary believes treatment is a partnership and believes in establishing mutually agreed upon goals.

Mary's process for working with patients begins with active listening. The assessment begins with the patient describing why they are seeking engagement in behavioral health treatment at this time. She will complete a psychiatric assessment and evaluation and establish mutually agreed upon goals for treatment. She offers medication management in conjunction with supportive therapy in 30-minute follow-up visits. Mary believes that therapy and medication management if indicated together provides the best treatment outcomes.

Dr. Rodriguez is a board eligible adult psychiatrist, who is also fluent in Spanish. He completed residency at North Florida Regional in Gainesville via the University of Central Florida, where he also served as chief resident for education. He received his medical degree from Lincoln Memorial University � DeBusk College of Osteopathic Medicine in Tennessee. He also holds a master's and bachelor's degree in engineering from the University of South Florida, in Tampa. Dr. Rodriguez has worked with a wide array of patients across various medical settings and has experience treating patients with psychiatric illness who may also be suffering from medical comorbidities, such as obesity, hypertension, pain, and diabetes. He has been deeply involved with teaching and emphasizes psychoeducation while working in collaboration with his patients to help tailor their personalized treatment plan. His primary focus has been on treating adults with depression, bipolar disorder, anxiety, ADHD, OCD, and PTSD. Dr. Rodriguez has an approachable, patient-centered style, combined with a passion for optimizing sleep as it pertains to management of a psychiatric illness and overall well-being. He offers supportive therapy as part of his medication management visits, and at times may also offer cognitive behavioral therapy to address underlying stressors which may be contributing to one's presenting ailments. He may also recommend including a therapist in your care team to optimize outcomes.