Mark Helms, MD

Dr. Earl De Guzman is a psychiatrist who values therapeutic partnership, working with patients to balance symptom relief with meaningful self-exploration. He earned his BS in Psychology from the University of California, Davis, and his MD from Ross University School of Medicine. He completed his psychiatry residency at Los Angeles County + University of Southern California Medical Center and a consultation-liaison psychiatry fellowship at Stanford University Medical Center. He is triple-board-certified in psychiatry, consultation-liaison psychiatry, and addiction medicine, and holds psychoanalytic psychotherapy training certification from the Psychoanalytic Center of California. Currently, he is a psychoanalyst-in-training at the New Center for Psychoanalysis. His expertise spans medication management, supportive therapy, and psychodynamic therapy.

Dr. De Guzman takes a collaborative, patient-centered approach, creating a warm and nonjudgmental environment. He listens deeply, asks thoughtful questions, and encourages honest exploration of symptoms and underlying patterns. He values authenticity, curiosity, and respect for each patient’s unique experiences. While symptom relief is important, his goal is to foster self-understanding and long-term growth. He works best with patients open to collaboration and motivated for change, whether through medication management, therapy, or both.

Dr. De Guzman begins with a consultation phase to ensure a good fit, listening carefully to understand each patient’s challenges and goals. Together, he and his patients build a working alliance by clarifying difficulties, identifying realistic changes, and exploring deeper patterns. When appropriate, he prescribes medication thoughtfully, aiming to support therapy rather than replace it. Each session integrates supportive and psychodynamic elements, combining medication review with therapeutic dialogue. Treatment plans are regularly revisited, allowing flexibility and growth, with the ultimate aim of empowering patients toward lasting change.

Dr. Catherine Bledowski is board-certified in General Psychiatry and Consultation-Liaison Psychiatry (Psychosomatic Medicine) by the ABPN.  She received her medical degree from the University of South Carolina School of Medicine and completed her residency in General Psychiatry as well as her fellowship in Consultation-Liaison Psychiatry (Psychosomatic Medicine) at Virginia Commonwealth University.  Dr. Bledowski spent most of her career in large, urban academic medical centers, primarily taking care of patients with severe mental illness, as well as those with mental illness comorbid with other complex medical conditions.  

Dr. Bledowski has a passion for medical education and has held faculty appointments at Virginia Commonwealth University, University of Utah, Georgetown University, George Washington University, and Walter Reed National Military Medical Center.  Dr. Bledowski has authored numerous peer-reviewed journal articles and provided academic presentations to both national and international audiences.  Her interests include emergency psychiatry, brain stimulation therapies, complex psychopharmacology, and psychopharmacology in the medically ill.  Prior to joining Talkiatry, Dr. Bledowski held various leadership positions in academic medicine, emergency psychiatry, consultation-liaison psychiatry, and brain stimulation at multiple academic medical centers.  

Dr. Bledowski's approach to patient care is centered upon collaboration and utilizing the most up-to-date evidence-based practices.

Dr. Gamberino is a board certified adult psychiatrist who has been in practice for over 25 years. He has always been fascinated by how the brain works, especially in the setting of stress, anxiety, and trauma. He completed his training at the Pennsylvania State University College of Medicine MD/PhD program and earned his PhD in Neuroscience. He subsequently completed a Residency in Adult Psychiatry including an Anxiety Disorder Research Fellowship at the University of Florida. Dr. Gamberino had a private practice for over 10 years with a focus on providing psychotherapy integrated with pharmacological management. He worked for 25 years with adult and geriatric Veterans at Department of Veterans Affairs with focus on treating PTSD, as well as a full range of anxiety and mood disorders including 7 years of providing care through telehealth treatment. Dr. Gamberino also has 10 years of experience working with adolescents in the juvenile justice system.

Dr. Gamberino is experienced and comfortable treating a wide variety of psychiatric conditions including PTSD, mood disorders such as major depression and bipolar disorder, and all anxiety disorders such as generalized anxiety disorder, social phobia, panic disorder, and OCD. He enjoys sharing knowledge with patients to help them better understand the origins of their symptoms and a range of strategies to manage them.

Dr. Gamberino utilizes a non-paternalistic approach respecting the autonomy of his patients while helping them gain insight into their presenting problems utilizing a collaborative shared decision making approach to help reduce symptoms and optimize functioning. His practice combines evidence-based medication management with psychotherapy utilizing elements of supportive, cognitive behavior, and insight-oriented therapy. Dr. Gamberino utilizes a patient, caring approach, meeting patients where they are to empower them with making changes that lead toward improvement and optimization of their wellness.

Dr. Mattern is board certified in Adult psychiatry. Her approach to mental health is integrative, with the utilization of complementary and alternative treatments such as yoga, lifestyle changes, and nutritional interventions in addition to traditional medication management and therapy. Dr. Mattern prefers to focus on the overall health and well-being of an individual, rather than just treating symptoms.

Dr. Mattern’s practice focuses on medication management along with elements of therapy from different modalities, such as supportive and cognitive behavioral therapy that are patient-tailored.  Dr. Mattern understands the importance of psychotherapy and may ask to bring in a therapist into your treatment team to provide the best care and outcome. Her clinical interests include depression, bipolar disorder, anxiety disorders, post-traumatic stress disorder, panic disorder, OCD, and ADHD.

After completing her undergraduate degree in Biology at Ohio Northern University, Dr. Mattern received her medical degree from Ohio University Heritage College of Osteopathic Medicine. She went on to complete her residency in psychiatry at The Ohio State University Medical Center.  She also completed yoga teacher training and presented nationally at the APA in 2019 regarding the benefits of yoga for depression.  Dr. Mattern is a member of the American Psychiatric Association, Ohio Psychiatric Physician’s Association, and Psychiatry Society of Central Ohio.

Dr. Mattern is board certified in Adult psychiatry.  Her approach to mental health is integrative, with utilization of complementary and alternative treatments such as yoga, lifestyle changes, and nutritional interventions in addition to traditional medication management and therapy. Dr. Mattern prefers to focus on the overall health and well-being of an individual, rather than just treating symptoms.  Dr. Mattern’s practice focuses on medication management along with elements of therapy.

Dr. Abby Reineck currently serves as an outpatient child and adolescent psychiatrist.  She has been practicing for eleven years.

Dr. Reineck's practice is primarily medication-management services, offered in conjunction with either supportive or eclectic therapy. Follow-up appointments average 30 minutes, but may be more or less. Occasionally, Dr. Reineck believes the addition of a therapist is needed and will request you bring a therapist into your care team. This will be asked of individuals if she believes it will lead to an improved clinical outcome.

Dr. Reineck received her medical degree from Boonshoft School of Medicine at Wright State University, located in Dayton, OH. She completed her psychiatry residency and child-and-adolescent fellowship at Dartmouth-Hitchcock Medical Center, in Hanover, NH.

After completing her training, Dr. Reineck moved to Brattleboro, VT, where she became an attending psychiatrist at The Brattleboro Retreat, working on both the child and adolescent inpatient units. The Brattleboro Retreat's location was such that it served a large number of patients from nearby states, which included New Hampshire, Massachusetts, Connecticut  and New York. However, it also served as the only psychiatric inpatient facility for children and adolescents in the entire state of Vermont.

Dr. Reineck also worked as the lead psychiatrist on the inpatient, adult, dual-diagnosis unit. This unit provided care for individuals struggling with addiction and mental-health related issues, some of whom required medically supervised detoxification.  

After roughly five years, Dr. Reineck moved from Vermont to Erie, PA.  She began working at a residential treatment facility for child and adolescent patients who required care in a highly supervised and highly structured setting. Dr. Reineck also began serving as a child and adolescent psychiatrist for patients enrolled in a school-based partial-hospitalization program.  Dr. Reineck gradually transitioned from these roles into strictly outpatient work. She worked as an outpatient psychiatrist in Butler, PA, where she treated child, adolescent, and adult patients. Dr. Reineck eventually narrowed her scope of practice to providing psychiatric treatment for only outpatient children and adolescents.  She did so out of facilities located in Erie and Meadville,  PA.  

Dr. Reineck completed her undergraduate studies at Ohio University. While Dr. Reineck has experience treating a wide variety of patients, her primary focus has been treating children and adolescents with a vast array of presenting concerns.

Dr. Jennifer Ruch is a board-certified psychiatrist who strives to understand her patients' lived experiences and aspirations to develop supportive therapeutic relationships through empathetic listening, mutual trust, and respect. She collaboratively creates individualized care plans that align with personal treatment goals in a safe and judgment-free environment. After completing her Bachelor of Science degree in Human Biology with a focus in psychology from the University of California, Merced, she earned her medical degree from Lake Erie College of Osteopathic Medicine. Dr. Ruch completed her General Psychiatry Residency at Arnot Ogden Medical Center in New York. Her clinical experience involves treating individuals of all age groups from diverse populations and socioeconomic backgrounds suffering from anxiety, depression, bipolar disorder, psychotic disorders, neurodevelopmental disorders, and neurocognitive disorders. She has provided care in inpatient and outpatient psychiatric facilities, the Veterans Affairs Medical Center, emergency rooms, state facilities, and an inpatient chemical dependency center. She also performed pre-procedure psychological evaluations for bariatric and spinal cord surgeries, and psychiatric consult liaison services on medical units and has clinical training in inpatient and outpatient neurology. Her clinical experience incorporated treatment modalities such as pharmacotherapy and interventional psychiatry, including Transcranial Magnetic Stimulation and Spravato. Dr. Ruch integrates a wide array of psychotherapy as needed; however, her practice primarily focuses on medication management while utilizing referrals to therapists and providing collaborative care for optimal outcomes.