Mary Gutierrez, MD

Dr. Michael Gravenstein earned his medical degree from the University of Florida College of Medicine, where he also completed his psychiatry residency. During training, he was recognized with multiple awards, including the Malcom Randall VA Resident of the Year Award, the Ross A. McElroy Psychotherapy Award, and the John “J.D.” Dorian Award for best sense of humor. He has worked across outpatient, inpatient, and consult liaison settings, and has experience treating a wide range of conditions including depression, anxiety, ADHD, OCD, personality disorders, and transitional age concerns. He also has expertise working with LGBTQIA+ patients and provides psychodynamic, CBT, and supportive therapies.

Dr. Gravenstein believes in a comprehensive approach to treatment that integrates medications, therapy, and lifestyle interventions. While medications can be very effective, he views them as just one part of a broader treatment plan tailored to each patient’s needs. He emphasizes individualized care and sees treatment as a team effort, meeting patients where they are and progressing at a pace they feel ready for.

Dr. Gravenstein strives to create a warm, collaborative environment that fosters open communication and genuine connection. He may challenge patients therapeutically but always with careful attention to their readiness and comfort. His goal is to build trust so that meaningful conversations and progress can occur. For him, success is always shared—when patients succeed, they succeed together; when challenges arise, they regroup and move forward together.

Dr. Mordukhaev believes individuals are more than a diagnosis and considers each patient’s biology, emotions, relationships, culture, and life circumstances to understand each human as a whole. She offers individualized, well-rounded care blending medication and psychotherapy. In a safe, supportive, and non-judgmental space, she partners with patients to foster greater insight into themselves, walking alongside them with compassion in their mental health journey.

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Background and credentials

Dr. Yang is board-certified in both General Psychiatry and Addiction Psychiatry. She received her medical degree from the Medical School of Nanjing University in China and completed her Ph.D. in Neuroscience at the State University of New York in Buffalo. She conducted neuroscience research at Tufts University and Columbia University. Dr. Yang completed her residency in Psychiatry at the University of Texas Health Science Center at Houston – McGovern Medical School (UTHealth) and a fellowship in Addiction Psychiatry at Baylor College of Medicine. She has held academic positions at Baylor College of Medicine, supervising medical students, residents, and physician assistant students.

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Treatment approach

Dr. Yang specializes in treating depressive disorders, bipolar disorders, anxiety, substance use disorders, ADHD, and trauma-related disorders. She employs medication management combined with supportive therapy and motivational interviewing techniques. Dr. Yang emphasizes building strong therapeutic relationships, tailoring treatment to each patient's unique goals and needs.

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What you can expect in a first visit

In the initial visit, patients can expect a detailed, personalized evaluation by Dr. Yang. She will explore symptoms, medical history, personal goals, and treatment preferences to design an individualized care plan. Patients can expect a compassionate, collaborative approach with clear communication about medication management options and supportive therapeutic strategies aimed at improving their overall well-being.

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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. Ioana Horotan-Enescu is a board-certified Psychiatrist. Before joining Talkiatry, she was an Active-Duty staff psychiatrist at Blanchfield Army Community Hospital, Fort Campbell, KY. Her military service also included roles such as Medical Director of Behavioral Health and Interim Clinic Chief for Embedded Behavioral Health Clinic. She completed her internship and residency at Walter Reed National Military Medical Center and earned her Doctor of Osteopathy Degree from the University of New England College of Osteopathic Medicine. Her clinical experience spanned from the inpatient to the outpatient setting and afforded her the opportunity to develop comprehensive skills in the treatment of PTSD, mood disorders, thought disorders, addiction and perinatal mood disorders. Her teaching experience spanned multiple institutions, where she has served as a preceptor and mentor for medical students, nurse practitioner and physician assistant students. In addition to medication management, she augments her practice by implementing mindfulness, psychodynamic and supportive therapy techniques in her everyday practice to enhance treatment and improve treatment response. Dr. Horotan-Enescu holds several certifications, including in Cognitive Behavioral Health Therapy for Suicide Prevention, Motivational Interviewing and Battlefield Acupuncture. She has delivered presentations at national and international conferences on various topics, reinforcing her commitment to advancing the field of psychiatry.

Dr. Osman Athar is board certified in General Psychiatry and board eligible in Consult-Liaison Psychiatry. He graduated with a Bachelor of Arts in English from Rice University and McGovern Medical School for his medical doctorate, and went on to complete a psychiatry residency at the University of Texas-Houston, where he served as a chief resident. Afterward, he completed a fellowship in Consult-Liaison Psychiatry at Louisiana State University - Ochsner Medical Center in New Orleans. Dr. Athar has experience in treating a wide variety of conditions, including Major Depression, OCD, Bipolar Disorder, ADHD, Eating Disorders, Anxiety Disorders, PTSD, Substance Use Disorders, Delirium, Dementia, and Mental Disorders due to Another Medical Condition. Dr. Athar primarily focuses on medication management in his practice but will typically also use supportive therapy and cognitive behavioral therapy skills with his patients in order to maximize wellness and recovery. Dr. Athar held an academic appointment at the University of Mississippi Medical Center where he was an assistant professor of psychiatry. He served as the clerkship director for the Medical Neuroscience and Behavior Course during his appointment, which required a six-week course for third-year medical students, which included four weeks of psychiatry education. During his appointment, Dr. Athar was also very active in resident education, focusing on topics related to consult-liaison psychiatry. Dr. Athar has experience in treating a wide variety of conditions, including Major Depression, OCD, Bipolar Disorder, ADHD, Eating Disorders, Anxiety Disorders, PTSD, Substance Use Disorders, Delirium, Dementia, and Mental Disorders due to Another Medical Condition. Dr. Athar primarily focuses on medication management in his practice.

Dr. Luis Espinosa holds the position of adult psychiatrist with Talkiatry. His practice focuses on medication management, and typically offers this in conjunction with supportive therapy in 30-minute follow-up visits. Dr. Espinosa’s approach is holistic. Each patient’s care is driven by their unique goals and values, whether they suffer from depression, anxiety, trauma, and stress related, or obsessive-compulsive disorders.

Dr. Espinosa believes in serving patients by combining therapy with medication to provide an experience that is both therapeutic and informative and allows patients to guide their own outcomes in a supportive space.  

Dr. Espinosa completed his undergraduate studies in philosophy at the University of Florida as the 2013 Ellen Haring Award winner. He was then honored as a Docherty Foundation Scholar to attend the University of South Florida Morsani College of Medicine. He pursued his specialty training in psychiatry at Kaiser Permanente Northern California.

Dr. Espinosa believes in a treatment modality that combines wellness of mind and body to help individuals who are suffering achieve their potential.