Maxine Zhou, MD

Dr. Sarah Ramos, MD, has experience practicing in a variety of outpatient settings, including community mental health and military care, serving active-duty service members, their families, and veterans. She earned her medical degree from Vanderbilt School of Medicine and completed psychiatry residency training at the University of California San Diego and Thomas Jefferson University in Philadelphia.

Dr. Ramos values open communication, privacy, and a collaborative approach with her patients. She creates a warm, supportive environment where individuals feel heard, respected, and empowered to participate in their care.

In initial sessions, Dr. Ramos thoroughly assesses patients’ history, concerns, and goals to ensure care is personalized and effective. She develops comprehensive treatment plans that align with each patient’s objectives, providing ongoing support to help them achieve meaningful outcomes.

Dr. Vargas is an adult psychiatrist who received her medical degree from the University of Texas Health Science Center of San Antonio. She subsequently completed her psychiatry residency training at UT Health San Antonio.

Dr. Vargas has a patient-centered and thorough approach to treatment. She has experience treating a broad spectrum of mental health disorders, with particular interest in depression, anxiety, and post-traumatic stress disorder. She has also worked in clinic with severely mentally ill patients at the South Texas VA in San Antonio.

Dr. Vargas's primary focus is medication management with an emphasis on shared decision-making; however, she frequently also utilizes supportive therapy, cognitive behavioral therapy, and psychodynamic therapy principles in her approach. She may refer patients to a therapist if further support would be beneficial.

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Dr. Arjun Kaverimanian is an adult psychiatrist with a clinical approach emphasizing the intersection of medication-based treatment and talk therapy. He earned his medical degree from Saint Louis University School of Medicine, after which he completed his psychiatry residency training at Loyola University Medical Center. During his training, he gained experience across a wide range of mental health settings, including community mental health centers and the Department of Veterans Affairs, and worked at various levels of care—from inpatient units to partial hospitalization and intensive outpatient programs, as well as outpatient clinics.

Dr. Kaverimanian has cultivated a robust skill set in psychotherapy techniques—including psychodynamic therapy, Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, supportive therapy, and mindfulness-based approaches—which he integrates alongside evidence-based medication management.

Dr. Kaverimanian is committed to understanding each patient as a whole, taking into account the interplay of psychological, social, and biological factors that shape a person's mental health. He has particular areas of interest in the treatment of depression, anxiety, and post-traumatic stress disorder.

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Dr. Jennifer Shoenfelt is a staff psychiatrist at Talkiatry. She is double board certified in child and adolescent psychiatry and adult psychiatry. She has been practicing for over 14 years. Dr. Shoenfelt's practice focuses on child and adolescent medication management. Typically, she offers this in conjunction with supportive or emotionally focused therapy in 30-minute follow-up visits. However, occasionally Dr. Shoenfelt may believe that additional therapy is needed and will ask that you bring a therapist into your care team to provide the best outcome. She provides treatment plans that include holistic recommendations for diet, exercise, and educational and psychosocial/spiritual aspects of care. She is known for listening to and respecting patients' stories and walking them on a path of recovery and growth. Dr. Shoenfelt received her medical degree from the Boonshoft School of Medicine at Wright State University in Dayton, Ohio. She earned her Bachelor of Science degree in Physical Therapy from The Ohio State University. Dr. Shoenfelt practiced for 14 years in physical therapy with a specialization in children with developmental and neurological disabilities before attending medical school. Dr. Shoenfelt has held multiple positions in hospital and outpatient psychiatry, including community mental health, developmental and foster care settings, and medical director positions. She has served as clinical faculty for both the Wright State Department of Psychiatry and the University of Cincinnati School of Medicine. She has a passion for the education of medical students, residents, and patients. Dr. Jennifer Shoenfelt is a staff psychiatrist at Talkiatry. She is double board certified in child and adolescent psychiatry and adult psychiatry. She has been practicing for over 14 years.

Carly Frix-Rhyne is a Licensed Professional Counselor (LPC), in both Texas and Arkansas, who has extensive experience working in the mental health field. She has worked directly with clients of various demographics, living with a variety of mental health conditions. Carly attended undergraduate and graduate school in her hometown of Texarkana, Texas at Texas A&M University - Texarkana. She completed her practicum and internship working as a therapist in therapeutic foster care, with children, teens, foster parents, and biological families. Carly has been practicing for 7 years as a LPC, focusing on individuals working to cope with trauma, stressful life events, anxiety, depression, and issues coping with and communicating their own needs. Carly has worked for community mental health agencies, non-profit agencies, and private practice organizations. Much of Carly's past work involves providing therapy services to children, teens, and adults who survived abuse/trauma. Carly enjoys working with clients of all ages and with a variety of different presenting mental health needs. She uses different techniques including cognitive behavioral approaches and attachment-based approaches, while maintaining a person-centered theoretical orientation with all clients. Carly utilizes a range of therapeutic tools in hopes of providing clients with practical skills they can begin using immediately. She believes in meeting clients exactly where they are and helping them understand their own needs.

Farrah has worked almost exclusively in community mental health centers in Iowa and in Arizona for the last 15 years. She has been providing telepsychiatry services since 2013 across several states, serving hospitals, community mental health centers, local jails, and residential treatment facilities. Farrah was lead prescriber for Living Out Loud, a mental health program exclusively for LGBTQ+ persons. She has worked with patients with comorbid mental health & HIV+ status, and a long history of working with persons with severe mental illness.

Farrah has mentored countless new Psychiatric Nurse Graduates in their first year of outpatient practice and precepted students working to achieve their Psychiatric Nurse Practitioner Certification. She was also part of the pilot program for the Integrated Behavioral Health Home, which integrated primary care into treatment for SMI patients.

Farrah Lamoreux offers a warm patient centered approach to psychiatry. She is well known for being easy to talk to, and down to earth. Farrah believes that the patient is the most important part of the treatment team, and engaging patients in the decision-making process of their treatment. Patients say that she listens, they feel heard, and that she tailors care to what best fits your needs. She enjoys working with therapists whenever possible to ensure the best outcomes. Farrah specializes in the treatment of ADHD, but also treats Depression, PTSD, Anxiety, Panic, Agoraphobia, OCD, Autism and Bipolar Disorder.