Megan Marumoto, MD

Jos� holds the position of Psychotherapist for Michigan, Florida, and South Carolina at Talkiatry. After completing his Master of Arts in Community Counseling in 2012, he spent 7 years fulfilling his passion for integrated care for adults suffering from substance use disorder and mental health challenges. For the past four years, he has been working in private practice working with clients exclusively via telehealth. Jos� provides cognitive therapy, motivational enhancement therapy, and logotherapy to help his patients gain insight into current stressors related to various diagnoses, including post-traumatic stress, affective mood disorder, depression, anxiety, ADHD, and substance use disorder. He strongly believes that collaborating with a physician for medication management allows patients to be more engaged in therapy, resulting in improved treatment outcomes.

Dr. Tsujimoto-Ryzewski is a board-certified adult psychiatrist. She received her medical degree from the University of Nevada, Reno School of Medicine. She completed her residency at the University of Nevada, Reno School of Medicine, where she served as a chief resident during her last year of training. Dr. Tsujimoto-Ryzewski has treated patients with a wide variety of diagnoses both during her residency and after her training while working at a busy private practice clinic as well as for the Veterans Administration. Dr Tsujimoto-Ryzewski focuses on medication management and supportive psychotherapy. If she feels that additional therapy is needed, she will ask that you bring in a therapist as part of the treatment team. Dr. Tsujimoto-Ryzewski will work collaboratively with you in a caring environment to assist you in reaching your goals.

Dr. Ani Maria Tejada is a double board-certified child, adolescent, and adult psychiatrist who provides holistic, comprehensive outpatient psychiatric care at Talkiatry via telehealth. She is fully bilingual in English and Spanish and works with patients of all ages. Dr. Tejada has a special interest in caring for individuals with developmental disabilities, including Autism and Asperger’s, and treats a wide range of conditions such as ADHD, anxiety disorders, OCD, trauma-related disorders, mood disorders, postpartum depression, personality disorders, and other mental health conditions that affect daily functioning.

Dr. Tejada takes a warm, compassionate, and collaborative approach to care. She deeply respects each patient’s dignity, autonomy, and personal values, and believes informed patients are empowered patients. She provides clear education on treatment options, benefits, and risks based on current national guidelines, creating a judgment-free space where patients feel heard, understood, and supported as active partners in their care.

During the initial visit, Dr. Tejada takes time to understand the patient’s full personal history and current circumstances to better see the world through their perspective. Ongoing visits use measurement-based tools to guide treatment decisions, including medication adjustments when appropriate. She supports patients in building coping skills, reducing negative thought patterns, and developing healthy habits that promote long-term emotional well-being and improved quality of life.

Zakiyyah Weatherspoon is a dual-certified Family Nurse Practitioner and Psychiatric Mental Health Nurse Practitioner with over a decade of experience. Since 2011, she has worked in family medicine, and since 2013, she has focused on mental health care across the lifespan. Her background includes treating children, teens and adults in hospitals, private practices, and community settings.

Since 2017, Weatherspoon specialized in helping individuals manage depression, anxiety, bipolar disorder, OCD, PTSD, ADHD, ODD, eating disorders, and substance use. She uses supportive therapy, solution-focused therapy, and cognitive behavioral therapy to help clients feel heard, understood, and empowered.

Weatherspoon is passionate about breaking the stigma around mental health. She encourages her clients to speak up, get help, and take control of their mental wellness. Her approach is based on the Mental Health Recovery Model, which focuses on hope, healing, and building a life beyond diagnosis.

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Dr. Chelsea Karson is a board-certified psychiatrist who completed her residency training at Advocate Lutheran General Hospital where she was Chief Resident of her program. Dr. Karson is passionate about patient care, believing in caring for the whole person. While completing her residency training, she led an interprofessional team to bring miniature-therapy horses to the inpatient psychiatry unit and thereby forge a relationship between the organization and all of Advocate Aurora Healthcare. Dr. Karson partnered with a mental health counselor to create a virtual therapy program of resources, the Bridge Project, to close the gap between inpatient and outpatient care that is now used throughout the Advocate Aurora network. At graduation Dr. Karson received the 2024 Advocate Lutheran General Hospital Ruggie Humanitarian Award. The Ruggie Award selects and honors a graduating resident or fellow who displays academic excellence, commitment to the education of others, professional bearing, and a concern for the patient within the light of Human Ecology. Dr. Karson attended undergraduate at Elmhurst University, a biology major with minors in chemistry and medical humanities. She went to medical school at Rosalind Franklin University and was chosen to join the Gold Humanism Honor Society for her dedication to compassionate patient care.

Garmis Sena, LMHC, is a licensed therapist with experience supporting children, adolescents, adults, and families. She brings a background in community mental health, school-based services, and outpatient therapy. Her clinical work includes treating trauma, anxiety, depression, emotional regulation challenges, family conflict, and life transitions. She holds a bachelor’s degree in Psychology and a master’s degree in Mental Health Counseling.

Garmis believes therapy should feel safe while also encouraging growth. She values honesty, trust, and emotional safety, and incorporates a holistic lens that considers mind, body, relationships, and life experiences. Patients can expect to be heard without judgment as she meets them where they are and supports them in building toward meaningful change.

Garmis begins by learning each patient’s story, stressors, and goals. She works collaboratively to identify patterns, triggers, and emotional blocks, and together develops realistic and personalized treatment goals. Sessions are structured yet adaptable, incorporating practical tools patients can use outside the therapy room. She regularly reviews progress and adjusts the approach as growth evolves.