Miranda Brumber, LMHC

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Nudedrose Guirand, LMHC

Staff Licensed Mental Health Counselor

LMHCNudedrose Guirand, also known as Rose Guirand, is a Licensed Mental Health Counselor in New York City who has been practicing since 2017. Rose has worked directly with clients of various demographics such as people with disabilities and neurodivergent people living with a variety of mental health conditions for 6 years. She graduated with a Master of Science in Education, Mental Health Counseling at Hunter College of The City University of New York. During her studies, she attended an internship at Boston Road Medical Center, Psychiatry Department in Bronx, New York. Rose's central approach to therapy is eclectic and based on the needs of each client. She frequently uses person-centered, Strength-based, and collaborative therapy. Also, she enjoys using CBT, ACT and DBT which draw upon the whole person and their intrinsic qualities and talents to forge a thriving way of life. Essentially, Rose likes to empower clients to find their passion and set their goals not only to survive but also to thrive in life. Rose enjoys helping people on their journey and sees the rewards of clients winning themselves back. Rose's work as a therapist comes from the heart and holistic space, and being there for her clients truthfully and inspiring them to become the expert of their lives.

Kelly Vandivert, LPC

Staff Licensed Professional Counselor

Kelly Vandivert, LPC, is a Licensed Professional Counselor with over twenty-seven years of diverse experience in the mental health field. Her career has spanned a variety of settings, from residential facilities to outpatient community services, in-home, school, and private practice. Her passion for people and love of experience has afforded her the chance to work with people of all ages from a variety of cultural and socio-economic backgrounds. Kelly has been licensed since 2008, focusing much of her time since then working together with adolescents and adults regarding the treatment of mood disorders, such as depression and anxiety, adjustment-related concerns and life transitions, as well as trauma and abuse. Kelly has a client-centered and comprehensive approach to therapy, drawing from a variety of treatment modalities including Cognitive Behavioral Therapy and Dialectical Behavior Therapy. Her approach emphasizes the importance of the therapeutic relationship for a safe place to share and engage in self-discovery and personal growth. She values an evidence-based approach utilizing the latest research for effective treatment incorporating her experience with each individual's own values and preferences.

Jonathan Hertz, MD

Staff Psychiatrist

Dr. Jonathan Hertz is board-certified in adult psychiatry. He completed fellowships in child and adolescent and public psychiatry and has been practicing psychiatry for over 18 years. Dr. Hertz's practice focuses on medication management which is offered with supportive and/or dynamic psychotherapy within 30-minute follow-up sessions. If patients have individual psychotherapists, Dr. Hertz will work collaboratively with these providers within a treatment-team approach to patient care delivery. Dr. Hertz received his medical degree from Tufts University School of Medicine in Boston. He remained in Boston to complete a residency in adult psychiatry at Cambridge Health Alliance and a fellowship in child and adolescent psychiatry at Children's Hospital Boston. Dr. Hertz subsequently returned to his hometown of NYC and completed a fellowship in public psychiatry. Dr. Hertz has clinical and administrative experience in the field of psychiatry. These positions include ACT Team community psychiatrist, director of adult outpatient clinic, and medical directorship in behavioral health within community hospitals. With training in child/adolescent, adult, and public psychiatry, Dr. Hertz has a developmental approach to mental health care. That is, he collaboratively explores the bio-psychosocial factors that may have influenced the development of mental disorders. Dr. Hertz believes an ecological approach enables a broader view of the multip

Kaycia Vansickle, MD

Staff Psychiatrist

Background and credentials

Dr. Vansickle is a board-certified adult psychiatrist with over 25 years of clinical experience. She earned her medical degree from the University of Texas Health Sciences Center San Antonio and completed her internship at UAB. She then completed her psychiatry residency at the University of Louisville Hospital, where she served as chief resident and received a national award in community psychiatry. Throughout her career, she has worked in both inpatient and outpatient settings as a staff psychiatrist, primarily in Texas and Alabama.

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Treatment approach

Dr. Vansickle places a strong emphasis on establishing trust and building therapeutic relationships to help patients achieve their goals. Her practice focuses on medication management, often combined with supportive or emotionally focused therapy during 30-minute follow-up visits. If she believes additional therapy would be beneficial, she may recommend that patients work with a therapist as part of their care team. She has extensive experience treating patients in various settings, including community mental health centers, VAMC-affiliated clinics, and hospital-based psychiatric units. She also has expertise in psychiatric consultations for medically ill patients, as well as guardianship and competency evaluations.

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What you can expect in a first visit

Patients can expect a thorough initial evaluation, where Dr. Vansickle takes the time to understand their symptoms, history, and treatment goals. She provides a structured yet compassionate approach to care, ensuring that each patient feels heard and supported. Follow-up visits typically last 30 minutes, during which she monitors progress and adjusts treatment as necessary. If additional therapy is needed, she collaborates with therapists to ensure comprehensive care tailored to each patient’s needs.

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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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Shantale Williams-Jules, MD

Staff Psychiatrist

Dr. Williams-Jules is an adult psychiatrist who focuses primarily on medication management in conjunction with supportive therapy. She completed her undergraduate training at Spelman College in Atlanta, GA, followed by her master's in public health degree at New York Medical College. She has completed medical school at American University of Antigua and finished her residency in psychiatry at the University of Texas Southwestern. Dr. Williams-Jules has a passion for treating adults with mental health disorders, especially within the perinatal population. She has a genuine interest in management of trauma, while also treating a vast array of disorders including depression, anxiety, bipolar disorder and posttraumatic stress disorder. She has worked with clients of varying cultures and demographics, and has experience with treating patients with medical comorbidities. Dr. Williams-Jules takes a delicate approach to diagnosis and management and believes in holistic care, which incorporates mindfulness and deep breathing techniques to address the mind and body connection. She tailors individualized treatment to address the specific needs of patients. Dr. Williams-Jules is a member of the American Psychiatric Association and the Dallas County Medical Society. She has presented her research at the Annual APA conference and is co-author of many published psychiatric papers.

Samantha Iannuzzi, LMHC

Staff Licensed Mental Health Counselor

Samantha Iannuzzi is a licensed Mental Health Counselor who specializes in grief and bereavement. Samantha specialized in trauma and loss in her graduate program at Pace University. It was there, where she learned the importance of talking about the inevitable and the uniqueness of each bereaved individual's experience. Before joining Talkiatry, she was both an intern and Bereavement Counselor at Calvary Hospital, where she provided both individual and group support to bereaved members of New York's five boroughs. Samantha is experienced working with both adults and young adults. Samantha provides a safe space for all her clients where they can be heard, validated, and supported in their individual process. Samantha also provides psychoeducation and coping strategies and explores ways to navigate life changes. In addition to her clinical work, Samantha has presented to many community organizations, engaged in outreach for crisis intervention and lectured for informative clinical courses. Samantha's experience and expertise with death, cumulative loss and trauma responses due to loss helps provide clients with effective treatment and a space where their experience will never be disenfranchised.

Rishell Tsujimoto-Ryzewski

Staff Psychiatrist

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.

Ellen Ortiz, LMFT

Staff Therapist

Ms. Ellen Ortiz is fully licensed as a Marriage and Family Therapist in multiple states. She has decades of life experience to support her 3 years of full licensure. Ms. Ortiz sees individuals from the perspective of the various environments they interact in and how it impacts them. Ms. Ortiz is enthusiastic about collaborating with clients under the care of one of our psychiatric experts in order to allow for a more complete and personalized approach for each individual's needs.
Ms. Ortiz began her education later in life at Elgin Community College then continued to acquire her bachelor’s degree from Argosy University with honors. Ms. Ortiz forged ahead and completed her Master’s in Family Counseling at the CACREP accredited graduate school, Northeastern Illinois University. Her training included the externship for Emotion Focused Therapy with Dr. Sue Johnson.

Ms. Ortiz incorporates therapy from a Solution Focused perspective including Cognitive Behavioral Therapy, Mindfulness and Attachment theory. Ms.Ortiz has been trained in Crisis Intervention and Trauma Informed therapy. Her life experience and clientele have spanned all life cycles, races, and medical needs as well as honoring all varieties of human beings. She has also supported clients through medical diagnosis and end of life as well as grief.

Ms. Ortiz brings enthusiasm for each client based on the belief that each person has unique purpose, strengths and abilities on which to draw on. The client's abilities paired with tools and support acquired in therapy will lead each of her clients to a life they choose to enhance.

Ernesto Gonzalez, MD

Staff Psychiatrist

Dr. Ernesto Gonzalez is a board certified adult psychiatrist. He completed his undergraduate training at Yale University and received his medical degree from the University of Pennsylvania School of Medicine. He completed his residency training at the Cambridge Health Alliance/Harvard Medical School Adult Psychiatry Training Program. Dr. Gonzalez prefers a holistic approach that takes the time to know the whole patient, incorporating biological, psychological, social, and cultural perspectives in crafting a comprehensive, individualized, treatment plan. He practices medication management combined with supportive therapy, typically delivered within 30 minute sessions. Elements of psychodynamic, dialectical behavior and cognitive-behavioral therapy will also be incorporated into sessions based on a patient's individual needs. If additional therapy is needed, Dr. Gonzalez will recommend the addition of an individual therapist to the patient's treatment team. Having dedicated his career to adult outpatient psychiatry, Dr. Gonzalez has worked with patients from a wide range of ages, cultures, ethnicities, and social settings across the New York City area. His primary focus is working with patients with depression, anxiety, ADHD, and PTSD. He also values working with people adjusting to changes in their lives, whether it be grieving the loss of a loved one, changes in employment, relationships, or adjusting to changes that come with age. Prior to joining Talkiatry, Dr. Gonzalez was an Assistant Professor at the NYU Grossman School of Medicine and served as Director of the Adult Outpatient Psychiatric Department, Assertive Community Treatment (ACT) Team, and Collaborative Care Departments at Woodhull Hospital in Brooklyn, New York. He also had a small practice near his home. Dr. Gonzalez has also had a lifelong interest in meeting new people and experiencing different cultures. This interest has taken him as far away as the townships of Cape Town, South Africa and as close as his local diner, and it edifies the work he does with patients.

Nakia Roberson, LPC

Staff Therapist

Nakia is a Licensed Professional Counselor Supervisor and Certified Sex Therapist with a Master of Education in Counseling and Development from Sam Houston State University. With extensive experience in education and private practice, she has helped individuals and couples navigate life's challenges and create meaningful change. Her expertise includes issues related to sexual health, intimacy, relationships, depression, anxiety, self-esteem, life transitions, and grief and loss. Specializing in working with individuals and couples, Nakia creates a warm and supportive environment where others feel heard and empowered. She guides them in making choices to change hindering situations and gain clarity through clinical tools to interpret and respond differently to life's challenges. Her approach is collaborative and tailored, ensuring therapy meets the unique needs of each person while celebrating progress. Nakia uses a holistic approach that integrates Cognitive Behavioral Therapy (CBT), Solution-Focused Therapy, and Person-Centered Therapy. She is also trained in Gottman Levels 1 and 2, providing evidence-based techniques to strengthen relationships and improve intimacy and communication. She believes change happens when individuals are honest with themselves and willing to do the work. As Carl Rogers said, "One must accept themselves as they are before change can occur.” Nakia considers it a privilege to support others as they heal, grow, and embrace life's possibilities.

Rebecca Benedict, LMHC

Staff Licensed Mental Health Counselor

Rebecca Benedict is a Licensed Mental Health Counselor (LMHC) with a background in providing mental health services across several diverse settings. She has gained invaluable experience working in two community mental health agencies and completing two internships. Rebecca holds a Master's degree in Clinical Mental Health Counseling from Syracuse University, and has been working in the role of mental health counselor for three years. Rebecca specializes in addressing the complex interplay between neuro-divergence and mental health symptoms. Her expertise encompasses a wide range of conditions including anxiety, depression, trauma, obsessive-compulsive disorder (OCD), attention-deficit/hyperactivity disorder (ADHD), dissociative disorders, and challenges with emotion regulation. Her therapeutic approach is eclectic, incorporating Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), mindfulness, narrative therapy, and existentialism. Rebecca is dedicated to tailoring her treatment modalities to fit the unique needs of each client, often integrating creativity and clients' personal hobbies or interests into the therapeutic process to enhance engagement and outcomes. With a compassionate and holistic approach, Rebecca Benedict is committed to fostering a supportive and transformative environment for her clients, guiding them towards improved mental health and overall well-being.

Rebecca Johnson, LCSW

Staff Therapist

Rebecca Johnson, LCSW, is a dedicated mental health professional with experience in a variety of settings. With a MSW from Louisiana State University and licensure in multiple states, she brings a well-rounded, evidence-based approach to therapy.

Rebecca’s work spans multiple roles across in and outpatient settings, with a strong focus on individuals facing substance use, domestic violence, and co-occurring conditions. At Lower Key Medical Center, she served as an inpatient social worker and the Intensive Outpatient Program (IOP) coordinator, where she provided crisis intervention, therapy, and groups. In her role as IOP coordinator, she managed IOP tracks, ensuring patients receive comprehensive psychotherapeutic support via group and individual therapy.

Previously, her work at the Guidance/Care Center molded her expertise in crisis response, relapse prevention, and intensive therapeutic interventions, in various settings. Finally, her work as a Clinical Counselor at the Children’s Home Society, working closely with parents involved in the child welfare system, providing therapy and court-informed treatment recommendations further solidified this knowledge.

Rebecca uses a person-centered and eclectic style, modalities such as Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Internal Family Systems, and mindfulness-based. She believes in tailoring interventions to each client’s unique needs, fostering resilience and self-efficacy in their journey toward healing.

Miranda Brumber, LMHC

Education and training

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