Myleka Garnett, LMFT

Dr. Kira Posteraro is double board-certified in Adult and Addiction Psychiatry and has over 10 years of clinical experience. She completed her General Adult Psychiatry Residency at Allegheny General Hospital in Pittsburgh, PA, followed by a fellowship in Addiction Psychiatry at Beth Israel Medical Center in New York, NY.

Dr. Posteraro’s career has included serving as Director of Psychiatric Services at an addiction treatment center in Pittsburgh, PA, where she provided care across the full continuum of substance use disorder treatment—including residential, acute PHP, IOP, outpatient, and aftercare services. She later held the role of Section Chief Psychiatrist for the Center for Treatment of Addictive Disorders at VA Pittsburgh Healthcare System, offering both residential and outpatient services and acting as Medical Director for the SAMHSA-certified Opioid Treatment Program. Most recently, she served as Chief of Psychiatry for the Behavioral Health Service Line at VA Pittsburgh, where she had the honor of caring for our nation’s Veterans.

While her clinical expertise centers on the diagnosis and treatment of substance use disorders, Dr. Posteraro also has extensive experience treating a wide range of psychiatric conditions, including depressive and bipolar spectrum disorders, anxiety disorders, and trauma-related disorders.

Dr. Posteraro uses a collaborative, supportive approach to care, incorporating motivational interviewing to help guide patients on their journey to wellness. She integrates holistic strategies alongside medication management and is dedicated to meeting patients where they are in treatment to build individualized, effective recovery plans.

‍

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. 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.

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.

Cecilia Wild is a board-certified psychiatric-mental health nurse practitioner (PMHNP-BC) with a strong background in treating patients across the mental health spectrum. She earned her Bachelor of Science in Nursing from Illinois State University and began her career in a women’s residential facility specializing in mood disorders, eating disorders, and PTSD. She then transitioned to inpatient adolescent psychiatry, where she became a charge nurse and obtained her Psychiatric-Mental Health Nursing Certification (PMH-BC) from the American Nurses Credentialing Center (ANCC). Inspired by her passion for mental health, she pursued her master's degree at the University of St. Francis to become a PMHNP.  

Cecilia has extensive experience treating patients at all levels of care, including inpatient, PHP/IOP, and outpatient settings. She later transitioned to telehealth, providing medication management to college students. She is passionate about mental health advocacy, particularly within the LGBTQ+ community.  

Cecilia takes a team-based, individualized approach to care. She believes in the importance of education, open communication, and empowering patients in their treatment journey. She emphasizes a holistic perspective, incorporating medication management, therapy, and lifestyle modifications.  

Cecilia prioritizes a trauma-informed approach, recognizing the significant role trauma plays in mental health. She integrates mindfulness techniques, motivational interviewing, and lifestyle changes to support overall well-being. By fostering a collaborative and supportive environment, she helps patients build resilience and achieve their mental health goals.

Waded Baquerizo-Mahuad is an LPC (Licensed Professional Counselor) in the state of Pennsylvania. She received her Master's (M.A.) in Mental Health Counseling from Kutztown University in 2016. She is also a Clinical Psychologist in her home country of Ecuador. She has provided mental and behavioral services to children and their families as a therapeutic staff support and mobile therapist, providing in-home services and services in the community. She has worked in Community Mental Health and Private Practice where she has gained experience treating various Mental health diagnoses that include PTSD, Anxiety, Depression, OCD, Grief, Adjustment Disorders, etc. As an experienced bilingual counselor, she utilizes an eclectic approach in her practice, taking into consideration the stage and uniqueness of her client's psychological, emotional, and social needs. Some of her approaches in therapy are the person-centered approach, cognitive behavioral therapy, psychodynamic approach, motivational interviewing, and solution-focused approach. She integrates Sensory Motor techniques as well as Mindfulness and Grounding techniques. In her practice, she also applies a Strength-Based Modality and Trauma-informed Focus. She also implements Eye Movement Desensitization and Reprocessing (EMDR) interventions.