Nadia Ramirez, LCSW

Eva Sleczka LCSW has a wealth of experience and a passion for integrated patient care. Eva Sleczka, LCSW brings a unique blend of expertise and compassion that is sure to benefit psychotherapy patients. Eva Sleczka, LCSW is a broadly accomplished social worker with years of experience in hospital health-based and community-based human services environments. Eva Sleczka LCSW has an impressive background in the behavioral health field, holding an MSW, LCSW from New York University and specializing in behavioral health psychotherapy with adults, children and families. They have spent 30 years working in various healthcare settings, including health and hospital systems, emergency room and screening center for psychiatric emergency services, school-based and community-based outpatient treatment settings, where they have honed their skills and gained valuable experience in patient care. Their commitment to staying abreast of the latest advancements in behavioral health science ensures that our patients receive the highest quality of psychotherapy care. One of the key strengths Eva Sleczka, LCSW, brings to our team is their expertise in integrative care and trauma-informed psychotherapy, skilled with adults and families with mental health needs. They have a proven track record of clinical supervision of social work students in the field, experience as a Clinical Director of a community mental health setting, psychotherapist for adults, children, and families with mental health needs, making them a valuable resource for both our patients and our staff. Whether it's managing complex cases, providing preventive care, or offering specialized treatments, supervision of social work students Eva Sleczka, LCSW is dedicated to delivering comprehensive and personalized care to each patient. At the core of Eva Sleczka, LCSW's practice is a patient-centered approach that prioritizes the individual needs and preferences of each patient. They believe in fostering strong clinician-patient relationships built on trust, empathy, and open communication. By involving patients in their own care decisions and providing education about their health, Eva Sleczka, LCSW, empowers patients to take an active role in their well-being. Eva Sleczka, LCSW utilizes cognitive behavioral therapy (CBT), focusing mainly on acceptance and commitment therapy (ACT) and incorporating mindfulness into a wellness-based approach.

Christy Caric-Ball, LPC, earned her undergraduate degree in Philosophy from The University of Texas at Austin and her MA in Clinical Psychology from The University of Texas Pan American. She has worked with underserved girls and women at the University of Texas Rio Grande Valley School of Medicine and completed internships in diverse settings, including an intimate partner violence diversion court, a shelter for undocumented minors, and a behavioral health center. Her clinical interests include women’s health, LGBTQIA+ issues, teen adjustment counseling, and trauma-informed care.

Christy’s style is supportive and solution-focused, using evidence-based approaches such as Acceptance and Commitment Therapy, Motivational Interviewing, Interpersonal Therapy, and Eye Movement Desensitization and Reprocessing. She values empowering patients to focus on what they can change while letting go of what is beyond their control. Patients can expect to feel heard, supported, and encouraged as they work toward their wellness goals.

Christy begins by developing rapport and gaining a thorough understanding of each patient’s history. Together, they identify where the patient is now and where they want to be. She creates individualized treatment plans, revisiting and adjusting them as needed to align with evolving goals and promote lasting progress.

Tiffany Reilly is a Licensed Mental Health Counselor with 8 years of experience providing therapeutic services to children, adolescents, and families in Seattle and New York City. She received her Master's in Counseling from Northwest University in 2015. Before coming to Talkiatry, Tiffany worked as a Family Therapist and Supervisor at Children's Aid. This role gave her experience navigating the complexities of adolescence, young adulthood, marriage, and other interpersonal stressors. She was also able to pursue additional trainings in motivational interviewing, trauma systems, and LGBTQIA supportive counseling. Tiffany focuses on treating mood and anxiety disorders, as well as the complexities of grief and loss. She has additional experience working with trauma, conduct disorder, ODD, and personality disorders. She utilizes a variety of therapeutic modalities including Cognitive Behavior Therapy, Psychoanalytic Theory, and Person-Centered Counseling. Tiffany approaches each therapeutic relationship with empathy and compassion, understanding the uniqueness of personal experience. She believes that all behavior maintains something for each individual and that when we bravely uncover our patterns, we can use our inherent strengths to work towards change.

Robert Trujillo is a Licensed Professional Counselor in Texas, practicing since 2020. He brings diverse experience from working in jails, behavioral health hospitals, and private clinics, which allows him to understand and support clients from many different backgrounds. Trained in cognitive behavioral therapy (CBT) and other evidence-based approaches, Robert tailors' treatment to meet the unique needs of each individual.

Robert creates a supportive and conversational environment where clients feel heard and respected. He strongly advocates for each client’s well-being and works to empower them to take control of their symptoms. Open communication is central to his approach, and he believes therapy is most effective when clients and counselor collaborate to set clear, achievable goals together.

In the first session, Robert introduces coping skills rooted in CBT to provide immediate support. He partners with clients to identify their concerns and build individualized treatment plans that fit their lives. Throughout therapy, he guides clients in restructuring unhelpful thoughts, balancing emotions with rationality, and practicing new skills. His ultimate goal is to equip clients with tools they can confidently use long after therapy ends.

Melissa Racklin is a licensed clinical social worker with over 20 years of experience. She works with individuals who have a wide variety of mental health challenges. Melissa helps individuals to work through symptoms that are holding them back and help them live a better, more fulfilling life.‍Melissa is experienced in the areas of panic disorders, generalized anxiety, OCD, phobias, separation anxiety. She particularly enjoys working with adults who are motivated to grow through the process of therapy. Melissa has worked extensively with clients who have depression, bipolar disorder, women's issues, ADHD, personality disorders, marital/relationship issues along with couples counseling, divorce, self-harm, adjustment disorders, and more. Melissa holds certification in clinical supervision as well as school social worker certification. And has training in red flags for suicidality.‍Melissa's approach is custom-tailored for each individual client. She has a supportive, genuine, and authentic style of treatment. Melissa is warm and empathic and strives to create a safe and trusting therapeutic environment for her clients. She utilizes active listening skills and is intuitive and skilled in various modalities of treatment. Most often, Melissa uses CBT, DBT, and a psychodynamic approach in her work with clients.

Dr. David Guggenheim is an experienced clinical psychologist and health care administrator. He has worked with patients at different stages of life, including children, adolescents, and adults, and he has treated patients living with a wide range of mental health conditions, including anxiety, depression, post-traumatic stress disorder (PTSD), substance use, and attention-deficit hyperactivity disorder. Dr. Guggenheim has specific training in Trauma-Focused Cognitive Behavioral Therapy, Motivational Interviewing, and foundational training in dialectical behavioral therapy. Prior to joining Talkiatry, Dr. Guggenheim served as the Chief Behavioral Health Officer at Callen-Lorde Community Health Center in New York City, specializing in LGBTQ+ health care. In that role, he oversaw teams of providers including psychiatrists, psychologists, and social workers, who collectively provided care to thousands of patients in the New York metropolitan area. While at Callen-Lorde, he also served as co-chair for the behavioral health subcommittee of the Community Health Center Association of New York State; worked as an Adjunct Professor at Post University; and performed volunteer clinical work at the Weill Cornell Center for Human Rights. Before joining Callen-Lorde, Dr. Guggenheim worked as Associate Chief Behavioral Health Officer at Community Health Center, Inc., a federally qualified health center in Connecticut. A recognized expert, Dr. Guggenheim has delivered lectures to audiences ranging from medical schools to corporate executives, and he has been quoted in national media including The Advocate, Yahoo Finance, and Teen Vogue. Dr. Guggenheim has also been honored with an Early Career Achievement Award from the American Psychological Association in 2016. Dr. Guggenheim received his Bachelor of Arts from the University of Connecticut in 2002 and his Doctor of Psychology in Clinical Psychology from the American School of Professional Psychology at Argosy University/Washington, DC in 2009.