Nereida Gonzalez-Berrios, MD

Rebecca Siwanowicz is a Licensed Clinical Social Worker who began her career in 2013, maintaining various positions in both inpatient and outpatient settings while treating substance use and mental health disorders. Rebecca graduated with her BSW from Florida Atlantic University in 2013 and graduated with her MSW in 2016. Rebecca is trained in Accelerated Resolution Therapy and is a Master's Level Certified Addiction Professional in the state of Florida.‍Rebecca's areas of expertise are trauma, anxiety and depressive disorders, issues related to codependency and low self-esteem, life transitions, self-care and emotion regulation. Rebecca takes an individualistic approach when treating clients, greatly valuing and promoting individuality and autonomy. Rebecca practices through the lens of Family Systems Theory and Attachment Theory, utilizing components of Existentialism, Strength Based Therapy, Dialectical Behavior Therapy, 12 Step Principles, and Client Centered Therapy. Rebecca takes a psychosocial approach toward treatment, providing her clients with unconditional positive regard, psychoeducation, and practical coping skills to support them in building a life of their choosing.

Dr. Travis Downey has experience in outpatient and medical hospital settings, providing care for patients with co-occurring medical conditions. He earned his undergraduate degree in Cell Biology and Neuroscience from Rutgers University, his DO from Rowan School of Osteopathic Medicine, and completed psychiatry residency at Rutgers – Robert Wood Johnson. Dr. Downey enjoys teaching and has received the Excellence in Medical Education Award from Sidney Kimmel Medical College.

Dr. Downey creates a warm, supportive environment where patients feel heard and respected. He is highly collaborative, offering treatment options rather than a single path, and values inclusivity, working with patients from diverse backgrounds. His experience spans diagnoses such as depression, bipolar disorder, OCD, anxiety, trauma, and ADHD, among others.

Dr. Downey begins with a comprehensive psychiatric evaluation, considering past treatments, family history, social and cultural context, and unique patient factors. He prioritizes understanding each individual, developing accurate diagnoses, and creating treatment plans that align with patient goals. Follow-up appointments integrate therapeutic interventions alongside medication management, ensuring thoughtful, ongoing care.

Dr. Robert Smeed, DO, is a board-certified psychiatrist with a passion for healing the human mind and consciousness. He earned his Doctor of Osteopathic Medicine from Lake Erie College of Osteopathic Medicine and completed his Psychiatry Residency at Wayne State University College of Medicine. Certified by the American Board of Psychiatry and Neurology (ABPN), Dr. Smeed served as an outpatient psychiatrist at Veterans Affairs for 11 years, honing his expertise in mental health care. Driven by a deep interest in consciousness and innovative treatments, he combines talking therapies, neuromodulation, and modern psychopharmacology to help patients achieve lasting wellness.

Dr. Smeed is proficient in treating a wide range of psychiatric conditions while specializing in treatment-resistant depression, neurodevelopmental disorders, anxiety and trauma disorders. His treatment style is empathic and collaborative, emphasizing family dynamics and relationships while integrating psychodynamic principles with biopsychosocial models. He approaches each patient with creativity, using open-ended discussions and innovative therapeutic and psychopharmacologic strategies to tailor care, ensuring a personalized and effective treatment experience.

Dr. Smeed begins with open-ended dialogue, allowing patients to develop their narrative, which is often therapeutic. Treatment plans are customized to patient needs and align with diagnostic standards of care. He incorporates medication reviews, mindfulness techniques, cognitive behavioral therapy (CBT), supportive therapy, and psychodynamic approaches. Dr. Smeed also educates patients on lifestyle factors, such as diet and exercise, to support mental health, fostering a holistic and individualized path to wellness.

Dr. Ramsey is board certified in general and child and adolescent psychiatry. His practice primarily focuses on medication management. He sees himself as a collaborator with therapists and counselors in caring for their shared patients and their families. He received his medical degree from the University of Tennessee Health Science Center in Memphis, TN. He completed his residency at West Virginia University Hospitals and WVU School of Medicine and a fellowship in child and adolescent psychiatry at the Yale Child Study Center, Yale University School of Medicine, and Yale-New Haven Hospital in New Haven and Middletown, CT. He completed his undergraduate studies at the University of Memphis. Dr. Ramsey remained in CT for two additional years, working in the Department of Children and Families, serving the state's at-risk youth and adolescents at a psychiatric residential treatment facility. He then returned to West Virginia University as clinical faculty in its School of Medicine. During the 12-year academic appointment, he had active roles in educating, training, and supervising medical students, general psychiatry residents, child and adolescent psychiatry fellows, and trainees from various disciplines. He worked for many years with adolescent males at both the Dually Diagnosed and Specialized Residential Treatment Centers within West Virginia University Healthcare. He provided outpatient and acute inpatient care, as well as hospital-based consultation services. Within the community, he provided medication evaluation and management services to residential treatment facilities and university student health. He has been seeing patients and collaborating with providers through telemedicine since 2016. While Dr. Ramsey specializes in working with patients with anxiety, he does not prescribe benzodiazepines.‍

Dr. Anil Joseph (AJ) Kulangara completed additional training in Psychiatry at the University of Washington after working primarily in women’s health, primary care, and military medicine as a Battalion Surgeon in the United States Army.  Following his military service, he trained in Psychiatry and served the mental health needs of our Veteran population. He is excited to now bring his unique expertise and experiences to Talkiatry, as well as his additional training in Women’s Mental Health, Reproductive and Perinatal Psychiatry, PTSD, and trauma-informed ADHD evaluation and treatment.

Dr. AJ’s approach focuses on behavioral change, with medication management and supportive therapies serving as important (and often essential) adjuvants to optimizing mental health.

During your first meetings with Dr. AJ, you should expect a thorough evaluation of your clinical and social histories, as well as some introductory psychoeducation.  Following that screening, anticipate a discussion about his approach to your condition and an initial treatment plan.  Please feel free to bring up any questions or concerns at any time during this process, and note-taking is highly encouraged!

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Dr. Adela Stroescu is a board-certified psychiatrist with seven years of clinical experience treating adults in both outpatient and inpatient settings. She specializes in mood disorders, psychosis, anxiety, PTSD, and ADHD. Dr. Stroescu earned her medical degree from St. George’s University School of Medicine and completed her psychiatry residency at the University of Maryland/Sheppard Pratt. She speaks English and conversational Romanian.

Dr. Stroescu fosters a respectful, non-judgmental space where communication is clear, and care is recovery oriented. She prioritizes building a therapeutic relationship grounded in empathy and trust to support each patient’s unique path to wellness.

Dr. Stroescu begins with a comprehensive psychiatric evaluation to create a personalized treatment plan aligned with the patient’s goals. She uses evidence-based medication management and offers supportive psychotherapy and psychoeducation to empower patients throughout their treatment journey.

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