Nicole Estevez, LMHC

Dr. Antonio Ramirez earned his medical degree from Ponce Health Sciences University, where he also served as Chief Resident in Psychiatry. He completed residency training at Ponce Health Sciences University and the U.S. Veterans Health Administration, Caribbean Healthcare System, followed by a Fellowship in Consultation–Liaison Psychiatry at Montefiore Medical Center, Albert Einstein College of Medicine. Board-certified in both Psychiatry and Consultation–Liaison Psychiatry, he has served as Director of Psychiatry at the Roberto Clemente Center and Clinical Assistant Professor at NYU Grossman School of Medicine. Dr. Ramirez is bilingual in Spanish and bicultural, with published research in cultural psychiatry and stress biology, and has been recognized for teaching and leadership.

Dr. Ramirez focuses on compassionate, evidence-based care that integrates psychotherapy and psychotropic medications to promote recovery and growth. His collaborative and respectful style ensures patients feel heard while working toward meaningful goals. He emphasizes setting clear expectations from the start to foster confidence and engagement. With his background in consultation–liaison psychiatry, Dr. Ramirez brings expertise in caring for individuals managing psychiatric conditions alongside significant medical illness.

The first appointment is a comprehensive evaluation, during which Dr. Ramirez carefully explores a patient’s history, conditions, and symptoms. Based on this, he develops a personalized treatment plan and reviews it collaboratively, so expectations are clear. Future visits focus on monitoring progress, adjusting the plan as needed, and integrating both psychotherapy and medication management to best support the patient’s needs and long-term growth.

Amanda Sager is a Licensed Professional Counselor (LPC) with experience working in group practice settings and Post-Traumatic Stress retreat environments. She works with individuals who have experienced trauma and significant life stressors. Amanda earned a master’s degree in Counseling from Concordia University Irvine, as well as an additional master’s degree in Coaching and Athletic Administration.

Amanda is a compassionate and dedicated therapist who specializes in helping individuals navigate profound life challenges, build resilience, and move toward meaningful healing. She provides a safe, non-judgmental space where patients can process pain, reconnect with inner strengths, and reclaim their personal narratives. Her therapeutic approach is integrative, collaborative, and trauma-informed, with an emphasis on creating a strong, trusting relationship where patients feel truly seen and understood.

Amanda begins treatment by developing a thorough understanding of each patient’s history, concerns, and goals during the initial session. From there, she works collaboratively with patients to create individualized treatment plans that align with their personal goals and support sustainable growth and healing.

Jennifer Phillips is a Licensed Clinical Social worker who has worked in the mental health field since 2013.  During graduate school, Jennifer completed her internships at the Tuscaloosa County jail, the University of Alabama Student Veterans Center, and the Birmingham Veteran’s Affairs Medical Center in their Health Care for Homeless Veterans program.  Jennifer went to undergraduate and graduate schools in Alabama and moved to Arizona in 2013 to work with the Department of Veterans Affairs to continue working with homeless veterans.  Jennifer also has experience teaching at Pima Community College and is a clinical supervisor for associate level clinicians through the Arizona Board of Behavioral Health Examiners.  

Jennifer’s prior working experience and training has been with adults, homeless veterans, Native Americans, LGBTQIA, women, and individuals in rural or remote areas, providing access to much needed mental health services in provider shortage areas.  She enjoys working with patients who have anxiety, depression, insomnia, mood disorders, and self-esteem issues.  She is trained in geriatrics and especially loves working with adults over the age of 65.  

Jennifer is trained in Cognitive Behavioral Therapy, Cognitive Behavioral Therapy for Insomnia, Dialectical Behavioral Therapy, Mind-Body Approach, Mindfulness-Based Therapy, and Prolonged Grief Disorder (where the patient is experiencing grief for at least 12 months).  As she is trained in several different treatment modalities, Jennifer can customize therapy to meet everyone’s needs.

Background and credentials

Dr. Sabera Saklayen is a board-certified psychiatrist licensed in Adult Psychiatry. She earned her bachelor’s degree from Ohio State University and her medical degree from Wright State University Boonshoft School of Medicine. She completed her psychiatry training at Stony Brook University Hospital, where she served as chief resident and was awarded the William Turner Award for outstanding performance in psychiatry residency. She has extensive experience treating diverse populations, including vulnerable and underserved communities, having worked as an outpatient psychiatrist at Bellevue Hospital for two years.

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Treatment approach

Dr. Saklayen specializes in medication management but takes a holistic, patient-centered approach that integrates supportive therapy, cognitive-behavioral therapy (CBT), and motivational interviewing (MI). She has extensive experience treating depression, bipolar disorder, generalized anxiety, panic disorder, social anxiety, OCD, insomnia, and substance use disorders. She is particularly skilled in treating college students and individuals navigating difficult life transitions. If more in-depth therapy is needed, she may refer patients to a therapist as part of a comprehensive care plan.

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What you can expect in a first visit

During the first visit, patients can expect a thorough and compassionate evaluation, where Dr. Saklayen carefully assesses symptoms, history, and treatment goals. She prioritizes collaboration and individualized treatment planning, ensuring that patients feel comfortable and supported in their mental health care. Follow-up visits are typically 30 minutes and focus on medication management and therapy integration, with referrals to additional therapy when needed for the best possible outcome.

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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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Jill Sinnott is a Licensed Clinical Social Worker. She has practiced in Tennessee for over ten years, in a variety of roles including comprehensive child and family therapy, mobile crisis, and group-based Alcohol and Drug treatment. Most recently, she worked in community mental health for five and a half years. In this role, she focused on individual therapy with clients of all ages. Jill obtained her Bachelor's Degree from Warren Wilson College in Swannanoa, NC, and her Master's of Science in Social Work from the University of Tennessee in Knoxville, TN before settling in Johnson City, TN with her family. Jill's areas of interest include working with the LGBTQIA+ community and incorporating play therapy techniques while working with children. She uses a combination of Cognitive Behavioral Therapy, Motivational Interviewing, and Solution-Focused Therapy to develop a treatment plan addressing the client's own goals using specific, obtainable steps and recognizing each individual's strengths.

Dr. Sophie Fourniquet is a board-certified psychiatrist. She earned her medical degree from Louisiana State University in New Orleans and completed her psychiatry residency at Duke University. She has practiced in both inpatient and outpatient settings and brings experience in neuropsychiatry, interventional psychiatry, transplant psychiatry, and culturally informed global psychiatry. Her clinical approach emphasizes evidence-based psychopharmacology with careful, personalized prescribing.

Dr. Fourniquet works collaboratively with patients to define clear, values-aligned treatment goals. She prioritizes honesty, transparency, and shared decision-making, creating a therapeutic relationship grounded in trust. Her care focuses on improving real-world functioning, clarity of thought, and emotional sustainability rather than symptom reduction alone.

Initial evaluations focus on understanding each patient’s story, treatment history, and goals through a thorough diagnostic assessment. Dr. Fourniquet avoids premature labeling, instead using early visits to develop a thoughtful plan aligned with patients’ values. Treatment plans are individualized and may include psychotherapy, medication, lifestyle modifications, or a combination, with regular reassessment to support durable, meaningful change.