Nirupama Natarajan, MD

Dr. Laura Obler is board-certified in adult psychiatry. She received her medical degree from David Geffen School of Medicine at UCLA in Los Angeles, California, where she stayed to complete her psychiatry residency at the UCLA Semel Institute for Neuroscience. During residency she received specialized training in reproductive psychiatry (the treatment of women who are considering pregnancy or are pregnant or postpartum) and acted as Chief Resident of the Women's Life Center at UCLA. Dr. Obler has experience working with a diverse group of patients. She has previously worked in community clinics in the greater Los Angeles area and as a staff psychiatrist at UCLA. She prefers a holistic approach to psychiatric treatment and therefore uses a combination of medication management and talking therapies to treat patients. Techniques she may utilize include cognitive behavioral therapy, experiential psychodynamic therapy, mentalization based therapy, and medical hypnosis.

Dr. Maxine Minto is a double board-certified psychiatrist. She is board certified in General Adult Psychiatry and Child and Adolescent Psychiatry. She is a Distinguished Fellow of the American Psychiatric Association (APA). Dr. Minto is an associate professor of psychiatry at the University of Central Florida College of Medicine. She is an active member of both the APA and American Academy of Child and Adolescent Psychiatry. Dr. Minto received her medical degree from the University of Miami Miller School of Medicine. She completed her general psychiatry residency and child-adolescent fellowship at the University of Miami/Jackson Memorial Hospital. She has more than 25+ years of experience working in the psychiatric profession. She has previously worked extensively in the role of medical director in multiple settings. Dr. Minto was honored with the role of medical director of a large community mental health center, child psychiatry inpatient program, adult and child inpatient residential treatment program, and outpatient residential day treatment program. She also has 8 years of experience working with the Deaf community. Dr. Minto specializes in psychopharmacology and supportive therapy. She performs comprehensive psychiatric evaluations, develops patient-centered individualized treatment plans, and schedules regular follow-up appointments. She has a wealth of experience in treating patients with depression, bipolar disorder, ADHD, and anxiety disorders.

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. Sierra-Cintron is board-certified in adult psychiatry by the American Board of Psychiatry and Neurology and has been in practice for 12 years. Dr. Sierra-Cintron focuses her practice on medication management. She also engages in supportive therapy in a comprehensive way, focusing on the patient as a whole and not just the symptoms. Dr. Sierra-Cintron has a broad understanding of vitamin support as an adjunctive treatment to traditional medication. She has broadened her understanding of second-line treatment, having been certified in Electroconvulsive Therapy (ECT), conducting clinics in Clozapine and Long-Acting Antipsychotics (LOA), and even conducting assessments for patients interested in weight loss surgery. Dr. Sierra-Cintron has a comprehensive approach to treatment, and might consider the addition of therapy, either by referral or collaborating with an existing therapist for a more rounded approach and improved outcome. Dr. Sierra-Cintron received her medical degree from the Universidad Central del Caribe located in Bayamon, Puerto Rico. Upon graduation, she relocated to Philadelphia, where she started her residency program at Einstein Medical Center. After completing her training, she worked for 8 years in a community mental health clinic, treating an underserved population in all modalities of psychiatric care. In her 12-year career, Dr. Sierra-Cintron has treated both adult males and females, including seniors. This has led to varied and wide-ranging diagnoses during the length of her career. After leaving the community clinic setting, she started working for an outpatient clinic in a suburb of Philadelphia. Dr. Sierra-Cintron's current areas of focus are adults with Mood Disorders, Anxiety Co-Occurring Substance disorders, as well as patients with varied concomitant medical problems.‍

Dr. Garrick Gaffney is board certified in psychiatry by the American Board of Psychiatry and Neurology (ABPN). He earned his medical degree from Kansas City University and completed his psychiatry residency at John Peter Smith Hospital in Fort Worth, Texas. A combat veteran, he served in the U.S. Marine Corps, including a tour in Iraq, and was honored with the Navy and Marine Corps Achievement Medal and a Certificate of Commendation for exemplary leadership.

During medical school, Dr. Gaffney pursued advanced training as an Osteopathic Manipulative Medicine fellow. As a resident, he served as Chief Academic Resident and earned accolades such as Intern of the Year and Outstanding Educator of the Year twice consecutively.

Dr. Gaffney specializes in treating complex psychiatric conditions, including depression, anxiety, PTSD, OCD, bipolar disorder, and insomnia. He has presented case studies and quality improvement projects at national conferences, including the American Psychiatric Association (APA), Academy of Consultation-Liaison Psychiatry, and Association for Academic Psychiatry.

A proponent of holistic care, Dr. Gaffney integrates psychotherapy into medication management and emphasizes lifestyle modifications and evidence‑based integrative medicine.

New patients receive comprehensive evaluations to rule out medical causes of symptoms, followed by tailored treatment plans combining therapy, medication, and lifestyle adjustments. Follow‑up visits focus on symptom management through supportive, brief dynamic, or cognitive behavioral therapy, with frequent appointments until stabilization is achieved.

Dr. Gaffney is committed to collaborative, patient‑centered care that addresses both mental and physical well‑being.

Dr Ibrahim joined Talkiatry as a general adult psychiatrist.

Dr Ibrahim earned his medical degree from faculty of medicine, University of Cairo, Egypt.

He completed residency in general psychiatry at Case Western Reserve university and MetroHealth medical center in Cleveland, Ohio.

He practiced psychiatry for 30 years. working in different settings:

Hospitals. inpatient and consultation liaison to other medical services.

Private practice, outpatients treating adults, geriatric and adolescents.

Provided geropsychiatric consultations to long term care facilities and assisted living.

Areas of interest:

Mood and anxiety disorders

cognitive, neuropsychiatric disorders

PTSD , bipolar, OCD

Psychopharmacology and treatment resistant conditions (depression)

Psychoeducation to improve treatment compliance

Dr Ibrahim likes to work with patients on customized treatment plan with active patient participation.

Treatment goals are defined and updated as needed in follow up visits.

Dr Ibrahim encourage his patients to ask questions and learn more about their condition, communication and education are essential for treatment success.

Dr Ibrahim will have an initial evaluation. Providing treatment records can be helpful.

He will share with patient treatment options and create a custom treatment plan.

Follow up appointments are scheduled every 2 weeks at the beginning of treatment.

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