Paul Hogate, LCSW

Ashley Sharp is a Licensed Professional Counselor with Mental Health Service Provider
designation, who has experience working in multiple settings within the mental health
field including private practice counseling, school-based counseling, and in a behavioral
health hospital. This has allowed Ashley to work closely with individuals of various
demographics and a wide spectrum of mental health conditions. Ashley obtained her
undergraduate degree in psychology from Bryan College in Dayton, TN, and graduate
degree in clinical mental health counseling from Richmont Graduate University in
Chattanooga, TN.

Ashley has been working in the mental health field for 4 years and
focuses on mood and anxiety disorders, as well as personality disorders,
challenges in relationship dynamics, and difficult life transitions such as grief and
divorce. Ashley tailors her treatment modalities for the greatest benefit of the individual,
being considerate of the background and needs of each client.
Ashley uses an eclectic approach to therapy founded in Cognitive Behavioral Therapy
and incorporates elements of Dialectical Behavior Therapy such as mindfulness,
distress tolerance, and emotional regulation.

Natalie Noyes, LPC, had a successful legal career before returning to school to earn their Master’s in Counseling from Northwestern University. They have experience working with teens, adults, and the LGBTQIA+ community, bringing a diverse and inclusive perspective to their practice.

Natalie creates a nonjudgmental and realistic environment for patients to explore their needs and growth. All identities are respected and honored in the therapeutic relationship. Patients can expect support, understanding, and collaboration as they work toward meaningful change.

Natalie uses a patient-centered approach, emphasizing the therapeutic relationship and aligning treatment plans with patient goals. Initial sessions focus on building rapport and gathering background information. Subsequent sessions are tailored to advancing goals and fostering personal growth.

Karla Bidstrup, LCSW, is a licensed clinical social worker who was drawn to the field by a deep interest in human behavior and a desire to help others find meaning, balance, and inner peace. She brings a thoughtful, creative, and motivating presence to her work, while honoring personal differences and diversity. Karla values the therapeutic relationship as the foundation for meaningful change and personal growth.

Karla’s style blends behavioral and psychodynamic theories, allowing her to address present-day behaviors while also exploring deeper emotional and psychological patterns. She creates a warm, safe, and respectful environment where clients feel understood and supported. Her approach is empathetic and versatile, fostering both immediate progress and long-term self-awareness.

Karla works collaboratively with clients to clarify their needs, values, and goals. Together, they identify the most effective path forward and adjust goals as needed over time. The first session focuses on building rapport while gathering important background information, setting the stage for a shared therapeutic journey.

Cody Zaiontz is an LPC in the state of Texas. He has been providing counseling services to a variety of clients, who have sought help for many different types of mental health conditions, for over 5 years. Cody completed his undergraduate education in San Marcos, Texas at Texas State University and earned his bachelor's degree in psychology. He went on to complete his graduate school training in Counseling & Guidance at Texas A&M University San Antonio. His practicum training took place at the UT Health Science Center in San Antonio, Texas where he was trained in Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, Motivational Interviewing, Solution-Focused Brief Therapy, and crisis management. Upon graduating with his master's in counseling, Cody worked for 2 years helping individuals diagnosed with a serious mental illness (schizophrenia, bipolar disorder, etc.) in an inpatient psychiatric hospital. He then learned how to provide outpatient counseling services, both in-person and through a secure telehealth platform. In his private practice, he worked with adults dealing with substance abuse, PTSD, depression, anxiety, and family issues. He also helped his clients work towards weight loss goals, learn ways to improve sleep, learn ways to increase their social support system, and learn other skills that will help them live a happier, more fulfilled life. Cody operated his private practice until he joined Talkiatry in the fall of 2024.

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.

Garmis Sena, LMHC, is a licensed therapist with experience supporting children, adolescents, adults, and families. She brings a background in community mental health, school-based services, and outpatient therapy. Her clinical work includes treating trauma, anxiety, depression, emotional regulation challenges, family conflict, and life transitions. She holds a bachelor’s degree in Psychology and a master’s degree in Mental Health Counseling.

Garmis believes therapy should feel safe while also encouraging growth. She values honesty, trust, and emotional safety, and incorporates a holistic lens that considers mind, body, relationships, and life experiences. Patients can expect to be heard without judgment as she meets them where they are and supports them in building toward meaningful change.

Garmis begins by learning each patient’s story, stressors, and goals. She works collaboratively to identify patterns, triggers, and emotional blocks, and together develops realistic and personalized treatment goals. Sessions are structured yet adaptable, incorporating practical tools patients can use outside the therapy room. She regularly reviews progress and adjusts the approach as growth evolves.