Rishell Tsujimoto-Ryzewski

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Paulina Bollat Orbea is a Licensed Clinical Social Worker in Florida and Colorado. She earned her Master’s Degree in Social Work at Florida International University and has worked in a variety of clinical settings including outpatient clinic, psychiatric hospital, correctional facility, community mental health, university counseling and research and private practice environments.

Paulina has experience working with individuals who experience depression, anxiety, trauma, stress, family conflict, LGBTQ+ related concerns, substance use disorders and other mental health concerns. Paulina has worked with people of diverse ethnicities, cultures and identities. As a Guatemalan native, she is also able to offer therapy in Spanish.

Paulina’s therapeutic approach is dependent on the patient’s needs. She largely follows a Cognitive Behavioral approach, while also implementing psychodynamic, Internal Family Systems, Person-Centered and Solution-Focused orientations. Her treatment style prioritizes evidence-based practice and a therapeutic alliance built through empathy, collaboration and cultivating a safe, judgement-free space for the patient.

Vincent Ramos, LPC

Staffed Licensed Professional Counselor

Vincent is a licensed professional counselor who has earned his full licensure from the State of Texas. Vincent earned his bachelor's degree in Criminal Justice with a Minor in History from the University of Texas at San Antonio. He earned his Master of Arts in Counseling and Guidance from Texas A&M San Antonio. Vincent's counseling approach is eclectic, utilizing various modalities including, but not limited to Gestalt, Reality, Narrative, and Solution focused therapy. He is devoted to empowering individuals to free themselves from the excessive burdens of life by a remorseless society. He encourages you to become genuinely free and absolutely understand that you are the master of your own destiny. Vincent's treatment specialties and experience include working with adults, seniors, and adolescents from diverse populations and cultures. Whose suffering included, but not limited to anger, depression, career dilemmas, anxiety, stress, marital problems, collegiate status, self-esteem, family issues, as well as other unforeseen predicaments life unveils. Vincent uses these modalities in a holistic approach assessing clients within their culture, environment, community, and family system to gain a better insight into your distinctive reality. This holistic approach allows us to work together and tailor therapy to your needs. Allowing our collaboration to address the root causes of your current state of wellbeing. Our sessions, along with my education, background, and extensive life experience, have given me a reinforced foundation to assist you in facing the harsh realities of the world. Vincent will inspire you to live your life to its fullest without regret and create healthy tools of positive armor that will guide you eternally. Vincent's platform of therapy will fortify your weaknesses, enhance your strengths, and alleviate your fears where your voice is amplified and capable of surviving the vile discernment of others.

Christopher Hoffman, MD

Staff Psychiatrist

Dr. Christopher Hoffman is an American Board of Psychiatry and Neurology certified psychiatrist with three years of experience. Dr. Hoffman provides patient-centered treatment using medication management, supportive therapy, and cognitive behavioral therapy. Typically, medication management appointments are 30 minutes, and therapy appointments are 45 minutes. Psychotherapy slots with Dr. Hoffman are limited, so he often brings another therapist to the treatment team. Since graduating from psychiatry residency in 2019, Dr. Hoffman served in the Air Force as the sole psychiatrist, Medical Director, and Alcohol and Drug Abuse Prevention and Treatment program director at Edwards Air Force Base and has recently completed a fellowship in Forensic psychiatry.

Maryanne Garnsey, LMFT

Staff Therapist

Maryanne Garnsey is a Licensed Marriage and Family Therapist, who has extensive experience working in multiple disciplines, modalities, and stages of life. Maryanne has worked directly with clients of various demographics, living with a variety of mental health conditions. Maryanne completed her BFA at Rutgers University in New Brunswick, New Jersey, and MS in Mentally Health Counseling and Marriage and Family Therapy from Palm Beach Atlantic University in West Palm Beach, Florida.

Maryanne’s approach is eclectic, integrative, interdisciplinary, and holistic. This approach incorporates humanistic, family systems, lifestyle, cognitive behavioral, acceptance and commitment, mindfulness, strengths-based, and healthy attachment, as well as many other techniques into each session based on the unique needs, interests, and goals of each client. Maryanne’s love of nature, science, people, and lifelong learning creates a therapeutic environment of curiosity, care, support, guidance, and hope.

Maryanne has experience in finance, education, wellness, entertainment, hospitality, marketing, and sales working with individuals, couples, families, and groups of all ages. Maryanne is easily inspired and enjoys discovering each client’s personal story. Maryanne believes that working as a team with a common goal can foster personal growth, healing, health, and optimum wellbeing.

Kristina Vaughan, LCSW

Staff Therapist

Kristina Vaughan is a Licensed Clinical Social Worker (LCSW) in Houston, Texas. Kristina has been a therapist for two and a half years, and an exceptional social worker for six years. Kristina received her Master's Degree from the University of Houston in 2016. Kristina helps adults of all ages and teens to heal from emotional dysregulation and self-sabotage patterns rooted in childhood trauma. Kristina specializes in Bipolar Disorder and impulse control disorders. Kristina is empathetic and direct with her clients. She uses an eclectic approach to therapy, and she works with her clients collaboratively to prioritize their greatest needs first. She is trained in Cognitive Behavioral Therapy, Acceptance and Commitment Therapy, Dialectical Behavior Therapy, Narrative Therapy and Brainspotting. If you feel like you've been living in a state of being an audience member, rather than the storyteller of your own life, then look no further. Kristina is the right therapist for you.

James Lee Jr., MD

Staff Psychiatrist

Dr. Lee is a board-certified psychiatrist who specializes in adult psychiatry and minority mental health. He is a graduate of Morehouse College and later received his medical degree from Meharry Medical College in Nashville, TN. After graduating from Meharry, he completed his psychiatry residency at the University of South Carolina/ Palmetto Health in Columbia, SC and a forensic psychiatry fellowship at Tulane University. After completing his training, he entered private practice in Rock Hill, SC and served the community for 11+ years. During that time, he also served as Staff Psychiatrist at Winthrop University. Prior to joining Talkiatry, Dr. Lee served as an Attending Psychiatrist and Medical Director of an inpatient psychiatric unit. Throughout his professional career, he has remained passionate about educating individuals about sustaining better mental health and eradicating the stigma of mental illness. Dr. Lee brings a vast array of knowledge to Talkiatry. He has experience treating various psychiatric disorders including depression, anxiety, bipolar disorder and ADHD. His approach focuses on evidence-based medication management and incorporates supportive therapy techniques as well as psychoeducation to address the presenting issues in a compassionate and competent manner. If additional therapy is needed, Dr. Lee may recommend that a therapist is part of the treatment team.

Andrew Lelin, MD

Staff Psychiatrist

Background and credentials

Dr. Andrew Lelin is a board-certified Psychiatrist in Adult Psychiatry. He received his bachelor's degree from Johns Hopkins University and a master's in Medical Humanities, Compassionate Care, and Bioethics from Stony Brook University. Dr. Lelin earned his medical degree from Hofstra-Northwell School of Medicine and completed his residency at Rutgers-Robert Wood Johnson School of Medicine, where he specialized in advanced psychopharmacology with diverse patient populations. He also has extensive training and experience in psychotherapeutic modalities, including psychodynamic therapy, cognitive-behavioral therapy, habit-reversal therapy, and cognitive processing therapy. Following his training, Dr. Lelin provided inpatient consultation and crisis intervention services in New York City.

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Treatment approach

Dr. Lelin employs a compassionate, humanistic approach designed to align closely with his patients' personal goals and values. His method integrates advanced psychopharmacology with psychotherapeutic techniques such as psychodynamic, cognitive-behavioral, habit-reversal, and cognitive processing therapies. He aims to carefully balance diagnosis, avoiding both overdiagnosis and underdiagnosis, to ensure precise and tailored care. Dr. Lelin’s approach is particularly effective in addressing conditions like anxiety, depression, bipolar disorder, OCD, trauma-related issues, and other psychiatric conditions.

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What you can expect in a first visit

During the initial visit, patients can expect a comprehensive, detailed evaluation designed to thoroughly understand their individual experiences and needs. Dr. Lelin prioritizes establishing a compassionate and comfortable environment where patients can openly discuss their concerns and goals. This initial assessment is followed by meticulous and thoughtful follow-ups, providing clarity and direction in the treatment process.

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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 speciualize in medication management and collaborate with you on a treatment plan that fits your needs and comfort level.

Laurence Dopkin, MD

Staff Psychiatrist

Dr. Dopkin is a board-certified adult and child psychiatrist dedicated to helping patients feel well and stay well. A Long Island native, he earned his bachelor’s degree from Cornell University before attending St. George’s University School of Medicine. He completed his adult and child psychiatry training at Brown University. For over two decades, Dr. Dopkin has served New York City communities across Queens, Manhattan, and the Bronx, primarily within the public hospital system. He has held clinical, academic, and administrative leadership roles and has been recognized for his excellence in teaching and mentoring psychiatry residents. He also serves as Assistant Dean of Students for the U.S. clinical program at St. George’s University

Dr. Dopkin provides patient-centered care grounded in a biopsychosocial approach. He collaborates with each patient to tailor treatment plans that integrate evidence-based medication options with interpersonal and supportive therapy. He has worked with patients of all ages and backgrounds, including individuals from marginalized communities and those coping with trauma, depression, anxiety, and comorbid medical conditions.

With warmth and respect, Dr. Dopkin meets each patient where they are, helping them find the path that works best for their unique needs and goals.

Shivani Borhara, LMFT

Staff Licensed Marriage and Family Therapist

Shivani M. Borhara is a Licensed Marriage and Family Therapist, who has been providing therapy to individuals and couples for the past 10 years. Shivani has a background in trauma and has worked with a diverse population of clients with a variety of issues and mental health struggles. Shivani attended Hofstra University in Hempstead, NY to obtain her Master's in Marriage and Family Therapy and Queens College in Flushing, NY for her Master's in Psychology, where she taught as an adjunct professor for undergraduate students. Shivani has also spent time bringing mental health resources and trainings to the NYC public school system. She is very passionate about mental health and helping individuals through the tough times in life. Shivani's approach is collaborative and she tends to focus on Cognitive Behavioral and Solution Focused Interventions. She explores childhood traumas and whether they are related to current issues. Shivani believes that there is no one size fits all model, and meets individuals where they are in their journey. Shivani focuses on normalizing anxiety and stress, while allowing one to move forward in life.

Violetta Aranda, LPC

Staff Licensed Professional Counselor

Violetta Aranda, LPC is a native South Texan and second generation Mexican- American. She is a 2011 graduate of St. Edward's University in Austin, Texas and obtained full LPC licensure in Texas in August of 2017. Her practice focuses on cognitive behavioral modalities within a humanistic client-centered approach to foster healing through self-acceptance and self-awareness. She has over a decade's worth of experience working within the mental health field and fifteen years working directly with children and adolescents in various capacities. Before joining Talkiatry, Miss Aranda practiced exclusively within the community health sector and these experiences provided the opportunity to become fully immersed in Trauma and Crisis Management and fostered the passion for evolving research in the treatment of trauma-informed care. She now aspires to utilize these allocated experiences and passion for the field to promote mental health awareness, client advocacy, and quality of care.

Gerald Matthews, MD

Staff Psychiatrist

Background and credentials

Dr. Gerald Matthews is a board-certified adult psychiatrist. He earned his medical degree from the University of Louisville School of Medicine in Louisville, KY. Following medical school, he entered active duty service in the U.S. Army, where he completed his psychiatry residency at Tripler Army Medical Center in Honolulu, HI. After completing his training, he practiced as a staff psychiatrist at Fort Hood, TX, fulfilling his service obligation.

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Treatment approach

Dr. Matthews specializes in medication management, working primarily with adult patients in an outpatient setting. While his primary focus is pharmacological treatment, he frequently collaborates with therapists to provide comprehensive care when indicated. He has extensive experience treating civilians, active-duty military personnel, and veterans, addressing conditions such as mood and anxiety disorders, psychosis, and trauma-related disorders.

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What you can expect in a first visit

During the first visit, patients can expect a thorough psychiatric evaluation where Dr. Matthews takes time to understand their history, symptoms, and treatment goals. He provides a structured yet compassionate approach to care, discussing medication options and potential therapeutic interventions. For patients who may benefit from additional therapy, he collaborates with therapists to ensure a well-rounded treatment plan tailored to each individual's needs.

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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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Janeen Paul, MD

Staff Psychiatrist

Dr. Paul has worked in outpatient private practice psychiatry for nearly 20 years. Throughout her career, she has combined medication management with talk therapy, to provide comprehensive care tailored to each patient's needs. Dr. Paul received her MD from The University of Iowa. She completed an intern year in Obstetrics and Gynecology at The University of Illinois, Chicago, and went on to psychiatry residency at Lutheran General Hospital in Park Ridge, IL. Dr. Janeen Paul is board certified in Adult Psychiatry. She specializes in Women's Issues, including pregnancy, postpartum and menopause, and has extensive experience treating depression, bipolar disorder and anxiety disorders, including OCD and PTSD. The mind/body connection is at the forefront of her care, with attention paid to diet and exercise as well as breathing and meditation. She often collaborates with primary care physicians and therapists to provide a team approach to treatment. She treats patients over age 18.‍

Rishell Tsujimoto-Ryzewski

Education and training

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