Ruben Mendez, MD

Dr. Tsujimoto-Ryzewski is a board-certified adult psychiatrist. She received her medical degree from the University of Nevada, Reno School of Medicine. She completed her residency at the University of Nevada, Reno School of Medicine, where she served as a chief resident during her last year of training. Dr. Tsujimoto-Ryzewski has treated patients with a wide variety of diagnoses both during her residency and after her training while working at a busy private practice clinic as well as for the Veterans Administration. Dr Tsujimoto-Ryzewski focuses on medication management and supportive psychotherapy. If she feels that additional therapy is needed, she will ask that you bring in a therapist as part of the treatment team. Dr. Tsujimoto-Ryzewski will work collaboratively with you in a caring environment to assist you in reaching your goals.

Dr. Ioana Horotan-Enescu is a board-certified Psychiatrist. Before joining Talkiatry, she was an Active-Duty staff psychiatrist at Blanchfield Army Community Hospital, Fort Campbell, KY. Her military service also included roles such as Medical Director of Behavioral Health and Interim Clinic Chief for Embedded Behavioral Health Clinic. She completed her internship and residency at Walter Reed National Military Medical Center and earned her Doctor of Osteopathy Degree from the University of New England College of Osteopathic Medicine. Her clinical experience spanned from the inpatient to the outpatient setting and afforded her the opportunity to develop comprehensive skills in the treatment of PTSD, mood disorders, thought disorders, addiction and perinatal mood disorders. Her teaching experience spanned multiple institutions, where she has served as a preceptor and mentor for medical students, nurse practitioner and physician assistant students. In addition to medication management, she augments her practice by implementing mindfulness, psychodynamic and supportive therapy techniques in her everyday practice to enhance treatment and improve treatment response. Dr. Horotan-Enescu holds several certifications, including in Cognitive Behavioral Health Therapy for Suicide Prevention, Motivational Interviewing and Battlefield Acupuncture. She has delivered presentations at national and international conferences on various topics, reinforcing her commitment to advancing the field of psychiatry.

Dr. Nana Cudjoe is a board-certified adult psychiatrist who focuses on comprehensive psychiatric care in the form of medication management and psychotherapy. Dr. Cudjoe's motto is to "treat each person with humanity, dignity, and respect.” She believes in wholeheartedly supporting patients in their various walks of life. Dr. Cudjoe is a graduate of Creighton University School of Medicine in Omaha, NE and completed her psychiatry residency at Southern Illinois University (SIU) in Springfield, IL. While at SIU, Dr. Cudjoe served as a chief resident and received the Resident of the Year award from the Illinois Psychiatric Society in 2020. She was awarded resident of the year in her residency program. Dr. Cudjoe previously served as the Associate Medical Director of an Inpatient Psychiatric Unit, the Psychiatry Clerkship Co-Director and Assistant Professor at Eastern Virginia Medical School (EVMS). During her time at EVMS, she was honored with Alpha Omega Alpha (AOA) membership, and was awarded faculty of the year. Throughout her time in residency and beyond, Dr. Cudjoe has participated in various research and quality improvement projects aimed at improving outcomes for patients with mental health conditions. Dr. Cudjoe is a member of the American Psychiatric Association, Black Psychiatrists of America, and the Psychiatric Society of Virginia. Dr. Cudjoe employs her expertise in clinical psychopathology and psychopharmacology to tailor patient-specific treatment plans. She has extensive knowledge in Mood Disorders, Anxiety Disorders, OCD and supporting patients receiving gender-affirming care.

Dr. Rebecca Crosbie is a board-certified adult psychiatrist and has been practicing in outpatient psychiatry for nearly 7 years. Her practice focuses on medication management, and she typically offers medication management combined with supportive therapy or Cognitive Behavioral Therapy (CBT) in 30 minute follow-up visits. If Dr. Crosbie feels you would benefit from working with a dedicated talk therapist, she may encourage you to pursue this or refer you in order to achieve the best outcome. Dr. Crosbie is a graduate of Michigan State College of Human Medicine. She completed her psychiatry residency at Pine Rest/Michigan State University in Grand Rapids, MI. She has previously worked as an outpatient psychiatrist and in tele-psychiatry. She has a lot of experience treating patients with a broad array of mental health conditions, including: anxiety disorders, depression, OCD, bipolar disorder, and ADHD. She also treats combined mental health diagnoses such as ADHD plus another diagnosis. She also has a lot of experience working with patients who identify as LGBTQI+. Her approach is always to meet the patient where they are and educate and enable patients to make good choices about treatment that are in line with their personal preferences and values.

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.

Dr. Karla Garcia is a board-certified psychiatrist trained in Adult Psychiatry. She graduated from the University of Notre Dame with a Bachelor of Science and a Master of Education. She then went on to complete her medical education and residency training at the University of Chicago. She is board certified in Adult Psychiatry by the American Board of Psychiatry and Neurology.

Dr. Garcia believes in patient-centered care, seeking to care for the whole person.  She values the therapeutic relationship, working to guide patients in their treatment while also encouraging patients to take an active role in their care. Dr. Garcia cares about getting to know you as a person and helping you reconnect with your values. Her clinical approach is holistic, collaborative, and supportive.

Dr. Garcia focuses on evidence-based treatments for psychiatric illness that utilize a combination of medications and psychotherapy. Using a range of skills and interventions, Dr. Garcia believes in a multi-faceted approach to treatment.

Dr. Garcia has experience working in a wide variety of inpatient, emergency, partial hospitalization, intensive outpatient, and outpatient psychiatric settings and in treating a broad spectrum of psychiatric disorders including depression, anxiety, bipolar disorder, trauma, substance use disorders, personality disorders, ADHD, and OCD. She treats patients in English and Spanish.