Sara Mateo, MD

Background and credentials

Dr. Sinner is board-certified in Psychiatry. He completed his psychiatry residency training at Dartmouth-Hitchcock Medical Center. With over 14 years of experience, he has worked in a variety of settings, including five years in inpatient psychiatry in Vermont, where he served as Medical Director for a state hospital psychiatric unit and taught medical students. He then spent five years working in an outpatient community mental health center in Pennsylvania before transitioning to telepsychiatry, providing care to individuals in Pennsylvania, Florida, and New York.

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Treatment approach

Dr. Sinner employs a collaborative, patient-centered approach, tailoring treatment plans to meet each individual's specific needs. His practice integrates pharmacotherapy with cognitive behavioral therapy (CBT) and supportive therapy as needed. He specializes in treating a wide range of psychiatric conditions, including depression, bipolar disorder, anxiety, ADHD, neuropsychiatric disorders, developmental disorders, and personality disorders. His philosophy is to provide personalized care that makes a meaningful impact at different stages of a patient’s life.

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What you can expect in a first visit

During the first visit, patients can expect a comprehensive evaluation focused on understanding their mental health concerns, history, and treatment goals. Dr. Sinner takes a compassionate and collaborative approach, working closely with patients to create individualized treatment plans. He ensures that each patient receives a balanced and effective combination of medication management and therapeutic interventions suited to their unique 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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Jos� holds the position of Psychotherapist for Michigan, Florida, and South Carolina at Talkiatry. After completing his Master of Arts in Community Counseling in 2012, he spent 7 years fulfilling his passion for integrated care for adults suffering from substance use disorder and mental health challenges. For the past four years, he has been working in private practice working with clients exclusively via telehealth. Jos� provides cognitive therapy, motivational enhancement therapy, and logotherapy to help his patients gain insight into current stressors related to various diagnoses, including post-traumatic stress, affective mood disorder, depression, anxiety, ADHD, and substance use disorder. He strongly believes that collaborating with a physician for medication management allows patients to be more engaged in therapy, resulting in improved treatment outcomes.

Dr. Michael Lukowski is an adult psychiatrist who holds board certification with the American Board of Psychiatry and Neurology. He has been practicing medicine for over 4 years. Dr. Lukowski focuses on medication management combined with supportive therapy in 30-minute follow-up visits. He practices whole-person medicine, caring for the wellness of your mind, body, and spirit and helping you enjoy your relationships with those around you. Dr. Lukowski received his medical degree from the University of Nevada School of Medicine in Reno, NV, before moving to southern California to complete his residency at Loma Linda University. After completing training, Dr. Lukowski began working with the Southern California Permanente Medical Group in Riverside, CA, where he treated a variety of psychiatric disorders in an outpatient setting. In March of 2020, as the pandemic changed life and medicine forever, Dr. Lukowski adopted a strictly telepsychiatry role at his clinic. He has also held a staff psychiatrist position as an adult inpatient psychiatrist in Tennessee. Dr. Lukowski treats a wide variety of psychiatric disorders within the adult demographic.

Dominika is a Licensed Clinical Social Worker (LCSW) who has been in the field for ~20 years performing individual, group, and family service. During her education, Dominika focused on various forms of treatment modalities including DBT, ACT, CBT, trauma informed, family systems, motivational interviewing, and substance abuse treatment. Dominika has been an active remote, mental health therapist for the past several years, and has experience with working with diverse populations providing services to adults and children in mixed settings.

Dominika has an extensive background working with survivors of trauma, depression/bipolar disorder, anxiety, ADD/ADHD, grief, PTSD, schizophrenia and other forms of psychosis, gender/sexual identity difficulties, eating disorders, substance abuse, domestic violence, life transitions, as well as combinations of multiple problems. Dominika is a firm believer meeting people at their own pace to accomplish their objectives at their own speed.

Dominika’s initial appointment is an assessment, gathering the client’s background information and reason for seeking treatment, focusing on the client's own specific goals/desires for therapy and helping ct envision what this would look like for them in order to establish a general roadmap on moving towards their aspirations. After the first session, Dominika concentrates on what complications exist to ct’s objectives and how ct can utilize supportive tools/resources to help overcome these barriers. Dominika then helps cts establish weekly, smaller goals that can lead cts to their larger scale aspirations.

Dr. Viga Naik takes a holistic approach when practicing, understanding the importance of an integrative treatment care model. She believes optimal patient care goes beyond psychopharmacology and requires incorporation of psychotherapy and psychosocial intervention. She is a strong advocate for her patients, dedicated to being an educator of mental illness to break self, societal, and systemic stigmas. She believes that a strong therapeutic alliance between clinician and patient is essential. She works on creating a safe and empathetic environment while providing psychoeducation to patients, empowering them to play an active role in their treatment. Dr. Naik is an adult psychiatrist with specializations in Addiction Psychiatry and Consultation-Liaison Psychiatry, also known as psychosomatic medicine. She completed her residency training at New York Medical College and fellowship training at the Mount Sinai Health Systems located at Bronx Care and Beth Israel Hospital. She has worked in both inpatient and many outpatient specialty clinics such as psych/oncology, transplant, collaborative-care, medication assistance treatment, music and medicine, and gender affirmation surgery treating patients with comorbid mental illness and substance use disorders as well as comorbid mental illness and general medical conditions. Her practice focuses on medication management in combination with supportive therapy and providing psychoeducation to patients. She treats depression, anxiety, bipolar disorder, obsessive compulsive disorder, post-traumatic stress disorder, general anxiety disorder, substance use disorders and other associated psychiatric disorders.

Carly Frix-Rhyne is a Licensed Professional Counselor (LPC), in both Texas and Arkansas, who has extensive experience working in the mental health field. She has worked directly with clients of various demographics, living with a variety of mental health conditions. Carly attended undergraduate and graduate school in her hometown of Texarkana, Texas at Texas A&M University - Texarkana. She completed her practicum and internship working as a therapist in therapeutic foster care, with children, teens, foster parents, and biological families. Carly has been practicing for 7 years as a LPC, focusing on individuals working to cope with trauma, stressful life events, anxiety, depression, and issues coping with and communicating their own needs. Carly has worked for community mental health agencies, non-profit agencies, and private practice organizations. Much of Carly's past work involves providing therapy services to children, teens, and adults who survived abuse/trauma. Carly enjoys working with clients of all ages and with a variety of different presenting mental health needs. She uses different techniques including cognitive behavioral approaches and attachment-based approaches, while maintaining a person-centered theoretical orientation with all clients. Carly utilizes a range of therapeutic tools in hopes of providing clients with practical skills they can begin using immediately. She believes in meeting clients exactly where they are and helping them understand their own needs.