Thomas Spina, MD

Dr. Abby Reineck currently serves as an outpatient child and adolescent psychiatrist. She has been practicing for 13 years. Dr. Reineck's practice primarily offers medication-management services in conjunction with either supportive or eclectic therapy. Follow-up appointments average 30 minutes, but may be more or less. Occasionally, Dr. Reineck believes the addition of a therapist is needed and will request you bring a therapist into your care team. This will be asked of individuals if she believes it will lead to an improved clinical outcome. Reineck received her medical degree from Boonshoft School of Medicine at Wright State University, located in Dayton, OH. She completed her psychiatry residency and child and adolescent fellowship at Dartmouth-Hitchcock Medical Center, in Hanover, NH. After completing her training, Dr. Reineck moved to Brattleboro, VT, where she became an attending psychiatrist at The Brattleboro Retreat, working on both the child and adolescent inpatient units. The Brattleboro Retreat's location was such that it served a large number of patients from nearby states, which included New Hampshire, Massachusetts, Connecticut, and New York. However, it also served as the only psychiatric inpatient facility for children and adolescents in the entire state of Vermont. Dr. Reineck also worked as the lead psychiatrist on the inpatient, adult, dual-diagnosis unit. This unit provided care for individuals struggling with addiction and mental-health related issues, some of whom required medically supervised detoxification. After roughly five years, Dr. Reineck moved from Vermont to Erie, PA. She began working at a residential treatment facility for child and adolescent patients who required care in a highly supervised and highly structured setting. Dr. Reineck also began serving as a child and adolescent psychiatrist for patients enrolled in a school-based partial-hospitalization program. Dr. Reineck gradually transitioned from these roles into strictly outpatient work. She worked as an outpatient psychiatrist in Butler, PA, where she treated child, adolescent, and adult patients. Dr. Reineck eventually narrowed her scope of practice to providing psychiatric treatment for only outpatient children and adolescents. She did so out of facilities located in Erie and Meadville, PA. Drr. Reineck completed her undergraduate studies at Ohio University. While Dr. Reineck has experience treating a wide variety of patients, her primary focus has been treating children and adolescents with a vast array of presenting concerns.

Dr. Benjamin Adler is a physician who specializes in adult psychiatry. He utilizes medication management in conjunction with therapy. His practice includes the treatment of multiple mental health conditions including depression, anxiety, bipolar disorder, PTSD, ADHD, and OCD. Dr. Adler emphasizes a holistic approach to treatment that is non-judgemental and compassionate. He works closely with patients to establish plans that fit their individualized needs. Dr. Adler is a graduate of Johns Hopkins University, where he received his Bachelor of Science degree in Neuroscience. He attended medical school at Touro College of Osteopathic Medicine, graduating with honors. Dr. Adler completed his psychiatry residency at Woodmont Hospital in South Florida, where he supervised junior residents and medical students.

Background and credentials

Dr. Vansickle is a board-certified adult psychiatrist with over 25 years of clinical experience. She earned her medical degree from the University of Texas Health Sciences Center San Antonio and completed her internship at UAB. She then completed her psychiatry residency at the University of Louisville Hospital, where she served as chief resident and received a national award in community psychiatry. Throughout her career, she has worked in both inpatient and outpatient settings as a staff psychiatrist, primarily in Texas and Alabama.

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Treatment approach

Dr. Vansickle places a strong emphasis on establishing trust and building therapeutic relationships to help patients achieve their goals. Her practice focuses on medication management, often combined with supportive or emotionally focused therapy during 30-minute follow-up visits. If she believes additional therapy would be beneficial, she may recommend that patients work with a therapist as part of their care team. She has extensive experience treating patients in various settings, including community mental health centers, VAMC-affiliated clinics, and hospital-based psychiatric units. She also has expertise in psychiatric consultations for medically ill patients, as well as guardianship and competency evaluations.

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What you can expect in a first visit

Patients can expect a thorough initial evaluation, where Dr. Vansickle takes the time to understand their symptoms, history, and treatment goals. She provides a structured yet compassionate approach to care, ensuring that each patient feels heard and supported. Follow-up visits typically last 30 minutes, during which she monitors progress and adjusts treatment as necessary. If additional therapy is needed, she collaborates with therapists to ensure comprehensive care tailored to each patient’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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Background and credentials

Dr. Jessica Matthews is a board-certified general psychiatrist. She earned her medical degree from the University of Texas Health Science Center at San Antonio and completed her psychiatry residency at Tripler Army Medical Center in Honolulu, HI. After her training, she was stationed at Fort Hood, TX, where she worked as a staff physician in the inpatient unit at Carl R. Darnall Army Medical Center and later became the inpatient medical director. She subsequently transitioned to outpatient care, serving as a staff physician and later as clinic chief in the outpatient embedded behavioral health clinics. She continued working as a staff physician after leaving the military.

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Treatment approach

Dr. Matthews specializes in medication management, often incorporating supportive and cognitive-behavioral-focused therapy into treatment. Follow-up visits typically last 30 minutes, during which she evaluates progress and adjusts treatment as needed. She takes a collaborative approach and may recommend additional therapy when she believes it will optimize patient outcomes. Her primary areas of focus include treating adults with depression, anxiety, and stress/trauma-related disorders.

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What you can expect in a first visit

During the first visit, patients can expect a comprehensive evaluation where Dr. Matthews takes the time to understand their symptoms, history, and treatment goals. She prioritizes a structured yet patient-centered approach, discussing medication management options while considering therapeutic interventions tailored to individual needs. If necessary, she may recommend additional therapy as part of a well-rounded treatment plan.

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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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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.

Background and credentials

Dr. Munoz is a board-eligible adult psychiatrist. He earned his medical degree from Rutgers, New Jersey Medical School and completed his psychiatric residency at Mount Sinai Beth Israel. Throughout his training, he gained experience in a variety of clinical settings, including outpatient and inpatient care, as well as psychiatric emergency services.

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Treatment approach

Dr. Munoz provides compassionate psychiatric care through a combination of pharmacotherapy and supportive therapy. He specializes in treating depression, anxiety, bipolar disorder, and psychotic disorders. He has extensive experience working with LGBTQ+ and Spanish-speaking communities. His treatment philosophy is holistic, viewing patients as whole individuals and addressing their specific needs at different stages of life. He also emphasizes the importance of exercise, relationships, and overall well-being in his approach to mental health care.

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What you can expect in a first visit

During the first visit, patients can expect a comprehensive and patient-centered evaluation. Dr. Munoz takes the time to understand each patient’s symptoms, background, and personal goals. He collaborates with patients to develop an individualized treatment plan that may include medication management, supportive therapy, and lifestyle modifications to support their overall well-being.

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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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