Tyler Josephs, DO

Dr. Shari Sengupta attended the University of OK as a National Merit Scholar and went on to graduate with her MD from Eastern Virginia Medical School. She specialized in Adult Psychiatry at the University of NC Hospitals where she was a chief resident. She received psychotherapy training in insight-oriented and cognitive-behavioral approaches and trained at the Psychoanalytic Institute of the Carolinas. She has 18 years of experience providing medication management and psychotherapy in both private practice and community mental health settings and over 10 years of experience in telepsychiatry providing care to underserved communities. Dr. Sengupta has experience treating a variety of mental health concerns but has a particular interest in depression, anxiety, and mental health in the perinatal period. Her practice focuses on medication management from a holistic perspective. She believes that mental health is the cornerstone of overall well-being and that treatment is a collaborative journey toward improved health and function in life, work, and relationships. She offers culturally sensitive treatment to people from all backgrounds and sexual orientations. As a staff psychiatrist at Talkiatry, her treatment approach focuses on medication management informed by a background in psychotherapy.‍

Background and credentials

Dr. Ian Goldberg is a board-certified adult and child/adolescent psychiatrist and a licensed physician in New York state. He has been practicing since 1988 and has extensive experience working with patients in private practice, hospital settings, and community-based mental health programs. His professional career has included work both in and outside of the United States.

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Treatment approach

Dr. Goldberg takes an eclectic approach to psychiatric care, integrating various treatment modalities, including psychodynamic perspectives and medication management. His focus is on improving his patients' overall quality of life by tailoring treatment strategies to their unique needs.

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What you can expect in a first visit

During the initial visit, patients can expect a comprehensive and individualized evaluation. Dr. Goldberg values collaboration and strives to create a treatment plan that is both effective and adaptable. His experience allows him to approach each case with insight and flexibility, ensuring that patients receive care that is aligned with their personal goals and circumstances.

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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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Erika Zarco is a Licensed Marriage & Family Therapist and Telehealth provider. She has extensive experience working in non-profits, schools, academic settings, and private practice. Erika is certified in Trauma-Informed Interventions, Advanced Grief Counseling, Addictions-Informed Care, Narrative Therapy, Emotional Freedom Techniques (EFT), Solution-Focused Brief Therapy, and Nutrition & Integrative Medicine for trauma. She holds a BA in Humanities from New College of California and a master’s in Counseling from the Wright Institute.

Erika values open communication and helps clients set clear treatment goals. She fosters a collaborative environment using narrative counseling, Internal Family Systems, and “parts” work to help clients re-story their experiences. She also offers EFT Tapping for trauma, anxiety, depression, and pain. Erika works from the belief that clients are the experts in their own lives and promotes self-determination through Motivational Interviewing, Harm Reduction, and Energy Psychology.

Erika begins by understanding what brings clients to therapy and building a strong therapeutic relationship. She tailors Narrative Counseling and EFT sessions to each individual, collaboratively creating personalized treatment plans with achievable, transformational goals. Her approach is holistic, supportive, and designed to empower clients to recognize their strengths and motivation for meaningful change.

Dr. John's practice focuses on medication management, offered in conjunction with emotionally focused therapy in 30-minute follow-up visits. Occasionally, Dr. John may believe that additional therapy is also needed and ask that you bring a therapist into your care team to provide the best outcome. Dr. John strongly believes in a compassionate, collaborative approach and will provide psychoeducation to help patients make informed decisions and achieve their treatment goals.

Dr. Martha James is board-certified in general adult psychiatry and has more than twenty years of experience working with adults in a variety of mental health care settings including academia, inpatient psychiatric hospitals, outpatient clinics, university medical centers, VA medical centers, and community mental health settings. Dr. James received her medical degree from Duke University School of Medicine. She completed her psychiatric residency at the University of California, Los Angeles Neuropsychiatric Institute. Dr. James has experience treating adults with a variety of mental health problems including anxiety, mood disorders, trauma related disorders and psychotic disorders.

Dr. James is an experienced, open-minded psychiatrist who prioritizes empathy and understanding in her work. She recognizes that each individual's path to wellness is unique and strives to meet patients where they are in this process. Dr. James believes that while some individuals may benefit from treatment with medication management alone, psychotherapy is often important for treatment success. She encourages patients to participate in psychotherapy and believes a therapist can be a crucial part of the treatment team.

Dr. James uses a collaborative, patient-centered treatment approach with the goal of reducing mental pain and improving wellness so that patients are better able to pursue their unique personal and professional goals. She utilizes psychopharmacology, psychoeducation, and supportive and psychodynamic psychotherapy skills when working with patients.

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Dr. Antonio Ramirez earned his medical degree from Ponce Health Sciences University, where he also served as Chief Resident in Psychiatry. He completed residency training at Ponce Health Sciences University and the U.S. Veterans Health Administration, Caribbean Healthcare System, followed by a Fellowship in Consultation–Liaison Psychiatry at Montefiore Medical Center, Albert Einstein College of Medicine. Board-certified in both Psychiatry and Consultation–Liaison Psychiatry, he has served as Director of Psychiatry at the Roberto Clemente Center and Clinical Assistant Professor at NYU Grossman School of Medicine. Dr. Ramirez is bilingual in Spanish and bicultural, with published research in cultural psychiatry and stress biology, and has been recognized for teaching and leadership.

Dr. Ramirez focuses on compassionate, evidence-based care that integrates psychotherapy and psychotropic medications to promote recovery and growth. His collaborative and respectful style ensures patients feel heard while working toward meaningful goals. He emphasizes setting clear expectations from the start to foster confidence and engagement. With his background in consultation–liaison psychiatry, Dr. Ramirez brings expertise in caring for individuals managing psychiatric conditions alongside significant medical illness.

The first appointment is a comprehensive evaluation, during which Dr. Ramirez carefully explores a patient’s history, conditions, and symptoms. Based on this, he develops a personalized treatment plan and reviews it collaboratively, so expectations are clear. Future visits focus on monitoring progress, adjusting the plan as needed, and integrating both psychotherapy and medication management to best support the patient’s needs and long-term growth.