Vanessa Valdes, MD

Roel Sepulveda is a board-certified psychiatric mental health nurse practitioner (PMHNP-BC) with a Master of Science in Nursing from the University of Alabama at Birmingham. Certified by the American Nurses Credentialing Center (ANCC), he has over 10 years of experience providing mental health care in psychiatric emergency rooms, outpatient psychiatry, and telehealth settings. Roel is committed to delivering comprehensive and accessible care that supports patients across diverse needs and backgrounds.

As a provider, Roel values creating a compassionate and collaborative environment where patients feel comfortable sharing their experiences. He takes a patient-centered approach, meeting individuals where they are and working together to identify treatment goals. Patients can expect a nonjudgmental space where their concerns are heard, respected, and addressed with empathy and understanding.

When working with patients, Roel begins by taking time to understand their history, symptoms, and current challenges. He develops individualized treatment plans that may include a combination of medication management, lifestyle strategies, and coordination with therapy or other supports. His goal is to provide evidence-based care while empowering patients to actively participate in their mental health journey and achieve lasting well-being.

Dr. Alejandra Vivas is board-certified in adult psychiatry and board-eligible in child and adolescent psychiatry. She completed her general psychiatry residency at Montefiore Medical Center and a child and adolescent fellowship at Mount Sinai School of Medicine. Dr. Vivas brings extensive experience from outpatient, emergency, and telepsychiatry settings. She has advanced training in CBT, Motivational Interviewing, and Psychodynamic Therapy. Fluent in English and Spanish, she is committed to culturally sensitive, individualized care.

Dr. Vivas fosters a warm, respectful, and professional space where patients feel seen and empowered. She values open communication and builds collaborative relationships to align treatment with each person’s values, goals, and lifestyle. Her approach is integrative and flexible, grounded in evidence-based methods to support lasting, meaningful change.

Dr. Vivas begins with a thorough evaluation to understand each patient’s history and goals. She creates customized treatment plans that may include therapy, medication, or both. Drawing on CBT, Motivational Interviewing, and Psychodynamic Therapy, she adapts care to meet evolving needs, aiming to relieve symptoms, foster resilience, and support long-term well-being.

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Dr. Jylia Lobanova is a board-certified psychiatrist who began her medical career in Tashkent, Uzbekistan, where she worked at the Central Psychiatric Hospital. After moving to the U.S., she completed her residency at MetroHealth Medical Center, affiliated with Case Western Reserve University. She has treated diverse populations in both inpatient and outpatient settings, including work at Portage Health Clinic in Ohio, Harris Health in Houston, and Legacy Community Health, where she focused on LGBTQ and HIV-positive patients.

Dr. Lobanova values building a trustful and respectful therapeutic relationship. She creates a welcoming space for open communication and mutual understanding, which she believes is the cornerstone of effective treatment. She is especially passionate about supporting patients from diverse cultural backgrounds and has a special interest in women’s mental health across the lifespan.

Dr. Lobanova takes a holistic approach to care, combining medications, psychotherapy, psychoeducation, proper nutrition, and physical activity. She partners closely with each patient to develop an individualized treatment plan tailored to their unique goals and needs, always striving to empower them in their journey toward mental wellness.

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Pamella Bess-Tabb is a Licensed Clinical Social Worker (LCSW, LICSW) and Certified Advanced Social Work Case Manager (C-ASWCM) with nearly a decade of experience across behavioral health, medical, educational, and community settings. She has supported adults and children navigating ADHD, anxiety, depression, and life transitions, using a practical, trauma-informed approach that emphasizes real-world tools and growth.

Pamella takes a collaborative, down-to-earth approach. She values authenticity, respect, and tailoring care to each person’s needs. Patients can expect a supportive partner who meets them where they are, helping them feel heard, understood, and empowered.

Her methodology blends CBT, Motivational Interviewing, and Mindfulness. Pamella focuses on executive functioning, coping strategies, and practical habits that reduce overwhelm. Through therapy and case management, she helps patients build skills that lead to sustainable change and greater confidence in managing life’s challenges.

Background and credentials

Dr. Nereida Gonzalez-Berrios is a general psychiatrist fluent in English and Spanish. She earned her bachelor’s degree in Microbiology from the University of Puerto Rico and her medical doctorate from Ponce School of Medicine (now Ponce Health Sciences University). She completed her General Psychiatry Training Program at the University of Puerto Rico Medical Sciences Campus, graduating in 2008. After practicing privately in Puerto Rico, she relocated to Texas, where she worked for over five years at the Michael E. DeBakey VA Health System, providing mental health care to veterans. She has also gained extensive experience in telemedicine, working both within the VA system and as a locum tenens provider.

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Treatment approach

Dr. Gonzalez-Berrios has extensive experience treating a wide range of psychiatric conditions, including mood disorders, anxiety disorders, psychotic disorders, intellectual impairment, ADHD, eating disorders, PTSD, and personality disorders. She integrates traditional psychiatric treatment with a holistic wellness approach, drawing on her background as a motivational speaker, wellness coach, certified personal fitness trainer, nutrition coach, and weight-loss specialist. Her approach emphasizes improving overall mental and physical well-being through personalized treatment plans that incorporate psychiatric care, wellness strategies, and lifestyle modifications.

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What you can expect in a first visit

Patients can expect a comprehensive psychiatric evaluation where Dr. Gonzalez-Berrios carefully assesses their symptoms, medical history, and personal wellness goals. She takes a collaborative and patient-centered approach, ensuring that treatment is tailored to each individual’s mental and physical health needs. As an experienced telemedicine provider, she offers accessible and flexible mental health care, combining medication management and holistic wellness strategies to help patients achieve lasting 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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Julia Teytelbaum, MD, is a board-certified psychiatrist providing outpatient psychiatric care through telehealth. She earned her medical degree from the Florida State University College of Medicine and completed her psychiatry residency at UF Health Jacksonville, where she served as Chief Resident. She has experience working with adults facing mood disorders, anxiety, trauma-related concerns, ADHD, and perinatal mental health challenges.

Dr. Teytelbaum believes that feeling heard, understood, and respected is the foundation of effective mental health care. She takes a collaborative and supportive approach, helping patients set goals that feel realistic and meaningful. With a special interest in women’s mental health, including perinatal mood and anxiety disorders, she strives to create a calm, nonjudgmental space and approaches medication management thoughtfully, with close attention to patient preferences and well-being.

Dr. Teytelbaum begins with a comprehensive initial visit focused on understanding each patient’s history, concerns, and goals. She works collaboratively to develop an individualized treatment plan and checks in regularly about progress, side effects, and life changes. Her approach emphasizes continuity, clear communication, and steady support over time.