Vincent Ramos, LPC

Dr. Robert Dugger is a board-certified psychiatrist in General Psychiatry and Child & Adolescent Psychiatry. Born and raised in Miami to a Virginian father and Cuban mother, he is bilingual in English and Spanish. He earned a B.A. in Biology and Political Science from the University of Miami, a Master of Public Health in Health Policy from New York Medical College, and his M.D. from Stony Brook University School of Medicine. He completed residency and fellowship training in New York through the Northwell Health System and BronxCare Health System, where he served as Chief Fellow in Child Psychiatry. He has also worked as a researcher at institutions including Columbia University. Outside of work, he enjoys gaming, sci-fi fantasy, Brazilian Jiu-Jitsu, hiking, sailing, and sportfishing.

Dr. Dugger strives to create a supportive and respectful environment where patients feel genuinely heard and understood. He values careful listening, curiosity, and follow-through, and takes a practical, individualized approach to care. Rather than relying on one-size-fits-all solutions, he collaborates with patients to clarify goals, track progress, and focus on changes that meaningfully improve daily life.

Dr. Dugger begins by developing a thorough understanding of each patient’s history, current concerns, strengths, and goals. Early visits focus on understanding context—what is happening now, what has been tried, and what the patient hopes to change. Treatment plans are developed collaboratively and adjusted over time, with follow-up visits emphasizing steady, sustainable improvement through integrated and comprehensive care.

Madison Maynes is a Licensed Marriage and Family Therapist (LMFT) who is passionate about creating a safe, supportive, and nonjudgmental space where clients feel heard and understood. She values compassion, trust, and open communication, and believes therapy is most effective when it is collaborative and tailored to each individual’s unique needs, goals, and lived experiences.

Madison approaches therapy as a partnership, meeting clients where they are while offering guidance rooted in empathy and evidence-based care. She integrates Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), and Motivational Interviewing, while remaining flexible to ensure treatment aligns with each client’s priorities and comfort level.

Madison begins by getting to know each client’s story, concerns, and goals. Together, they develop individualized treatment plans focused on building insight, emotional resilience, and practical coping skills. Her work emphasizes meaningful, sustainable change that supports clients both in and outside of sessions.

Dr. Kat Atadjanova is a board-certified psychiatrist dedicated to providing holistic and compassionate care for individuals navigating mental health challenges. She earned her MD from Tulane University School of Medicine and completed a combined residency in Internal Medicine and Psychiatry at Tulane. With experience in both fields, she is especially comfortable caring for patients with medical comorbidities and takes an integrative approach to treatment.

Dr. Atadjanova values collaboration and believes that treatment works best when patients are active participants in their own care. She is committed to creating a safe, supportive environment where patients feel heard and respected. Her approach combines evidence-based medication management with psychotherapy and lifestyle guidance, tailoring each treatment plan to the unique needs and goals of the individual.

In her work, Dr. Atadjanova begins by taking time to understand a patient’s history, strengths, and challenges. From there, she develops a personalized plan that may include medication, therapy, or supportive interventions. She emphasizes shared decision-making, patient education, and holistic strategies—such as nutrition, exercise, and sleep hygiene—to help patients achieve sustainable improvements in their mental health and overall well-being.

Susana Deltoro is a Licensed Professional Counselor (LPC) and Licensed Chemical Dependency Counselor (LCDC) with over a decade of experience in mental health and substance use disorders (SUD). She specializes in delivering culturally sensitive, client-centered therapy and is passionate about empowering individuals to overcome challenges and achieve long-term stability. Susana holds a Master of Science in Mental Health Counseling from the University of the Southwest in Hobbs, New Mexico. Over the years, she has worked in diverse settings, including private practice, employee assistance programs, and leadership roles in clinical care. As the Chief Operating Officer for a non-profit agency, she developed innovative programs, supervised multidisciplinary teams, and collaborated with community organizations to support individuals in their recovery journeys with Mental Health and substance use disorders. Susana is dedicated to creating tailored treatment plans that seamlessly integrate into her clients' daily lives. She specializes in cognitive-behavioral therapy (CBT), mindfulness therapy, and solution-focused modalities, adhering to a humanistic, person-centered approach. Her practice emphasizes holistic care, helping clients explore their strengths and establish healthy coping mechanisms. Your well-being is Susana's priority. If you have any questions, she encourages you to reach out. While she may not have all the answers, she is committed to helping you find them. Fluent in English and Spanish, Susana excels at building trust with diverse populations. Outside of her clinical work, she enjoys facilitating workshops on stress management and self-care, reflecting her commitment to fostering resilience and well-being in her clients and the community.

Dr. Chelsea Karson is a board-certified psychiatrist who completed her residency training at Advocate Lutheran General Hospital where she was Chief Resident of her program. Dr. Karson is passionate about patient care, believing in caring for the whole person. While completing her residency training, she led an interprofessional team to bring miniature-therapy horses to the inpatient psychiatry unit and thereby forge a relationship between the organization and all of Advocate Aurora Healthcare. Dr. Karson partnered with a mental health counselor to create a virtual therapy program of resources, the Bridge Project, to close the gap between inpatient and outpatient care that is now used throughout the Advocate Aurora network. At graduation Dr. Karson received the 2024 Advocate Lutheran General Hospital Ruggie Humanitarian Award. The Ruggie Award selects and honors a graduating resident or fellow who displays academic excellence, commitment to the education of others, professional bearing, and a concern for the patient within the light of Human Ecology. Dr. Karson attended undergraduate at Elmhurst University, a biology major with minors in chemistry and medical humanities. She went to medical school at Rosalind Franklin University and was chosen to join the Gold Humanism Honor Society for her dedication to compassionate patient care.

Meet Alex Starmer, LMHC, your friendly mental health counselor here at Talkiatry. She's not just a counselor; she's your partner on your mental health journey. Alex earned her Master of Science in Mental Health Counseling from Syracuse University in 2020 and has been in the field since January 2021, working closely with clients facing mental health and substance use challenges. Alex believes in the power of the mind-body connection, and she loves to share polyvagal exercises and mindfulness techniques to help you better understand yourself. She's always learning and growing, with ongoing training in Internal Family Systems (IFS) and eye movement desensitization and reprocessing (EMDR). Her go-to tools for therapy are Acceptance and Commitment Therapy (ACT) and Cognitive Behavioral Therapy (CBT). With her, you can expect a compassionate and comprehensive approach to your mental well-being. You're in good hands with Alex.‍