Vincent Ramos, LPC

Dr. Carter chose the field of psychiatry with the goal of empowering her patients and equipping them with the skills and tools to improve their mental health. She strives to create a safe, nonjudgmental space where patients feel heard and supported. She strives to destigmatize mental illness and normalize seeking help when struggling. Her passion for psychiatry stems from a deep interest in connecting with people and understanding their unique stories.

Dr. Carter believes the patient-physician relationship should be a partnership, built on trust, empathy, and shared goals. She encourages honesty, collaboration, and open communication, and believes there are no wrong questions, and your voice matters. She encourages questions and feedback and tailors care to each person’s goals, comfort level, and pace.

Dr. Carter wants to get to know the whole person, not just their symptoms. Together, she works with patients to create a personalized and thoughtful treatment plan that may include therapy, lifestyle support, and/or medication, always with room to adjust based on your evolving needs and preferences.

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Monique Randle, LCSW, has been a licensed mental health therapist since 2009. She earned her Master of Social Work from the University of Arkansas at Little Rock and holds a certification in sex therapy from the Sexual Health Alliance. Monique has training in trauma and couples therapy, including EMDR, TFCBT, PACT, Gottman, Prepare/Enrich, and SYMBIS. She has experience in outpatient and private practice settings, as well as supervising MSW interns and LCSW candidates.

Monique creates a warm, supportive, and non-judgmental space for clients to be their whole selves. She values honesty, collaboration, and open communication, blending evidence-based approaches like CBT, ACT, and narrative therapy with relational and mindfulness techniques. Her work is trauma-informed, culturally responsive, sex-positive, and LGBTQIA+ affirming. She helps clients build emotional awareness, set healthy boundaries, and cultivate self-compassion, addressing both the “why” behind patterns and practical tools for change.

Monique begins by exploring each client’s story, history, and goals. Together, they create individualized, evidence-based treatment plans, regularly adjusting as needed. Sessions are collaborative, providing insight, practical tools, and emotional support to apply in real life. Progress is measured not only by symptom reduction but by increased self-awareness, emotional stability, and confidence in navigating challenges.

Dr. Shelley Sellinger is a board-certified psychiatrist who has been in practice for 25 years. Her career has been devoted to serving both her local community as well as high-risk and underserved patients. As a pioneer and advocate for the use of telepsychiatry years prior to the pandemic, she has presented at the American Telehealth conference as well as at grand rounds. Dr. Sellinger's practice focuses on medication management as well as supportive and insight-oriented psychotherapy. She believes that a combination of therapy, as well as the use of medications, helps provide a patient with the best outcome. Her goal is to help patients live their best and most fulfilling lives. In addition to general psychiatry, she has a keen interest in mood disorders, helping creatives achieve their goals and the LGBTQ community.‍

Xavier Diao, MD (he/him) is a board-certified psychiatrist. He earned his undergraduate degrees in Psychology and Biological Sciences at the University of Maryland, where he also obtained his medical degree. Dr. Diao completed his psychiatry residency at the Icahn School of Medicine at Mount Sinai, received additional training in child and adolescent psychiatry at Columbia and Cornell, and finished a psychoanalytic fellowship at the New York Psychoanalytic Society & Institute. Prior to joining Talkiatry, he was an Assistant Professor of Clinical Psychiatry at the University of Pennsylvania, where he provided clinical care and teaching along the undergraduate-graduate medical education continuum.

Dr. Diao's therapeutic orientation is informed by psychodynamic, cognitive behavioral, and dialectical behavior modalities. He has expertise in the treatment of a diverse range of mental health conditions, including depression, anxiety, OCD, and PTSD. Dr. Diao uses a developmentally informed and LGBTQ-affirmative approach in his practice, with the aim of enriching meaning and alleviating suffering in the domains of work, play, and love.

Dr. Diao begins each encounter with gentle curiosity, inviting patients to share their stories without fear of judgment. Together, he crafts an individualized treatment plan with the patient that may include medication, psychotherapy, and/or referrals to subspecialty care, always in close collaboration with other members on the treatment team.

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Amber Durham, LCSW, has six years of experience practicing in outpatient settings. She earned her Bachelor’s degree from the University of Tennessee at Martin in 2018 and her Master’s degree in Social Work from Union University in 2020. In 2023, she became a Licensed Clinical Social Worker. Amber’s background allows her to provide compassionate, evidence-based care that supports patients through a variety of mental health challenges.

Amber values open communication and believes in working collaboratively with patients to establish clear, achievable treatment goals. She creates a warm and supportive environment where patients feel genuinely heard, respected, and empowered to explore their thoughts and emotions without judgment. Her approach centers on building trust and fostering personal growth throughout the therapeutic process.

Amber begins each therapeutic relationship by taking time to understand the patient’s unique history, concerns, and goals during the initial session. She develops individualized treatment plans tailored to align with those goals, ensuring that care remains patient-centered. Recognizing that trust takes time to build, Amber prioritizes creating a strong therapeutic alliance that supports meaningful progress over time.

Michelle E. Vásquez has been a Licensed Professional Counselor for over 27 years. She has been specializing in grief work since 2012. Many of her clients are living with the loss of loved ones or experiencing other types of non-death loss, such as divorce, job loss, and other significant life changes. Her primary goal is to truly listen to your experience and help you work through it, creating a plan of action together. It is your therapy, and your active involvement is crucial. When dealing with grief, you may still be in pain and need to talk about it long after others want you to stop talking. This is when therapy can be helpful. Your grief journey is at your pace. Michelle uses Cognitive Behavioral Therapy and Solution-Focused Therapy, along with other approaches that help you address loss and trauma in unique ways to begin to write your healing story. She has also worked with domestic violence survivors and child abuse survivors. Michelle works with clients both in English and Spanish and has experience with immigrant populations from many countries. Michelle graduated from Our Lady of the Lake University in 1993. She is currently studying Internal Family Systems Therapy to help her provide you with new ways to address the challenges that bring you to therapy.