Zaccaheaus Adams, LMHC

Dr. Laura Obler is board-certified in adult psychiatry. She received her medical degree from David Geffen School of Medicine at UCLA in Los Angeles, California, where she stayed to complete her psychiatry residency at the UCLA Semel Institute for Neuroscience. During residency she received specialized training in reproductive psychiatry (the treatment of women who are considering pregnancy or are pregnant or postpartum) and acted as Chief Resident of the Women's Life Center at UCLA. Dr. Obler has experience working with a diverse group of patients. She has previously worked in community clinics in the greater Los Angeles area and as a staff psychiatrist at UCLA. She prefers a holistic approach to psychiatric treatment and therefore uses a combination of medication management and talking therapies to treat patients. Techniques she may utilize include cognitive behavioral therapy, experiential psychodynamic therapy, mentalization based therapy, and medical hypnosis.

Do you feel lost, stuck or overwhelmed? Maybe you feel like you are just going through the motions. Ann-Marie helps people over the age of 13 who are experiencing depression, anxiety, stress, and unexpected life changes. She enjoy working with adolescents and adults including members of the LGBTQIA+ community who are motivated to enhance their mental health and be the best versions of themselves.

Together, we will build a therapeutic relationship in a trusting, non judgmental environment. She encourages clients to be involved in their treatment plans and goals to help give them the tools they need to improve their mental health.

Ann-Marie uses different evidence-based treatment modalities to help you be successful in your mental health journey. She uses a personalized treatment approach tailored to your unique needs.

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Dr. Thomas Spina is an adult psychiatrist who began his practice at Talkiatry after completing his psychiatry residency at the Eastern Long Island branch of Stony Brook University, where he treated a diverse patient population. Dr. Spina received his undergraduate degree from St. John's University in Queens where he studied Philosophy. Initially interested in a career in law, Dr. Spina decided to change gears and pursue a career in medicine after watching a relative struggle with her diagnosis of Diabetes Mellitus. Dr. Spina then completed medical school at Tel Aviv University in Israel, where he fell in love with psychiatry during his clerkship at Ichilov medical center. During that rotation, he came to appreciate how each patient has his or her own unique story, regardless of their diagnosis. Dr. Spina favors a holistic and integrative approach to psychiatry, combining medication management with supportive therapy, elements of cognitive behavioral therapy, while remaining open to other treatment modalities depending on the needs of his patients. When more focused therapy is indicated, Dr. Spina may recommend that his patient work with a provider specializing in a particular modality of therapy as part of their treatment. Dr. Spina treats adult patients with mood disorders including major depressive disorder and bipolar disorder, anxiety spectrum disorders, OCD, PTSD and specific phobias. In his spare time, Dr. Spina enjoys a variety of hobbies, including Brazilian Jiu-Jitsu, running, baseball, and exploring new eateries and shops.

Yvette Ramirez is a Licensed Professional Counselor with over a decade of experience providing care to individuals, couples, and families. She began her career working in-home with patients to build understanding around diagnosis, symptoms, and medication adherence. She later transitioned to integrated care, using solution-focused therapy for clients with co-occurring medical and mental health conditions. Yvette is trained in Cognitive Behavioral Therapy, Cognitive Processing Therapy, and Eye Movement Desensitization Reprocessing (EMDR), and has provided trauma-informed care across various populations, including children, adolescents, and teenagers.

Yvette offers a compassionate, supportive space where patients feel heard, safe, and respected. She integrates EMDR and trauma-focused CBT to help adolescents, teenagers, and adults process trauma and enhance well-being. Her creative use of play, art, and narrative therapy fosters emotional expression in younger clients. She has experience supporting LGBTQ+ individuals and families navigating identity and relationship concerns. Patients can expect open communication and collaborative goal setting throughout their journey.

Yvette begins treatment by learning about the patient’s concerns and sharing the therapies she offers. By the second session, she works collaboratively with patients to create personalized treatment goals. From the third session onward, sessions focus on progress, practical tools, and check-ins to reinforce healing. Every step of care is structured, collaborative, and empowering.

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Dr. Shaughnessy is boarded in adult psychiatry and has over 30 years of experience. Dr. Shaughnessy practices medication management in a supportive collaborative environment. Treatment recommendations may include psychotherapy with another professional in addition to medication management .Dr. Shaughnessy has worked with individuals having the spectrum of psychiatric disorders but is particularly interested in working with those with mood and anxiety disorders.

Dr. Pereira is a board-certified adult psychiatrist who is dedicated to providing compassionate care for a wide range of mental health concerns. He received his Bachelor of Arts from Harvard University and his medical degree from The Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, where he graduated with the Department of Psychiatry's award of distinction. He went on to complete his psychiatric residency training at Northwell Health's Zucker Hillside Hospital, with a specialization in the assessment and treatment of obsessive compulsive disorder and related conditions. Dr. Pereira's clinical approach emphasizes building trust with his patients and working collaboratively to develop an individualized treatment plan. He uses medication management along with cognitive behavioral therapy, exposure and response prevention, psychodynamic psychotherapy, interpersonal psychotherapy, and supportive therapy as needed. His practice treats a wide range of conditions, including depression, anxiety, OCD, family and relationship struggles, and other mental health issues. He has been trained in a wide range of settings including inpatient, outpatient, emergency departments, and behavioral health crisis centers. He also has experience teaching and supervising medical students and psychiatry residents.