Emily Komarczyk, MD

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.

Dr. Jessica Grimes is a board-eligible child and adolescent and adult psychiatrist. She is originally from Sylva, NC. She earned a bachelor's degree in religion and minored in biology at The University of the South in Sewanee, TN. She graduated cum laude and was inducted into the order of the gownsmen, an honor society. She earned her doctorate from the West Virginia School of Osteopathic Medicine in Lewisburg, WV. Dr. Grimes completed a traditional rotating internship through WVSOM at Our Lady of Bellefonte Hospital in Ashland, KY and completed residency training in psychiatry at Lake Erie College of Osteopathic Medicine in Erie, Pennsylvania. While in residency, she earned a master's degree in medical education from LECOM. She completed a fellowship in child and adolescent psychiatry at the University of South Carolina School of Medicine, Greenville. During her second year of fellowship at USC-Greenville, she received the "Child & Adolescent Psychiatry Fellow of the Year� award.

Dr. Megan Marumoto provides holistic and personalized care as an integrative psychiatrist board-certified in General Psychiatry, Child & Adolescent Psychiatry, Integrative Medicine, and Lifestyle Medicine. She takes a root cause approach to treating mental health conditions as a certified Functional Medicine practitioner.

Dr. Marumoto is specialized to treat children, adolescents, and young adults, with expertise in a wide range of mental health conditions including ADHD, anxiety, depression, phobias, OCD, and trauma-related conditions. Patients may expect a comprehensive assessment with evidence-based treatment focusing on nutrition and healthy lifestyle interventions as well as medication management in 20–30-minute sessions. She enjoys working collaboratively with therapists and health coaches to achieve the best outcomes. She also provides supportive therapy and other therapies when indicated.

She received her medical degree from the John A Burns School of Medicine and completed her Psychiatry Residency and Child & Adolescent Psychiatry fellowship at the University of Hawaii. Wishing to provide comprehensive care beyond medication management and therapy, Dr. Marumoto completed a second fellowship in Integrative Medicine at the University of Arizona. She has over 20 years of clinical experience working with military and civilian populations.

Paul Pennington is a Licensed Professional Counselor with over 15 years of mental health experience in a variety of settings ranging from schools, private practice, residential facilities, and crime scene crisis counseling. Paul has had the privilege of helping people with various situations including depression, anxiety, stress, anger, trauma, abuse, life transitions, relationships, integration, existential issues, and other obstacles that have caused an imbalance in their lives. Paul specializes in working with teachers, first responders, young parents, and individuals that just want to be seen as who they truly are.‍Paul earned a Bachelor of Science in Psychology with a minor in Sociology from Texas State University and a Master of Education in Guidance and Counseling from Angelo State University. A few of the certifications Paul has earned over the years are: Residential Staff from the Texas Department of Criminal Justice, Certified Anger Resolution Therapist (C.A.R.T.), AgriSafe Farm Response, Trust Based Relational Intervention (TBRI) Practitioner Trainer, Texas Education Agency: EC-12 SpEd, 4-8 Generalist, EC-12 School Counselor, SAFE EMDR, Mental Health First Aid, and Ketamine Assisted Psychotherapy.‍Paul believes everyone is different and takes an individualized approach with each client. He operates from a foundation in Cognitive Behavioral Therapy, Trust-Based Relational Intervention, Solution Focused Therapy, and Mindfulness.

Dr. Heath Foreman is double board-certified in General Psychiatry and Child and Adolescent Psychiatry. He is a Texas native and received his Bachelor of Science in Medical Technology from UTSouthwestern Medical Center in Dallas. His medical degree was earned at the University of North Texas Health Science Center - Texas College of Osteopathic Medicine in Fort Worth. He completed residency and fellowship training at Baylor Scott & White - Texas A&M in Temple and has been practicing since 2015. He served as Medical Director for a community mental health system for 10 years and has experience working with patients who have ADHD, Autism, Intellectual Developmental, Anxiety, Mood and Traumatic Stress Disorders and Psychosis.

Dr. Foreman uses a professional yet conversational style so that patients may feel at ease while developing a comprehensive understanding of the issues at hand. He prefers an educational approach so that patients can gain the knowledge and tools required to achieve improvement.

Dr. Foreman will perform a broad evaluation and work with his patients to create an evidence-based, personalized treatment plan. Subsequent meetings will incorporate medication management as well as psychotherapeutics based on Cognitive Behavioral, Trauma Based and Psychodynamic techniques. He will provide referrals for traditional counseling or testing when appropriate.

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Dr. Sean Culver is an outpatient psychiatrist with experience treating a wide variety of disorders across multiple distinct age groups. He completed his undergraduate education at the University of Pittsburgh, graduating summa cum laude while majoring in neuroscience. He attended medical school at the Ohio State University College of Medicine, where he was granted an annual merit scholarship. Dr. Culver then remained at the OSU Wexner Medical Center for residency training. Outside of psychiatry, he enjoys numerous interests including soccer, hockey, music, photography, and video games.

During residency, Dr. Culver developed particular interest in working with young adults, college students, and athletes, but is comfortable with patients of all ages. He strongly believes in the practice of evidence-based medicine, utilizing the most current research to guide recommendations. He is a strong advocate for patient autonomy and therefore provides psychoeducation on diagnoses and medications so that each patient can make informed decisions which align with their own values.

Dr. Culver approaches each patient in the context of their individual interests, family dynamics, and life goals. He understands that not every patient requires or desires medication and is comfortable in a number of psychotherapy techniques including cognitive behavioral therapy, psychodynamic therapy, and supportive therapy. He emphasizes a trusting and honest therapeutic relationship with his patients.

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