Vandana Kethini, MD

Dr. Mayra Valdivia Carlisle is a bilingual Spanish and English-speaking board-certified Adult Psychiatrist and Child & Adolescent Psychiatrist. She earned her master's degree in public health and her medical degree from Oklahoma State University Center for Health Sciences. She went on to complete her residency training in Adult Psychiatry at the University of Texas Health Science Center in San Antonio and subsequently completed her fellowship in Child and Adolescent Psychiatry. She was awarded the Excellence in Public Health Award by the U.S. Public Health Service and Surgeon General for her work addressing health disparities in healthcare. Dr. Carlisle has extensive experience in outpatient and community mental health settings.

Dr. Carlisle provides patient-centered and compassionate psychiatric care combining medication management, psychotherapeutic methods, and lifestyle modifications to create a unique treatment plan. She recognizes that each person benefits from a personalized and holistic approach to healing. Dr. Carlisle specializes in treating diverse psychiatric conditions including ADHD, anxiety disorders, depression, and post-traumatic stress disorder in children, adolescents, and adults.

During an initial visit one can expect a comprehensive evaluation aimed at understanding individual mental health history, specific concerns, and overall treatment goals. Dr. Carlisle practices a holistic approach to treating mental disorders. This is done through an individualized plan for each patient with careful consideration to medication management, therapy techniques, and lifestyle modifications. Patients can expect an empathetic and collaborative environment focused on their personal experiences and goals.

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Lopa Rana, MD, is a board-certified psychiatrist who has been practicing for over 29 years. Dr. Rana completed her medical school at B.J Medical College, Ahmedabad, India. Her Psychiatry training was at the State University of New York at Buffalo. She has practiced in varied settings, like being a faculty at SUNY Buffalo, a Private practice in a suburban town of Detroit, Michigan, for 4 years. She, then held a Senior Psychiatrist position at Henry Ford Behavioral Health for 14 years, in Michigan. She has been an Associate Professor at Oakland University William Beaumont School of Medicine. In the recent years, Dr. Ranahasd has been overseeing Outpatient Behavioral health at the Corewell Health William Beaumont hospital for the past 10 years. Throughout her career, she has been training and supervising Psychiatry Residents and Medical Students. Apart from being competent in the management of common Psychiatric conditions like Major Depression, Anxiety Disorders, Bipolar Disorder, Psychotic disorders and ADHD, she has an expertise in Advanced Psychopharmacology with a specialty interest in Psychiatric disorders during the pregnancy and the postpartum period. She has almost 2 decades of experience in helping women manage the course of their Mood and Anxiety disorders during and after pregnancy. She has been the consultant for Maternal Fetal Medicine and Obstetricians at Corewell Health for women who have questions and concerns regarding planning, managing, and guiding them during pregnancy and the postpartum period. Rana has performed several Zulresso (Brexanolone) infusions for women with severe postpartum depression, with remarkable outcomes. Dr. Rana values greatly the safety of the customized treatment options for her patients and informed decision making with her patients. Apart from English, she is fluent in Gujarati and Hindi languages.

Dr. Seth Flesher is double board-certified in adult psychiatry and addiction medicine.  Dr. Flesher’s practice focuses on medication management of psychiatric illness without the use of controlled substances.  Typically, he offers this in conjunction with supportive or emotionally focused therapy in 30-minute follow-up visits. However, occasionally Dr. Flesher may believe that additional therapy is also needed and ask that you bring a therapist into your care team to provide the best outcome.

Before joining Talkiatry Dr. Flesher was Medical Director of Advanced Psychiatric Services [complex/high profile cases] at Kings County Hospital and Unit Chief of the Covid19 positive unit.  He was also a clinical professor at Downstate Medical College where he was voted educator of the year numerous times by psychiatric residents and medical students.  Dr. Flesher is a graduate of the prestigious combined 6-year BS/MD program at The Sophie Davis School of Biomedical Education.  He did research at the neuropsychiatric branch of the National Institute of Mental Health, completed his psychiatric residency at St. Lukes/Roosevelt Hospital, and he received his master’s degree in public health from Columbia University.

Dr. Flesher believes that psychiatry should start with a thorough assessment to arrive at an accurate diagnosis.  Then a discussion with the patient of the different evidence-based options available.  Followed by shared decision-making to arrive at an effective treatment plan to achieve the goals that the patient identifies as being important.  This should be done in an honest, open, non-judgmental, but realistic environment.  Understanding that the ultimate goal is to get the patient to a position where they will no longer need medication and/or therapy.

Dr. Lauren Broderick is a Harvard trained, board certified psychiatrist. She completed her medical degree at Weill Cornell Medical College of Cornell University. She then completed her adult psychiatry residency training at Massachusetts General Hospital and McLean Hospital, both teaching hospitals at Harvard Medical School. Dr. Broderick has held clinical appointments at Harvard Medical School and Duke University Medical School. At both institutions, she has been recognized for clinical excellence, receiving awards for outstanding patient care and clinical teaching. Dr. Broderick's practice uses a collaborative, evidence-based approach to understand and treat a person's psychiatric symptoms. Her sessions are usually 30 minutes. In addition to focusing on medication management, Dr. Broderick's practice also prioritizes a whole person approach, incorporating aspects of nutrition, lifestyle, mindfulness, and supportive or brief cognitive behavioral therapy into the treatment plan. Occasionally, Dr. Broderick may believe that additional therapy is also needed and ask that you see a separate therapist to provide the best outcome. She has clinical expertise in the treatment of anxiety disorders and mood disorders, specifically focusing on the clinical treatment of young adults going through early life transitions. Dr. Broderick strongly believes in providing high quality, equitable care and empowers her patients to be active players in their treatment plans to facilitate the best care possible.

Dr. Jennifer Ruch is a board-certified psychiatrist who strives to understand her patients' lived experiences and aspirations to develop supportive therapeutic relationships through empathetic listening, mutual trust, and respect. She collaboratively creates individualized care plans that align with personal treatment goals in a safe and judgment-free environment. After completing her Bachelor of Science degree in Human Biology with a focus in psychology from the University of California, Merced, she earned her medical degree from Lake Erie College of Osteopathic Medicine. Dr. Ruch completed her General Psychiatry Residency at Arnot Ogden Medical Center in New York. Her clinical experience involves treating individuals of all age groups from diverse populations and socioeconomic backgrounds suffering from anxiety, depression, bipolar disorder, psychotic disorders, neurodevelopmental disorders, and neurocognitive disorders. She has provided care in inpatient and outpatient psychiatric facilities, the Veterans Affairs Medical Center, emergency rooms, state facilities, and an inpatient chemical dependency center. She also performed pre-procedure psychological evaluations for bariatric and spinal cord surgeries, and psychiatric consult liaison services on medical units and has clinical training in inpatient and outpatient neurology. Her clinical experience incorporated treatment modalities such as pharmacotherapy and interventional psychiatry, including Transcranial Magnetic Stimulation and Spravato. Dr. Ruch integrates a wide array of psychotherapy as needed; however, her practice primarily focuses on medication management while utilizing referrals to therapists and providing collaborative care for optimal outcomes.

Dr. Sharon Kahler is Board Certified in Adult and Child & Adolescent Psychiatry and treats patients of all ages. She has over a decade of experience in both community mental health centers and private practice, working with individuals from diverse backgrounds. She earned her medical degree from New York Medical College, completed Adult Psychiatry Residency at New York-Presbyterian/Weill Cornell, and completed Child and Adolescent Fellowship training at NYU Langone and Bellevue Hospital. Her clinical interests include mood and anxiety disorders, PTSD, and childhood psychiatric disorders.

Dr. Kahler is committed to providing compassionate, high-quality mental health care. She fosters a therapeutic, nonjudgmental environment where patients can openly share their concerns and values. Viewing treatment as a partnership, she encourages patients to play an active role in their care and takes a whole-person approach, considering lifestyle, environmental, and social factors that contribute to healing.

Dr. Kahler begins with a comprehensive assessment to understand each patient’s history, background, and treatment priorities. She develops individualized treatment plans using evidence-based approaches, supporting patients in navigating life’s challenges and finding a path to mental wellness.