Viga Naik, MD

Darcie Farrell is an ANCC Board Certified Family Psychiatric Nurse Practitioner.  She has worked exclusively in the field of psychiatry during her forty-year nursing career.  She has worked in many care settings, including as a psychiatric Home Health Nurse and as a Certified Case Manager (CCM) in Psychiatry at Blue Cross Blue Shield. During her time at Excellus Blue Cross Blue Shield, she realized the urgent need for psychiatric nurse practitioners, so enrolled in the BSN/MSN program at the University of Rochester, graduating in 2016 with her BSN and in 2018 with her MSN.  She has strong skills and experience in Motivational Interviewing, having worked as a Motivational Counselor for a University of Rochester's Pediatric Research Program.   She has worked for the past seven years as a Nurse Practitioner in Geriatric Outpatient Psychiatry.

Darcie Farrell is a compassionate provider who is client centered. I rely on evidence-based scientific research when determining the best treatment options for clients.  

Darcie Farrell has a very relaxed process for working with patients which allows the client to provide information that is pertinent to their goals for care.  Then, together, we determine which treatment options are likely to be best for the client.

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Dr. Kethini is a board-certified psychiatrist in General psychiatry. She completed her medical degree at St. George's University School of Medicine in Grenada. After completing her residency at Bergen New Bridge Medical Center, she transitioned to an attending psychiatrist at the same place where she completed her residency. During her initial years as an attending, she took care of her own patients and supervised third year residents in the outpatient setting. After a few years, she transitioned to an inpatient setting, where she treated both voluntary and involuntary patients. She also continued to evaluate patients in the emergency room as part of the call group for the last 8 years. ‍Dr. Kethini is passionate about and very experienced in providing a holistic approach along with evidence-based care for patients battling depression, anxiety, bipolar disorder, OCD, ADHD, and PTSD. She integrates supportive psychotherapy along with medication management and lifestyle changes such as nutrition, exercise, sleep hygiene, and stress management. She is focused on having a collaborative approach to treatment and forming a therapeutic alliance with every single patient under her care.

Dr. O'Brien is a board-certified adult psychiatrist who completed his medical education at Northeast Ohio Medical University. Following his graduation from NEOMED, he completed a residency in Psychiatry and Behavioral Medicine at West Virginia University/Charleston Area Medical Center. Throughout his training, he has enjoyed working in both outpatient and hospital settings and has a great passion for medical education and teaching the next generation of mental healthcare providers. Dr. O'Brien's practice focuses on medication management for a wide variety of mental health diagnoses, including anxiety disorders, depression, Bipolar Disorders, Obsessive Compulsive Disorder, Tic Disorders, and Post Traumatic Stress Disorder. In addition to medication, he offers a mixture of Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, and Psychodynamic Therapy during 30 minute follow up appointments. Dr. O'Brien believes in a truly collaborative and holistic approach to mental healthcare, striving to involve patients and all members of the healthcare team in every aspect of care.‍

Dr. Carder has been practicing for over 20 years in general adult psychiatry. She is board certified by the American Board of Psychiatry and Neurology and has a certification in Elder Law. She has advanced training in psychopharmacology, which she earned with distinction. Dr. Carder's practice focuses on medication management. Typically, she offers this in conjunction with supportive therapy in 30-minute follow-up visits. However, occasionally Dr. Carder may believe that additional therapy is also needed and ask that you bring a therapist into your care team to provide the best outcome. She received her medical degree from the University of Toledo, College of Medicine and Life Sciences, where she was given the outstanding medical student award by the Department of Head and Neck Surgery. She completed her internship with the Department of Family Medicine and completed her residency with the Department of Psychiatry both at the University of Toledo, College of Medicine and Life Sciences. Throughout her career, she has been the Medical Director of two Community Mental Health Centers and is also the Corporate Medical Director for a company providing neuropsychiatric and general psychiatric care to patients residing in nursing facilities. She received her certification in Elder Law through the Mitchell Hamline School of Law. She has also been a preceptor for numerous universities and has trained advanced practice providers in psychiatry. In addition to general adult and geriatric psychiatry, Dr. Carder's areas of interest include complex psychiatric and medical conditions, neuropsychiatric issues, and treatment-resistant cases. She enjoys using her medical expertise to solve difficult cases. She has an interest in exploring combined traditional psychiatric practice with complementary and holistic approaches to treatment and believes in keeping her patients healthy rather than only addressing illness.

Dr. Esha Garg is a board-certified psychiatrist starting her post-graduate practice with Talkiatry. After completing an undergraduate degree in psychology at Johns Hopkins University, she completed her medical degree at Kansas City University of Medicine and Biosciences. She is a recent graduate from the Adult Psychiatry Residency at University of Kansas Medical Center.

Dr. Garg's practice focuses on medication management but she believes in the importance of both therapy and medication management in treating mental illness. She offers medication management with supportive therapy in 30-minute follow up visits. She also utilizes referrals to therapists to enhance collaborative care and management of illness.

Dr. Garg believes in the importance of building a strong therapeutic relationship. She focuses on treating patients with depression and anxiety disorders. She believes in a holistic, patient-centered approach to care and encourages patient's to explore their physical, emotional, social and spiritual needs in addition to their mental health.

Background and credentials

Dr. Jenny Joseph is a board-certified adult psychiatrist. She earned her medical degree from St. George's University School of Medicine and completed her adult psychiatry residency at New York Medical College at Metropolitan Hospital Center. She has experience working with diverse patient populations and treating a range of psychiatric conditions.

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Treatment approach

Dr. Joseph specializes in medication management for various psychiatric conditions, including mood, anxiety, and psychotic disorders. She employs a patient-centered approach that emphasizes empathy, open communication, and collaboration. In addition to pharmacological treatment, she incorporates psychoeducation and supportive therapy to help patients better understand and manage their conditions. When beneficial, she may recommend additional therapy and coordinate care with a therapist to ensure comprehensive treatment.

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What you can expect in a first visit

During the first visit, patients can expect a thorough evaluation that explores their symptoms, treatment history, and personal goals. Dr. Joseph takes the time to listen and understand each patient's needs, ensuring that their treatment plan is tailored to their specific concerns. She provides a compassionate and structured approach to medication management while fostering a collaborative environment where patients feel supported in their mental health journey.

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Why Talkiatry?

We’re a virtual mental health practice that makes it easy to find great care. We combine quality and convenience to help you thrive—faster. Our providers, like this one, are highly trained experts who specialize in medication management and collaborate with you on a treatment plan that fits your needs and comfort level.

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