Felicitas Koster, DO

Dr. Michele Kerbow is a board certified psychiatrist with more than 20 years of clinical experience. She completed her undergraduate training at Clemson University before continuing to the University of South Carolina School of Medicine in Columbia, SC. From there, she completed her General Psychiatry Internship and General Adult Psychiatry Residency through the University of Virginia in Roanoke. Though she has a wide array of experience in psychiatric care and psychological assessment, Dr. Kerbow has a particular interest in the treatment of Veterans' issues and trauma. Her most recent work saw her caring for both Veterans and Active Duty military through the Fayetteville VA Medical Center in Jacksonville, NC and the Naval Hospital Jacksonville in Florida. She believes strongly in the interconnectivity of mental and physical health, especially as it relates to trauma. Patients seeking psychiatric assistance will find Dr. Kerbow to be an empathetic and approachable provider. She places an emphasis on the importance of both therapy and medication management in the treatment of mental health, and has a strong history of collaboration with therapists and counselors in order to enact the best treatment plan possible.

Dr. Kirk Carruthers is a board-certified psychiatrist with experience in both outpatient and inpatient psychiatry, as well as addiction medicine. He completed his medical degree at Morehouse School of Medicine and trained at University Hospitals – Case Medical Center, where he completed general psychiatry residency and fellowships in addiction and community psychiatry. His experience includes roles in community mental health, academic teaching, and the VA system. Outside of work, he enjoys music production, soccer, spending time with loved ones, and all dogs.

Dr. Carruthers brings a casual, easygoing communication style to create a comfortable space where patients feel at ease. He emphasizes forming strong therapeutic bonds based on trust, and combines supportive therapy with medication management. He encourages collaboration with therapists and uses evidence-based treatment approaches tailored to each individual’s needs.

Dr. Carruthers begins with a thorough understanding of each patient's concerns, history, and goals. He then creates a personalized treatment plan and works collaboratively with the patient to reach their goals, adjusting care as needed for ongoing progress.

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Michelle Hamilton is a Board-Certified Psychiatric Mental Health Nurse Practitioner with a special interest in the care of adults with mood disorders, anxiety disorders, and PTSD. She earned her Master of Science Degree from The Ohio State University and her Bachelor’s Degree in Nursing from The Oregon Health & Science University in Portland, Oregon. Her background includes both inpatient and outpatient psychiatry, crisis stabilization, and Consult-Liaison Psychiatry. Michelle has a passion for incorporating a holistic, evidenced-based approach to improve the mental health needs of each individual client through medication and therapy while emphasizing practical lifestyle changes such as the incorporation of exercise, healthy nutrition, and stress management techniques.

Dr. Natalie Armijo is a board-certified adult psychiatrist with over twenty years of experience. She completed medical school, internship and residency at the University of New Mexico. She has worked for private HMOs and government facilities. Her private practice combines conventional treatment with nutrition and physical activity to support total health.

Dr. Armijo treats patients, ages 18 to 64, who have conditions related to anxiety, depression, trauma and ADHD with medication and supportive therapy. Her clinical interests include integrative medicine and nutritional psychiatry.

Your first visit with Dr. Armijo will range from thirty minutes to one hour and is designed to collect and clarify information about you. Topics will include your current symptoms, previous mental health treatment, medical conditions, substance use and family history. She will review treatment options, including their risks and benefits. At the end of the visit, she will let you know if her clinical experience and the limitations of an online platform are compatible with your needs. Your safety is her priority.

Follow-up visits range from twenty to thirty minutes and will initially focus on how you are responding to treatment. As your condition stabilizes, she will help you.

- Organize a long-term mental health

- Develop discipline to accomplish your goals

- Evaluate your progress

- Maintain motivation to reach your highest potential

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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. Noor Zayed is a dedicated board-certified adult psychiatrist committed to improving mental health and empowering individuals to achieve their goals. After completing her undergraduate studies at The Ohio State University, Dr. Zayed earned her medical degree from Kentucky College of Osteopathic Medicine, where she was inducted into the Sigma Sigma Phi Honorary Osteopathic Service Fraternity. She then completed her residency at Loyola University Medical Center in Chicago, Illinois, where a significant focus was treating veterans at the Edward Hines VA Hospital. Dr. Zayed's experience spans both rural and urban settings, providing her with a comprehensive approach to mental health care. During her training, she received awards for Excellence in Professionalism and COVID Surge efforts. Her therapeutic style is characterized by empathy, respect, active listening, and collaborative relationships with patients, fostering a safe space for healing. Her practice focuses on medication management combined with psychotherapy, utilizing evidence-based approaches to provide personalized care. Dr. Zayed's clinic interests include treating depressive and anxiety disorders, PTSD, bipolar disorder, and substance use disorders.