Alejandra Cattan, MD

Dr. Jacob T. Kannarkat is an adult psychiatrist. Dr. Kannarkat's practice focuses on medication management. In his visits, he uses an integrative approach, blending an empathic, problem-solving orientation with an understanding that the reasons for an individual's condition can be complex. He has experience dealing with many forms of mental illness and works collaboratively with his patients and their other treatment providers in making a plan for recovery. Dr. Kannarkat completed undergraduate studies at the University of Florida. After receiving his medical degree at the University of Miami Miller School of Medicine, Dr. Kannarkat continued for residency at the University of Miami/Jackson Health System. He ultimately completed his training as Chief of Psychiatric Emergency Services at Yale School of Medicine. Dr. Kannarkat has experience working with adults of all ages who are dealing with depression, anxiety, bipolar disorder, PTSD, substance use disorders, and many other conditions.‍

Dr. Paul has worked in outpatient private practice psychiatry for nearly 20 years. Throughout her career, she has combined medication management with talk therapy, to provide comprehensive care tailored to each patient's needs. Dr. Paul received her MD from The University of Iowa. She completed an intern year in Obstetrics and Gynecology at The University of Illinois, Chicago, and went on to psychiatry residency at Lutheran General Hospital in Park Ridge, IL. Dr. Janeen Paul is board certified in Adult Psychiatry. She specializes in Women's Issues, including pregnancy, postpartum and menopause, and has extensive experience treating depression, bipolar disorder and anxiety disorders, including OCD and PTSD. The mind/body connection is at the forefront of her care, with attention paid to diet and exercise as well as breathing and meditation. She often collaborates with primary care physicians and therapists to provide a team approach to treatment. She treats patients over age 18.‍

Background and credentials

Dr. Sinner is board-certified in Psychiatry. He completed his psychiatry residency training at Dartmouth-Hitchcock Medical Center. With over 14 years of experience, he has worked in a variety of settings, including five years in inpatient psychiatry in Vermont, where he served as Medical Director for a state hospital psychiatric unit and taught medical students. He then spent five years working in an outpatient community mental health center in Pennsylvania before transitioning to telepsychiatry, providing care to individuals in Pennsylvania, Florida, and New York.

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Treatment approach

Dr. Sinner employs a collaborative, patient-centered approach, tailoring treatment plans to meet each individual's specific needs. His practice integrates pharmacotherapy with cognitive behavioral therapy (CBT) and supportive therapy as needed. He specializes in treating a wide range of psychiatric conditions, including depression, bipolar disorder, anxiety, ADHD, neuropsychiatric disorders, developmental disorders, and personality disorders. His philosophy is to provide personalized care that makes a meaningful impact at different stages of a patient’s life.

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What you can expect in a first visit

During the first visit, patients can expect a comprehensive evaluation focused on understanding their mental health concerns, history, and treatment goals. Dr. Sinner takes a compassionate and collaborative approach, working closely with patients to create individualized treatment plans. He ensures that each patient receives a balanced and effective combination of medication management and therapeutic interventions suited to their unique needs.

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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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Dr. Karina Fatova is a board certified psychiatrist who hails from New York City but has made New Orleans her home for the past ten years. She is a graduate of Albert Einstein College of Medicine in Bronx, NY, and she did her adult psychiatry residency at Tulane University in New Orleans, LA. She was proud to have her first position post-residency at the River Oaks Hospital Trauma Unit in New Orleans, LA where she treated patients with Complex PTSD and eating disorders. The Trauma Unit was one of a few of its kind nationally because it provided very specialized treatment that was affordable to many. Dr. Fatova then went on to work at the New Orleans Veterans Affairs Hospital for the last five years in its ambulatory outpatient mental health clinic. Though her passion is Complex Trauma/PTSD, she also regularly saw veteran patients who have been diagnosed with anxiety, depression, bipolar disorder, ADHD, and adjustment disorder. During her five years at the New Orleans VA, she received three special commendations from the director of the VA for feedback from her patients about her effective integrative approach to supportive psychotherapy and medication management. She believes that her rapport with her patients, and their therapeutic work together, is just as important as the medication she prescribes to heal or alleviate their symptoms. Dr Fatova employs psychodynamic therapy techniques, at times, to help those patients who would like to explore childhood experiences that may continue to impact them in their adult lives. With respect to medication management she regularly helps patients target symptoms such as sleep issues, nightmares, persistent worry, emotional dysregulation, frequent mood changes, impulsivity, and "toning down the nervous system," among others. She strongly believes that treatment decisions are best approached as a collaboration between patient and doctor. She sees young adults who are just starting their journey into adulthood, as well as adults who have been navigating life with challenges, which may include untreated, or poorly treated, mental health symptoms. Often, by the time Dr. Fatova sees a patient, they may have lost a significant amount of faith in their mental health doctors, and she is particularly attuned to helping individuals with this type of experience.

Dr. Mary Stephenson is a board-certified Child and Adolescent Psychiatrist with more than 25 years of clinical experience working with this population. Dr. Stephenson's practice focuses on medication management. She believes that the support and involvement of the family are an integral part of the treatment of the client. Additionally, more therapy support may be needed on occasion, and the recommendation to bring a psychotherapist on the care team may occur to provide an optimal outcome. She received her medical degree from Wright State University in Dayton, Ohio. She completed her psychiatry residency at the University of Louisville School of Medicine, and her child and adolescent training at the Bingham Child Guidance Center, also part of the University of Louisville, in Louisville, Kentucky. After completion of her training, she moved to Colorado where she worked at The Cleo Wallace Center, in Westminster, CO, providing care for hospitalized youth, and clients in the Day Treatment and Residential setting. In 2000, Dr. Stephenson became the primary Child and Adolescent Psychiatrist on the outpatient team at Denver Health Medical Center in Denver, Colorado. Her role was providing diagnostic evaluations, and medication management in Federally Qualified Health Centers (FQHCs), and the hospital clinic, working closely with residents, child fellows, and other trainees. She had an academic appointment through the University of Colorado School of Medicine. She treated a varied demographic and had a wide range of diagnoses in the child and adolescent population. From 2016-2021, she worked at Intermountain Health Center in Tucson, AZ providing care in the outpatient setting of the community mental health center. The care was a hybrid model of "in-person” and Telehealth treatment of children and adolescents with various disorders, with an emphasis on diagnostic evaluations of Autism and Autism spectrum disorders.‍

Dr. Zac Keller, DO, DABPN (he/his), is a board-certified psychiatrist with experience across inpatient and outpatient settings. He has held leadership roles including Interim Medical Director and Director at Richard Young Hospital, where he also created and led the hospital’s ECT program. Dr. Keller’s clinical focus includes ADHD, PTSD, and personality disorders, and he brings an integrative lens to psychiatric care.

Dr. Keller takes a collaborative, supportive, and evidence-based approach to treatment. He values confidentiality, culturally sensitive care, and trauma-informed practice. Known for his warm yet direct communication style, he works to create a respectful, nonjudgmental environment where patients feel heard, understood, and actively involved in their care.

Care begins with a comprehensive intake that explores medical, psychiatric, social, and functional aspects of a patient’s life. Session length and frequency are tailored to individual needs. Treatment plans are developed collaboratively and may include medication management combined with talk therapy and other evidence-based interventions. Progress is reviewed regularly and adjusted based on ongoing dialogue.