Alexandra Baluna, MD

Dr. Khandie Graham is a board-certified psychiatrist who completed her medical training at UCLA/Drew Medical Education and her psychiatry training at University of California, San Francisco/Fresno in 2013. She has served as a psychiatrist in the United States Air Force and prior to joining Talkiatry, was an inpatient psychiatrist. Dr. Graham's practice focuses on medication management. Typically, she offers this in conjunction with supportive therapy in 30-minute follow-up visits. However, occasionally Dr. Graham may believe that additional therapy is also needed and ask that you bring a therapist into your care team to provide the best outcome. Dr. Graham treats all adults and specializes in depression, bipolar disorder, anxiety disorders, ADHD, and life changes. She prides herself in partnering with patients to create individualized treatment plans. Dr. Graham is a great listener and spends time with her patients.

Dr. Ruchir Arvind is an Adult General psychiatrist. He is a Diplomat of the American Board of Psychiatry and Neurology. He has been practicing for 4 years.

Dr. Arvind believes in collaborative and educational approaches to address his client’s needs. He believes that therapy is a foundational part in building a long term therapeutic relationship with his clients. He tries to put some educational part in helping his client’s to have a deeper understanding about their illness and related struggles and needs. He likes to follow up closely regarding progress towards his client’s goals. He integrates psycho education in all sessions into explaining his reasoning behind the choice of treatment options based on evidence based medicine. He also provides a brief supportive psychotherapy and Cognitive Behavioral Therapy to aid in treatment for depression, anxiety and insomnia.

Dr. Arvind received his medical degree from PramukhSwami Medical College in India and completed his residency training at University of Texas Health Science Center in his Hometown of Houston, Texas. He held an academic position as a faculty with University of Texas Health Science Center – McGovern Medical School in Houston as assistant professor and enjoyed teaching opportunities.

During his pursuit for residency training in psychiatry Dr. Arvind had been extensively involved in clinical research understanding neurobiological and psychological aspects of development of different anxiety disorders and bipolar disorders as early as in childhood populations. He has had Publications for several peer-reviewed articles and manuscripts and presentations at annual conferences.

Dr. Arvind has experience in treating versatile patient populations. His areas of focus have been anxiety disorders, Acute stress and Post traumatic stress disorder, Attention Deficit Hyperactivity Disorder( ADHD ) and Attention Deficit Disorder ( ADD ) , Tics  and Tourette Syndrome ,Insomnia and depression. He has also worker with adults with Bipolar illness and pregnancy related anxiety and depression and helping clients with any psychiatric illness due to underlying neurological issues like Seizures, Multiple Sclerosis and NeuroCognitive Issues along with addressing Caregiver Burden for some clients.

Patients looking for a psychiatric provider will find Dr. Arvind’s approach in a gentle, friendly and educational way with a composed demeanor. He tends to approach Individualized treatment plans based on different needs for different clients and will always welcome any questions regarding the plan to reach Client’s Goals.

Dr. Gotsche is a board-certified adult psychiatrist who is dedicated to helping individuals navigate their mental health journey. Originally from Illinois, she completed her undergraduate studies at Illinois State University before earning her medical degree from Kansas City University. She went on to complete her psychiatry residency at the University of Oklahoma. Following residency, she worked at the Kansas City VA Medical Center where she primarily focused on outpatient mental health. Outside of her clinical work, she enjoys cooking, reading, cycling, and hiking.

Dr. Gotsche takes a holistic, integrative, and evidence-based approach to mental health care. She emphasizes the importance of building a strong therapeutic alliance and working closely with each patient to ensure treatment fits their unique needs and goals. She is experienced in treating a variety of psychiatric conditions including mood disorders, anxiety, trauma-related disorders, and ADHD. She is committed to providing comprehensive care in a supportive environment.

Dr. Gotsche will conduct a thorough evaluation to learn each patient’s medical history, current symptoms, and treatment goals. She values open communication and a collaborative approach, ensuring that patients are actively involved in the decision-making process. An individualized treatment plan will be developed which may include medication management, psychotherapy, or referrals to additional services as needed. Her goal is to provide integrated, patient-centered care that promotes long-term well-being.

Dr. Nicholas Sahagian is a Psychiatrist in Colorado who has been practicing since 2023. He completed his MD and Adult Psychiatry Residency at the Chicago Medical School at Rosalind Franklin University and earned his BA in Neuroscience at Skidmore College. Dr. Sahagian has experience managing a broad array of complex psychiatric diagnoses in patients of diverse socioeconomic, cultural, and clinical backgrounds. Outside of work, he enjoys hiking, biking, skiing, playing guitar, reading, and collecting board games.

Dr. Sahagian offers psychiatric medication management while also incorporating elements of cognitive behavioral therapy, motivational interviewing, internal family systems, and lifestyle interventions. He believes that every patient is unique, and he works to create a supportive environment where individuals feel heard and empowered in their care.

Grounded in the biopsychosocial model, Dr. Sahagian takes a collaborative, patient-centered approach. He partners with patients to develop personalized treatment plans that integrate biological, psychological, and social factors, with the goal of guiding them along their path to improved wellness.

Virginia Hogan, PMHNP, is a dedicated psychiatric mental health nurse practitioner with experience in both inpatient and outpatient psychiatric care. She began her career in general surgery and primary care before pursuing her passion for mental health. Virginia earned a bachelor’s degree in Biology, a BSN in Nursing, and a Master of Science in Nursing from Northern Kentucky University. She is board-certified through the ANCC as a Psychiatric Mental Health Nurse Practitioner.

Virginia is deeply committed to patient-centered care, always taking into account and respecting each individual’s unique needs and experiences. She emphasizes patient strengths when setting treatment goals and fosters a supportive, empathetic environment. Patients can expect someone who listens attentively, values collaboration, and works to build a positive and mutually respectful therapeutic relationship.

During the initial session, Virginia encourages patients to share their stories in order to gain a full understanding of their history, concerns, and goals. Together, she and her patients develop individualized treatment plans that align with those goals. Follow-up appointments are designed to track progress, celebrate growth, and make thoughtful adjustments as needed.

Dr. Laura Rosas is an adult psychiatrist at Talkiatry who practices compassionate, patient-centered care. As a multiracial psychiatrist, she serves diverse communities and focuses on treatment plans that respect each patient's background. She treats various diagnoses, including trauma, mood, personality, and eating disorders, with a particular interest in the student and LGBTQ+ communities. Using a range of skills and interventions from psychodynamic therapy, cognitive behavioral therapy (CBT), dialectical behavior therapy (DBT), acceptance and commitment therapy (ACT), and mentalization-based therapy (MBT), Dr. Rosas prioritizes a collaborative approach. She ensures patients are actively involved in shaping their treatment, including decisions about medication and supplements. This cooperation allows for personalized care plans that align with each patient's needs, values, and goals. Recognizing that cultural influences, substance use, financial constraints, and other societal factors impact mental health, Dr. Rosas examines these personal aspects to provide effective, holistic care in a non-judgmental space. She graduated from McGovern Medical School (UT Houston) and completed her residency in psychiatry at the University of Chicago. She aims to make healthcare more accessible and affordable, driving systemic changes in mental health care.