Alexandra Held, MD

Dr. Anil Joseph (AJ) Kulangara completed additional training in Psychiatry at the University of Washington after working primarily in women’s health, primary care, and military medicine as a Battalion Surgeon in the United States Army.  Following his military service, he trained in Psychiatry and served the mental health needs of our Veteran population. He is excited to now bring his unique expertise and experiences to Talkiatry, as well as his additional training in Women’s Mental Health, Reproductive and Perinatal Psychiatry, PTSD, and trauma-informed ADHD evaluation and treatment.

Dr. AJ’s approach focuses on behavioral change, with medication management and supportive therapies serving as important (and often essential) adjuvants to optimizing mental health.

During your first meetings with Dr. AJ, you should expect a thorough evaluation of your clinical and social histories, as well as some introductory psychoeducation.  Following that screening, anticipate a discussion about his approach to your condition and an initial treatment plan.  Please feel free to bring up any questions or concerns at any time during this process, and note-taking is highly encouraged!

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Dr. Mullenix is a board-certified adult psychiatrist who strives to form strong therapeutic and collaborative environments with patients and values patient empowerment. Dr. Mullenix received his medical degree from the Chicago Medical School and then went on to complete his residency in psychiatry at Advocate Lutheran General Hospital. His interests and expertise are in helping patients struggling with depression, anxiety, including social/obsessive compulsive and generalized anxiety disorders, and ADHD. He provides psychiatric medication management along with supportive, cognitive behavioral therapy (CBT) and other modalities of therapeutic treatment. Dr. Mullenix's practice focuses primarily on medication management, or pharmacotherapy. He routinely incorporates supportive therapy into his 30-minute follow-up visits. Dr. Mullenix may occasionally recommend that a therapist be part of the care team to provide optimal outcomes. The philosophy of his practice is to actively involve patients in the decision-making process to improve adherence to treatment and build trusting relationships with all patients.

Dr. Maria Teresa Carvajal is an adult, child, and adolescent psychiatrist. She is originally from Guayaquil, Ecuador, and is bilingual in Spanish and English. Dr. Carvajal earned her medical degree from Universidad de Guayaquil in Ecuador. She then participated in a medical program at The William J. Harrington Training Program for Latin America and the Caribbean, at Jackson Memorial Hospital, an affiliate of the University of Miami in Florida. Afterwards, she completed her adult psychiatry residency at Icahn School of Medicine at Mount Sinai, Bronx Care Health System, and her fellowship in child and adolescent psychiatry at Northwell Health in New York. She has experience working in various settings, including inpatient, outpatient, and emergency departments. Dr. Carvajal has submitted and presented work to the American Psychiatric Association and has also collaborated on a book publication. Dr. Carvajal has experience treating children and adults with anxiety, depression, OCD, PTSD, ADHD, dementia, etc. She utilizes medication management in conjunction with emotional and supportive therapy in 30-minute follow-up visits. She is passionate about her work and understands the impact of mental illnesses in daily life activities and in the family system. She will work with each patient in an individualized manner and will tailor personalized treatment plans that may include pharmacological treatment. In addition, Dr. Carvajal may recommend including a therapist in your care team to provide the best outcome.‍

Mary Poupon is an experienced board certified psychiatric APRN/psychiatric nurse practitioner with over 30 years' experience in her field. She completed her graduate work at Columbia University and is published in her field. Her practice sites have included inpatient hospital treatment, partial hospital programs, in-home programs, outpatient clinics and alternative therapy including equine assisted therapy.  She was the program director and clinician with the Ryan White Mental Health Program in New York providing innovative mental health treatment for adolescents and adults living with HIV/AIDS in the boroughs of Manhattan, Queens, Brooklyn and the Bronx.  In 2013 she became certified as an equine assisted psychotherapist and served as the Director of Mental Health at Embrace Hope in Sandy Hook, CT. She was appointed as the Executive Director of Embrace Hope in 2017. Embrace Hope provided treatment to children, adolescents and adults who were victims of trauma related to the shooting at the Sandy Hook Elementary School. She presented a TED x talk in 2018 regarding her work with victims of trauma. She has provided treatment in the outpatient setting for children, teens, and adults. She has provided treatment to young adults at the Covenant House New York shelter program for homeless young adults.

Mary believes the human spirit is resilient. There are many challenges in the lifespan and self-care is paramount to success.

Mary provides psychiatric consultation and assessment and provides a pathway to change. Treatment may include medication management, therapy, and coping skills to assist with life challenges. Mary believes treatment is a partnership and believes in establishing mutually agreed upon goals.

Mary's process for working with patients begins with active listening. The assessment begins with the patient describing why they are seeking engagement in behavioral health treatment at this time. She will complete a psychiatric assessment and evaluation and establish mutually agreed upon goals for treatment. She offers medication management in conjunction with supportive therapy in 30-minute follow-up visits. Mary believes therapy and medication management if indicated together provides the best treatment outcomes.

Dr. Kamyl Bogan, a board-certified psychiatrist, attended Vanderbilt University for her undergraduate education and earned her medical degree from the Quillen College of Medicine. She completed her psychiatry residency and community fellowship at the University of Florida College of Medicine – Jacksonville. Dr. Bogan was inducted into the Gold Humanism Honor Society in recognition of her compassionate care and was selected as an APA SAMHSA Fellow, where she designed a conference focused on resources for individuals with substance use disorders.

Dr. Bogan strives to create a welcoming and supportive environment for her patients. She listens with empathy and compassion, ensuring that every individual feels heard and safe throughout their care. She is dedicated to practicing with cultural humility and responsiveness, using evidence-based approaches to meet the diverse needs of those she serves.

In initial appointments, Dr. Bogan takes time to explore each patient’s history, primary concerns, and symptoms. Together, they establish treatment goals and collaborate on a personalized plan that may include medication management, therapy, or a combination of both to promote meaningful and sustainable improvement.

Belinda received her undergraduate education at the University of Tulsa and completed her nurse practitioner training at the University of Texas–Arlington, earning a Master of Science in Nursing. She is nationally board-certified in psychiatry across the lifespan and has over a decade of experience working in outpatient, residential, and inpatient care settings. She is skilled in medication management and utilizes therapeutic modalities such as CBT, DBT, ACT, and psychodynamic approaches.

Belinda is a passionate psychiatric nurse practitioner dedicated to continual development and lifelong learning. With over ten years of experience, she spent more than five years working in a residential eating disorders facility. She has evaluated and treated individuals with a wide range of diagnoses, including depression, anxiety, OCD, and PTSD. Belinda believes in addressing the whole person and thrives on helping people find individualized solutions. While she specializes in using medication when necessary to alleviate symptoms, she also incorporates therapeutic techniques into her sessions to help clients discover what works best for them.

She prioritizes the therapeutic relationship and supports patient-centered goals. Belinda empowers her clients to choose options that align with their lives and encourages active engagement in self-care. She is deeply committed to helping individuals improve their quality of life by identifying and addressing areas of struggle, such as depression or grief. Additionally, she supports clients in recognizing and overcoming fears by identifying stressors and developing new coping strategies. Her approach inspires clients to reduce stress and prioritize rest and sleep to enhance overall wellness—body, mind, and soul.

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