Alexis Kropf, MD

Dr. Alexander Van-Den-Ende is a board-certified adult psychiatrist who recently completed his psychiatry residency training at Authority Health in Detroit, Michigan. Beyond his proficiency in medication management, Dr. Van-Den-Ende has training in talk therapy and novel treatments like Transcranial Magnetic Stimulation. He is pleased with the increase in access to mental healthcare that comes through telemedicine, and is committed to providing high quality care to his patients. Dr. Van-Den-Ende's approach emphasizes patient insight and mindfulness, guiding individuals on a journey towards self-awareness and mental well-being.

Dr. Stephen Byrd is a clinical psychiatrist at Talkiatry. He is board-certified in both psychiatry and addiction medicine. He has been practicing for over 31 years in a wide variety of settings, including working with inpatients and outpatients in private practice, community mental health, geriatric, VA, and community hospital/medical center settings. Dr. Byrd's practice focuses on evidence-based medication management, usually provided in conjunction with 30-minute supportive psychotherapy, which is informed by cognitive behavior therapy, psychodynamic psychotherapy, and motivational enhancement. When more intensive therapy is needed, Dr Byrd may ask you to include a therapist as part of your care team. He received his medical degree from the University of Cincinnati College of Medicine in Ohio and completed his residency training in psychiatry at Case Western Reserve University School of Medicine, University Hospitals of Cleveland. Throughout his career, he has treated patients with a wide variety of conditions in both inpatient and outpatient settings. Additionally, He has served as director of inpatient geropsychiatry at Lutheran Hospital in Cleveland, Ohio, program manager of the substance abuse treatment program at the Charlie Norwood Veterans Affairs Medical Center in Augusta, Georgia, and medical director of outpatient behavioral health at Saint Alphonsus Regional Medical Center in Boise, Idaho. Throughout his career, Dr. Byrd has been active in training medical students and psychiatry residents, and he has held clinical teaching appointments at Case Western Reserve University School of Medicine, Northeastern Ohio Universities College of Medicine, Medical College of Georgia, University of Washington School of Medicine, Idaho College of Osteopathic Medicine and Pacific Northwest University of Health Sciences College of Osteopathic Medicine.�.�

Dr. Alexandra Hamlyn is a board-certified adult psychiatrist and board-certified child and adolescent psychiatrist. She completed her medical education at Cooper Medical School of Rowan University and then completed her residency in adult psychiatry at Icahn School of Medicine at Mount Sinai Beth Israel. She then went on to complete her child and adolescent psychiatry fellowship at NYU Langone and Bellevue Hospital. During this time, she also taught a course titled Love Actually at NYU School of Arts and Science. During training, Dr. Hamlyn gained extensive clinical experience in psychiatric inpatient, outpatient, and emergency settings, allowing her the opportunity to treat patients of all ages and backgrounds in numerous busy hospitals in New York City. Dr. Hamlyn's primary focus is on medication management, though she also has experience working in four different outpatient clinics where she has gained expertise in multiple different therapy modalities. If appropriate, Dr. Hamlyn will refer you for psychotherapy and collaborate with your therapist to support your care. She appreciates the importance of fostering a meaningful therapeutic relationship, and her goal is to make every patient feel welcomed in a non-judgmental treatment environment. She also takes a holistic approach as she understands that good health creates a sense of overall well-being and improved mental health. She strongly emphasizes the importance of mindfulness, self-compassion, exercise, nutrition, and interpersonal relationships throughout treatment. She looks forward to meeting and working with you.

Jennifer Garner is a board-certified Family Psychiatric Nurse Practitioner with Talkiatry. She obtained a Bachelor of Science in Nursing from the University of Tennessee, Knoxville, in 2009 and a master's degree from Vanderbilt University in 2011. Jennifer enjoys treating all adults and has outpatient experience with community mental health, corrections, and private practice. Besides outpatient care, she has worked in crisis stabilization and ambulatory detox for adults with primary psychiatric and dual diagnosis illnesses. Jennifer is skilled in treating a wide range of conditions including ADHD, bipolar disorder, substance misuse, anxiety, OCD, and PTSD. She is committed to fostering a welcoming and inclusive environment, ensuring all gender identities feel safe and respected. With a focus on patient-centered care, her approach is carefully tailored to each person's individual needs and goals, promoting a collaborative therapeutic relationship. During appointments, she combines medication management with therapy techniques to empower patients with the skills for their well-being. Appointments are as unique as each individual that she meets with. If you're ready (and even if you're not so sure) take the first step and let's talk.

Dr. Fatemeh Safian is a board-certified psychiatrist with experience in outpatient, inpatient, and telepsychiatry settings. She completed her residency at Larkin Community Hospital, caring for a diverse range of patients. Dr. Safian diagnoses and treats a wide variety of conditions, including depression, anxiety, OCD, PTSD, trauma-related disorders, phobias, personality disorders, ADHD, bipolar disorder, postpartum depression, and concerns across all age groups. She is dedicated to creating a safe, supportive space where people feel truly heard—believing good psychiatry starts with listening.

Dr. Safian fosters a warm, respectful, and judgment-free environment where patients can share openly. She takes time to understand each person’s symptoms, story, values, and goals. Medication is just one option; she also considers therapy, lifestyle changes, and other supports. Collaboration and trust are central to her approach, with patients guiding the care decisions.

During the first appointment, Dr. Safian conducts an in-depth, unhurried conversation to explore the patient’s history and goals. Together, they develop a personalized treatment plan that may include medication, therapy referrals, and practical strategies. Ongoing follow-ups provide space to track progress, make adjustments, and ensure the patient feels comfortable and empowered.

Dr. Arballo is board-certified psychiatrist who completed medical school at Lake Erie College of Osteopathic Medicine. He received residency training at University of Texas Health - San Antonio where in addition to clinical training was appointed resident chair of the Quality Improvement and Patient Safety Committee.

Since graduation he has been a staff psychiatrist and the military unit director at Cumberland Hall Hospital providing comprehensive care to child, adolescent, adult, and geriatric patients.

Dr. Arballo provides evidence-based medication management and psychotherapy to address mental health conditions. He is a strong advocate for patient autonomy, quality improvement and psychoeducation.