Ana Castro, LMHC

Dr. Dave Kopacz studied psychology, medicine, and psychiatry at the University of Illinois. He has over 25 years of clinical experience, most recently 11 years at the Seattle Veterans Affairs and as a national VA Whole Health Education Champion, teaching holistic self-care to staff and veterans. Prior to that, Dr. Kopacz was Clinical Director of a psychiatric rehabilitation center in New Zealand. He has worked in private practice, rural community mental health, and ran a VA tele-health program for Native American/Alaskan and Pasifika veterans.

Dr. Kopacz is board certified in Psychiatry & Integrative Medicine, a certified yoga instructor and a certified iRest (Integrative Restoration) meditation teacher. He is an author and international speaker on topics of burnout, well-being, medical humanities, creativity and health, and cross-cultural approaches to healing. His books include Caring for Self & Others: Transforming Burnout, Compassion Fatigue, and Soul Loss, and Re-humanizing Medicine. He has also co-authored four books with Joseph Rael (Beautiful Painted Arrow), including Walking the Medicine Wheel: Healing Trauma & PTSD.

"What is your typical process for working with patients?"

Dr. Kopacz combines psychiatric diagnosis with a collaborative and holistic focus on your strengths and personal growth. Combining a psychiatric and self-care assessment, he will help you find a plan for medication, psychotherapy, and well-being work that feels right for you.

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Dr. Lynn Klimo is a board-certified psychiatrist with additional certifications in Integrative Holistic Medicine and Energy Psychology. She earned her medical degree from Case Western Reserve University and completed a psychiatry residency through NEOUCOM, along with a family practice internship at Summa Health. With more than 30 years of clinical experience across inpatient, outpatient, emergency, and consultative settings, she has also served in leadership roles and developed deep expertise in trauma-informed care, treatment-resistant cases, addiction co-occurrence, and integrative approaches that blend neuroscience, psychology, and consciousness.

Dr. Klimo fosters a supportive, respectful, and nonjudgmental space where patients feel fully seen. She emphasizes collaboration, open communication, and shared decision-making while working to uncover root causes rather than focusing solely on symptoms. Her approach is compassionate, evidence-informed, and grounded in authentic connection, honoring each patient’s values, identity, and goals.

Dr. Klimo begins with a comprehensive understanding of each patient’s history, concerns, and desired outcomes. Treatment may integrate psychotherapy, medication, lifestyle strategies, and holistic techniques. She explores emotional, relational, and behavioral dimensions, emphasizing resilience, skills, and long-term wellness. Her process includes regular reassessment and tailored adjustments to support patients in becoming their most fulfilled and authentic selves.

Dominika is a Licensed Clinical Social Worker (LCSW) who has been in the field for ~20 years performing individual, group, and family service. During her education, Dominika focused on various forms of treatment modalities including DBT, ACT, CBT, trauma informed, family systems, motivational interviewing, and substance abuse treatment. Dominika has been an active remote, mental health therapist for the past several years, and has experience with working with diverse populations providing services to adults and children in mixed settings.

Dominika has an extensive background working with survivors of trauma, depression/bipolar disorder, anxiety, ADD/ADHD, grief, PTSD, schizophrenia and other forms of psychosis, gender/sexual identity difficulties, eating disorders, substance abuse, domestic violence, life transitions, as well as combinations of multiple problems. Dominika is a firm believer meeting people at their own pace to accomplish their objectives at their own speed.

Dominika’s initial appointment is an assessment, gathering the client’s background information and reason for seeking treatment, focusing on the client's own specific goals/desires for therapy and helping ct envision what this would look like for them in order to establish a general roadmap on moving towards their aspirations. After the first session, Dominika concentrates on what complications exist to ct’s objectives and how ct can utilize supportive tools/resources to help overcome these barriers. Dominika then helps cts establish weekly, smaller goals that can lead cts to their larger scale aspirations.

Avi Adri is a board-certified psychiatric nurse practitioner with a passion for helping others achieve their goals through medication management and psychotherapy. He is trained in cognitive behavioral therapy, psychodynamic therapy, and supportive therapy. Avi has experience supporting individuals with depression, anxiety, OCD, bipolar disorder, PTSD, and ADHD. He is an LGBTQIA+ affirming provider who believes in empowering individuals in their lives.

He earned his Master of Science in Nursing with a specialty in psychiatry from Stony Brook University and a nursing practice degree from Chatham University. Avi is committed to providing evidence-based, compassionate treatment for mental health conditions to enhance quality of life. His previous experience includes two years at Columbia University Medical Center on an inpatient psychiatric unit and four years on the medical consultation-liaison psychiatric team, where he treated patients with a range of acute and chronic medical conditions while providing medication management and psychotherapy. His work at Columbia involved treating a wide spectrum of psychiatric conditions with the goal of achieving symptom remission.

Additionally, Avi has practiced at a private clinic in New York City, focusing on interventional techniques such as TMS and ketamine therapy, alongside medication management and psychotherapy.

Through mindful techniques and compassionate care, Avi is dedicated to the well-being of his clients. He views each person as more than a diagnosis and approaches care through a client-centered, holistic lens.

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Dr. Michael Lukowski is an adult psychiatrist who holds board certification with the American Board of Psychiatry and Neurology. He has been practicing medicine for over 4 years. Dr. Lukowski focuses on medication management combined with supportive therapy in 30-minute follow-up visits. He practices whole-person medicine, caring for the wellness of your mind, body, and spirit and helping you enjoy your relationships with those around you. Dr. Lukowski received his medical degree from the University of Nevada School of Medicine in Reno, NV, before moving to southern California to complete his residency at Loma Linda University. After completing training, Dr. Lukowski began working with the Southern California Permanente Medical Group in Riverside, CA, where he treated a variety of psychiatric disorders in an outpatient setting. In March of 2020, as the pandemic changed life and medicine forever, Dr. Lukowski adopted a strictly telepsychiatry role at his clinic. He has also held a staff psychiatrist position as an adult inpatient psychiatrist in Tennessee. Dr. Lukowski treats a wide variety of psychiatric disorders within the adult demographic.

Dr. Catherine Shim is a board-certified psychiatrist and completed her training at the University of Washington, where she received additional certifications in Psychotherapy and Community Psychiatry.  Prior to joining Talkiatry, she spent years serving the mental health needs of underserved communities as well as our Veteran population.  Dr. Cat is excited to bring that same dedication and selfless service to her Talkiatry patients!

Dr. Cat is experienced in managing a multitude of mental health conditions, but her specialty is providing behaviorally oriented trauma-informed care.  Her approach is to treat primarily through psychotherapy and behavioral change, with medication management serving as an important (and often essential) adjuvant to optimizing mental health.

Dr. Cat tends to have a very casual engagement style, so expect a frank but open conversation during your first meetings with her.  Following that initial screening, anticipate a candid discussion about her 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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