Ann Landowne, 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. Marla Richard is a Stanford-trained board-certified psychiatrist and is board-eligible for geriatric psychiatry from UCSD. She has been practicing in a variety of settings for the last 30 years. Dr. Richard uses an integrated health paradigm with general and geriatric patients using traditional psychopharmacology, interpersonal neurobiology practices, and personality assessments to look at root motivations for behaviors to address core issues and with medication management as needed. Dr. Marla believes that you need to take a whole-person approach to both mental and physical health. She received her undergraduate degree from the University of Minnesota, Duluth, and then attended medical school at Stanford Medical School to complete her MD. With visions of becoming a general surgeon, she went to the University Hospitals of Cleveland and completed two years of general surgery training before seeing the light and transferring to psychiatry. She completed her psychiatry training at Stanford University and geriatric training many years later at UCSD. Her focus includes an integrated approach to the consideration of mental and physical health while incorporating mindfulness tools to teach skills of stress and anxiety management in everyday life. In conjunction with medication management, she uses interpersonal neurobiology to help clients understand triggers as well as methods to calm overactive stress responses and reactivity.

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.‍

Dr. Arif Patel is a board-certified adult psychiatrist. He obtained his medical degree from Rowan University School of Osteopathic Medicine and completed his residency training at Authority Health, an affiliate of Michigan State University. In addition, he has completed a Psychoanalytic Psychotherapy Fellowship from the Michigan Psychoanalytic Institute. He has 4 years of clinical experience. Dr. Patel's practice focuses primarily on medication management. Follow-up appointments typically last 30 minutes and incorporate elements of supportive psychotherapy, CBT, and motivational interviewing. Dr. Patel utilizes a collaborative approach to treatment, ensuring that treatment plans align with patients' goals and values. Dr. Patel has extensive clinical experience in various psychiatric settings including inpatient, outpatient, and emergency settings. He has treated patients of various ages and of diverse cultural and spiritual backgrounds. He has extensive training in the community mental health system, where he has treated patients with severe mental illness and substance use disorders. Dr. Patel practices general adult psychiatry. His practice focuses on medication management in conjunction with supportive psychotherapy. Dr. Patel has experience in treating a wide array of psychiatric disorders including mood disorders, anxiety disorders, trauma, and ADHD.

Dr. Alicia Garcete is a board-certified child, adolescent, and adult psychiatrist in practice for over 12 years. Her practice focuses on medication management, recognizing  family involvement is extremely important and is an integral part of treatment. Dr Garcete has treated a wide variety of patients. Her primary focus is treating depression, anxiety disorders, ADHD, PTSD and OCD. Additionally, she can provide supportive therapy and elements of cognitive-behavioral therapy but on occasions more therapy support may be needed, and the recommendation to bring a psychotherapist on the care team may occur to provide an optimal outcome. Dr. Garcete is bilingual and provides care in both Spanish and English.

Prior to Talkiatry, Dr Garcete treated children, adolescents, and adults was at the intensive outpatient and partial hospitalization levels of care with focus on behavioral approaches in the Depression recovery and Anxiety/OCD programs.

Dr. Garcete earned her Medical Degree from the Universidad Nacional de Asuncion, Facultad de Ciencias Medicas in Paraguay. She completed her general psychiatrist residency at Maimonides Medical Center in New York. She was also a Fellow in Psychoanalysis at the Psychoanalytic Institute, Affiliate to New York University School of Medicine, and completed her child and adolescent psychiatrist fellowship at Elmhurst Hospital Center, affiliate to Mount Sinai Hospital. Dr. Garcete also held a clinical assistant professor appointment from the department of psychiatry at SUNY Downstate Medical Center.

Dr. Luis Espinosa holds the position of adult psychiatrist with Talkiatry. His practice focuses on medication management, and typically offers this in conjunction with supportive therapy in 30-minute follow-up visits. Dr. Espinosa’s approach is holistic. Each patient’s care is driven by their unique goals and values, whether they suffer from depression, anxiety, trauma, and stress related, or obsessive-compulsive disorders.

Dr. Espinosa believes in serving patients by combining therapy with medication to provide an experience that is both therapeutic and informative and allows patients to guide their own outcomes in a supportive space.  

Dr. Espinosa completed his undergraduate studies in philosophy at the University of Florida as the 2013 Ellen Haring Award winner. He was then honored as a Docherty Foundation Scholar to attend the University of South Florida Morsani College of Medicine. He pursued his specialty training in psychiatry at Kaiser Permanente Northern California.

Dr. Espinosa believes in a treatment modality that combines wellness of mind and body to help individuals who are suffering achieve their potential.