Dr. Ariela Karasov completed her psychiatry residency at Stanford, serving as Chief Resident in her final year, and pursued a fellowship in Neuropsychiatry at Stanford Hospital. She is board certified in Behavioral Neurology and Neuropsychiatry and has worked as a National Expert in bipolar disorder at the VA. She has experience treating Generalized Anxiety Disorder, Obsessive-Compulsive Disorder, Bipolar Disorder, PTSD, and Depression, as well as patients with comorbid neurologic and mental health conditions. Dr. Karasov has also taught residents as adjunct clinical faculty at the University of Wisconsin Hospital and Clinics.

Dr. Karasov takes a collaborative approach, actively engaging patients in treatment planning and decision-making. She incorporates therapy into her practice, emphasizing each individual’s values and what gives their life meaning and purpose. Patients can expect a thoughtful, empathetic, and patient-centered environment where their goals and experiences are prioritized.

She values a thorough evaluation to understand how medical, psychological, and social factors contribute to a patient’s presentation. When appropriate, she invites family members or friends to provide collateral information to ensure a complete understanding, guiding a tailored and effective treatment plan.

Dr. Charles Engel is a board-certified psychiatrist who earned his MD and MPH from the University of Washington in Seattle. He completed his psychiatry residency at Letterman Army Medical Center in San Francisco and a fellowship in psychosomatic medicine at the University of Washington Medical Center. He has held clinical, research, teaching, policy, and administrative roles at Walter Reed Army Medical Center, the Uniformed Services University of the Health Sciences, the Seattle VA Medical Center, and most recently served as Professor of Psychiatry and Behavioral Sciences at the University of Washington School of Medicine.

Dr. Engel specializes in caring for adults affected by stressful or traumatic experiences. He treats posttraumatic stress, depression, anxiety, substance-related concerns, and persistent physical symptoms such as chronic pain, fatigue, and memory and focus. His approach is person-centered and collaborative, focusing on meaningful improvements in symptoms, quality of life, and functioning across important life roles.

Dr. Engel begins with a careful diagnostic evaluation and works with patients to identify the changes that matter most in their lives. Treatment plans are developed collaboratively and may include thoughtful medication management and practical strategies for coping with daily challenges. Follow-up visits focus on supportive conversations, problem-solving, and small, meaningful steps that support recovery and long-term well-being.

Dr. Patricia Klaine is an attending physician working at Talkiatry. She is board certified in adult psychiatry. After completing her training in adult psychiatry, she continued her education by completing a fellowship in consultation-liaison psychiatry, which enables her to treat patients with a variety of medical comorbidities confidently. Dr. Klaine focuses on medication management. She offers this in addition to supportive psychotherapy in 30-minute follow up visits. For some patients, it may be important to bring in additional psychotherapy for well-rounded care. Dr. Klaine received her medical degree from St. George's University in Grenada, and after that, she completed her training in general adult psychiatry at Maimonides Medical Center in Brooklyn, New York. She went on to complete a fellowship in consultation-liaison psychiatry at Mount Sinai Hospital in New York. After completing her training, she worked on an inpatient psychiatric unit before deciding to transition into outpatient psychiatric care. She looks forward to a collaborative relationship with her patients.

Dr. Kristina Foreman is a board-certified psychiatrist and child and adolescent psychiatrist who earned her medical degree from St. George’s University and completed both psychiatry residency and fellowship at the University of Vermont Medical Center. She served for four years as an attending on a high-acuity inpatient adolescent unit in Denver, leading a multidisciplinary team in the care of complex cases. She also presents nationally on Positive and Lifestyle Psychiatry and has taught these approaches to fellows and residents.

Her style is open, thoughtful, and relationship-focused, creating a space where patients feel safe sharing what matters most. She brings a therapeutic mindset to every encounter and practices strengths-based care to help people connect with resilience and agency. Trained in the Vermont Family-Based Approach, she values family involvement and blends medication management with therapeutic principles and lifestyle psychiatry to support emotional flexibility and values-driven change.

Dr. Foreman begins by gaining a full understanding of each patient’s history, strengths, challenges, and hopes for treatment. She builds individualized plans that may include medication, lifestyle strategies, psychotherapy-informed tools, and family participation when helpful. She incorporates ACT, DBT, CBT, and positive psychology concepts to foster insight and skill development. Follow-up visits focus on refining the plan so progress feels steady, collaborative, and aligned with patient goals.

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Dr. Corey Greenwald is a board-certified psychiatrist with years of experience treating patients in both acute inpatient psychiatric emergencies and outpatient medication and psychotherapy settings. He earned his medical degree from Brown University, completed his internship in the Columbia system, and pursued residency training at Mount Sinai Medical Center in New York City. Dr. Greenwald has practiced in academic, urban, suburban, and rural environments, which has given him broad perspective and adaptability in caring for diverse patient populations.

Dr. Greenwald emphasizes psychoeducation as a core part of care, ensuring patients are active participants in understanding and managing their mental health. He brings a deep interest in transcultural issues and in how social media and news cycles impact emotional well-being. Having witnessed the effects of mental illness within his own family, Dr. Greenwald approaches his work with empathy, insight, and a strong commitment to helping patients feel supported throughout their journey.

Dr. Greenwald works collaboratively with patients to define or clarify concrete treatment goals by the end of the initial appointment. He maintains a low threshold for revisiting and adjusting treatment plans if progress feels unsatisfactory, ensuring care remains flexible and effective. His informal, eclectic interpersonal style allows him to tailor his approach to each individual, fostering trust and partnership in the therapeutic process.

Dr. Sabrina Ghim is a board-certified physician specializing in adult psychiatry and practices adult psychiatric medication management. She focuses on building a strong therapeutic and collaborative environment with patients. She works with individuals struggling with depression, ADHD, obsessive compulsive disorder, anxiety disorders, including generalized anxiety, and social anxiety. Dr. Ghim usually meets with patients monthly for psychiatric follow up appointments. She provides psychiatric medication management in a comprehensive manner, paying careful attention to each patient's unique biological, psychological, and cultural make-up. She is diligent about keeping up-to-date on the research and expanding frontiers of psychiatry and psychopharmacology. She strongly believes in tailoring treatment in an integrative and collaborative manner to provide the best outcome for each unique patient. In some instances, Dr. Ghim may recommend the addition of a separate therapist in order to help facilitate the best care possible. Dr. Ghim experienced various cultures growing up in different countries and environments, shaping her open-minded demeanor and views, and eventually her interest in the human mind and psychiatry. She earned her bachelor's degree in Molecular Biology with honors, and a Doctor of Medicine (M.D.) degree from the University of Central Florida College of Medicine. She completed her Adult Psychiatric Internship and Residency training in New York City, at the Mount Sinai Morningside and West Hospitals, where she treated a diverse patient population with psychiatric illnesses in emergency, inpatient, and outpatient settings. Dr. Ghim is currently licensed in and seeing patients located in the states of New York, Florida, and Texas for medication management.