Briana Mathews, MD

Dr. Tanvi Gupta, a native Marylander who recently finished her fellowship training in Child and Adolescent Psychiatry from the University of Maryland. She completed her residency in general psychiatry from San Antonio, Texas and is a Board Certified Psychiatrist. Prior to training, Dr. Gupta attended medical school at Touro College of Osteopathic Medicine in in New York. She also holds a master's in biomedical science from Rutgers University in New Jersey and a bachelor's in public health from the University of Maryland. She is on the Early Career Psychiatrist Committee for the Child and Adolescent Psychiatrists of Greater Washington Area. Dr. Gupta has worked in various settings, ranging from academic centers, schools, state hospitals and residential treatment centers. She also provided medication management and therapy to Medicaid patients in an outpatient setting, delivering care to children and adolescents with various mental health disorders. Dr. Gupta has experience in Emergency Psychiatry as well.

Dr. Gupta greatly values connecting with her patients. She is gentle yet direct in her approach. She uses a shared decision-making process to design a treatment plan that align with her patient’s goals. Dr. Gupta provides psycho education for diagnoses and medication recommendations. She has a special interest in ADHD and trauma. She appreciates a family-based approach.

Dr. Gupta uses a comprehensive biopsychosocial evaluation, psychotherapy and medication management to treat a variety of mood disorders, anxiety disorders, as well as ADHD. Dr. Gupta promotes non-pharmaceutical interventions, when appropriate, with patient-oriented lifestyle and behavioral modifications.

Dr. Clark is a board-certified adult psychiatrist. She is fellowship-trained in Child and Adolescent Psychiatry and has been in practice for 11 years. She received her medical degree from the Medical University of South Carolina. Dr. Clark then completed her residency training and continued her training in child and adolescent fellowship at the Medical College of Georgia. Dr. Clark works with patients to create an environment where they feel comfortable and supported. She focuses on medication management along with supportive therapy. Normally visits are 30-minute follow-ups that allow time to focus on areas of support needed. If additional therapy is recommended, she will request a therapist be added to your care team to meet all your needs. Dr. Clark has worked in both inpatient and outpatient settings with adult, child, and adolescent populations. She has worked in private practice as well as community mental health, where she worked with reaching under-served communities. Dr Clark has a passion for treating both adult and child and adolescent patients with anxiety and depression.

Dr. Jennifer Ruch is a board-certified psychiatrist who strives to understand her patients' lived experiences and aspirations to develop supportive therapeutic relationships through empathetic listening, mutual trust, and respect. She collaboratively creates individualized care plans that align with personal treatment goals in a safe and judgment-free environment. After completing her Bachelor of Science degree in Human Biology with a focus in psychology from the University of California, Merced, she earned her medical degree from Lake Erie College of Osteopathic Medicine. Dr. Ruch completed her General Psychiatry Residency at Arnot Ogden Medical Center in New York. Her clinical experience involves treating individuals of all age groups from diverse populations and socioeconomic backgrounds suffering from anxiety, depression, bipolar disorder, psychotic disorders, neurodevelopmental disorders, and neurocognitive disorders. She has provided care in inpatient and outpatient psychiatric facilities, the Veterans Affairs Medical Center, emergency rooms, state facilities, and an inpatient chemical dependency center. She also performed pre-procedure psychological evaluations for bariatric and spinal cord surgeries, and psychiatric consult liaison services on medical units and has clinical training in inpatient and outpatient neurology. Her clinical experience incorporated treatment modalities such as pharmacotherapy and interventional psychiatry, including Transcranial Magnetic Stimulation and Spravato. Dr. Ruch integrates a wide array of psychotherapy as needed; however, her practice primarily focuses on medication management while utilizing referrals to therapists and providing collaborative care for optimal outcomes.

Amanda Rivera, PMHNP, is a board-certified Psychiatric Mental Health Nurse Practitioner through the lifespan, certified by the ANCC in 2020. She earned a Bachelor of Science in Psychology with a biology minor from Clarkson University, followed by a Bachelor of Science in Nursing and a Master of Science in Nursing from St. John Fisher College. Amanda has over 15 years of experience in mental health, beginning in 2010 as a Therapy Aide at Rochester Psychiatric Center. She has practiced across inpatient hospitals, state psychiatric facilities, outpatient community clinics, correctional settings, group homes, and telehealth/private practice. She works with patients ages 16 and older and is highly experienced in trauma, mood and anxiety disorders, ADHD, autism, psychotic and personality disorders, substance use, and parenting challenges. She values working with families to strengthen the family unit.

Amanda values open communication and collaborates with patients to establish clear, meaningful treatment goals. She provides a warm, supportive environment where patients feel heard, respected, and empowered to take ownership of their mental wellness. Treatment is individualized, with medication decisions guided by a careful balance of safety and symptom relief. Appointments are conversational in nature, allowing care to be more personalized as patients share openly.

Amanda begins each visit by ensuring privacy and safety, then explores the concerns prompting care before gathering a biopsychosocial history through collaborative discussion. She provides education throughout sessions to help patients understand diagnoses and lived experiences. Medication options are discussed based on comfort level and clinical need. Follow-ups are scheduled at the end of each visit, with frequency adjusted as stability is achieved.

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Dr. Irene Pastis is a board-certified psychiatrist who specializes in adult psychiatry.  She completed residency training at East Carolina University in both internal medicine and psychiatry.  After residency, she pursued her passion in psychiatry and stayed on as a clinical assistant professor in the department of psychiatry at East Carolina University.  In this role she specialized in treating adults with mental illness in both the inpatient and outpatient settings.  She has spent a considerable amount of time teaching residents and medical students and has published several papers focusing on the neuroscience pathways of mental health conditions.  In her daily practice, Dr. Pastis focuses on evidence-based treatments utilizing the latest clinical guidelines and current approved treatments.  In addition to medication management, she also incorporates psychotherapy in the treatment of mental health conditions.  Dr. Pastis is passionate about taking a collaborative approach with her patients to help them reach their potential.

Dr. Richard Rise has created a successful career as a psychiatrist over the past 30 years. He has participated in a variety of treatment settings and has developed a wealth of experience at both prescribing medications, providing therapy, counseling, and even coaching. He takes an individual approach to treating others, recognizing individuals as unique and worthy of love, respect, and acceptance. He is compassionate, non-judgmental, and truly enjoys helping others. He tends to gravitate towards a combination of medication management (if indicated) and psychotherapy where he treats all facets of the individual. Dr. Rise believes that we are all unique and should be treated as such. He spent most of his career in private practice until deciding to retire in 2014. After this he spent the next 3 1/2 years, reading, studying, traveling, and spending time with his loved ones. In 2018 he was offered a position as a consultant overseeing Ketamine infusion therapy for treating treatment-resistant depression. When the pandemic hit in March of 2020, Dr. Rise was asked to assist a local psychiatric hospital deal with the unique and often deadly consequences of the virus. This proved to be a wonderful opportunity for personal growth and to improve the quality of life of many others. After working at the hospital for the 2 years, Dr. Rise joined Talkiatry to continue providing high-quality psychiatric care to others in a very loving, supportive, creative, and collaborative environment.