Catherine Shim, MD

Dr. Carmen Orellana is a Staff Psychiatrist at Talkiatry who has been in practice for over 6 years, both in the U.S. and abroad. She is double board-certified in child and adolescent psychiatry and adult psychiatry. Dr. Orellana's practice focuses on medication management. She strives to provide exceptional medical care and has extensive experience in treating persons with diverse behavioral disorders and backgrounds. Dr.Orellana involves her patients in all decisions about their health, and provides care that is respectful of patient preferences, needs, and values. Typically, she would recommend evidence-based treatments to her patients and may, occasionally, believe that concurrent therapy is also needed. She would ask that you bring a therapist into your care team to provide the best outcome. Dr.Orellana received her medical degree from Universidad Evang�lica de El Salvador. Dr. Orellana completed a residency in Psychiatry and a fellowship in child and adolescent psychiatry at the Southern University School of Medicine in Springfield, Illinois. After completing her training, Dr. Orellana remained in the school, where she worked as an Assistant Professor of Child and Adolescent Psychiatry, supervising and teaching medical students, residents, and fellows, and treating patients with various psychiatric conditions. Dr. Orellana has experience in treating treatment-resistant mood disorders with electroconvulsive therapy (ECT) and transcranial magnetic stimulation (TMS).‍

Background and credentials

Dr. Schaefer is a board-certified adult psychiatrist with over 16 years of experience. She earned her medical degree from the University of Nebraska Medical Center in Omaha, NE, and completed her adult psychiatry residency at Oregon Health and Science University in Portland, OR. She then specialized further by completing a forensic psychiatry fellowship at Yale University. She has worked as a staff psychiatrist at Atrium Health System for over 16 years.

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Treatment approach

Dr. Schaefer’s practice primarily focuses on medication management, which she offers in conjunction with supportive therapy and elements of cognitive-behavioral therapy (CBT). She takes a patient-centered and collaborative approach, ensuring that treatment is tailored to each individual’s needs. If additional therapy is required, she may recommend working with a therapist as part of a comprehensive care plan. Her primary focus areas include depression, anxiety disorders, and obsessive-compulsive disorder (OCD).

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What you can expect in a first visit

During the first visit, patients can expect a thorough psychiatric evaluation, where Dr. Schaefer carefully assesses their symptoms, treatment history, and mental health goals. She works collaboratively with patients to develop a personalized treatment plan, which may include medication management and therapy recommendations. Follow-up visits are typically 30 minutes and focus on monitoring progress, adjusting treatment as needed, and ensuring the best possible patient outcomes.

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Why Talkiatry?

We’re a virtual mental health practice that makes it easy to find great care. We combine quality and convenience to help you thrive—faster. Our providers, like this one, are highly trained experts who specialize in medication management and collaborate with you on a treatment plan that fits your needs and comfort level.

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Dr. Mullenix is a board-certified adult psychiatrist who strives to form strong therapeutic and collaborative environments with patients and values patient empowerment. Dr. Mullenix received his medical degree from the Chicago Medical School and then went on to complete his residency in psychiatry at Advocate Lutheran General Hospital. His interests and expertise are in helping patients struggling with depression, anxiety, including social/obsessive compulsive and generalized anxiety disorders, and ADHD. He provides psychiatric medication management along with supportive, cognitive behavioral therapy (CBT) and other modalities of therapeutic treatment. Dr. Mullenix's practice focuses primarily on medication management, or pharmacotherapy. He routinely incorporates supportive therapy into his 30-minute follow-up visits. Dr. Mullenix may occasionally recommend that a therapist be part of the care team to provide optimal outcomes. The philosophy of his practice is to actively involve patients in the decision-making process to improve adherence to treatment and build trusting relationships with all patients.

Dr. Duy Tran is a board-certified adult psychiatrist. He received his medical doctorate degree from the University of Texas Southwestern Medical School and completed his residency training in general psychiatry at the University of Michigan. Dr. Tran aims to provide mental health care that helps patients live more fulfilling lives. In his training, Dr. Tran gained extensive experience treating psychiatric disorders in diverse populations, including college students, LGBTQ+ individuals, perinatal women, veterans, and those with socioeconomic disadvantages. He has worked with experts on cases of treatment-resistant depression and provided consultations for patients considering procedural interventions, such as transcranial magnetic stimulation (TMS), electroconvulsive therapy (ECT), and ketamine infusion therapy. Although Dr. Tran's practice primarily focuses on medication management, he uses a holistic approach in developing individualized treatment plans. He typically incorporates elements of various psychotherapy modalities, including supportive, cognitive behavioral (CBT), dialectical behavioral (DBT), and insight-oriented therapy, in 30- or 45-minute follow-up visits. Occasionally, Dr. Tran may believe that more intensive therapy is needed and recommend that you bring a dedicated therapist into your care team for an optimal outcome.

Farrah has worked almost exclusively in community mental health centers in Iowa and in Arizona for the last 15 years. She has been providing telepsychiatry services since 2013 across several states, serving hospitals, community mental health centers, local jails, and residential treatment facilities. Farrah was lead prescriber for Living Out Loud, a mental health program exclusively for LGBTQ+ persons. She has worked with patients with comorbid mental health & HIV+ status, and a long history of working with persons with severe mental illness.

Farrah has mentored countless new Psychiatric Nurse Graduates in their first year of outpatient practice and precepted students working to achieve their Psychiatric Nurse Practitioner Certification. She was also part of the pilot program for the Integrated Behavioral Health Home, which integrated primary care into treatment for SMI patients.

Farrah Lamoreux offers a warm patient centered approach to psychiatry. She is well known for being easy to talk to, and down to earth. Farrah believes that the patient is the most important part of the treatment team, and engaging patients in the decision-making process of their treatment. Patients say that she listens, they feel heard, and that she tailors care to what best fits your needs. She enjoys working with therapists whenever possible to ensure the best outcomes. Farrah specializes in the treatment of ADHD, but also treats Depression, PTSD, Anxiety, Panic, Agoraphobia, OCD, Autism and Bipolar Disorder.

Dr. Antonio Ramirez earned his medical degree from Ponce Health Sciences University, where he also served as Chief Resident in Psychiatry. He completed residency training at Ponce Health Sciences University and the U.S. Veterans Health Administration, Caribbean Healthcare System, followed by a Fellowship in Consultation–Liaison Psychiatry at Montefiore Medical Center, Albert Einstein College of Medicine. Board-certified in both Psychiatry and Consultation–Liaison Psychiatry, he has served as Director of Psychiatry at the Roberto Clemente Center and Clinical Assistant Professor at NYU Grossman School of Medicine. Dr. Ramirez is bilingual in Spanish and bicultural, with published research in cultural psychiatry and stress biology, and has been recognized for teaching and leadership.

Dr. Ramirez focuses on compassionate, evidence-based care that integrates psychotherapy and psychotropic medications to promote recovery and growth. His collaborative and respectful style ensures patients feel heard while working toward meaningful goals. He emphasizes setting clear expectations from the start to foster confidence and engagement. With his background in consultation–liaison psychiatry, Dr. Ramirez brings expertise in caring for individuals managing psychiatric conditions alongside significant medical illness.

The first appointment is a comprehensive evaluation, during which Dr. Ramirez carefully explores a patient’s history, conditions, and symptoms. Based on this, he develops a personalized treatment plan and reviews it collaboratively, so expectations are clear. Future visits focus on monitoring progress, adjusting the plan as needed, and integrating both psychotherapy and medication management to best support the patient’s needs and long-term growth.