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Christa DeFries, MD

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Christa DeFries, MD

Staff Psychiatrist

1 years of experience

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Biography

I'm a psychiatrist with a particular focus on the conditions that tend to hide in plain sight: OCD, PTSD, substance use, ADHD, and the anxiety and depression that so often ride alongside them. Before joining Talkiatry, I trained at UT Southwestern and completed my residency at Baylor Scott & White in Texas, then spent time in New York City working with homeless and formerly homeless adults, many of them living with the long tail of trauma and addiction. That work shaped how I practice.

I care for adults across the lifespan, from younger people just beginning to name what's going on to older adults who've been managing something for decades. I especially connect with patients in the LGBTQIA+ community. My approach pulls from three places at once: medication where it helps, psychotherapeutic work, and the ordinary lifestyle shifts that quietly change how a week feels. No two people need the same mix, so I don't hand out the same plan twice.

A first visit is mostly me asking questions and listening: your history, what's actually bothering you now, and where you'd like to end up. I try to stay open-minded and unhurried, and I'll be straight with you about what I'm thinking and why. The choices about your care stay yours.

Reaching out for the first time takes something. If you've read this far, you've already done part of the hard part, and I'm ready when you are.

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Expertise and specialties

Anxiety
Depression
LGBTQIA+
Obsessive-compulsive disorder (OCD)
PTSD/Trauma
Phobias
Tics/Tourette Syndrome
Medication Management

Education and training

  • Wellesley College, BA
  • UT Southwestern Medical Center, MD
  • Baylor Scott and White Texas A&M College of Medicine, Residency

Location

Timezone

Pacific

Licensed in

California
Texas

Languages spoken

English

In-network insurance

Aetna
Blue Cross Blue Shield
Christus Health Plan
Cigna
ComPsych
Elevance Health
Humana
Kaiser
Magellan
Magnacare
Medicare
Provider Network of America
Quest
Scott & White Health Plan
UnitedHealthcare
Uprise
Velocity

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Your first session with Marina is a real conversation—no judgment, no cold clinical distance. She prioritizes understanding your experiences, what brought you here, and what you hope to feel differently. Patients can expect empathy, collaboration, and a safe space to discuss their mental health openly.

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Timothy Saeed, DO

Timothy Saeed, DO

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I try to treat the person, not the chart. That means I spend real time getting to know you, your history, and what's actually going on before I decide anything about treatment. A first appointment with me looks like a thoughtful, unhurried interview: I ask questions, I listen closely, and I want to understand your specific concerns and what you're hoping to change. From there, we build a plan that fits your situation rather than a generic protocol. When medication makes sense, it's one part of that plan, not the whole of it.

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Inder Bhanver, MD

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Open and honest communication matters a great deal to me. I want the people I work with to feel genuinely listened to and respected, because the work goes better when there's real trust between us. Our first visit is fairly straightforward: I listen closely to what's brought you in, take a careful history, and ask enough questions to understand the full picture before we settle on anything. From there we build a plan that fits your goals, not one I've decided for you. When medication has a place, it's one part of a broader approach, never the whole answer.

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Texas

View Sangeeta Awasthi, MD

Sangeeta Awasthi, MD

Sangeeta Awasthi, MD

I'm a psychiatrist, and I treat anxiety, depression, ADHD, and the mood shifts that can come with pregnancy and the postpartum months. A lot of my attention goes to people who are managing a mental health concern alongside a medical one, whether that's cancer, diabetes, or heart disease, and to those navigating the transitions of reproductive life or aging. I don't see mental health as separate from the rest of a person's health; it's tied to the body, to relationships, and to the particular season of life someone is in.

My approach is thorough and unhurried. I start by getting a real understanding of your psychiatric history, your medical background, what's happening now, and what you're actually hoping for. Because I consider the whole picture, that sometimes means paying attention to medical conditions, lab values, and vitamin levels alongside how you're feeling. A plan might include medication, supportive counseling, and practical coping tools, and I'll check in with you regularly so we can adjust as your needs change. I value clear communication, and I want you to feel comfortable speaking openly with me. Much of the work is about helping you reconnect with joy, meaning, and some sense of balance.

There's no timeline you have to meet before reaching out. When you feel ready to begin, I'll be here.

Licensed in

TX

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Texas

View Adrienne Brent Estabillo, MD

Adrienne Brent Estabillo, MD

Adrienne Brent Estabillo, MD

As a psychiatrist double board-certified in adult and child & adolescent psychiatry, I work mostly with young professionals, students, and people trying to steady themselves through a big life transition. That often means someone managing ADHD or anxiety while starting a demanding job, working through depression or OCD during school, or sorting out a bipolar diagnosis alongside everything else a full life asks of them. I completed my medical degree, general psychiatry residency, and child and adolescent fellowship at UT Health San Antonio, and much of what drives me is improving access and equity in care that too often feels out of reach.

I treat patients as active partners, not passengers. My visits are meant to be efficient and respectful of your time while still feeling personal and thorough, so we can get through the practical parts and still have room for what's actually on your mind. When medication is part of the plan, I use it as one tool inside a fuller picture of your life, your stressors, and where you're trying to go. I also care a great deal about continuity, so you feel supported between appointments and not only during them.

I've served as a medical director overseeing outpatient care, and I bring that same standard of evidence-based, individualized planning to every person I see. Reach out when you're ready to start.

Licensed in

TX

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Texas

View Saloni Singh, MD

Saloni Singh, MD

Saloni Singh, MD

I've spent years as a psychiatrist treating people across just about every setting there is: inpatient units, the ER, forensic work, and outpatient care, working with both severely mentally ill patients and those who are functioning well and simply want to feel better. That range taught me how to sit with someone in crisis and how to walk alongside someone building a longer, steadier relationship with a doctor they trust. A lot of what I do centers on PTSD and trauma, substance use, and thoughtful medication management, and I care deeply about advocacy for my patients, particularly women, LGBTQIA+ folks, immigrant communities, and patients of color.

I think of medicine as both a science and an art, and I try to honor both. We'll start with a real conversation about your history, your goals, and what has or hasn't worked before, and I'll take time to explain my reasoning so decisions genuinely feel like yours. My approach draws on supportive and psychodynamic work, and when medication has a role, it's one piece of a plan built around the whole person, not a shortcut. I lean toward clarity over jargon, and I'll coordinate with other specialists when your care calls for it.

Good rapport isn't a nicety to me; it's part of what makes treatment work. Curious whether the two of us would fit? That's exactly what a first visit is for.

Licensed in

CA

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California

View Ghulam Mujtaba, MD

Ghulam Mujtaba, MD

Ghulam Mujtaba, MD

I'm a psychiatrist, and I treat adults who are managing anxiety, whether it's a long-standing pattern or something that's recently started to interfere with daily life. Many of the people I see are looking for someone who will actually listen before making recommendations, and who can help them find clarity about what treatment should look like for them.

My training took me through both inpatient and outpatient settings, including time caring for veterans at the Michael DeBakey VA Medical Center in Houston, and I served as chief resident during my residency in North Chicago. Those years working with very different patient populations shaped how I practice: I stay patient-centered, I keep the tone collaborative, and I want every person to feel heard, respected, and understood.

Our first session is mostly about getting the full picture. I'll ask about your history, what's bringing you in now, your strengths, and where you actually want to end up. From there we build a plan together that fits your values and the outcomes you're hoping for, rather than one I've decided in advance. When medication is part of that plan, it's one piece of the larger picture, not the whole of it.

My aim is to help you move toward your own goals with clarity and confidence, at a pace that feels workable. Reach out when you're ready to get started.

Licensed in

IL

TX

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Illinois
Texas

View Sarah Guzman, MD

Sarah Guzman, MD

Sarah Guzman, MD

Most of my work as a psychiatrist is with adults living with the after-effects of trauma and PTSD, along with anxiety, OCD, ADHD, and mood disorders that have made day-to-day life harder to steady. Before I came to outpatient practice, I served as a psychiatrist in the United States Navy and later cared for patients as a civilian on an Army base, in inpatient units, and at a state-run mental health clinic. That range shaped how I listen. I feel a particular affinity with veterans and military families, with LGBTQIA+ patients, and with people whose minds are wired a little differently, and I try to bring an open, unhurried attention to whoever is in front of me.

I think of treatment as a partnership, so honesty and clear communication matter to me. I want you to understand the reasoning behind any recommendation, because informed patients make better decisions about their own care. Our first session is mostly about your history and what brought you in; by the second, we sketch out the goals worth aiming for. From there we build an individualized plan and adjust it as your life and needs change. Medication may be part of that, but it's one piece of a fuller picture, never the whole answer.

There's no rush to any of this. Reach out when the timing feels right for you, and we'll begin from there.

Licensed in

TX

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Texas

View Harman Singh, DO

Harman Singh, DO

Harman Singh, DO

Dr. Harman Singh earned his bachelor’s degree in political philosophy and premedical sciences at the University of California, Davis, exploring how ideas shape cultures and institutions. Philosophy and science taught him that human experience is influenced by our past, beliefs, and biology. After graduation, he worked as a therapist for neurodivergent individuals, helping them process challenges and develop skills to reach their goals.

Dr. Singh studied holistic patient care at Touro University College of Medicine, focusing on mind, body, and spirit. He completed his psychiatry residency at Riverside University Health System in Southern California, serving diverse patients with varied mental health conditions. As chief resident, he trained future physicians in evidence-based approaches while emphasizing the therapeutic and humanistic foundations of psychiatry.

Dr. Singh diagnoses and treats conditions including depression, anxiety, bipolar disorder, ADHD, PTSD, and psychosis. He offers medication treatments and partners with patients to explore how their experiences, values, and goals shape their identity. By addressing maladaptive patterns and life challenges, he provides personalized, comprehensive care to help patients reach their full potential.

Licensed in

CA

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California

View Akshar Brahmbhatt, DO

Akshar Brahmbhatt, DO

Akshar Brahmbhatt, DO

Dr. Akshar Brahmbhatt, DO, attended the University of Tennessee, Knoxville, where he majored in Economics before earning his medical degree from Lincoln Memorial University. He completed his psychiatry residency at the University of Tennessee Health Science Center in Memphis. He has experience in both inpatient and outpatient care and brings expertise in ADHD, depression, anxiety disorders, bipolar disorder, bipolar depression, OCD, and a wide range of psychiatric conditions.

Dr. Brahmbhatt creates a warm, collaborative environment where patients feel heard and respected. He values open communication and works with patients to set meaningful, realistic goals at a pace that feels comfortable. Using evidence-based treatments, he explains the reasoning behind each approach so patients feel informed and empowered throughout their care.

In the first session, Dr. Brahmbhatt takes time to understand each patient’s history, concerns, and goals. Together, they identify key areas of focus and build an individualized treatment plan. Follow-up sessions build on progress, address challenges, and adjust the plan as needs evolve. He works at the patient’s pace, helping them explore patterns, gain insight, and develop a sustainable path forward.

Licensed in

CA

GA

NY

TN

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California
Georgia
New York
Tennessee

View Tony Gunn II, LCSW

Tony Gunn II, LCSW

Tony Gunn II, LCSW

I trained as a clinical social worker, and I mostly work with adolescents, adults, couples, and families who are moving through trauma, anxiety, depression, questions of identity, relationship strain, or a life transition that has knocked things off balance. I hold licenses in Alabama and California, I'm board-certified in transgender-affirming care, and I'm currently pursuing a PhD in Clinical Sexology, so identity development is work I take seriously rather than treat as an afterthought.

I'll be honest with you: I value direct communication, and I'll encourage the kinds of conversations that feel uncomfortable but tend to be the ones that actually move something. My approach is structured and goal-oriented, but I don't confuse structure with coldness. We start with a thorough intake so I understand your history, your strengths, your stressors, and where you actually want to end up. From there we set clear, measurable objectives, and I build a plan that lines up with your values rather than mine. Expect practical tools you can use between sessions, regular check-ins on progress, and adjustments when something isn't working. I draw on CBT, ACT, and trauma-focused and EMDR-informed methods when they fit, and I coordinate with your other providers when that supports steadier, longer-term change.

Everything I do is grounded in dignity, respect, and cultural humility. Reach out when you're ready to get to work.

Licensed in

CA

AL

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California
Alabama

View Tammi Schrager, LCSW

Tammi Schrager, LCSW

Tammi Schrager, LCSW

Tammi Schrager, LCSW, CCBT, is a bilingual (Spanish-fluent) therapist licensed in Texas and Illinois with over 20 years of experience. She earned her MSW from Loyola University Chicago and her BA in Human Services from Kendall College, receiving the Distinguished Student Award. She completed intensive Spanish language study in Mexico and Costa Rica. Her career spans Alzheimer’s care (Distinguished Service Award), Director of Social Services in skilled nursing, discharge coordination at Schwab Rehabilitation Hospital, police liaison and crisis responder, and community mental health serving diverse and underserved populations.

Tammi provides a safe, confidential, HIPAA-compliant space grounded in cultural humility and respect. She works with individuals, couples, and families facing trauma, PTSD, anxiety, depression, ADHD, ASD, mood disorders, and work or collegiate stress. Her style is collaborative, compassionate, and systems-oriented, integrating CBT, EFT, IFS, attachment work, and ABA. She values measurable progress and uses tools such as PHQ-9 and GAD-7 to guide care.

Tammi begins with a comprehensive assessment of personal, cultural, and environmental factors. She develops individualized, evidence-based treatment plans with clear goals and regular progress reviews. Sessions combine cognitive restructuring with skills training and mind-body techniques such as progressive muscle relaxation and paced breathing to reduce anxiety and trauma responses.

Licensed in

IL

TX

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Illinois
Texas

View Brian Lann, LPC

Brian Lann, LPC

Brian Lann, LPC

Brian F. Lann, MA, LPC, LPC-S, LAC, is a licensed mental health professional with over 23 years of experience across outpatient, inpatient, and telehealth settings. He specializes in substance use disorders and complex conditions including OCD, anxiety disorders, and Major Depression. Brian is trained in CBT, ERP, HRT, DBT, and trauma-focused therapies, and has completed extensive specialized training in evidence-based interventions for OCD and related disorders.

Brian provides a structured, compassionate, and collaborative approach to care. He believes in meeting patients where they are while offering practical tools that create meaningful change. He emphasizes accountability, skill-building, and measurable progress, particularly in treating addiction, OCD, anxiety, and trauma-related concerns.

Brian begins with a comprehensive assessment to clarify goals and develop an individualized treatment plan. He integrates evidence-based modalities such as CBT, ERP, and trauma-focused therapies, with ongoing evaluation of progress. Treatment includes clear goal setting, skill practice between sessions, and coordinated care when appropriate.

Licensed in

FL

NC

SC

TX

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Florida
North Carolina
South Carolina
Texas

View Amanda Sager, LPCC

Amanda Sager, LPCC

Amanda Sager, LPCC

Amanda Sager is a Licensed Professional Counselor (LPC) with experience working in group practice settings and Post-Traumatic Stress retreat environments. She works with individuals who have experienced trauma and significant life stressors. Amanda earned a master’s degree in Counseling from Concordia University Irvine, as well as an additional master’s degree in Coaching and Athletic Administration.

Amanda is a compassionate and dedicated therapist who specializes in helping individuals navigate profound life challenges, build resilience, and move toward meaningful healing. She provides a safe, non-judgmental space where patients can process pain, reconnect with inner strengths, and reclaim their personal narratives. Her therapeutic approach is integrative, collaborative, and trauma-informed, with an emphasis on creating a strong, trusting relationship where patients feel truly seen and understood.

Amanda begins treatment by developing a thorough understanding of each patient’s history, concerns, and goals during the initial session. From there, she works collaboratively with patients to create individualized treatment plans that align with their personal goals and support sustainable growth and healing.

Licensed in

CA

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California

View Wendy Espino Barajas, LMFT

Wendy Espino Barajas, LMFT

Wendy Espino Barajas, LMFT

Most of my work as a therapist is with adults and couples, though I also enjoy sitting with children and teens when they need someone in their corner. Over more than fifteen years in community mental health, I've supported people through anxiety, depression, eating disorders, stress at work or school, friction with peers, and questions around sexuality. As a first-generation Latina, I know something about navigating a bicultural identity and the weight that gets passed down through generations, and I bring that understanding into the room.

I think of my clients as the experts on their own lives, and my job is to partner with you toward some balance and clarity. I'm firm but friendly, honest, and pretty down-to-earth, and I'll bring humor in when it fits. I adapt how I talk to match what actually works for you. Early on, I focus on connection: understanding what led you to put your mental health first, building trust, and figuring out goals that are meaningful and genuinely reachable. From the first session, I want you to feel heard and seen. I'll give you respectful, honest feedback and I like to celebrate the progress and wins along the way, because I see therapy as a journey we take together, not a race.

Bring whatever's on your mind to a first visit, and we'll start sorting through it side by side.

Licensed in

CA

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California

View Denise Zusman, MD

Denise Zusman, MD

Denise Zusman, MD

Dr. Denise Zusman is a board-certified psychiatrist with over 15 years of experience providing care in acute and outpatient settings. She earned her medical degree from the University of Florida College of Medicine and completed her General Adult Psychiatry residency at the University of California, San Francisco. Dr. Zusman has practiced in psychiatric emergency services and outpatient clinics including The Permanente Medical Group, San Francisco Department of Public Health, and The Tenderloin Outpatient Clinic. She is credentialed in New Zealand and has provided public mental health and early psychosis care internationally. She also offers services in Spanish when requested.

Dr. Zusman works collaboratively with patients to establish clear treatment goals from the beginning. She values open communication and prioritizes a trauma-informed, culturally sensitive approach. Her style is warm and supportive, creating a space where patients feel heard, respected, and actively involved in their care.

Dr. Zusman begins with a comprehensive evaluation to understand each patient’s history, concerns, and goals. She develops individualized, holistic treatment plans that may include medication and non-medication options, guided by evidence-based best practices. Ongoing collaboration and open communication are central to her approach.

Licensed in

CA

FL

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California
Florida

View Elizabeth Vah, LCSW

Elizabeth Vah, LCSW

Elizabeth Vah, LCSW

I'm a therapist who focuses on talk therapy with adults, including older adults, who are working through anxiety, depression, grief, and the kind of life transitions that quietly reshape how a person sees themselves. Some of the people I meet are navigating strained relationships; others are managing severe mental illness and want a steady partner in that work. I've spent time in both inpatient and outpatient settings, and earlier in my training I worked in an emergency room and specialty clinics, which taught me to stay calm and present when things feel far from calm.

The way I work is collaborative. Early on, I want to understand what's actually going on and what you're hoping will be different, so we can sketch out a roadmap for growth together rather than my handing you a plan. My first session tends to be conversational: we talk through what brought you in, a bit of your history, and how sessions and confidentiality work, and then we start naming goals. After that, our time centers on exploring your thoughts and feelings, noticing the patterns underneath them, and practicing skills you can use outside the room. I draw on DBT, CBT, mindfulness, and solution-focused approaches, but I fit the method to the person, not the other way around. We check in on progress along the way.

Deciding to start therapy takes something. If you've gotten this far, you've already begun.

Licensed in

CT

TX

AZ

CA

FL

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Connecticut
Texas
Arizona
California
Florida

View Ali-Noor Jessani, DO

Ali-Noor Jessani, DO

Ali-Noor Jessani, DO

I'm a psychiatrist who focuses on the conditions that often make people feel like their moods, their memories, or their sense of self are working against them: bipolar disorder, PTSD and trauma, self-harm, personality disorders, and ADHD. I completed medical school in Des Moines, my clinical rotations in Chicago, and my internship and residency at VCU School of Medicine in Richmond. I'm also finishing a forensic psychiatry fellowship in Dallas, which has sharpened how carefully I think through a person's history before drawing any conclusions.

My style is conversational, and I mean that literally. I want you to ask me any and all questions, even the ones you assume are too small to matter, because understanding your own symptoms is part of how you start to feel less at their mercy. I genuinely enjoy hearing people's stories, and I try to stay analytical without ever losing the thread of who's actually sitting in front of me. A first appointment with me is a thorough walk through your history, your concerns, and what you're hoping to change, and from there we shape a plan built around your goals rather than a template. Medication may be part of that, but it's one piece of a larger picture we work out together.

I especially connect with patients of color, second-generation Americans, and parents balancing care for others with care for themselves. There's no rush to this. Reach out whenever the timing feels right for you.

Licensed in

TX

VA

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Texas
Virginia
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Specialties
Anxiety
Depression
LGBTQIA+
Obsessive-compulsive disorder (OCD)
PTSD/Trauma
Phobias
Tics/Tourette Syndrome
Medication Management
States
California
Texas
Languages
English
Takes insurance
Virtual visits
1 years experience