Daniel Azzopardi, MD

Dr. Mary Lou Gutierrez is board-certified in both Child & Adolescent Psychiatry and General Psychiatry, with over 20 years of clinical experience. She earned her M.D. from Loyola University Medical Center, where she also completed her residency in Adult Psychiatry. She pursued fellowship training in Child and Adolescent Psychiatry at Northwestern University’s Children’s Memorial Hospital. Her past roles include Medical Director for Compass Health Center’s Under 18 Program and Attending Psychiatrist at Loyola. She has been recognized as a “Top Doctor” in Child and Adolescent Psychiatry by US News and World Report and Negocios Now.

Dr. Gutierrez fosters a warm, collaborative environment where patients and families feel supported and understood. She emphasizes open communication and works closely with patients to define meaningful, realistic treatment goals. Her holistic, family-centered approach integrates medication management, therapy, and psychoeducation with a deep commitment to cultural sensitivity and compassionate care.

Dr. Gutierrez begins by learning each patient’s personal story, clinical history, and goals through a comprehensive evaluation. She creates individualized, evidence-based treatment plans tailored to each child’s unique needs and family context. She continuously collaborates with patients, families, and care teams to ensure treatment remains effective, combining psychotherapy, medication management, and coordination with other providers and resources.

Dr. Rania Elkhatib is a board-certified general psychiatrist with extensive experience in clinical care, teaching, and research. She earned her medical degree from the University of Texas Medical Branch in Galveston and completed her psychiatry residency at UTHealth Science Center in Houston, where she later served as an Assistant Clinical Professor. During that appointment, Dr. Elkhatib was heavily involved in medical education and has developed courses in cultural psychiatry and psychiatry boot camps for medical students.

Dr. Elkhatib specializes in treating a wide range of psychiatric conditions, including Major Depressive Disorder, Anxiety Disorders, Bipolar Disorder, OCD, ADHD, and PTSD. Dr. Elkhatib focuses on evidence-based medication management but will also incorporate supportive therapy and cognitive-behavioral techniques to optimize treatment management and patient’s wellness. She is fluent in Arabic and English and has a strong interest in working with diverse patient populations.

Dr. Elkhatib has a holistic approach with focus on medication management while incorporating supportive therapy and cognitive-behavioral techniques to optimize patient wellness.

Dr. Romanow is double board-certified in Adult Psychiatry and Forensic Psychiatry. He graduated summa cum laude from the University of Pittsburgh with a Bachelor of Science degree in Sports Medicine/Athletic Training and then attended Drexel University College of Medicine. After medical school, he completed his residency in Adult Psychiatry at the University of Virginia, where he obtained a certificate in additional psychotherapy training. After residency, Dr. Romanow completed a fellowship in Forensic Psychiatry at the University of Virginia. During his fellowship, he trained at the prestigious Institute of Law, Psychiatry, and Public Policy (ILPPP) and Western State Psychiatric Hospital where he performed criminal and civil forensic evaluations. He also provided clinical care at a maximum security prison. Prior to joining Talkiatry, Dr. Romanow worked at a healthcare system in Montana providing inpatient and outpatient psychiatric care involving medication management and psychotherapy. Additionally, he operates a private forensic psychiatry practice that conducts mental health evaluations for the legal system. Dr. Romanow has extensive experience treating various mental health disorders including depression, bipolar disorder, anxiety and obsessive-compulsive disorders, post-traumatic stress disorder, and ADHD. His clinical work includes assisting patients who experience mental health disorders with co-occurring substance use problems. He has training in various schools of psychotherapy including cognitive behavioral therapy (CBT), CBT for insomnia, motivational interviewing and supportive psychotherapy. Dr. Romanow incorporates treatment focusing on the importance of exercise, diet, and good sleep habits as a part of comprehensive mental health care.‍

Dr. De Paz received his medical degree from the University of Texas Medical Branch in Galveston, TX, and has been practicing for 9 years. He completed his psychiatric residency and child and adolescent psychiatry fellowship training at the University of Texas Medical Branch. After completing training, he worked at the Center for Health Care Services in San Antonio, TX. He worked with special needs children and adults who required the highest level of care both behaviorally and medically. He then continued his treatment of children and young adults at CommuniCare Health Center also in San Antonio. He served as Director of Behavioral Health for CommuniCare for 4 years. Dr. De Paz completed his undergraduate studies in Psychology and Biology at the University of Houston in Houston, TX. While having treated a wide variety of patients, his primary clinical focus has been the treatment of ADHD in children and adults, and working with special needs children and adults who may have Autism Spectrum Disorder or other Intellectual or Developmental Disabilities. Dr. De Paz's practice focuses on medication management. He offers medication management evaluations and follow-up visits. If the need arises, he works with licensed therapists to provide behavioral support.

Dr. Allison Holt is an experienced, board-certified child, adolescent, and adult psychiatrist who has worked in mental health care in a variety of settings, including health care administration, academia, inpatient psychiatry, private practice outpatient care, forensic and disability evaluations, correctional psychiatry, eating disorder care, and ECT. Dr. Holt is dedicated to providing patients with a relaxed, trusting environment that encourages dialogue and instills the freedom to pursue healing and growth. With empathy, patience and an approachable style, she helps patients see their future with fresh eyes � and develop a plan that will accomplish their goals for change. While medical expertise forms the foundation of Dr. Holt's treatment, her warmth and a sense of compassion are often key motivating factors for patient change and success. Dr. Holt treats a wide variety of needs and illnesses in children, adolescents, and adults, including depressive disorders, bipolar disorders, anxiety disorders, substance-related and addictive disorders, attention disorders, trauma related disorders, and obsessive-compulsive disorders. Through a patient-centered mix of evidence-based treatments, including medication, psychotherapy, and patient education, she helps her patients understand their options and create appropriate treatment plans that empower them to move toward positive change. Dr. Holt received her medical degree from Ohio State University. She completed a General Psychiatry Residency Program (with extra emphasis in addiction and forensic psychiatry), and a Child and Adolescent Psychiatry Fellowship, at the University of Minnesota. Prior to joining Talkiatry, Dr. Holt was the Physician Chief of the Mental Health and Addiction Service Line at M Health Fairview, the largest provider of mental health care in Minnesota. At the same time she was the Vice Chair of Clinical Affairs at the University of Minnesota Department of Psychiatry. Dr. Holt has been awarded "Top Doctor" by Minneapolis-St. Paul Magazine every year from 2014 to 2022. She was president of the Minnesota Psychiatric Society 2020-2021, and was also the co-editor of the Minnesota Psychiatric Society's newsletter, Ideas of Reference, from 2010-2019.

Elizabeth Vah, LCSW, graduated from the University of Texas at Austin in 2008 with a master’s degree in clinical social work. She completed her internship at Seton Medical Center, gaining experience in the emergency room and specialty clinics. Elizabeth has worked in both inpatient and outpatient settings and has training in DBT, CBT, mindfulness, solution-focused, and person-centered counseling.

Elizabeth takes a collaborative approach, partnering with patients to clarify goals and create a roadmap for growth. She has supported individuals from diverse backgrounds facing anxiety, depression, grief, life transitions, interpersonal challenges, and severe mental illness. Her approach blends evidence-based therapies with individualized care, emphasizing a trusting, supportive relationship and a safe, nonjudgmental environment.

In the first session, Elizabeth creates a welcoming space to discuss challenges, goals, and personal history, reviewing confidentiality and treatment structure. Together, she and the patient develop a personalized plan. Ongoing sessions focus on exploring thoughts and feelings, identifying patterns, and practicing skills to support meaningful change, with regular goal review and reflection on progress.