Earl Andrew De Guzman, MD

Background and credentials

Dr. Nilesh Tannu is a board-certified psychiatrist by the American Board of Psychiatry and Neurology. He earned his medical degree from B.J. Medical College in Pune and completed his adult psychiatry residency at the University of Texas Medical School at Houston, where he served as chief resident. During his training, he received awards from the Society of Biological Psychiatry, the American Academy of Addiction Psychiatry, and the American Psychiatric Institute for Research and Education. He has been practicing General Psychiatry and Consultation-Liaison Psychiatry for the past seven years at Texas Medical Center in Houston, Texas. Additionally, he has served as an assistant professor of psychiatry at the Texas Medical Center, working at UT Physicians Clinics and Memorial Hermann Hospital. He is also a member of the Editorial Board for BMC Genomics Journal.

‍

Treatment approach

Dr. Tannu follows the bio-psycho-social model to provide evidence-based psychopharmacologic treatment. He integrates supportive therapy and cognitive-behavioral therapy (CBT) modalities into his practice to create personalized and comprehensive treatment plans. He is committed to mental health care, education, and helping patients achieve optimal functioning in their personal and professional lives. His clinical expertise includes ADHD, anxiety disorders, depressive disorders, bipolar disorder, psychotic disorders, insomnia, eating disorders, and complex medical comorbidities.

‍

What you can expect in a first visit

During the first visit, patients can expect a comprehensive assessment where Dr. Tannu takes the time to understand their symptoms, treatment history, and personal goals. He employs a collaborative approach to develop a tailored treatment plan that may include medication management and therapy interventions. His focus is on evidence-based care, ensuring that patients receive treatments that are scientifically backed and aligned with their individual needs.

‍

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.

‍

Dr. Sophia Mikityanskiy is a board-certified psychiatrist with extensive experience in outpatient and psychiatric emergency settings in Brooklyn, where she served a diverse patient population. She earned her medical degree from the New York Institute of Technology College of Osteopathic Medicine and completed her adult psychiatry residency at Maimonides Medical Center, where she was Chief of Outpatient Psychiatry. Dr. Mikityanskiy spent six years as Associate Program Director and Director of Medical Student Education, mentoring future clinicians and leading initiatives to support mental health professionals.

Dr. Mikityanskiy creates a warm, supportive environment where patients feel heard and understood. She is collaborative, culturally sensitive, and integrates talk therapy with lifestyle interventions to address mental health holistically. She is thoughtful, detail-oriented, and values open communication to develop clear, personalized treatment plans with each patient.

Dr. Mikityanskiy begins with a comprehensive initial evaluation, listening closely to patient concerns, medical and psychiatric history, and treatment goals. She then develops an individualized plan, incorporating lifestyle modifications and shared decision-making. Throughout care, she remains actively involved, continuously adjusting plans to ensure patients feel informed and empowered.

Dr. Benjamin Joe Chambers is a board-certified psychiatrist specializing in the treatment of adults. He has been practicing for 7 years. His practice focuses on medication management and brief psychotherapy for patients struggling with a wide array of psychological problems. For patients who need more intensive psychotherapy, Dr. Chambers works closely with a team of therapists who can step in and provide additional interventions. Dr. Chambers attended medical school at Texas A&M College of Medicine and completed his residency training at the University of Colorado in Denver. Having completed training, he returned to Austin, TX, and was an inpatient psychiatrist and Assistant Professor for Dell Medical School. He was extensively involved in resident physician education and helped run the medical school's primary inpatient mental-health training site throughout the Covid-19 pandemic. He was known amongst residents for his strong focus on utilizing psychotherapy to better understand and treat patients regardless of the treatment setting. Dr. Chambers treats adult patients, with a special focus on mood disorders, anxiety, trauma, and interpersonal conflict.‍

Dr. Clara Kim is a board-certified psychiatrist trained in Adult Psychiatry. She received her medical degree from Yale University and completed her residency training at Cambridge Health Alliance - Harvard Medical School, where she served as Chief Resident of Quality Improvement. Dr. Kim treats each patient with a holistic, evidence-based approach that incorporates psychopharmacological and psychotherapeutic best practices. Her priority is to build a safe and trusting working relationship with each patient, keeping in mind their unique biological, psychological, social, and spiritual contexts. Dr. Kim has extensive experience treating depression, anxiety, trauma-related disorders, personality disorders, OCD, and perinatal conditions such as postpartum depression. Other professional interests include forensic psychiatry, combined psychopharmacological and psychotherapy treatment, and ECT, in which she was certified by the Beth Israel Deaconess Medical Center. She has worked with individuals from diverse backgrounds and all socioeconomic strata.

Jaime Sather, PMHNP is a board certified psychiatric nurse practitioner with over 20 years' experience in the mental health field. Specialty areas include ADHD, anxiety, depression, mood disorders, substance abuse, PTSD, and women’s health. Clinical experience with inpatient, outpatient, detoxifications rehab, psychiatric emergency department, IOP, and PHP.

Comprehensive psychiatric evaluations, medication management, and brief psychotherapy are provided. Besides medication management with psychotherapy, individual therapy may be recommended for the best possible patient outcome.

Patients feel comfortable discussing their concerns in a non-judgmental therapeutic environment. Education is provided about diagnosis and treatment options with the patient being empowered to be an active part of their treatment plan.

Dr Ibrahim joined Talkiatry as a general adult psychiatrist.

Dr Ibrahim earned his medical degree from faculty of medicine, University of Cairo, Egypt.

He completed residency in general psychiatry at Case Western Reserve university and MetroHealth medical center in Cleveland, Ohio.

He practiced psychiatry for 30 years. working in different settings:

Hospitals. inpatient and consultation liaison to other medical services.

Private practice, outpatients treating adults, geriatric and adolescents.

Provided geropsychiatric consultations to long term care facilities and assisted living.

Areas of interest:

Mood and anxiety disorders

cognitive, neuropsychiatric disorders

PTSD , bipolar, OCD

Psychopharmacology and treatment resistant conditions (depression)

Psychoeducation to improve treatment compliance

Dr Ibrahim likes to work with patients on customized treatment plan with active patient participation.

Treatment goals are defined and updated as needed in follow up visits.

Dr Ibrahim encourage his patients to ask questions and learn more about their condition, communication and education are essential for treatment success.

Dr Ibrahim will have an initial evaluation. Providing treatment records can be helpful.

He will share with patient treatment options and create a custom treatment plan.

Follow up appointments are scheduled every 2 weeks at the beginning of treatment.

‍