Elena Perea, MD

Ashley is an ANCC board-certified Psychiatric Mental Health Nurse Practitioner with over a decade of experience in Psychiatry. She has worked in inpatient and outpatient settings, crisis centers, and psychiatric emergency rooms. Ashley is deeply committed to working collaboratively with individuals to enhance their well-being, creating a personalized care plan tailored to each person’s unique needs.

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Her approach integrates medication management, supportive psychotherapy, and lifestyle interventions. As a prescriber specializing in psychopharmacology, Ashley provides comprehensive medication management while utilizing a shared decision-making model. She actively involves clients in their treatment planning, discussing various options to determine the most effective path forward.

During the initial session, Ashley prioritizes establishing a comfortable, open environment where clients feel at ease. She will review medical and psychiatric history, discuss treatment goals, and explore different therapeutic options based on individual preferences. Ashley encourages questions throughout the process to ensure a collaborative and supportive treatment experience.

Dr. Anil Joseph (AJ) Kulangara completed additional training in Psychiatry at the University of Washington after working primarily in women’s health, primary care, and military medicine as a Battalion Surgeon in the United States Army.  Following his military service, he trained in Psychiatry and served the mental health needs of our Veteran population. He is excited to now bring his unique expertise and experiences to Talkiatry, as well as his additional training in Women’s Mental Health, Reproductive and Perinatal Psychiatry, PTSD, and trauma-informed ADHD evaluation and treatment.

Dr. AJ’s approach focuses on behavioral change, with medication management and supportive therapies serving as important (and often essential) adjuvants to optimizing mental health.

During your first meetings with Dr. AJ, you should expect a thorough evaluation of your clinical and social histories, as well as some introductory psychoeducation.  Following that screening, anticipate a discussion about his approach to your condition and an initial treatment plan.  Please feel free to bring up any questions or concerns at any time during this process, and note-taking is highly encouraged!

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Bethanie is a board-certified Mental Health Nurse Practitioner who earned her Psychiatric Mental Health Nursing credentials and a Master’s in Psychiatric and Mental Health Nursing from Columbia University School of Nursing, where she was inducted into the Sigma Theta Tau Nursing Honor Society. She has been in practice for over 10 years, providing care to individuals with anxiety, depression, bipolar disorder, and schizophrenia. Bethanie also has a strong passion for supporting women’s mental health during the perinatal phase of life.

She believes in a collaborative partnership with her clients, working together to develop a mutually agreed-upon plan of action that maximizes the chances of success.

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Dr. Wang is a board-certified psychiatrist in both General Psychiatry and Addiction Psychiatry, with extensive experience in providing compassionate, evidence based to mental healthcare. She currently serves as an outpatient psychiatrist providing care to veterans, where she integrates evidence-based medication management with psychotherapy. Dr. Wang completed her psychiatry residency at the University of Wisconsin-Madison, where she also contributed to clinical education through supervising residents and conducting quality improvement initiatives.

Dr. Wang believes in crafting individualized treatment plans that address both the biological and psychological aspects of mental illness. She specializes in the combined use of psychotherapy and medication management to support long-term healing. Dr. Wang encourages her patients to become active participants in their recovery process and empowers them to grow into their own healers. Her therapeutic approach emphasizes insight, autonomy, and long-term well-being.

During the initial visit, patients can expect a warm, thoughtful, and collaborative evaluation. Dr. Wang takes time to understand her patients’ symptoms, personal history, strengths, and goals in order to develop a tailored and sustainable treatment plan. She believes in shared decision-making and provides clear, compassionate communication around both therapy and medication options.

Dr. Gotsche is a board-certified adult psychiatrist who is dedicated to helping individuals navigate their mental health journey. Originally from Illinois, she completed her undergraduate studies at Illinois State University before earning her medical degree from Kansas City University. She went on to complete her psychiatry residency at the University of Oklahoma. Following residency, she worked at the Kansas City VA Medical Center where she primarily focused on outpatient mental health. Outside of her clinical work, she enjoys cooking, reading, cycling, and hiking.

Dr. Gotsche takes a holistic, integrative, and evidence-based approach to mental health care. She emphasizes the importance of building a strong therapeutic alliance and working closely with each patient to ensure treatment fits their unique needs and goals. She is experienced in treating a variety of psychiatric conditions including mood disorders, anxiety, trauma-related disorders, and ADHD. She is committed to providing comprehensive care in a supportive environment.

Dr. Gotsche will conduct a thorough evaluation to learn each patient’s medical history, current symptoms, and treatment goals. She values open communication and a collaborative approach, ensuring that patients are actively involved in the decision-making process. An individualized treatment plan will be developed which may include medication management, psychotherapy, or referrals to additional services as needed. Her goal is to provide integrated, patient-centered care that promotes long-term well-being.

Lopa Rana, MD, is a board-certified psychiatrist who has been practicing for over 29 years. Dr. Rana completed her medical school at B.J Medical College, Ahmedabad, India. Her Psychiatry training was at the State University of New York at Buffalo. She has practiced in varied settings, like being a faculty at SUNY Buffalo, a Private practice in a suburban town of Detroit, Michigan, for 4 years. She, then held a Senior Psychiatrist position at Henry Ford Behavioral Health for 14 years, in Michigan. She has been an Associate Professor at Oakland University William Beaumont School of Medicine. In the recent years, Dr. Ranahasd has been overseeing Outpatient Behavioral health at the Corewell Health William Beaumont hospital for the past 10 years. Throughout her career, she has been training and supervising Psychiatry Residents and Medical Students. Apart from being competent in the management of common Psychiatric conditions like Major Depression, Anxiety Disorders, Bipolar Disorder, Psychotic disorders and ADHD, she has an expertise in Advanced Psychopharmacology with a specialty interest in Psychiatric disorders during the pregnancy and the postpartum period. She has almost 2 decades of experience in helping women manage the course of their Mood and Anxiety disorders during and after pregnancy. She has been the consultant for Maternal Fetal Medicine and Obstetricians at Corewell Health for women who have questions and concerns regarding planning, managing, and guiding them during pregnancy and the postpartum period. Rana has performed several Zulresso (Brexanolone) infusions for women with severe postpartum depression, with remarkable outcomes. Dr. Rana values greatly the safety of the customized treatment options for her patients and informed decision making with her patients. Apart from English, she is fluent in Gujarati and Hindi languages.