Gaurav Agarwal, MD

Do you feel lost, stuck or overwhelmed? Maybe you feel like you are just going through the motions. Ann-Marie helps people over the age of 13 who are experiencing depression, anxiety, stress, and unexpected life changes. She enjoy working with adolescents and adults including members of the LGBTQIA+ community who are motivated to enhance their mental health and be the best versions of themselves.

Together, we will build a therapeutic relationship in a trusting, non judgmental environment. She encourages clients to be involved in their treatment plans and goals to help give them the tools they need to improve their mental health.

Ann-Marie uses different evidence-based treatment modalities to help you be successful in your mental health journey. She uses a personalized treatment approach tailored to your unique needs.

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Ms. Ellen Ortiz is fully licensed as a Marriage and Family Therapist in multiple states. She has decades of life experience to support her 3 years of full licensure. Ms. Ortiz sees individuals from the perspective of the various environments they interact in and how it impacts them. Ms. Ortiz is enthusiastic about collaborating with clients under the care of one of our psychiatric experts in order to allow for a more complete and personalized approach for each individual's needs.
Ms. Ortiz began her education later in life at Elgin Community College then continued to acquire her bachelor’s degree from Argosy University with honors. Ms. Ortiz forged ahead and completed her Master’s in Family Counseling at the CACREP accredited graduate school, Northeastern Illinois University. Her training included the externship for Emotion Focused Therapy with Dr. Sue Johnson.

Ms. Ortiz incorporates therapy from a Solution Focused perspective including Cognitive Behavioral Therapy, Mindfulness and Attachment theory.  Ms.Ortiz has been trained in Crisis Intervention and Trauma Informed therapy. Her life experience and clientele have spanned all life cycles, races, and medical needs as well as honoring all varieties of human beings. She has also supported clients through medical diagnosis and end of life as well as grief.

Ms. Ortiz brings enthusiasm for each client based on the belief that each person has unique purpose, strengths and abilities on which to draw on. The client's abilities paired with tools and support acquired in therapy will lead each of her clients to a life they choose to enhance.

Amy Bichsel Pacheco Piña is a compassionate and experienced psychotherapist dedicated to helping individuals navigate the complexities of life with resilience and confidence. Amy holds a Master's in Social Work from the University of Nebraska-Omaha in 2008 and is licensed as a Licensed Clinical Social Worker (LCSW). With 16 years of experience in the mental health field, Amy specializes in anxiety, depression, trauma (including Narcissistic Abuse), and grief. Amy prides herself on creating a non-judgmental and healing environment that allows for self-discovery and assists clients in identifying their authentic selves. She has experience in many methods and techniques, ensuring that her approach integrates evidence-based practices with experiential techniques which are tailored to each client's unique needs to allow for nervous system regulation and a sense of safety within themselves. She believes in fostering a collaborative therapeutic relationship where clients feel empowered to set and achieve meaningful goals. From a holistic perspective, Amy incorporates techniques such as identifying strengths, mindfulness, polyvagal techniques, challenging core belief systems, early childhood, and attachment types to heal the mind, body, and spirit. When not working with clients, Amy enjoys being outdoors, reading, and spending time with her husband, son, and two dogs.

Dr. Clark is a board-certified adult psychiatrist. She is fellowship-trained in Child and Adolescent Psychiatry and has been in practice for 11 years. She received her medical degree from the Medical University of South Carolina. Dr. Clark then completed her residency training and continued her training in child and adolescent fellowship at the Medical College of Georgia. Dr. Clark works with patients to create an environment where they feel comfortable and supported. She focuses on medication management along with supportive therapy. Normally visits are 30-minute follow-ups that allow time to focus on areas of support needed. If additional therapy is recommended, she will request a therapist be added to your care team to meet all your needs. Dr. Clark has worked in both inpatient and outpatient settings with adult, child, and adolescent populations. She has worked in private practice as well as community mental health, where she worked with reaching under-served communities. Dr Clark has a passion for treating both adult and child and adolescent patients with anxiety and depression.

Background and credentials

Dr. Matthew Koller is a board-certified adult psychiatrist who completed his undergraduate training at The University of Texas at Austin. He earned his medical degree from The University of Texas Health Science Center at San Antonio and completed his general adult psychiatry residency at Baylor College of Medicine in Houston, TX, where he served as Chief Resident of Education in his final year of training.

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Treatment approach

Dr. Koller believes that understanding a patient fully is essential before treatment begins, emphasizing a collaborative and patient-centered approach to care. His practice is primarily focused on medication management, but he also incorporates supportive therapy and other therapeutic modalities as needed. He may recommend including a therapist in the treatment plan to ensure comprehensive, well-rounded care. He has experience treating a wide range of mental health conditions, including depression, anxiety, insomnia, personality disorders, bipolar disorder, PTSD, and psychotic disorders.

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What you can expect in a first visit

During the first visit, patients can expect a thorough and individualized psychiatric evaluation, where Dr. Koller takes the time to understand their symptoms, history, and treatment goals. He prioritizes open communication and shared decision-making, working closely with patients to develop personalized treatment plans. While medication management is the foundation of his approach, he remains flexible and adaptive, incorporating therapy and other interventions as needed to help patients achieve optimal mental health.

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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. Jennifer Ruch is a board-certified psychiatrist who strives to understand her patients' lived experiences and aspirations to develop supportive therapeutic relationships through empathetic listening, mutual trust, and respect. She collaboratively creates individualized care plans that align with personal treatment goals in a safe and judgment-free environment. After completing her Bachelor of Science degree in Human Biology with a focus in psychology from the University of California, Merced, she earned her medical degree from Lake Erie College of Osteopathic Medicine. Dr. Ruch completed her General Psychiatry Residency at Arnot Ogden Medical Center in New York. Her clinical experience involves treating individuals of all age groups from diverse populations and socioeconomic backgrounds suffering from anxiety, depression, bipolar disorder, psychotic disorders, neurodevelopmental disorders, and neurocognitive disorders. She has provided care in inpatient and outpatient psychiatric facilities, the Veterans Affairs Medical Center, emergency rooms, state facilities, and an inpatient chemical dependency center. She also performed pre-procedure psychological evaluations for bariatric and spinal cord surgeries, and psychiatric consult liaison services on medical units and has clinical training in inpatient and outpatient neurology. Her clinical experience incorporated treatment modalities such as pharmacotherapy and interventional psychiatry, including Transcranial Magnetic Stimulation and Spravato. Dr. Ruch integrates a wide array of psychotherapy as needed; however, her practice primarily focuses on medication management while utilizing referrals to therapists and providing collaborative care for optimal outcomes.