Heather Inano, MD

Dr. Liu is board certified in Adult Psychiatry. She primarily focuses on medication management but integrates therapeutic support into her sessions. For more in-depth therapy needs, Dr. Liu encourages patients to have their own individual therapist. She received her undergraduate and medical degrees at the University of South Carolina in Columbia, SC. She then moved to Morgantown, West Virginia to complete her psychiatry residency. Dr. Liu has experience working with patients from different backgrounds in inpatient, outpatient, and partial hospitalization settings. She particularly enjoys working with young adults and in areas related to women's health, such as perinatal mental health. She welcomes people from all cultures and is LGBTQ+ friendly.

Dr. Sallie Jo Hadley holds the position of Staff Psychiatrist at Talkiatry. She is board-certified in psychiatry and pediatrics and is board-eligible in child and adolescent psychiatry. She has been practicing for 22 years. Dr. Hadley's practice is focused on medication management with supportive therapy in follow-up sessions of 15 or 30 minutes. Dr. Hadley is experienced with collaborative treatment and encourages adding a therapist to your care team in those situations where additional therapy might be helpful. Dr. Hadley is a graduate of the Mount Sinai School of Medicine's triple-board program (psychiatry, pediatrics, and child and adolescent psychiatry). She completed post-doctoral research fellowships at Mount Sinai's Seaver Center for Autism Research/Compulsive-Impulsive Anxiety Disorders and at Columbia University's New York State Psychiatric Institute, the latter focusing on metabolic and weight issues in children and adolescents with psychiatric disorders. Dr. Hadley had an early background as a nurse, receiving her B.S. in Nursing from the University of North Carolina-Chapel Hill. Her experience in neonatal, psychiatric, and hospice nursing led her to pursue her degree in medicine. Dr. Hadley has worked in pharmacologic research in both academic and industry settings. Prior to joining Talkiatry, she practiced in a multi-specialty clinic for individuals and families dealing with autism or intellectual disabilities and complex medical co-morbidities. Dr. Hadley enjoys working with motivated individuals of all ages who are seeking to better their life or better cope with life circumstances. She has particular expertise in working with individuals and their families suffering from anxiety, depression, and obsessive-compulsive disorders.

Dr. Ioana Horotan-Enescu is a board-certified Psychiatrist. Before joining Talkiatry, she was an Active-Duty staff psychiatrist at Blanchfield Army Community Hospital, Fort Campbell, KY. Her military service also included roles such as Medical Director of Behavioral Health and Interim Clinic Chief for Embedded Behavioral Health Clinic. She completed her internship and residency at Walter Reed National Military Medical Center and earned her Doctor of Osteopathy Degree from the University of New England College of Osteopathic Medicine. Her clinical experience spanned from the inpatient to the outpatient setting and afforded her the opportunity to develop comprehensive skills in the treatment of PTSD, mood disorders, thought disorders, addiction and perinatal mood disorders. Her teaching experience spanned multiple institutions, where she has served as a preceptor and mentor for medical students, nurse practitioner and physician assistant students. In addition to medication management, she augments her practice by implementing mindfulness, psychodynamic and supportive therapy techniques in her everyday practice to enhance treatment and improve treatment response. Dr. Horotan-Enescu holds several certifications, including in Cognitive Behavioral Health Therapy for Suicide Prevention, Motivational Interviewing and Battlefield Acupuncture. She has delivered presentations at national and international conferences on various topics, reinforcing her commitment to advancing the field of psychiatry.

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.

Dr. Nathan Schulz attended the Ohio State University College of Medicine where he received his degree before completing a residency in psychiatry at the University of Illinois, Chicago. After several years working with veterans at the Jesse Brown VA in Chicago, he returned to his home state of Iowa in 2022. Since then, he has continued to work with a wide variety of clients and conditions in both inpatient and outpatient settings, including at the University of Iowa and Clive Behavioral Health hospital.

Dr. Schulz values open, honest, and ongoing dialogue about how mental health treatment can improve wellbeing and lead to healing. Over time, he tailors treatment recommendations based on individual needs, which may include medication, therapy, lifestyle changes, or other approaches. He avoids a one-size-fits-all model and creates an environment where patients feel respected, understood, and supported as unique individuals.

In the first meeting, Dr. Schulz works to understand each patient’s goals, experiences, and preferences. Some arrive knowing what they want, while others are new to exploring mental health challenges. His goal is to meet patients where they are and adjust treatment focus as needs evolve. He emphasizes collaborative decision-making, clearly discussing treatment options, pros and cons, and next steps, while ensuring patients feel informed and empowered throughout care.

Dr. Kristin Ratz is a Board-Certified psychiatrist who is an expert in the diagnosis, treatment, and prevention of mental, emotional and behavioral disorders. She specializes in medication management combined with supportive therapy during 30-minute follow-up sessions. Dr. Ratz recognizes that each patient is unique and believes in an environment of collaboration, in which the patient and psychiatrist work together in order to develop the best individualized treatment plan. A California local, Dr. Ratz obtained her undergraduate education at University of California, Davis, graduating magna cum laude with a degree in Human Development. She then attended medical school at Loma Linda University School of Medicine, obtaining her Medical Doctorate. Following this, she completed her adult psychiatry residency training at the distinguished University of California, Irvine. Dr. Ratz has worked in a diverse range of healthcare settings, including county and community clinics, and is very experienced in telepsychiatry. She pays close attention to not only an individual's emotional state, but also their physical, spiritual, and social well-being, in order to provide her patients with exceptional holistic care.