Ioana Horotan-Enescu, DO

Dr. Sumbal Akhter graduated from the University of Nevada at Las Vegas Psychiatry residency program. She has a wide range of experience, having worked at the VA, consult liaison psychiatry, and multiple inpatient/outpatient settings. She provides supportive psychotherapy and takes an integrative approach to her practice.

Background  and credentials    

Dr. Christine Reyes is a bilingual Spanish-speaking adult psychiatrist with  25 years of experience. She completed her residency in Adult Psychiatry at  Saint Vincent's Hospital and Medical Center in New York City and subsequently  completed a Child Psychiatry fellowship at the University of Pennsylvania in  Philadelphia. Dr. Reyes has extensive experience practicing in outpatient and  community mental health settings.    

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Treatment approach    

Dr. Reyes provides compassionate psychiatric care using pharmacotherapy  combined with supportive psychotherapy. She specializes in treating anxiety,  depression, bipolar disorder, post-traumatic stress disorder (PTSD), and  numerous other psychiatric conditions. Additionally, Dr. Reyes emphasizes  nutritional counseling, assisting patients in achieving and maintaining a  healthy weight as part of their overall wellness plan.    

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What you can expect in a first visit    

Patients can expect a compassionate and thorough initial assessment aimed  at understanding their psychiatric symptoms, personal health goals, and  lifestyle considerations. Dr. Reyes combines medication evaluation with  supportive psychotherapy and may discuss nutritional guidance as part of a holistic  treatment plan. She prioritizes creating a supportive environment for  bilingual (English/Spanish) patients to openly discuss their mental health  concerns.    

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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.

Dr. Niles (he/him) holds the position of Staff Psychiatrist at Talkiatry. He has four years of experience in outpatient psychiatry and is board-certified for adult psychiatry. He has received training in the use of cognitive behavioral therapy, supportive therapy, motivational interviewing, psychodynamic therapy, and dialectical behavioral therapy skills. He uses his training in therapy in tandem with medicine management to provide holistic, person-centered care. During his undergraduate studies at the University of Pittsburgh, while completing his pre-medical classes, he also pursued certification in the history and philosophy of medicine. Additionally, he studied the effect of culture and ethics on healthcare. He earned a Bachelor of Science in Psychology with a minor in Chemistry. He attended medical school at the West Virginia School of Osteopathic Medicine. His psychiatry residency training was completed at Charleston Area Medical Center. While in residency, he worked to improve cultural awareness in the outpatient setting. Dr. Niles is interested in treating patients with a wide variety of diagnoses. He treats mood disorders, anxiety disorders, trauma-related disorders, personality disorders, OCD, comorbid addiction, mild eating disorders, neurodevelopmental disorders such as autism spectrum disorder, and more. He also strives to provide care that affirms LGBTQIA+ identities and underwent additional training in transgender mental healthcare.

Dr. Sabrina Lefcochilos-Fogelquist earned her bachelor’s degree from Georgetown University and her medical degree from Sidney Kimmel Medical College at Thomas Jefferson University. She completed her psychiatry residency at the Icahn School of Medicine at Mount Sinai Morningside/West in New York City. She has experience in outpatient, inpatient, and emergency psychiatry, treating a broad spectrum of mental health conditions across diverse populations.

Dr. Lefcochilos-Fogelquist values compassionate, holistic care and strives to build long-term, collaborative relationships with her patients. She is particularly drawn to the outpatient setting, where she can engage with the evolving narratives of her patients’ lives. She creates a warm, supportive environment where individuals feel safe, respected, and heard.

Her process begins with a comprehensive evaluation to understand each patient’s history, concerns, and goals. Treatment plans are individualized and may include medication management and psychotherapy. She integrates supportive, cognitive behavioral, psychodynamic, and mindfulness-based techniques to meet patients' evolving needs.

Dr. Mary Stephenson is a board-certified Child and Adolescent Psychiatrist with more than 25 years of clinical experience working with this population. Dr. Stephenson's practice focuses on medication management. She believes that the support and involvement of the family are an integral part of the treatment of the client. Additionally, more therapy support may be needed on occasion, and the recommendation to bring a psychotherapist on the care team may occur to provide an optimal outcome. She received her medical degree from Wright State University in Dayton, Ohio. She completed her psychiatry residency at the University of Louisville School of Medicine, and her child and adolescent training at the Bingham Child Guidance Center, also part of the University of Louisville, in Louisville, Kentucky. After completion of her training, she moved to Colorado where she worked at The Cleo Wallace Center, in Westminster, CO, providing care for hospitalized youth, and clients in the Day Treatment and Residential setting. In 2000, Dr. Stephenson became the primary Child and Adolescent Psychiatrist on the outpatient team at Denver Health Medical Center in Denver, Colorado. Her role was providing diagnostic evaluations, and medication management in Federally Qualified Health Centers (FQHCs), and the hospital clinic, working closely with residents, child fellows, and other trainees. She had an academic appointment through the University of Colorado School of Medicine. She treated a varied demographic and had a wide range of diagnoses in the child and adolescent population. From 2016-2021, she worked at Intermountain Health Center in Tucson, AZ providing care in the outpatient setting of the community mental health center. The care was a hybrid model of "in-person” and Telehealth treatment of children and adolescents with various disorders, with an emphasis on diagnostic evaluations of Autism and Autism spectrum disorders.‍

Dr Cardiel- Sam is Board Certified in both General Psychiatry and Child and Adolescent Psychiatry. He completed undergraduate training at University of Miami followed by medical school at St. Georges University. He has completed Residency in Psychiatry at Bergen New Bridge Medical Center and fellowship training for Child and Adolescent Psychiatry at Penn State University.  

His training in Child and Adolescent Psychiatry has given him a unique perspective on mental illness. He has found that these conditions rarely start in adulthood, but rather, are a product of multiple factors and years of lived experience. For this reason, Dr Cardiel- Sam approaches his patients through a trauma informed lens; an acknowledgement of the unique story and challenges that each individual has faced. He is comfortable treating a wide variety of psychiatric conditions including depression, anxiety, bipolar disorder, ADHD and many more.

Working with Dr Cardiel- Sam, you can expect holistic and collaborative psychiatric treatment. He believes that medication along with therapeutic treatment should fit seamlessly into a patient’s life, with minimal inconvenience. He strives to empower patients in shared medical decision making, making time to explain risks/benefits and alternatives for treatment.