Irene Pastis, MD

Dr. Iris Guerrero Urena is double board-certified in psychiatry and consultation-liaison psychiatry. She received her medical degree from Universidad Iberoamericana in the Dominican Republic and went on to complete psychiatric residency at Lincoln Hospital in New York City. Dr. Guerrero then completed a consultation liaison fellowship at Morningside and West Mount Sinai Hospital in New York, further acquiring proficiency in caring for patients with complex medical and psychiatric comorbidities. After completing training, Dr. Guerrero worked in an acute inpatient unit and as a psychiatric consultant for patients admitted to medical units in Oregon. Dr. Guerrero Urena focuses on medication management while also implementing elements of supportive, dialectical behavioral, and cognitive behavioral therapy within each session to fully address individual needs. At times, Dr. Guerrero Urena may recommend a therapist for additional therapy. Dr. Guerrero Urena is experienced in treating a wide range of psychiatric conditions including depression, bipolar disorder, anxiety, PTSD, OCD.

Bryce Thacker grew up in a rural community, where he learned the value of helping others achieve their best selves to support overall community health and well-being. With a passion for helping people live their best lives, he earned his undergraduate degree in biology from the University of Nebraska and completed his nursing education at Creighton University. He went on to earn a Master of Science in Nursing, specializing as a Family Nurse Practitioner and in Community Health, from Creighton University, and later completed a nursing practice degree at the University of Colorado with a focus on population and community health. He also holds a post-graduate certification in psychiatric mental health from Washburn University.

Bryce practiced family medicine for 18 years before transitioning to psychiatric mental health in 2022. His background in both physical and mental health gives him a holistic perspective on care. Since shifting his focus, he has helped individuals improve their quality of life through medication management for mood disorders, PTSD, anxiety, ADHD, and other mental health conditions. He continues to live in a rural community with his family and remains committed to helping people become their best selves.

Bryce believes that each person’s “best self” is unique and that mental health care should meet individuals where they are. He emphasizes a collaborative, client-centered approach, always keeping the individual’s goals at the heart of care. He is dedicated to helping clients identify and overcome the symptoms and stressors that interfere with their well-being, and he works to dismantle limiting beliefs or labels that may have been placed on them.

By taking the time to understand each person’s challenges and aspirations, Bryce helps clients find sustainable, holistic paths to wellness. His care is grounded in empathy, respect, and a deep commitment to supporting each person’s journey toward a fulfilling and balanced life.

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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.

Xavier Diao, MD (he/him) is a board-certified psychiatrist. He earned his undergraduate degrees in Psychology and Biological Sciences at the University of Maryland, where he also obtained his medical degree. Dr. Diao completed his psychiatry residency at the Icahn School of Medicine at Mount Sinai, received additional training in child and adolescent psychiatry at Columbia and Cornell, and finished a psychoanalytic fellowship at the New York Psychoanalytic Society & Institute. Prior to joining Talkiatry, he was an Assistant Professor of Clinical Psychiatry at the University of Pennsylvania, where he provided clinical care and teaching along the undergraduate-graduate medical education continuum.

Dr. Diao's therapeutic orientation is informed by psychodynamic, cognitive behavioral, and dialectical behavior modalities. He has expertise in the treatment of a diverse range of mental health conditions, including depression, anxiety, OCD, and PTSD. Dr. Diao uses a developmentally informed and LGBTQ-affirmative approach in his practice, with the aim of enriching meaning and alleviating suffering in the domains of work, play, and love.

Dr. Diao begins each encounter with gentle curiosity, inviting patients to share their stories without fear of judgment. Together, he crafts an individualized treatment plan with the patient that may include medication, psychotherapy, and/or referrals to subspecialty care, always in close collaboration with other members on the treatment team.

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Dr. Jacob T. Kannarkat is an adult psychiatrist. Dr. Kannarkat's practice focuses on medication management. In his visits, he uses an integrative approach, blending an empathic, problem-solving orientation with an understanding that the reasons for an individual's condition can be complex. He has experience dealing with many forms of mental illness and works collaboratively with his patients and their other treatment providers in making a plan for recovery. Dr. Kannarkat completed undergraduate studies at the University of Florida. After receiving his medical degree at the University of Miami Miller School of Medicine, Dr. Kannarkat continued for residency at the University of Miami/Jackson Health System. He ultimately completed his training as Chief of Psychiatric Emergency Services at Yale School of Medicine. Dr. Kannarkat has experience working with adults of all ages who are dealing with depression, anxiety, bipolar disorder, PTSD, substance use disorders, and many other conditions.‍

Ekta Rathee, DNP, PMHNP-C, is an experienced psychiatric and mental health nurse practitioner with an extensive clinical background in a variety of patient care settings. Rathee's diverse clinical background has strengthened her belief in a holistic approach for optimal patient outcomes. Though her primary focus remains medication management of anxiety, depression, bipolar disorder, OCD, PTSD, ADHD, she equally supports and incorporates the principles of cognitive behavioral therapy, acceptance and commitment therapy, motivational interviewing and enhancement therapy, and supportive therapy in her daily patient care practice. Rathee truly believes in an individualized and holistic patient care approach, which requires a wealth of knowledge, experience, and a commitment to stay abreast of the latest in the field. Her favorite learning modality is to learn from unique patient care scenarios, which often requires a deep dive into the existing body of evidence-based knowledge. Her most important advice for her patients is to never lose hope.