Jacob Kannarkat , MD

Dr. Earl De Guzman is a psychiatrist who values therapeutic partnership, working with patients to balance symptom relief with meaningful self-exploration. He earned his BS in Psychology from the University of California, Davis, and his MD from Ross University School of Medicine. He completed his psychiatry residency at Los Angeles County + University of Southern California Medical Center and a consultation-liaison psychiatry fellowship at Stanford University Medical Center. He is triple-board-certified in psychiatry, consultation-liaison psychiatry, and addiction medicine, and holds psychoanalytic psychotherapy training certification from the Psychoanalytic Center of California. Currently, he is a psychoanalyst-in-training at the New Center for Psychoanalysis. His expertise spans medication management, supportive therapy, and psychodynamic therapy.

Dr. De Guzman takes a collaborative, patient-centered approach, creating a warm and nonjudgmental environment. He listens deeply, asks thoughtful questions, and encourages honest exploration of symptoms and underlying patterns. He values authenticity, curiosity, and respect for each patient’s unique experiences. While symptom relief is important, his goal is to foster self-understanding and long-term growth. He works best with patients open to collaboration and motivated for change, whether through medication management, therapy, or both.

Dr. De Guzman begins with a consultation phase to ensure a good fit, listening carefully to understand each patient’s challenges and goals. Together, he and his patients build a working alliance by clarifying difficulties, identifying realistic changes, and exploring deeper patterns. When appropriate, he prescribes medication thoughtfully, aiming to support therapy rather than replace it. Each session integrates supportive and psychodynamic elements, combining medication review with therapeutic dialogue. Treatment plans are regularly revisited, allowing flexibility and growth, with the ultimate aim of empowering patients toward lasting change.

Dr. Li is a board-certified adult psychiatrist based in Florida. He has a particular focus on combining supportive psychotherapy techniques with medication management in the treatment of psychiatric conditions. Some conditions he has particular experience in managing include attention/focus difficulties, anxiety, depression and bipolar mood issues, but he is well-versed in addressing a wide variety of diagnoses.

Dr. Cabrera is a board‐certified psychiatrist with several years of experience working with an ethnically and culturally diverse population in outpatient, inpatient, and psychiatric emergency room settings. Most recently, Dr. Cabrera practiced privately treating adults with a wide range of mental illnesses both in person and via telepsychiatry. Prior to this, she was an attending psychiatrist in the outpatient department and in the Comprehensive Psychiatric Evaluation Center at Mount Sinai Beth Israel where she also served as Associate Training Director of Psychiatric Residency Training. Dr. Cabrera has a strong background in psychopharmacology and supportive and psychodynamic psychotherapy.

Dr. Priya Mukhopadhyay is a board certified adult psychiatrist. She completed her psychiatry residency training at Richmond University Medical Center in NYC. She has practiced in various settings over her career including inpatient, outpatient, comprehensive psychiatric emergency program (CPEP), and the consult liaison service to name a few. She has experience providing patients with compassionate psychiatric care treating patients with anxiety, depression, bipolar disorder, PTSD, family and relationship issues, as well as other mental health issues. Dr. Priya's practice focuses on medication management. Typically, she offers this in conjunction with supportive or emotionally focused therapy in 30-minute follow-up visits. The philosophy of her practice is to collaborate with patients to meet their specific needs and make an impact in various stages of their lives. Growing up in NYC as a South Asian American female in medicine, Dr. Priya strongly values diversity and compassion and strives to make her patients feel heard, validated, and comfortable at all times.

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. Cindy Rossetti is board certified in Adult Psychiatry. She has been practicing for over 13 years. Dr. Rossetti received her medical degree from The University of Arkansas for Medical Sciences in Little Rock. She completed her general psychiatry residency at the University of Kentucky in Lexington where she was chief resident. She worked at Eastern State Hospital in Kentucky treating severe and persistent mental illness. She spent most of her post-graduate time providing outpatient care in a rural and underserved area of Arkansas. Dr. Rossetti offers both medication management and therapy together in 30- and 45-minute follow-up visits. Dr. Rossetti enjoys treating adults of all ages. Her areas of interest include ADHD, Depression, Anxiety, and Autism in adults. She enjoys addressing areas such as personal growth, stress management and self-care. Her treatment is patient-centered and geared toward individual healing and wellness.