Jenna McDonald, LMHC

Dr. Anil Joseph (AJ) Kulangara completed additional training in Psychiatry at the University of Washington after working primarily in women’s health, primary care, and military medicine as a Battalion Surgeon in the United States Army.  Following his military service, he trained in Psychiatry and served the mental health needs of our Veteran population. He is excited to now bring his unique expertise and experiences to Talkiatry, as well as his additional training in Women’s Mental Health, Reproductive and Perinatal Psychiatry, PTSD, and trauma-informed ADHD evaluation and treatment.

Dr. AJ’s approach focuses on behavioral change, with medication management and supportive therapies serving as important (and often essential) adjuvants to optimizing mental health.

During your first meetings with Dr. AJ, you should expect a thorough evaluation of your clinical and social histories, as well as some introductory psychoeducation.  Following that screening, anticipate a discussion about his approach to your condition and an initial treatment plan.  Please feel free to bring up any questions or concerns at any time during this process, and note-taking is highly encouraged!

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Dr. Patel is a distinguished psychiatrist with over 24 years of experience. He completed his psychiatric residency at the University of South Dakota School of Medicine, where he served as chief resident and earned the Outstanding Resident of the Year award. He then pursued a fellowship in Consultation-Liaison Psychiatry at Harvard Medical School/Beth Israel Deaconess Medical Center.

He is triple Board certified in Adult Psychiatry, Consultation-Liaison Psychiatry, and Sleep Medicine and also holds certification in Behavioral Neurology and Neuropsychiatry from the United Council for Neurological Subspecialties. These credentials reflect his expertise in psychiatry, neurology, and the management of complex psychiatric conditions in medically ill patients.

Dr. Patel has worked in diverse settings including inpatient units, psychiatric consult services, outpatient clinics, and nursing homes. He is skilled in neuromodulation treatments such as Electroconvulsive Therapy (ECT) and Transcranial Magnetic Stimulation (TMS).

In addition to clinical practice, he has served leadership roles of chairman of a psychiatric department, medical director of a behavioral health service line in a regional health system, and founder/CEO of a private psychiatric and TMS clinic. Dedicated to ongoing professional growth, Dr. Patel remains at the forefront of psychiatric advancements in psychiatric care, earning a reputation as a respected leader in the field.

Dr. Patel combines deep knowledge of neurobiology, behavioral health, and the mind-body connection to offer a collaborative, evidence-based, and holistic approach to care. He integrates diet, exercise, yoga, meditation, and lifestyle modifications with psychotherapy and medication management.

His approach emphasizes active listening, curiosity, compassion, and even humor—creating a warm and supportive environment. By encouraging patients to integrate their unique life experiences into their treatment, he fosters ownership, empowerment, and active participation in the healing process.

During your first visit, Dr. Patel will review your symptoms, medical and psychiatric history, past treatments, substance use, psychosocial factors, and family history. He will discuss treatment options—including risks and benefits—and determine if his expertise and the telehealth platform are the right fit for your needs. Your safety is his top priority.

Follow-up visits focus on monitoring progress, adjusting treatments, maintaining stability, and supporting your motivation to achieve your fullest potential.

Carla Delcambre is a bilingual (English/Spanish) Psychiatric Mental Health Nurse Practitioner who provides mental health care in both outpatient and inpatient settings. She works with diverse populations across the lifespan and brings a strong foundation in psychiatric assessment, diagnosis, and psychopharmacologic management. Her clinical practice is grounded in evidence-based medicine, ethical standards, and culturally responsive care to meet each patient’s unique needs.

Carla values open and honest communication and believes effective treatment is built on trust and collaboration. Her patient-centered approach places each individual’s experiences, goals, and perspectives at the heart of care. She is committed to creating a warm, supportive, and nonjudgmental environment where patients feel heard, respected, and empowered to actively participate in their mental health treatment.

Carla begins treatment by gaining a thorough understanding of each patient’s history, current concerns, strengths, and goals. Initial visits focus on comprehensive assessment and developing a shared understanding of treatment objectives. She then creates individualized treatment plans that may include medication management, psychoeducation, and ongoing evaluation, adjusting care as needs and goals evolve over time.

Helen Fitzpatrick, LCSW, is a Licensed Clinical Social Worker with over 20 years of experience supporting individuals and families through life’s challenges. She earned her Master’s in Social Work from Loyola University–Chicago and has worked in diverse settings, including crisis centers, hospitals, senior services, and the VA. Helen has extensive experience with adults and children with disabilities, caregivers, and veterans, as well as those managing trauma, medical recovery, or ongoing health issues.

Helen believes that therapy should be a collaborative and supportive process. She takes time to truly listen and understand her clients’ experiences, helping them identify goals that feel meaningful and attainable. Helen creates a space where clients can speak freely—especially when it feels difficult to open up to family or friends—and she brings compassion, patience, and understanding to every session.

Helen begins by exploring what her clients would like to focus on and works together with them to develop realistic and personalized goals. She values open communication and mutual respect, adjusting her approach to meet each person’s unique needs and pace. Her process emphasizes healing, empowerment, and helping clients build confidence as they move toward greater emotional well-being.

***Provider does not prescribe controlled substances*** Dr. David Eiler is a staff psychiatrist at Talkiatry. He is board certified in adult psychiatry. Before joining Talkiatry, Dr. Eiler was a staff psychiatrist at Dartmouth-Hitchcock Medical Center (DHMC), where he had an academic appointment and served as clinical director of transcranial magnetic stimulation (TMS) and intranasal esketamine services. In his practice, Dr. Eiler has focused on medication management and interventional techniques, including TMS, for the treatment of depression and other disorders. Dr. Eiler received his MD from the University of Wisconsin School of Medicine and Public Health and completed his residency at DHMC.

Casey Kohn is a Licensed Marriage and Family Therapist who holds a Master of Science in Counseling from California State University, Fullerton. During graduate school, Casey worked closely with the LGBTQIA+ community, building a strong foundation in inclusive and affirming care. Casey also spent six years in elementary school settings supporting children and families with social, emotional, and behavioral challenges. For the past two years, Casey has provided telehealth therapy to adults navigating stress, life transitions, and relationship concerns. Working across age groups has shaped Casey’s collaborative, compassionate approach to therapy.

Casey strives to create a warm, empathic, and nonjudgmental space where clients feel safe being themselves and sharing openly. Casey values authenticity in the therapeutic relationship and believes that connection is an important part of the healing process. When appropriate, Casey incorporates humor to help clients feel more comfortable and grounded during sessions. Through compassion, support, and collaboration, Casey works to ensure clients feel understood while moving toward meaningful and lasting change.

Casey begins by creating space for clients to share their story, current concerns, and what they hope to gain from therapy. Early sessions focus on understanding each client’s experiences and identifying goals together. Casey values collaboration and works alongside clients to develop a treatment plan aligned with their needs and priorities. Throughout therapy, goals are revisited and the approach is adjusted as needed to support continued growth and progress.