Jennifer Ruch, DO

Background and credentials

Dr. Shama Milon is a triple-board eligible physician in Pediatrics, Psychiatry, and Child and Adolescent Psychiatry. She earned her undergraduate degree from Duke University and her medical degree from the University of Cincinnati College of Medicine. She completed her combined training in Pediatrics, Psychiatry, and Child and Adolescent Psychiatry at the Icahn School of Medicine at Mount Sinai in New York, where she served as chief resident during her final year of training.

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Treatment approach

Dr. Milon specializes in treating mood disorders, anxiety, PTSD, ADHD, OCD, and patients with co-occurring psychiatric and medical conditions. She is dedicated to outpatient care, focusing on long-term relationships with her patients. Her treatment approach is comprehensive, integrating medication management with psychotherapy, including psychodynamic psychotherapy, cognitive-behavioral therapy (CBT), dialectical behavior therapy (DBT), play therapy, dyadic therapy, and family therapy. She emphasizes creating an empathetic, judgment-free space where patients and families feel supported and understood. If she believes additional therapy is necessary, she may recommend adding a therapist to the care team.

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What you can expect in a first visit

During the first visit, patients can expect a comprehensive psychiatric evaluation, where Dr. Milon carefully assesses physical, emotional, and psychological needs. She takes a holistic and patient-centered approach, ensuring that treatment plans are tailored to each individual’s unique circumstances. She prioritizes open communication and collaboration with both patients and families to create a structured, effective treatment plan that may include medication management and therapy interventions.

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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.

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Dr. Michael Locher completed Adult Psychiatry Residency Training at Los Angeles County, University of Southern California in which he focused two years of training in conducting Mindfulness Based Cognitive Therapy. Dr. Locher received his Bachelor of Science Undergraduate degree in 3 years with Phi Beta Kappa honors at University of Miami, Florida. In medical school at Stony Brook School of Medicine in New York, Dr. Locher was inducted into the Gold Humanism Honor Society while earning his Doctor of Medicine (MD) degree. Dr. Locher has held academic appointments at University of Southern California Keck School of Medicine, College of Osteopathic Medicine of the Pacific Western University of Health Sciences, and Ventura Community Memorial Health System Psychiatric Residency Training Program. He has an in interest working with immigrants and LGBTQ+ communities.  

Dr. Locher’s approach to medication management is that it is one tool to be used in the broader context of a multi-modal evidence-based treatment approach that draws upon psychotherapy, mindfulness skills, Buddhist psychology, psychedelic AKA “mind manifesting” studies, yoga philosophy, and other integrative practices. He understands that healing is an individualized process that cannot unfold without a safe space. Dr. Locher is dedicated to holding an approachable, empathic space where you can feel empowered to write the next chapter of your life.  

Dr. Locher is well versed in treating the full spectrum of mental illness. Having worked on multidisciplinary teams in acute inpatient psychiatric hospital settings, psychiatric emergency rooms, and mental health urgent cares for the better part of 10 years, he is comfortable helping with not just mild to moderate illness, but also the most severe cases of mental illness. Dr. Locher is especially motivated to work with you to maintain stability, avoid hospitalization, and more broadly, to achieve wellness.

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Dr. Tetyana Tarnavsky is a board-certified psychiatrist trained in Adult Psychiatry. She attended Dnipropetrovsk State Medical Academy in Ukraine where she received her M.D., M.S. and Ph.D. degrees in Psychiatry. Dr. Tarnavsky completed her residency at Harvard South Shore Psychiatry Residency Training Program in MA, where she was elected chief resident. Dr. Tarnavsky has an extensive research experience in Ukraine and the USA. She had studied computer addiction for her dissertation; had multiple abstracts and presentations; published several articles in peer-reviewed psychiatric journals as well as a book entitled Computer Addiction: Formation, Diagnosis, Correction and Prophylaxis. She has helped organize international conferences with the goal of improving access to and quality of healthcare in Dnipropetrovsk, Ukraine, and providing a national model for health care reform. Dr. Tarnavsky has worked with a variety of patients with diverse backgrounds in a Community Health Center and in the Partial Hospitalization Program as well as supervised medical students, psychiatry residents, and nurse practitioners. She has been a lecturer on psychiatry at Harvard Medical School and was involved in the training of psychiatry residents in the Harvard South Shore Psychiatry Training Program. Her primary focus has been on treating adults with depression, anxiety, post traumatic stress disorder, adjustment disorder, ADHD and other disorders. Dr. Tarnavsky strives to provide quality and compassionate treatment to individuals and their families.‍

Dr. Jessica Grimes is a board-eligible child and adolescent and adult psychiatrist. She is originally from Sylva, NC. She earned a bachelor's degree in religion and minored in biology at The University of the South in Sewanee, TN. She graduated cum laude and was inducted into the order of the gownsmen, an honor society. She earned her doctorate from the West Virginia School of Osteopathic Medicine in Lewisburg, WV. Dr. Grimes completed a traditional rotating internship through WVSOM at Our Lady of Bellefonte Hospital in Ashland, KY and completed residency training in psychiatry at Lake Erie College of Osteopathic Medicine in Erie, Pennsylvania. While in residency, she earned a master's degree in medical education from LECOM. She completed a fellowship in child and adolescent psychiatry at the University of South Carolina School of Medicine, Greenville. During her second year of fellowship at USC-Greenville, she received the "Child & Adolescent Psychiatry Fellow of the Year� award.

Dr. Routhier was born in Quebec, Canada. She attended medical school at Ross University School of Medicine and graduated in three years with high honors. She trained as a psychiatry resident at Case Western Reserve School of Medicine in Cleveland, OH where she served as a junior attending and the medical student coordinator. She then was recruited by Monterey County Behavioral Health, CA as a clinical psychiatrist where she provided medication management and psychotherapy services to over 400 patients over the course of five years. She also created and led two dialectical behavior therapy groups for teens and young adults while training therapists and social workers to become group facilitators.

Dr. Routhier firmly believes in the mind-body connection. She feels that when the mind suffers, the body hurts as well and vice versa. As a result, she has developed a holistic approach to psychiatry and is comfortable offering a wide array of treatment modalities such as breathwork, dialectical behavior therapy, guided meditation, supportive psychotherapy, behavioral activation and medication management. She maintains that autonomy and a thorough understanding of one’s diagnosis and prognosis are critical for progress and healing. Her broad range of worldly experiences gives her the ability to work in a non judgemental, open-minded and authentic fashion. She connects with clients with ease and is passionate about self-awareness, constant evolution and empowering people so they can find their own way to happiness and health. She pushes her clients to find ways to build a life worth living, way beyond the goal of symptom resolution typical to psychiatry.

1. Getting to know you/understanding your “why”. Why are you seeking mental health treatment and why now? 2. Establish a list of issues and improvement zones. 3. Creating therapeutic goals. What do you want to work on? 4. Choosing treatment modalities to directly address these goals within a specific time frame. I provide updated and evidence-based information, and YOU choose what we do. 5. Figuring out the root causes to problems, symptoms and maladaptive behaviors/habits. How did this all start? Where does it come from? 6. Regular check-ins on how the treatment plan and therapeutic relationship are working for you. Are we a good fit? Are we meeting your goals/expectations? If not, back to the drawing board!

Dr. Ankila S. Chandran is a board certified general psychiatrist at Talkiatry with over 20 years of experience treating a diverse population of patients. After graduating with her doctorate in Communication Theory and Research from the University of Southern California she attended the Touro University College of Osteopathic Medicine in Northern California and then completed her residency in Psychiatry at the University of Medicine and Dentistry of New Jersey and became board certified by the American Osteopathic Board of Neurology and Psychiatry in 2006. Dr. Chandran has spent the past 20 years fulfilling her passion for practicing integrated and holistic care for adults suffering from mental illness. Her years of experience include working as a Clinical Psychiatrist and Assistant Professor at Rowan University School of Osteopathic Medicine, being an examiner for the oral boards for psychiatrists seeking board certification, engaging in longer term inpatient treatment for chronically ill patients and facilitating consultation-liaison psychiatry with other medical specialties as well as practicing general outpatient psychiatry. Dr. Chandran has an informal and approachable style when treating individuals who suffer from a variety of complex diagnoses, she explains conditions well and helps educate her patients about how to be actively engaged in living their best lives. Concurrent with medication management, Dr. Chandran provides supportive psychotherapy and she has psychodynamic therapy skills that help address the root causes of her patients' distress. If Dr. Chandran feels you would benefit from working separately with a weekly to every other week therapist in conjunction with getting medication management, she welcomes collaboration with your therapist to achieve optimal results. Dr. Chandran strives to empower her patients in advocating for themselves and in achieving an optimal integration of their mental and physical health.