Jennifer Ruch, DO

Dr. Clara Kim is a board-certified psychiatrist trained in Adult Psychiatry. She received her medical degree from Yale University and completed her residency training at Cambridge Health Alliance - Harvard Medical School, where she served as Chief Resident of Quality Improvement. Dr. Kim treats each patient with a holistic, evidence-based approach that incorporates psychopharmacological and psychotherapeutic best practices. Her priority is to build a safe and trusting working relationship with each patient, keeping in mind their unique biological, psychological, social, and spiritual contexts. Dr. Kim has extensive experience treating depression, anxiety, trauma-related disorders, personality disorders, OCD, and perinatal conditions such as postpartum depression. Other professional interests include forensic psychiatry, combined psychopharmacological and psychotherapy treatment, and ECT, in which she was certified by the Beth Israel Deaconess Medical Center. She has worked with individuals from diverse backgrounds and all socioeconomic strata.

Dr. Bianca Fleming is a double board-certified psychiatrist in Adult and Child and Adolescent Psychiatry. She completed her undergraduate studies at the University of Georgia, earned her MD from Morehouse School of Medicine, completed psychiatry residency at the University of North Carolina at Chapel Hill, and a child and adolescent fellowship at Emory University School of Medicine. She has experience across inpatient, outpatient, and integrative community health settings.

Dr. Fleming values gathering thorough information through a warm, conversational interview style. She strives to create a supportive therapeutic space while maintaining a balanced sense of patient accountability to promote meaningful progress.

Her approach emphasizes shared agenda setting at every visit to ensure both patient and provider needs are met. Dr. Fleming takes a detailed history to guide clinical decisions, prioritizes patient education, and delivers evidence-based, patient-centered care. She integrates psychotherapy into all medication management appointments to support holistic treatment.

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Jackie LaVe' is a board certified Psychiatric Mental Health Nurse Practitioner. She is also dually certified as a Family Nurse Practitioner. She received her master’s degree and post-master’s certificate from Vanderbilt University. Jackie has 12 years of experience as a nurse and over 7.5 years of experience as a Nurse Practitioner. Jackie is licensed to practice in Montana, Arizona and New York.

Jackie LaVe’ offers a patient centered approach, working with individuals aged 18-65. She believes in engaging patients in the decision-making process. Jackie has professional interests in treating a wide range of adult psychiatric conditions including depression, anxiety, trauma, ADHD, OCD, panic, autism and bipolar disorder.

She provides psychiatric assessments and medication management along with brief supportive psychotherapy. She believes in educating patients, so they are empowered to work together to create treatment plans that improve their health and quality of life. Jackie has additional education and experience in cognitive behavioral therapy, mindfulness and motivational enhancement. Jackie can also review if adding a therapist to your care team could improve outcomes.

Background and credentials

Dr. Tyler Josephs is a staff psychiatrist at Talkiatry. He earned his medical degree from Kansas City University in 2017 and completed his psychiatric residency at the University of Kansas Medical Center in 2021. During his residency, he served as Chief Resident at both the University of Kansas Medical Center and the Kansas City VA Medical Center. Most recently, Dr. Josephs worked at the Kansas City VA Medical Center, where he was the psychiatric director of the outpatient mental health clinic and served as Psychiatry Executive for behavioral health services.

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Treatment approach

Dr. Josephs believes in a holistic approach to mental health treatment, integrating medication management, supportive psychotherapy, and collaboration with therapists and support staff. He tailors treatment to each patient's unique needs, ensuring a comprehensive and individualized approach to care. His expertise includes treating a variety of psychiatric diagnoses, such as depression, anxiety disorders (including OCD), ADHD, and PTSD.

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What you can expect in a first visit

In a first visit, patients can expect a thorough evaluation, where Dr. Josephs takes the time to understand their medical history, symptoms, and treatment goals. He emphasizes open communication and collaborative decision-making, ensuring that patients feel heard and supported. Based on this initial assessment, he will develop a personalized treatment plan, which may include medication management and referrals to therapy or other supportive services as needed.

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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. Khandie Graham is a board-certified psychiatrist who completed her medical training at UCLA/Drew Medical Education and her psychiatry training at University of California, San Francisco/Fresno in 2013. She has served as a psychiatrist in the United States Air Force and prior to joining Talkiatry, was an inpatient psychiatrist. Dr. Graham's practice focuses on medication management. Typically, she offers this in conjunction with supportive therapy in 30-minute follow-up visits. However, occasionally Dr. Graham may believe that additional therapy is also needed and ask that you bring a therapist into your care team to provide the best outcome. Dr. Graham treats all adults and specializes in depression, bipolar disorder, anxiety disorders, ADHD, and life changes. She prides herself in partnering with patients to create individualized treatment plans. Dr. Graham is a great listener and spends time with her patients.

Dr. Natalia Roque is a psychiatrist who received her BA in Biology from the University of Chicago and her medical degree from Loyola University Chicago Stritch School of Medicine. She returned to the University of Chicago to complete her psychiatry residency, where she served as Chief Resident of the outpatient psychiatry clinics and was a member of the Diversity, Equity, and Inclusion Committee. She has experience treating patients across inpatient, outpatient, and consultation-liaison psychiatry settings, with additional training in treatment-resistant depression, trauma, neuropsychiatry, ECT, ketamine, geriatric psychiatry, student counseling, LGBTQ+ mental health, women’s mental health, and culturally sensitive care.

Dr. Roque believes in building a strong therapeutic alliance grounded in empathy, respect, and curiosity. She values collaboration and open communication, ensuring that patients feel like active partners in their care. Her goal is to create a safe, supportive space where individuals feel understood as whole people, not defined solely by their symptoms. She also prioritizes incorporating cultural background and social determinants of health, including financial stressors and systemic barriers into treatment planning.

In her work, Dr. Roque begins by taking time to understand each patient’s unique story, experiences, and goals. She approaches care through a trauma-informed lens and with cultural sensitivity to ensure treatment feels safe, respectful, and relevant. Her process integrates evidence-based approaches, including psychodynamic therapy and cognitive behavioral therapy (CBT), while tailoring care plans to meet both clinical needs and patient preferences. Dr. Roque regularly checks in on progress, invites feedback, and adjusts treatment collaboratively to support an ongoing, responsive therapeutic process.