Jenny Joseph, MD

Dr. Sabrina Lefcochilos-Fogelquist earned her bachelor’s degree from Georgetown University and her medical degree from Sidney Kimmel Medical College at Thomas Jefferson University. She completed her psychiatry residency at the Icahn School of Medicine at Mount Sinai Morningside/West in New York City. She has experience in outpatient, inpatient, and emergency psychiatry, treating a broad spectrum of mental health conditions across diverse populations.

Dr. Lefcochilos-Fogelquist values compassionate, holistic care and strives to build long-term, collaborative relationships with her patients. She is particularly drawn to the outpatient setting, where she can engage with the evolving narratives of her patients’ lives. She creates a warm, supportive environment where individuals feel safe, respected, and heard.

Her process begins with a comprehensive evaluation to understand each patient’s history, concerns, and goals. Treatment plans are individualized and may include medication management and psychotherapy. She integrates supportive, cognitive behavioral, psychodynamic, and mindfulness-based techniques to meet patients' evolving needs.

Background and credentials

Dr. Phillip Azouz is a board-certified general adult psychiatrist. He earned his medical degree from the University of Michigan Medical School, where he was awarded the Albert M. Barret Award for Distinguished Performance in Psychiatry. He completed his psychiatric residency at Florida Atlantic University. Prior to medical school, he obtained his undergraduate degree in economics with honors from the Wharton School of the University of Pennsylvania. His background includes research at the Heinz C. Prechter Bipolar Research Center and the Benson-Henry Institute for Mind-Body Medicine at Massachusetts General Hospital. Additionally, he worked as a Mental Health Specialist at McLean Psychiatric Hospital.

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Treatment approach

Dr. Azouz provides a relaxed, conversational, and non-judgmental space for patients to reflect on and integrate all aspects of their lives. He believes that vulnerability is key to healing and growth and works with individuals seeking to improve mood, reduce anxiety, enhance sleep, boost attention, or heal from trauma. His approach blends the latest research in medical treatment with insights from psychotherapy and coaching. He specializes in treating major depression, anxiety disorders, ADHD, bipolar disorder, PTSD, OCD, addiction, and personality disorders.

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What you can expect in a first visit

During the first visit, patients can expect a comprehensive and collaborative evaluation where Dr. Azouz takes the time to understand their symptoms, challenges, and goals. He fosters an open and supportive environment, ensuring that treatment plans are personalized and aligned with each patient’s unique needs. His approach integrates evidence-based medication management, psychotherapy techniques, and coaching strategies to help patients achieve their full potential.

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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. Farias is a board-certified physician in both adult and child & adolescent psychiatry, with a focus on the diagnosis and treatment of depressive disorders, anxiety disorders, trauma- and stressor-related disorders, and ADHD. Dr. Farias graduated magna cum laude with a Bachelor of Science degree from the University of Houston, majoring in Biology with a minor in Chemistry. She then pursued her medical education at Texas Tech University Health Sciences Center, earning her Doctor of Medicine degree. Dr. Farias completed a three-year psychiatric residency at TTUHSC, followed by fellowship training in child and adolescent psychiatry. She completed her first year of fellowship at the University of Texas Medical Branch in Galveston and her second year at TTUHSC. With a diverse clinical background, Dr. Farias has gained experience in a variety of settings, including academic psychiatry, consult liaison psychiatry, intensive outpatient programs (IOP), partial hospitalization programs (PHP), emergency psychiatry, and outpatient psychiatry. This broad range of experience allows her to provide comprehensive, individualized care to patients at all stages of life. Dr. Farias takes a holistic approach to treatment, incorporating both medication management and psychotherapy. She utilizes principles from Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), and supportive psychotherapy, recognizing that a combined approach leads to better outcomes for patients.

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.

Dr. Nathan Schulz attended the Ohio State University College of Medicine where he received his degree before completing a residency in psychiatry at the University of Illinois, Chicago. After several years working with veterans at the Jesse Brown VA in Chicago, he returned to his home state of Iowa in 2022. Since then, he has continued to work with a wide variety of clients and conditions in both inpatient and outpatient settings, including at the University of Iowa and Clive Behavioral Health hospital.

Dr. Schulz values open, honest, and ongoing dialogue about how mental health treatment can improve wellbeing and lead to healing. Over time, he tailors treatment recommendations based on individual needs, which may include medication, therapy, lifestyle changes, or other approaches. He avoids a one-size-fits-all model and creates an environment where patients feel respected, understood, and supported as unique individuals.

In the first meeting, Dr. Schulz works to understand each patient’s goals, experiences, and preferences. Some arrive knowing what they want, while others are new to exploring mental health challenges. His goal is to meet patients where they are and adjust treatment focus as needs evolve. He emphasizes collaborative decision-making, clearly discussing treatment options, pros and cons, and next steps, while ensuring patients feel informed and empowered throughout care.

Dr. Kothari's treatment approach begins with establishing a good therapeutic rapport with her patients and listening to her patients so that they feel heard. Dr. Kothari likes to spend time providing psychoeducation on medications when discussing the treatment plan. Dr. Kothari's practice focuses on medication management primarily, but may incorporate supportive psychotherapy during medication visits. Dr. Kothari may recommend additional psychotherapy if she feels a patient may benefit from this. Dr. Kothari's current practice does not include the use of any controlled substance medications, such as stimulants, benzodiazepines, and certain sleep aids.