Jenny Joseph, MD

Dr. Reinhart’s practice is influenced by his training and research in political and medical anthropology, psychoanalysis, and social psychiatry. He views mental health as inseparable from history, culture, and social context––not just neurobiology. His approach ensures patients time to elaborate how their life history shapes their experiences and goals. In a healthcare system that often relies on generic diagnoses and standardized plans, Dr. Reinhart works with each patient on their own terms, integrating psychotherapy and potential medications to support the pursuit of their unique life possibilities.

Dr. Reinhart often works with writers, actors, musicians, and visual artists and with journalists, academics, athletes, healthcare workers, and activists, many of whom seek treatment in response to creative blocks, burnout, and relationship struggles. He also has long-term experience working with people who have lived through incarceration, war, torture, migration, childhood abuse, and psychosis, and with those building queer and trans identities and communities.

To facilitate durable changes, Dr. Reinhart regards psychiatric symptoms as matters to be taken seriously, understood, and worked through, not simply suppressed by medications. He asks patients to actively engage in treatment and often recommends frequent appointments to support this.

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Background and credentials

Dr. Sabera Saklayen is a board-certified psychiatrist licensed in Adult Psychiatry. She earned her bachelor’s degree from Ohio State University and her medical degree from Wright State University Boonshoft School of Medicine. She completed her psychiatry training at Stony Brook University Hospital, where she served as chief resident and was awarded the William Turner Award for outstanding performance in psychiatry residency. She has extensive experience treating diverse populations, including vulnerable and underserved communities, having worked as an outpatient psychiatrist at Bellevue Hospital for two years.

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Treatment approach

Dr. Saklayen specializes in medication management but takes a holistic, patient-centered approach that integrates supportive therapy, cognitive-behavioral therapy (CBT), and motivational interviewing (MI). She has extensive experience treating depression, bipolar disorder, generalized anxiety, panic disorder, social anxiety, OCD, insomnia, and substance use disorders. She is particularly skilled in treating college students and individuals navigating difficult life transitions. If more in-depth therapy is needed, she may refer patients to a therapist as part of a comprehensive care plan.

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What you can expect in a first visit

During the first visit, patients can expect a thorough and compassionate evaluation, where Dr. Saklayen carefully assesses symptoms, history, and treatment goals. She prioritizes collaboration and individualized treatment planning, ensuring that patients feel comfortable and supported in their mental health care. Follow-up visits are typically 30 minutes and focus on medication management and therapy integration, with referrals to additional therapy when needed for the best possible outcome.

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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. Carder has been practicing for over 20 years in general adult psychiatry. She is board certified by the American Board of Psychiatry and Neurology and has a certification in Elder Law. She has advanced training in psychopharmacology, which she earned with distinction. Dr. Carder's practice focuses on medication management. Typically, she offers this in conjunction with supportive therapy in 30-minute follow-up visits. However, occasionally Dr. Carder may believe that additional therapy is also needed and ask that you bring a therapist into your care team to provide the best outcome. She received her medical degree from the University of Toledo, College of Medicine and Life Sciences, where she was given the outstanding medical student award by the Department of Head and Neck Surgery. She completed her internship with the Department of Family Medicine and completed her residency with the Department of Psychiatry both at the University of Toledo, College of Medicine and Life Sciences. Throughout her career, she has been the Medical Director of two Community Mental Health Centers and is also the Corporate Medical Director for a company providing neuropsychiatric and general psychiatric care to patients residing in nursing facilities. She received her certification in Elder Law through the Mitchell Hamline School of Law. She has also been a preceptor for numerous universities and has trained advanced practice providers in psychiatry. In addition to general adult and geriatric psychiatry, Dr. Carder's areas of interest include complex psychiatric and medical conditions, neuropsychiatric issues, and treatment-resistant cases. She enjoys using her medical expertise to solve difficult cases. She has an interest in exploring combined traditional psychiatric practice with complementary and holistic approaches to treatment and believes in keeping her patients healthy rather than only addressing illness.

Dr. Nicholas Sahagian is a Psychiatrist in Colorado who has been practicing since 2023. He completed his MD and Adult Psychiatry Residency at the Chicago Medical School at Rosalind Franklin University and earned his BA in Neuroscience at Skidmore College. Dr. Sahagian has experience managing a broad array of complex psychiatric diagnoses in patients of diverse socioeconomic, cultural, and clinical backgrounds. Outside of work, he enjoys hiking, biking, skiing, playing guitar, reading, and collecting board games.

Dr. Sahagian offers psychiatric medication management while also incorporating elements of cognitive behavioral therapy, motivational interviewing, internal family systems, and lifestyle interventions. He believes that every patient is unique, and he works to create a supportive environment where individuals feel heard and empowered in their care.

Grounded in the biopsychosocial model, Dr. Sahagian takes a collaborative, patient-centered approach. He partners with patients to develop personalized treatment plans that integrate biological, psychological, and social factors, with the goal of guiding them along their path to improved wellness.

Dr. Stephen Cox earned his medical degree and completed his residency at the University of Toledo Medical College. He is a board-certified psychiatrist with over 20 years of experience providing care in outpatient, inpatient, university health, nursing home, and correctional settings. He has developed treatment relationships with patients from diverse backgrounds, enriching his clinical knowledge and informing his decision-making. Outside of work, he enjoys spending time with his family, hiking, and listening to music.

Patients working with Dr. Cox can expect a relationship grounded in respect, empathy, and collaboration. He prioritizes listening carefully, creating a safe space to share thoughts and history without judgment.

Early sessions involve a thorough assessment of symptoms, life circumstances, medical history, and personal goals. Dr. Cox collaborates with patients to balance therapy, lifestyle adjustments, and medication. He regularly reviews progress and adjusts care based on feedback, ensuring patients feel understood as whole individuals. The treatment relationship is a partnership that promotes healing, growth, and well-being.

Dr. Delima-Tokarz is double Board Certified in Psychiatry and Lifestyle medicine. She completed her psychiatry residency training at the University of Maryland/Sheppard Pratt, where she served as the chief resident. She has practiced in various settings over her career, including working for the Department of Defense, private practice, and community mental health. Dr. Delima-Tokarz is fluent in Portuguese, English, and Spanish. Dr. Delima-Tokarz has more than five years of experience treating patients with anxiety, depression, PTSD, Bipolar, OCD, ADHD, and other mental health issues. She employs pharmacotherapy along with supportive therapy and integrative approaches. Dr. Delima-Tokarz is currently working on completing her Ph.D. in Integrative Medicine and is passionate about a holistic and integrative approach to mental health. Her philosophy includes a healing-oriented approach that considers the whole person, including all lifestyle aspects. Dr. Delima-Tokarz aims to provide collaborative and comprehensive care, which may include medication management, lifestyle interventions, stress reduction techniques, and other integrative approaches. She believes building a strong therapeutic relationship where the patient feels empowered is the key to healing.‍