Julia Wellin, MD

Kelvin is an experienced Licensed Independent Social Worker who has worked in a variety of clinical and non-clinical settings. Kelvin's years of experience include work as a case manager, mental health therapist, substance use and mental health group facilitator, a lead clinician for a school-based services program and coordinator for adventure-based programming. This experience has allowed Kelvin to serve in a variety of settings, including: schools, homes, hospitals, and outpatient clinics, as well as working with individuals from nearly every age range; anywhere from kindergarten-aged school children to adults in a nursing home and almost everywhere in between. ‍Kelvin places great importance on making treatment a unique experience for every individual, strongly believing that there is no single uniform answer to an individual's problems and solutions should be tailored to that person's specific life circumstances. Kelvin has a foundation in Cognitive Behavioral Therapy, but utilizes practices as appropriate from a variety of treatment styles, including Dialectical Behavioral Therapy, Trauma-Informed Care, Behavioral Activation, Play Therapy and many more.

Jennifer Garner is a board-certified Family Psychiatric Nurse Practitioner with Talkiatry. She obtained a Bachelor of Science in Nursing from the University of Tennessee, Knoxville, in 2009 and a master's degree from Vanderbilt University in 2011. Jennifer enjoys treating all adults and has outpatient experience with community mental health, corrections, and private practice. Besides outpatient care, she has worked in crisis stabilization and ambulatory detox for adults with primary psychiatric and dual diagnosis illnesses. Jennifer is skilled in treating a wide range of conditions including ADHD, bipolar disorder, substance misuse, anxiety, OCD, and PTSD. She is committed to fostering a welcoming and inclusive environment, ensuring all gender identities feel safe and respected. With a focus on patient-centered care, her approach is carefully tailored to each person's individual needs and goals, promoting a collaborative therapeutic relationship. During appointments, she combines medication management with therapy techniques to empower patients with the skills for their well-being. Appointments are as unique as each individual that she meets with. If you're ready (and even if you're not so sure) take the first step and let's talk.

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. Alexandra Held is a general psychiatrist who holds a bachelor’s degree in psychology. She completed her psychiatry training at the University of Miami Miller School of Medicine. Her clinical interests include mood and anxiety disorders, PTSD, and OCD. She is passionate about incorporating psychotherapeutic tools into her practice, including supportive psychotherapy.

Dr. Held takes a warm, collaborative, and nonjudgmental approach to care. Her goal is to create a safe and supportive space where patients feel heard and empowered to take an active role in their treatment, using a combination of supportive psychotherapy and medication management.

During the first few sessions, Dr. Held will take time to get to know the patient—their history, current concerns, and what they hope to achieve through treatment. Together, they will develop a comprehensive plan that may include psychiatric medications and supportive therapy. Follow-up visits are typically focused on checking in, adjusting treatments if necessary, and continuing to build on progress.

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Megan O’Brien is a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP) with experience in inpatient, outpatient, and emergency mental health settings. She earned her NP degree from UCSF, the top-ranked program in the country at the time. In addition to clinical work, she enjoys teaching and is passionate about training the next generation of compassionate psychiatric nurse practitioners.

Megan believes in meeting patients where they are, offering empathy, respect, and acceptance. She values open communication and sees treatment as a collaborative process. Her approach empowers patients to take the lead in their care while she supports them as a partner and guide along the way.

Megan begins by listening carefully to each patient’s story and asking relevant questions to understand their needs. Together, she and the patient build a tailored treatment plan that aligns with their goals. Her focus is on reducing mental health symptoms and helping people experience greater freedom and flexibility in their lives.

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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