Karel Routhier, MD

Dr Mark Giordano is a board-certified psychiatrist with over ten years of experience in adult psychiatry, addiction medication, pregnancy and post-partum care, complex medical consultation, and military health. Dr G practices psychodynamic psychotherapy as well as evidenced based medication management. Dr G has extensive experience working with culturally diverse populations, and is an Army veteran who deployed to Korea and Afghanistan.

Patients often describe Dr G as caring, providing clear explanations, and responsive to concerns.   Dr G highly values his patients trusting him to listen and respect them, as well as in his clinicial skills.  He works hard at helping his patients understand his approach to treatment, and what is happening along the way and why. He may be the medical expert, but he and his patients are partners working together in the process of achieving better health and functionality for them so they can live their best lives.

Dr G starts by explaining his overall approach to medication management and his goal of helping his patients live a better life free of disability. He conducts a detailed evaluation of your concerns, your experiences, and your priorities in treatment.  Dr G develops a unique treatment plan based on your unique needs. He emphasizes positive developments over the course of your work together and makes sure you always have a chance to discuss any questions or concerns you want him to know and answer.

Dr. Thistlethwaite is a board eligible adult psychiatrist and internal medicine physician. He completed his medical education at West Virginia University School of Medicine. Following completion of medical school, Dr. Thistlethwaite completed residency training at WVU/Charleston Area Medical Center with a dual specialization in internal medicine and psychiatry. Dr. Thistlethwaite's training included treatment of patients both in the inpatient and outpatient setting as well as management of patients with comorbid medical conditions. During his training Dr. Thistlethwaite became passionate about approaching patients in a holistic manner that addressed both their physical and mental health. He is especially passionate about ensuring that patients with mental health disorders are provided with appropriate general medical care as they are a marginalized and underserved group. Dr. Thistlethwaite's practice focuses on medication management for a wide array of conditions including depression, anxiety disorders, bipolar disorder, obsessive compulsive disorder, tic disorder/Tourette's, and post traumatic stress disorder. Dr. Thistlethwaite incorporates supportive psychotherapy, cognitive behavioral therapy interventions, and some psychodynamic therapy skills in his practice as well. Dr. Thistlethwaite believes in a collaborative and holistic approach to mental healthcare that incorporates the patient as well as all members of the healthcare team in every aspect of care.

Dr. Patricia Klaine is an attending physician working at Talkiatry. She is board certified in adult psychiatry. After completing her training in adult psychiatry, she continued her education by completing a fellowship in consultation-liaison psychiatry, which enables her to treat patients with a variety of medical comorbidities confidently. Dr. Klaine focuses on medication management. She offers this in addition to supportive psychotherapy in 30-minute follow up visits. For some patients, it may be important to bring in additional psychotherapy for well-rounded care. Dr. Klaine received her medical degree from St. George's University in Grenada, and after that, she completed her training in general adult psychiatry at Maimonides Medical Center in Brooklyn, New York. She went on to complete a fellowship in consultation-liaison psychiatry at Mount Sinai Hospital in New York. After completing her training, she worked on an inpatient psychiatric unit before deciding to transition into outpatient psychiatric care. She looks forward to a collaborative relationship with her patients.

Dr. Dalhy is a psychiatrist with a practical, patient-centered approach to care. She earned her Associate of Arts Degree in General Studies from Valencia College, followed by a Bachelor of Science in Biomedical Sciences from the University of Central Florida. She completed a post-baccalaureate program in Health Sciences before earning her Doctor of Osteopathic Medicine from Lake Erie College of Osteopathic Medicine (LECOM). She went on to complete four years of psychiatry residency training at Centerstone Behavioral Health Hospital and Addiction Center in Bradenton, Florida.

Dr. Dalhy has inpatient and outpatient practice experience. She is experienced in treating a wide range of conditions, including complex mood disorders, anxiety disorders, addiction medicine, primary psychotic disorders, and patients in acute crisis.

Her treatment style is straightforward and conservative. She focuses on making accurate diagnoses and creating treatment plans that are as simple and effective as possible—prioritizing the lowest effective dose and minimizing unnecessary medications. She works collaboratively with each patient to develop a treatment plan that is realistic, personalized, and sustainable. She incorporates education into her practice and believes that patients make more informed decisions when they understand their options. You can expect a straightforward and honest approach with no judgment or pressure. She always welcomes questions.

Outside of her clinical work, she values spending time with loved ones, including pets. Dr. Dalhy enjoys spending time outdoors and experiencing new adventures. She values honesty, kindness, and compassion, and she integrates those qualities into her personal life and her work with patients.

Background and credentials

Dr. Sinner is board-certified in Psychiatry. He completed his psychiatry residency training at Dartmouth-Hitchcock Medical Center. With over 14 years of experience, he has worked in a variety of settings, including five years in inpatient psychiatry in Vermont, where he served as Medical Director for a state hospital psychiatric unit and taught medical students. He then spent five years working in an outpatient community mental health center in Pennsylvania before transitioning to telepsychiatry, providing care to individuals in Pennsylvania, Florida, and New York.

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Treatment approach

Dr. Sinner employs a collaborative, patient-centered approach, tailoring treatment plans to meet each individual's specific needs. His practice integrates pharmacotherapy with cognitive behavioral therapy (CBT) and supportive therapy as needed. He specializes in treating a wide range of psychiatric conditions, including depression, bipolar disorder, anxiety, ADHD, neuropsychiatric disorders, developmental disorders, and personality disorders. His philosophy is to provide personalized care that makes a meaningful impact at different stages of a patient’s life.

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What you can expect in a first visit

During the first visit, patients can expect a comprehensive evaluation focused on understanding their mental health concerns, history, and treatment goals. Dr. Sinner takes a compassionate and collaborative approach, working closely with patients to create individualized treatment plans. He ensures that each patient receives a balanced and effective combination of medication management and therapeutic interventions suited to their unique needs.

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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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Background and credentials

Dr. John Whittier is a board-certified psychiatrist. He earned his Bachelor of Arts in Molecular, Cellular, and Developmental Biology from the University of Colorado at Boulder and went on to obtain a master’s degree in Medical Science from Loyola University Chicago. He completed his medical training at the Robert Larner, M.D. College of Medicine at The University of Vermont and returned to Colorado for his psychiatry residency at the University of Colorado School of Medicine. While in residency, he specialized in the Psychotherapy Scholars Program and has since gained four years of experience treating psychiatric conditions through telehealth.

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Treatment approach

Dr. Whittier primarily focuses on medication management for general psychiatric conditions. His approach is individualized, ensuring that each patient receives a treatment plan tailored to their unique needs. He integrates supportive therapy, medications, and evidence-based alternative therapies to provide a flexible and comprehensive approach. In addition to his general practice, he maintains a psychodynamic psychotherapy panel where he helps patients explore developmental and relational patterns that contribute to their symptoms. His specialties include treating depression, anxiety, adjustment disorders, PTSD, insomnia, bipolar disorder, and ADHD.

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What you can expect in a first visit

During the first visit, patients can expect a one-hour comprehensive intake during which Dr. Whittier thoroughly evaluates their symptoms, medical history, and personal goals. He provides treatment options that prioritize flexibility, allowing patients to take an active role in their care. Follow-up visits typically last 20 to 30 minutes, focusing on assessing treatment progress and making necessary adjustments. For those engaged in psychodynamic psychotherapy, longer one-hour sessions are available for in-depth exploration of underlying psychological patterns.

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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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