Kyra Munzenmaier, MD

Dr. Marianne Marsh has more than 30 years of experience. She earned her medical degree and completed her psychiatry residency at the University of Vermont and holds a bachelor’s degree in Nutrition Science from the University of California, Davis. Dr. Marsh has practiced extensively in outpatient settings, serving patients of all ages with a wide range of mental health concerns. She has worked in clinical roles, trained psychiatry residents and staff, and developed innovative programs to meet community needs. Prior to joining Talkiatry, she served as Chief Medical Officer at Monadnock Family Services in Keene, NH. She also brings expertise in trauma therapy, Dialectical Behavioral Therapy, and women’s psychology.

Dr. Marsh strives to create an open, warm, and accepting environment where patients feel safe to share their experiences. She values and honors diversity, welcoming all belief systems and cultural backgrounds. Her approach is holistic, integrating the mind-body connection and drawing on both ancient traditions and modern medicine. She emphasizes compassion, trust, and respect to build a supportive relationship that empowers patients to heal and grow.

Dr. Marsh begins treatment by thoroughly exploring a patient’s history and how it connects to their current concerns. She works collaboratively to understand each individual’s values and incorporates them into care. Ongoing sessions continue to explore how symptoms relate to life experiences, and together, Dr. Marsh and her patients create treatment goals that align with their beliefs and vision for the future.

Dr. Fatemeh Safian is a psychiatrist with experience in outpatient, inpatient, and telepsychiatry settings. She completed her residency at Larkin Community Hospital, caring for a diverse range of patients. Dr. Safian diagnoses and treats a wide variety of conditions, including depression, anxiety, OCD, PTSD, trauma-related disorders, phobias, personality disorders, ADHD, bipolar disorder, postpartum depression, and concerns across all age groups. She is dedicated to creating a safe, supportive space where people feel truly heard—believing good psychiatry starts with listening.

Dr. Safian fosters a warm, respectful, and judgment-free environment where patients can share openly. She takes time to understand each person’s symptoms, story, values, and goals. Medication is just one option; she also considers therapy, lifestyle changes, and other supports. Collaboration and trust are central to her approach, with patients guiding the care decisions.

During the first appointment, Dr. Safian conducts an in-depth, unhurried conversation to explore the patient’s history and goals. Together, they develop a personalized treatment plan that may include medication, therapy referrals, and practical strategies. Ongoing follow-ups provide space to track progress, make adjustments, and ensure the patient feels comfortable and empowered.

Dr. Erlach is a board certified adult psychiatrist who has previously worked for the United States Air Force and the Department of Veterans Affairs. He attended medical school at the Uniformed Services University of Health Sciences, graduating in 2009, followed by active duty military service in the United States Air Force until 2024. He completed residency training at the combined military-civilian Wright State University/Wright Patterson AFB training program in Dayton, Ohio.

Dr. Erlach enjoys working with all types of patients. He takes a collaborative approach to patient care and develops a treatment plan alongside the patient so that both are fully invested in the plan. He generally has weekend and evening appointments only.

Dr. Erlach incorporates therapy into medication management appointments. Dr. Erlach feels that addressing psychosocial stressors and developing coping mechanisms are a vital component to treatment.

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Dr. Anantharam Peesapati is a board-certified adult psychiatrist who graduated from General Psychiatry Residency training at Rutgers Robert Wood Johnson Medical School. There, he honed his skills by treating a diverse patient population suffering from various diagnoses, including major depression, bipolar disorder, anxiety disorders, PTSD, ADHD, and substance use disorders. Prior to residency, Dr. Peesapati earned his medical degree from Florida Atlantic University Charles E. Schmidt College of Medicine & his bachelor's degree in Psychology with a specialization in Behavioral & Cognitive Neuroscience from the University of Florida. Dr. Peesapati is committed to providing comprehensive care to his patients, with a focus on medication management & psychoeducation, as well as supportive psychotherapy and cognitive-behavioral therapy. His approach is guided by psychodynamic principles and steeped in mindfulness, ensuring a holistic and personalized treatment plan for each individual. Dr. Peesapati's goal is to help every patient achieve their best mental health and well-being, which may include collaboration with a therapist while also considering the impact of lifestyle on their health.

Dr. Bakhtier is certified in Adult Psychiatry by the American Board of Psychiatry & Neurology. Dr. Bakhtier has been practicing for over 15 years and has been working in the field of Telemedicine for over 10 years. Dr. Bakhtier has been working to make easy access to mental health treatment for everyone and believes that Telemedicine is a great option for more access to mental health treatment.  After completing residency training and a master’s in public health, Dr. Bakhtier started practicing as a staff Psychiatrist and later promoted to the medical director position. He had the privilege of working as the Chief Resident during his residency training and worked with a diverse population, treating many people with different types of mental illness at Lincoln medical and mental Health Center in affiliation with Downtown Bronx Medical Associates P.C. and Joan and Sanford I. Weill Medical College of Cornell University.

Although he is focused on medication management, he is also very interested in therapies like Motivational interview, Supportive therapy to include in the treatment plan. He is very grounded in humanistic values. He likes to work very closely with his patients to build a treatment plan, and he believes in listening to patients and believing that the best outcomes are possible only by working together with patients. He will make decisions after consultation with you and with your approval first regarding adding or changing medication.

Dr. Bakhtier will spend at least 60 minutes on the initial visit and then 30mintues for follow-up appointments where he will develop a treatment plan with you and will be very open to listening to your preferences regarding medication management.

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Dr. Rajesh Gaddam is a Board Certified Psychiatrist who provides compassionate and empathic care. Prior to his formal training, he worked in clinical psychiatric research at Northwell, gaining experience in evidence-based medicine. He completed his adult psychiatry residency at Bergen New Bridge Medical Center, followed by Child & Adolescent Psychiatry Fellowship at The University of Chicago, where he served as Chief Fellow. Dr. Gaddam treats children, adolescents, and adults for a range of conditions including anxiety, depression, bipolar disorder, trauma, OCD, ADHD, and substance use disorders. Dr. Gaddam emphasizes a collaborative and comprehensive approach to understand a person's life, their circumstances, and what has contributed to their symptoms. He recommends including a family member or close friend in at least one session to get a sense of challenges from a different perspective. Besides using elements of supportive and psychodynamic psychotherapy, Dr. Gaddam will refer and work with your psychotherapist to foster self-reflection and growth. He also greatly values a holistic approach to treatment, emphasizing the importance of nutrition, physical activity, sleep hygiene, mindfulness, and a support system to well-being. He wishes to provide a safe space to promote healing and wellness, so individuals can prosper in their lives.