Lopa Rana, MD

Background  and credentials    

Dr. Christa DeFries is a board-certified Adult Psychiatrist. She earned her  medical degree from UT Southwestern Medical School in Dallas, Texas, and  completed her residency in Adult Psychiatry at Baylor Scott & White in  Temple, Texas. Following residency, Dr. DeFries gained additional experience  treating homeless and formerly homeless populations in New York City,  particularly focusing on individuals with histories of trauma and substance  addiction, prior to joining Talkiatry.    

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Treatment approach    

Dr. DeFries practices Adult Psychiatry, employing an integrative treatment  approach combining medication management, psychotherapeutic methods, and  lifestyle modifications. She recognizes that each patient benefits from a  personalized mix of these three aspects of care. Dr. DeFries specializes in  treating diverse psychiatric conditions, including those related to trauma,  substance addictions, and various mental health disorders.    

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What you can expect in a first visit    

In a first visit with Dr. DeFries, patients can expect a comprehensive  evaluation aimed at understanding their individual mental health history,  specific concerns, and overall treatment goals. Dr. DeFries emphasizes an  individualized approach, carefully exploring the best combination of  medication, therapy, and lifestyle adjustments tailored specifically to each  patient's needs. Patients can anticipate an empathetic and collaborative  environment focused on their personal experiences and goals.    

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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.

Dr. Meena Shah is a board-eligible psychiatrist and has been practicing for over 16 years. She specializes in child and adolescent psychiatry. Dr. Shah's practice focuses on medication management in conjunction with supportive and emotionally focused therapy in 30-minute follow up visits. Dr. Shah believes in the importance of building a therapeutic relationship with her patients and families to help achieve their emotional goals. Dr. Shah completed her residency training through Richmond University Medical Center with NY Medical College and completed her fellowship at Brookdale University Medical Center in Brooklyn, NY. Dr. Shah has extensive experience with the child and adolescent population and worked with foster care programs as well as juvenile residential facility programs .Dr. Shah served as Children's Associate Medical Director at Directions for Living Mental Health Clinic and went on to become Medical Director at Sequel Care of Florida. In addition, Dr. Shah also received her Master's degree in Hyperbaric Medicine. She completed her undergraduate studies at the University of Florida with a major in psychology. Dr. Shah's primary clinical focus has been treating children, and young adults with ADHD, mood disorders, anxiety, and helping them establish coping skills to overcome any life obstacle.

Dr. Juliet Nichols has been a diplomate of the American Board of Psychiatry and Neurology since 2002 and has been practicing psychiatry for over 25 years. While an expert in psychopharmacology, Dr. Nichols has an integrative approach to treatment and she often incorporates psychotherapeutic techniques when appropriate, tailoring every treatment to each patient's individual needs. She completed her Psychiatry residency at Stony Brook-SUNY and Geriatric Psychiatry Fellowship at the Albert Einstein School of Medicine. Over the last two decades, Dr. Nichols served as an attending psychiatrist at JT Mather Hospital in Port Jefferson, NY, where she became proficient in delivering stellar psychiatric care in a variety of settings. She specializes in treating adult and geriatric mental illnesses, including: Depression, Anxiety Disorders (eg, OCD, Panic Disorder, GAD, PTSD), ADHD, and Cognitive Disorders in the elderly. Dr. Nichols strives to help her patients gain insights into their inner conflicts, unveil their strengths, accept their limitations, and build their coping skills. Her approach is dynamic, straightforward, and empathic so patients always feel safe, understood, and at ease. She engages the patient to be an active participant in treatment decision-making, creating a strong therapeutic alliance.‍

Dr. Bellavia is an experienced board-certified psychiatrist who specializes in adult psychiatry. He was a faculty member of the University of Washington School of Medicine in Seattle for 8 years and has been a medical director and attending psychiatrist in several clinical settings including academic medical centers, outpatient private practice and consultation. Dr Bellavia works collaboratively with each patient to identify presenting problems and stressors and utilizes evidence-based medication treatments along with individualized supportive and short-term psychotherapy strategies to reduce symptoms and improve function. If clinically indicated, he may recommend adding a psychotherapist to your care team. Dr. Bellavia has a particular interest in treating psychiatric conditions including, but not limited to, depression and bipolar disorders, ADHD, anxiety disorders, and adjustment problems. He has extensive experience working with individuals from diverse backgrounds, such as university students, creative and tech professionals, and expat communities. He uses a relaxed, nonjudgmental, empathic approach that is holistic and considers the biological, psychological, social, and cultural factors that impact mental well-being.

Dr. Raafay Deen is a board eligible adult psychiatrist. At the heart of Dr. Deen's clinical approach is a strong emphasis on establishing trust and building a therapeutic relationship to help patients achieve their goals. Dr. Deen's practice focuses on medication management. Typically, he offers this in conjunction with supportive or emotionally focused therapy in 30-minute follow-up visits. Occasionally, Dr. Deen may believe that additional therapy is also needed and ask that you bring a therapist into your care team to provide the best outcome .Dr. Deen received his medical degree from Lake Erie College of Osteopathic Medicine and went on to complete his residency in psychiatry at Westchester Medical Center. He has practiced in various settings over his career, including inpatient psychiatric units, outpatient clinics, emergency rooms, and inpatient substance abuse rehab/detox programs where he treated patients with a variety of psychiatric illnesses. The philosophy of his practice is to collaborate with patients to meet their specific needs and make an impact in various stages of their lives.‍

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!