Luna Sanchez Rivera, MD

Dr. Divya Khosla, MD, is a double board-certified Child, Adolescent, and Adult Psychiatrist. She received her undergraduate degree from Case Western Reserve University in Cleveland, Ohio, and her medical degree from Ross University, completing all of her clinicals in Maryland, D.C., and NYC. She completed her adult psychiatry residency at The Ohio State University in Columbus, Ohio. Then she returned to the east coast, where she completed her child and adolescent psychiatry fellowship at Nassau University Medical Center in East Meadow, New York. Dr. Khosla has participated in a variety of innovative academic clinical research, and has presented research at annual national meetings of the American Psychiatric Association. Her robust clinical experience with varying demographics at different clinical sites around the country has allowed her to treat patients in an evidence-based way, tailoring treatment to an individual's specific needs. Although Dr. Khosla's practice focuses on medication management, she also implements supportive therapy and motivational interviewing in sessions to allow for a more comprehensive approach to treatment. Her clinical interests include depression, bipolar disorder, anxiety disorders, post-traumatic stress disorder, panic disorder, and ADHD.

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. Wilbur is a Double Board Certified Psychiatrist in Adult and Addiction Psychiatry. He completed his undergraduate degree in Public Health Studies at Johns Hopkins University and his medical education at the UMass Chan Medical School. Dr. Wilbur completed his psychiatry residency training and addiction psychiatry fellowship training at Yale School of Medicine. His practice focuses on medication management, typically offered in conjunction with supportive therapy in 30-minute follow-up visits. Dr. Wilbur has an interest in treating patients with a wide range of psychiatric conditions including but not limited to depression, anxiety, obsessive compulsive disorder, trauma- and stressor-related disorders, and bipolar disorders. He also has experience treating psychiatric conditions in patients experiencing co-occurring medical illness. Dr. Wilbur believes that successful treatment begins with mutual trust between a patient and their doctor. He uses a warm, nonjudgmental, and collaborative approach. His assessments consider the biological, psychological, and social, and cultural factors that impact mental health. He implements a range of evidence-based treatments to alleviate psychiatric symptoms and improve wellbeing.

Background and credentials

Dr. Escamilla is a board-certified psychiatrist with over 20 years of experience in treating mental health conditions. He is a graduate of Harvard College and earned his medical degree from the University of Texas Southwestern Medical School. He completed his psychiatry training at the University of California at San Francisco and further specialized through a research fellowship with the American Psychiatric Association. In addition to his clinical work, he is a Jungian Analyst and holds academic positions as an adjunct professor at Rutgers University Department of Psychiatry and as the Frank McMillan Jr. Scholar at the Jung Center of Houston.

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Treatment approach

Dr. Escamilla brings a deeply analytical and research-driven approach to psychiatry, integrating traditional psychiatric treatment with Jungian analysis. He has a strong background in academic research and clinical psychiatry, contributing extensively to the field through research publications. His expertise spans a wide range of mental health challenges, and he is committed to understanding the complexities of each patient’s experience to tailor a treatment plan that best suits their needs.

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What you can expect in a first visit

During the first visit, patients can expect a comprehensive psychiatric evaluation that takes into account their personal history, psychological patterns, and treatment goals. Dr. Escamilla’s approach emphasizes thoughtful analysis and evidence-based care, ensuring that each patient receives a personalized and insightful treatment plan. His sessions may incorporate medication management, psychotherapy, and Jungian analytical techniques to provide a holistic and individualized treatment experience.

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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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Mary Poupon is an experienced board certified psychiatric APRN/psychiatric nurse practitioner with over 30 years' experience in her field. She completed her graduate work at Columbia University and is published in her field. Her practice sites have included inpatient hospital treatment, partial hospital programs, in-home programs, outpatient clinics and alternative therapy including equine assisted therapy.  She was the program director and clinician with the Ryan White Mental Health Program in New York providing innovative mental health treatment for adolescents and adults living with HIV/AIDS in the boroughs of Manhattan, Queens, Brooklyn and the Bronx.  In 2013 she became certified as an equine assisted psychotherapist and served as the Director of Mental Health at Embrace Hope in Sandy Hook, CT. She was appointed as the Executive Director of Embrace Hope in 2017. Embrace Hope provided treatment to children, adolescents and adults who were victims of trauma related to the shooting at the Sandy Hook Elementary School. She presented a TED x talk in 2018 regarding her work with victims of trauma. She has provided treatment in the outpatient setting for children, teens, and adults. She has provided treatment to young adults at the Covenant House New York shelter program for homeless young adults.

Mary believes the human spirit is resilient. There are many challenges in the lifespan and self-care is paramount to success.

Mary provides psychiatric consultation and assessment and provides a pathway to change. Treatment may include medication management, therapy, and coping skills to assist with life challenges. Mary believes treatment is a partnership and believes in establishing mutually agreed upon goals.

Mary's process for working with patients begins with active listening. The assessment begins with the patient describing why they are seeking engagement in behavioral health treatment at this time. She will complete a psychiatric assessment and evaluation and establish mutually agreed upon goals for treatment. She offers medication management in conjunction with supportive therapy in 30-minute follow-up visits. Mary believes therapy and medication management if indicated together provides the best treatment outcomes.

Dr. Tetyana Tarnavsky is a board-certified psychiatrist trained in Adult Psychiatry. She attended Dnipropetrovsk State Medical Academy in Ukraine where she received her M.D., M.S. and Ph.D. degrees in Psychiatry. Dr. Tarnavsky completed her residency at Harvard South Shore Psychiatry Residency Training Program in MA, where she was elected chief resident. Dr. Tarnavsky has an extensive research experience in Ukraine and the USA. She had studied computer addiction for her dissertation; had multiple abstracts and presentations; published several articles in peer-reviewed psychiatric journals as well as a book entitled Computer Addiction: Formation, Diagnosis, Correction and Prophylaxis. She has helped organize international conferences with the goal of improving access to and quality of healthcare in Dnipropetrovsk, Ukraine, and providing a national model for health care reform. Dr. Tarnavsky has worked with a variety of patients with diverse backgrounds in a Community Health Center and in the Partial Hospitalization Program as well as supervised medical students, psychiatry residents, and nurse practitioners. She has been a lecturer on psychiatry at Harvard Medical School and was involved in the training of psychiatry residents in the Harvard South Shore Psychiatry Training Program. Her primary focus has been on treating adults with depression, anxiety, post traumatic stress disorder, adjustment disorder, ADHD and other disorders. Dr. Tarnavsky strives to provide quality and compassionate treatment to individuals and their families.‍