Mark Varela,MD

*THIS PROVIDER CANNOT PRESCRIBE CONTROLLED SUBSTANCES FOR NH PATIENTS* Dr. Peter Truong is a board-certified psychiatrist trained in Adult Psychiatry. He received his medical degree from FIU Herbert Wertheim College of Medicine in Miami, Florida, and completed his residency training at Cambridge Health Alliance – Harvard Medical School.

Dr. Truong treats each patient with a holistic, evidence-based approach that incorporates psychopharmacological and psychotherapeutic best practices. His priority is to build a safe and trusting working relationship with each patient, keeping in mind their unique biological, psychological, social, and spiritual contexts.

Dr. Truong has extensive experience treating depression, anxiety, ADHD, and trauma-related disorders. He incorporates therapy modalities such as supportive, psychodynamic, CBT, and EFT. Other professional interests include LGBTQIA and college mental health, mindfulness, and interventional psychiatry. He has worked with individuals with diverse backgrounds from all walks of life.

Dr. Maxine Minto is a double board-certified psychiatrist. She is board certified in General Adult Psychiatry and Child and Adolescent Psychiatry. She is a Distinguished Fellow of the American Psychiatric Association (APA). Dr. Minto is an associate professor of psychiatry at the University of Central Florida College of Medicine. She is an active member of both the APA and American Academy of Child and Adolescent Psychiatry. Dr. Minto received her medical degree from the University of Miami Miller School of Medicine. She completed her general psychiatry residency and child-adolescent fellowship at the University of Miami/Jackson Memorial Hospital. She has more than 25+ years of experience working in the psychiatric profession. She has previously worked extensively in the role of medical director in multiple settings. Dr. Minto was honored with the role of medical director of a large community mental health center, child psychiatry inpatient program, adult and child inpatient residential treatment program, and outpatient residential day treatment program. She also has 8 years of experience working with the Deaf community. Dr. Minto specializes in psychopharmacology and supportive therapy. She performs comprehensive psychiatric evaluations, develops patient-centered individualized treatment plans, and schedules regular follow-up appointments. She has a wealth of experience in treating patients with depression, bipolar disorder, ADHD, and anxiety disorders.

Dr. Nida Khan is a board-certified psychiatrist starting her post-graduate practice with Talkiatry. She completed her undergraduate degree in Biochemistry at Smith College, earned her medical degree at New York Institute of Technology College of Osteopathic Medicine and completed her psychiatry residency training at Northwell Health. During her residency, she was involved in resident leadership and education, serving as academic chief resident during her third year of training. Dr. Khan's practice focuses on a holistic, patient-centered approach. Her practice is rooted in evidence-based practices and focuses on providing medication management during 30-minute visits along with supportive therapy to meet the unique needs of individuals under her care. Occasionally, she may believe that additional therapy is needed and may recommend a therapist be brought into your care team for optimal care.

Dr. Robert Smeed, DO, is a board-certified psychiatrist with a passion for healing the human mind and consciousness. He earned his Doctor of Osteopathic Medicine from Lake Erie College of Osteopathic Medicine and completed his Psychiatry Residency at Wayne State University College of Medicine. Certified by the American Board of Psychiatry and Neurology (ABPN), Dr. Smeed served as an outpatient psychiatrist at Veterans Affairs for 11 years, honing his expertise in mental health care. Driven by a deep interest in consciousness and innovative treatments, he combines talking therapies, neuromodulation, and modern psychopharmacology to help patients achieve lasting wellness.

Dr. Smeed is proficient in treating a wide range of psychiatric conditions while specializing in treatment-resistant depression, neurodevelopmental disorders, anxiety and trauma disorders. His treatment style is empathic and collaborative, emphasizing family dynamics and relationships while integrating psychodynamic principles with biopsychosocial models. He approaches each patient with creativity, using open-ended discussions and innovative therapeutic and psychopharmacologic strategies to tailor care, ensuring a personalized and effective treatment experience.

Dr. Smeed begins with open-ended dialogue, allowing patients to develop their narrative, which is often therapeutic. Treatment plans are customized to patient needs and align with diagnostic standards of care. He incorporates medication reviews, mindfulness techniques, cognitive behavioral therapy (CBT), supportive therapy, and psychodynamic approaches. Dr. Smeed also educates patients on lifestyle factors, such as diet and exercise, to support mental health, fostering a holistic and individualized path to wellness.

Dr. Amada holds the position of staff psychiatrist at Talkiatry. She was born and raised in Queens, NY. She completed her undergraduate education at New York University, followed by medical school at SUNY Downstate College of Medicine in Brooklyn, NY. She went on to complete her psychiatry residency at Stony Brook University Hospital, where she received an award for academic achievement. Dr. Amada believes in a holistic approach to mental health that addresses lifestyle factors alongside medication management. She values the importance of both therapy and medication in treating mental illness.

Dr. Amada takes a collaborative approach to care and strives to involve her patients in every step of the treatment process. She believes in creating a safe, supportive, and nonjudgmental space where patients can openly discuss their concerns. While her focus is on medication management, she often recommends incorporating additional therapy into the treatment plan and may ask that patients work with a therapist to help achieve the best outcomes.

Dr. Amada works closely with her patients to develop personalized treatment plans. She believes in open communication, shared decision-making, and taking into account the whole person when addressing mental health concerns. Her goal is to ensure that patients feel heard, supported, and actively engaged in their care.

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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!