Marnie Stefan, MD

Dr. Michael Manasterski is a board certified general psychiatrist. Before joining Talkiatry, he had the honor of working for the Department of Veterans Affairs in both outpatient and residential settings, and gained experience in improving quality of life for veterans with a wide range of troublesome to downright disabling psychiatric conditions, including severe anxiety and mood disorders, psychosis, obsessive-compulsive disorder, developmental disorders including autism spectrum and attention-deficit disorders, and post-traumatic stress disorder. These disorders have almost certainly been with us for all of recorded human history, but within the last few generations, our understanding of and ability to treat these conditions has grown by leaps and bounds.

Dr. Manasterski trained at the University of South Florida, earning his Bachelor of Science in Biology, and completing medical school and residency at the Morsani College of Medicine in Tampa, Florida. During his time in training and at the VA, his passion for teaching, both medical trainees and patients, found a productive outlet. He looks forward to bringing that experience forward to serve the broader population in these unprecedented times.

Dr. Manasterski’s practice is centered on evidence-based medication management, expertly tailored to each unique individual, informed by the best available research, using a multidisciplinary approach where appropriate to achieve the best possible outcome. He offers motivational interviewing and supportive psychotherapy, and can collaborate with a therapist on your care team when more specialized treatment is needed on your journey to wellness.

Dr. Carmen Orellana is a Staff Psychiatrist at Talkiatry who has been in practice for over 6 years, both in the U.S. and abroad. She is double board-certified in child and adolescent psychiatry and adult psychiatry. Dr. Orellana's practice focuses on medication management. She strives to provide exceptional medical care and has extensive experience in treating persons with diverse behavioral disorders and backgrounds. Dr.Orellana involves her patients in all decisions about their health, and provides care that is respectful of patient preferences, needs, and values. Typically, she would recommend evidence-based treatments to her patients and may, occasionally, believe that concurrent therapy is also needed. She would ask that you bring a therapist into your care team to provide the best outcome. Dr.Orellana received her medical degree from Universidad Evang�lica de El Salvador. Dr. Orellana completed a residency in Psychiatry and a fellowship in child and adolescent psychiatry at the Southern University School of Medicine in Springfield, Illinois. After completing her training, Dr. Orellana remained in the school, where she worked as an Assistant Professor of Child and Adolescent Psychiatry, supervising and teaching medical students, residents, and fellows, and treating patients with various psychiatric conditions. Dr. Orellana has experience in treating treatment-resistant mood disorders with electroconvulsive therapy (ECT) and transcranial magnetic stimulation (TMS).‍

Dr. Pallavi Tatapudy, MD, earned her medical degree from the Renaissance School of Medicine at Stony Brook University, where she was inducted into the Gold Humanism Honor Society. She completed Stony Brook’s combined residency in Adult Psychiatry and fellowship in Child and Adolescent Psychiatry, along with the Leadership Education in Neurodevelopmental Disabilities Fellowship. Board certified in adult psychiatry and board eligible in child and adolescent psychiatry, she has worked across inpatient, emergency, outpatient, and school settings. Her training includes expertise in Cognitive Behavioral Therapy, Psychodynamic Psychotherapy, and Motivational Interviewing, and she incorporates principles from Supportive Psychotherapy, Dialectical Behavior Therapy, and Family Systems Therapy.

Dr. Tatapudy’s warm, approachable style values each patient’s lived experience. She practices attunement to align with her patients and prioritizes cura personalis—care for the whole person. She is skilled in medication management for a wide age range and integrates therapeutic skill-building. Outside of work, she enjoys nature, visiting national parks, water activities, Indian Bhangra dance, music, and reflecting on meaningful quotes.

Dr. Tatapudy sets a collaborative agenda, listens attentively, and thoroughly reviews patient history. She includes perspectives from support systems when appropriate, offers psychoeducation with creative examples, and encourages open questions and feedback. She shares credible resources, supports learning together, and helps patients define realistic goals and measurable benchmarks for progress.

Dr. Tsujimoto-Ryzewski is a board-certified adult psychiatrist. She received her medical degree from the University of Nevada, Reno School of Medicine. She completed her residency at the University of Nevada, Reno School of Medicine, where she served as a chief resident during her last year of training. Dr. Tsujimoto-Ryzewski has treated patients with a wide variety of diagnoses both during her residency and after her training while working at a busy private practice clinic as well as for the Veterans Administration. Dr Tsujimoto-Ryzewski focuses on medication management and supportive psychotherapy. If she feels that additional therapy is needed, she will ask that you bring in a therapist as part of the treatment team. Dr. Tsujimoto-Ryzewski will work collaboratively with you in a caring environment to assist you in reaching your goals.

Dr. Perington is a Staff Psychiatrist with Talkiatry. She previously served in the US Air Force, where she completed her residency training in psychiatry (Lackland AFB) and was the medical director for a small-sized mental health clinic (Hill AFB). Dr. Perington uses a person-centered approach to tailor treatment to the individual, with an emphasis on shared decision making. She prefers to focus on psychotherapy and behavioral interventions as a primary part of the treatment plan, in addition to any indicated medication.

Motivation for change is a large part of the healing process, and for many people recovery doesn't happen with medication alone. Dr. Perington asks all her patients to play an active role in their treatment.

A thorough diagnostic assessment with discussion of the best treatment setting and modality, then regular follow up visits with emphasis on psychotherapy in addition to medication management (if indicated).

Dr. Kristina Foreman is a board-certified psychiatrist and child and adolescent psychiatrist who earned her medical degree from St. George’s University and completed both psychiatry residency and fellowship at the University of Vermont Medical Center. She served for four years as an attending on a high-acuity inpatient adolescent unit in Denver, leading a multidisciplinary team in the care of complex cases. She also presents nationally on Positive and Lifestyle Psychiatry and has taught these approaches to fellows and residents.

Her style is open, thoughtful, and relationship-focused, creating a space where patients feel safe sharing what matters most. She brings a therapeutic mindset to every encounter and practices strengths-based care to help people connect with resilience and agency. Trained in the Vermont Family-Based Approach, she values family involvement and blends medication management with therapeutic principles and lifestyle psychiatry to support emotional flexibility and values-driven change.

Dr. Foreman begins by gaining a full understanding of each patient’s history, strengths, challenges, and hopes for treatment. She builds individualized plans that may include medication, lifestyle strategies, psychotherapy-informed tools, and family participation when helpful. She incorporates ACT, DBT, CBT, and positive psychology concepts to foster insight and skill development. Follow-up visits focus on refining the plan so progress feels steady, collaborative, and aligned with patient goals.

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