Megan Freeman, MD

Dr. Kotadia is a board-certified psychiatrist who completed his psychiatry residency training program at Nassau University Medical Center in Long Island, NY. After completing training, he has been practicing outpatient psychiatry and specializes in the evaluation and management of major psychiatric disorders, including depression, and anxiety. He uniquely combines his education, training, and practical experiences into specialized treatment plans. Typically, he offers this in conjunction with supportive or emotionally focused therapy in 30-minute follow-up visits. However, occasionally Dr. Kotadia may believe that additional therapy is also needed and ask that you bring a therapist into your care team to provide the best outcome. A story that Dr. Kotadia came across years back still inspires him each day. A man was taking a morning walk at the beach. He saw that along with the morning tide, came hundreds of starfish. When the tide receded, the starfish were left behind and would die in the morning sun. While the tide was fresh, and the starfish were alive, the man took a few steps, picked one up and threw it into the water and continued throwing starfish back into the ocean. Behind him was a stranger who couldn't understand what this man was doing. He caught up with him and asked, "What are you doing? There are hundreds of starfish. How many can you help? What difference does it make?” The man did not reply, rather he took two more steps, picked up another one, threw it into the water, and said, "It makes a difference to this one.”With this story as his motivation and ultimate objective, it has always been Dr. Kotadia's goal, with each patient, to provide superior services.

Dr. Michael Petetit has worked with people from many different walks of life in clinics, hospitals, and online, providing evidence-based treatments for a wide range of mental health conditions. His professional journey is unique—he began his career as a research chemist, later earned a Master’s degree in psychology and worked with children, before pursuing his medical degree and completing a psychiatry residency.

Dr. Petetit approaches treatment as a true collaboration. He partners with patients to clarify goals and create individualized treatment plans that reflect their priorities and values. He strives to be non-judgmental, direct, and honest in his style, building a therapeutic relationship that supports open communication and trust.

Dr. Petetit begins with a thorough evaluation to understand each patient’s circumstances and challenges. From there, he works with patients to set and prioritize goals, review treatment options, and select a plan that feels both comfortable and practical. As treatment progresses, he regularly revisits and refines the plan, ensuring it remains effective and aligned with the patient’s evolving needs.

Dr. Farias is a board-certified physician in both adult and child & adolescent psychiatry, with a focus on the diagnosis and treatment of depressive disorders, anxiety disorders, trauma- and stressor-related disorders, and ADHD. Dr. Farias graduated magna cum laude with a Bachelor of Science degree from the University of Houston, majoring in Biology with a minor in Chemistry. She then pursued her medical education at Texas Tech University Health Sciences Center, earning her Doctor of Medicine degree. Dr. Farias completed a three-year psychiatric residency at TTUHSC, followed by fellowship training in child and adolescent psychiatry. She completed her first year of fellowship at the University of Texas Medical Branch in Galveston and her second year at TTUHSC. With a diverse clinical background, Dr. Farias has gained experience in a variety of settings, including academic psychiatry, consult liaison psychiatry, intensive outpatient programs (IOP), partial hospitalization programs (PHP), emergency psychiatry, and outpatient psychiatry. This broad range of experience allows her to provide comprehensive, individualized care to patients at all stages of life. Dr. Farias takes a holistic approach to treatment, incorporating both medication management and psychotherapy. She utilizes principles from Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), and supportive psychotherapy, recognizing that a combined approach leads to better outcomes for patients.

Dr. Sumeet Singh is board-certified by the American Board of Psychiatry and Neurology in General Adult Psychiatry. He completed his psychiatry residency training at Howard University Hospital and Saint Elizabeth's Hospital in Washington, DC., where he was voted as Chief resident. He went on to serve as vice chair of the Department of Psychiatry at Adventist HealthCare in Maryland, where he worked in both an administrative and clinical role treating adults in inpatient settings. Additionally, he served as a Clinical Instructor of Psychiatry at Georgetown University School of Medicine, teaching medical students about the art of medicine. Dr. Singh received his undergraduate degree in Neuroscience from the University of Michigan and received his medical degree from Xavier University School of Medicine. Most recently, Dr. Singh worked for Life Stance Health, an outpatient telehealth company, where he treated patients between the ages of 18-65 years old with both medication management and therapeutic interventions. Dr. Singh has years of experience treating the following disorders/diagnoses: depression, anxiety and panic attacks, bipolar disorder, PTSD, ADHD, and OCD.‍

Lance Briggs is a dedicated Psychiatric Nurse Practitioner with over a decade of clinical and leadership experience. A graduate of the University of North Dakota, Lance began as a psychiatric RN in acute inpatient settings before becoming a psychiatric RN supervisor in a major Houston hospital while pursuing advanced practice.

After becoming a PMHNP, Lance initially worked with outpatient addiction treatment and severe mental illness populations, later expanding into bariatric psychiatry to support patients preparing for weight-loss surgery. When the COVID-19 pandemic paused bariatric procedures, Lance founded a private practice—Grey Matters Mental Health—in Seattle, which was later sold to a larger healthcare organization in Minnesota. Lance then transitioned into correctional mental health, serving underserved populations within the criminal justice system. Currently, Lance is working at Talkiatry, providing compassionate, high-quality care informed by experience across diverse and challenging environments.

Lance understands that every patient is unique. His approach is grounded in Carl Rogers’ principle of unconditional positive regard, creating a safe, calming space where patients feel heard and valued. Lance takes time to explore developmental history, family background, and major life events, recognizing how past experiences shape present challenges. He aims to understand each symptom fully and offers thoughtful, collaborative treatment options.

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!