Molly Fels, MD

Dr. Karina Fatova is a board certified psychiatrist who hails from New York City but has made New Orleans her home for the past ten years. She is a graduate of Albert Einstein College of Medicine in Bronx, NY, and she did her adult psychiatry residency at Tulane University in New Orleans, LA. She was proud to have her first position post-residency at the River Oaks Hospital Trauma Unit in New Orleans, LA where she treated patients with Complex PTSD and eating disorders. The Trauma Unit was one of a few of its kind nationally because it provided very specialized treatment that was affordable to many. Dr. Fatova then went on to work at the New Orleans Veterans Affairs Hospital for the last five years in its ambulatory outpatient mental health clinic. Though her passion is Complex Trauma/PTSD, she also regularly saw veteran patients who have been diagnosed with anxiety, depression, bipolar disorder, ADHD, and adjustment disorder. During her five years at the New Orleans VA, she received three special commendations from the director of the VA for feedback from her patients about her effective integrative approach to supportive psychotherapy and medication management. She believes that her rapport with her patients, and their therapeutic work together, is just as important as the medication she prescribes to heal or alleviate their symptoms. Dr Fatova employs psychodynamic therapy techniques, at times, to help those patients who would like to explore childhood experiences that may continue to impact them in their adult lives. With respect to medication management she regularly helps patients target symptoms such as sleep issues, nightmares, persistent worry, emotional dysregulation, frequent mood changes, impulsivity, and "toning down the nervous system," among others. She strongly believes that treatment decisions are best approached as a collaboration between patient and doctor. She sees young adults who are just starting their journey into adulthood, as well as adults who have been navigating life with challenges, which may include untreated, or poorly treated, mental health symptoms. Often, by the time Dr. Fatova sees a patient, they may have lost a significant amount of faith in their mental health doctors, and she is particularly attuned to helping individuals with this type of experience.

Darlene Browning is a Licensed Clinical Social Worker, she is licensed in New York, New Jersey, Pennsylvania, and Delaware. She has been a Social Worker since 2001 has an undergraduate degree from John Jay College of Criminal Justice where she completed in 1992 with a B.S. in Science and majored in Criminal Justice. She then started working as a Correction Counselor with the NYC Department Corrections for few years, working with female inmates who had substance abuse problem and adolescence as well. She facilitated treatment recovery groups and psycho education . In 1998, she worked as with the Administration for Children Services while she was pursuing her Master's Degree degree from Hunter College School of Social Work where she graduated in 2001 with her MSW.

For 19 years she worked as a Discharge Planner in the hospital while attending Metropolitan Institute for Mental Health to study in the Adult Psychoanalytic Division, in 2012, Darlene decided to switch gears and began working as Behavorial Health  Care Manager , while starting her own private practice in the mist of the pandemic. Her practice is called " Live the Life you Want ", because she strongly believes that all individuals should live their own lives the way they want to and desire.

In 2022, Darlene  received a two year certificate in Integrated Trauma from the Institute for Contemporary Psychotherapy where she received training in EMDR , Somatic experiencing and  i is currently working obtaining a certification on becoming an  Accelerated Experiential Psychodynamic Psychotherapist  , which is a experiential model that seeks to alleviate patients psychological suffering by helping them process the overwhelming emotions associated with trauma, depression and anxiety.

Darlene Browning has been in the in the mental health for over 30 years.  She continues provide psychotherapy with an eclectic, person-centered, and non-judgmental approach.  Darlene Browning style provides a safe, secure, and empathetic warm environment.  Darlene quotes “ The world can be scary, cold, and insensitive place to be and there is a lot of uncertainty going around, but together we can get through it “.  Although Darlene Browning is part of the of the BIPOC community, she welcomes all Races, creeds and religion. Darlene also has experience working with LGBT community, including relationships, intimacy issues, attachment issues, career difficulties, coaching, and compassion fatigue.  Her clinical approach includes CBT, Motivational Interviewing, Psychodynamic and Trauma informed.

Your first session is all about YOU as well as the second.  Darlene allows to express your reason why you are seeking therapy and more about what you been through in life. We both will get to know other, and we will focus on what areas you want to work on.

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Dr. Emily Sykes is a board-certified adult psychiatrist. She received her Bachelor of Arts degree with Magna Cum Laude distinction from Carleton College, where she majored in biology. Dr. Sykes completed her Doctor of Medicine degree from the University of Toledo. She completed her psychiatry residency at the University of Cincinnati and was the outpatient chief resident physician. Dr. Sykes' specialty interests include mood disorders, anxiety disorders, post-traumatic stress disorder (PTSD), obsessive-compulsive and related disorders, Cognitive-Behavioral Therapy (CBT) and holistic wellness. She is a certified Cognitive Processing Therapy (CPT) provider for PTSD. Dr. Sykes provides compassionate, evidence-based, individualized, holistic care for patients suffering from a variety of mental health diagnoses and concerns. She incorporates supportive therapy, cognitive-behavioral therapy and solutions-focused therapy into her sessions.

Background and credentials

Dr. Schaefer is a board-certified adult psychiatrist with over 16 years of experience. She earned her medical degree from the University of Nebraska Medical Center in Omaha, NE, and completed her adult psychiatry residency at Oregon Health and Science University in Portland, OR. She then specialized further by completing a forensic psychiatry fellowship at Yale University. She has worked as a staff psychiatrist at Atrium Health System for over 16 years.

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Treatment approach

Dr. Schaefer’s practice primarily focuses on medication management, which she offers in conjunction with supportive therapy and elements of cognitive-behavioral therapy (CBT). She takes a patient-centered and collaborative approach, ensuring that treatment is tailored to each individual’s needs. If additional therapy is required, she may recommend working with a therapist as part of a comprehensive care plan. Her primary focus areas include depression, anxiety disorders, and obsessive-compulsive disorder (OCD).

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What you can expect in a first visit

During the first visit, patients can expect a thorough psychiatric evaluation, where Dr. Schaefer carefully assesses their symptoms, treatment history, and mental health goals. She works collaboratively with patients to develop a personalized treatment plan, which may include medication management and therapy recommendations. Follow-up visits are typically 30 minutes and focus on monitoring progress, adjusting treatment as needed, and ensuring the best possible patient outcomes.

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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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Dr. Maria Teresa Carvajal is an adult, child, and adolescent psychiatrist. She is originally from Guayaquil, Ecuador, and is bilingual in Spanish and English. Dr. Carvajal earned her medical degree from Universidad de Guayaquil in Ecuador. She then participated in a medical program at The William J. Harrington Training Program for Latin America and the Caribbean, at Jackson Memorial Hospital, an affiliate of the University of Miami in Florida. Afterwards, she completed her adult psychiatry residency at Icahn School of Medicine at Mount Sinai, Bronx Care Health System, and her fellowship in child and adolescent psychiatry at Northwell Health in New York. She has experience working in various settings, including inpatient, outpatient, and emergency departments. Dr. Carvajal has submitted and presented work to the American Psychiatric Association and has also collaborated on a book publication. Dr. Carvajal has experience treating children and adults with anxiety, depression, OCD, PTSD, ADHD, dementia, etc. She utilizes medication management in conjunction with emotional and supportive therapy in 30-minute follow-up visits. She is passionate about her work and understands the impact of mental illnesses in daily life activities and in the family system. She will work with each patient in an individualized manner and will tailor personalized treatment plans that may include pharmacological treatment. In addition, Dr. Carvajal may recommend including a therapist in your care team to provide the best outcome.‍

Monique Randle, LCSW, has been a licensed mental health therapist since 2009. She earned her Master of Social Work from the University of Arkansas at Little Rock and holds a certification in sex therapy from the Sexual Health Alliance. Monique has training in trauma and couples therapy, including EMDR, TFCBT, PACT, Gottman, Prepare/Enrich, and SYMBIS. She has experience in outpatient and private practice settings, as well as supervising MSW interns and LCSW candidates.

Monique creates a warm, supportive, and non-judgmental space for clients to be their whole selves. She values honesty, collaboration, and open communication, blending evidence-based approaches like CBT, ACT, and narrative therapy with relational and mindfulness techniques. Her work is trauma-informed, culturally responsive, sex-positive, and LGBTQIA+ affirming. She helps clients build emotional awareness, set healthy boundaries, and cultivate self-compassion, addressing both the “why” behind patterns and practical tools for change.

Monique begins by exploring each client’s story, history, and goals. Together, they create individualized, evidence-based treatment plans, regularly adjusting as needed. Sessions are collaborative, providing insight, practical tools, and emotional support to apply in real life. Progress is measured not only by symptom reduction but by increased self-awareness, emotional stability, and confidence in navigating challenges.