Natalie Armijo, 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.

Dr Hannah Goddard is an adult psychiatrist who is originally from Northeast Ohio. She earned her undergraduate degree at Marquette University and completed her medical degree at Lake Erie College of Osteopathic Medicine in Erie, PA. Dr. Goddard completed her residency in psychiatry at MetroHealth Medical Center in Cleveland, Ohio, where she served as chief resident her final year.

Dr Goddard has experience treating a wide range of conditions including depression, anxiety, ADHD, and PTSD. The initial evaluation includes taking a comprehensive history and getting to know patients as individuals.

Her clinical philosophy centers on an empathetic, nonjudgmental, holistic approach. Dr Goddard collaborates closely with patients to develop a personalized treatment plan that integrates psychiatric medication management with supportive psychotherapy as well as elements of CBT.

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*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.

Background and credentials  

Dr. Alexandra Baluna, MD, is board-certified by the American Board of  Psychiatry and Neurology. She received her medical degree from  LSUHC-Shreveport and completed her psychiatry residency training at  Montefiore/Albert-Einstein College of Medicine, where she served as chief of  the Consultation-Liaison (C/L) service. Following residency, Dr. Baluna  served as Senior Chief, during which she was honored with the Leo M. Davidoff  Award for Outstanding Achievement in the Teaching of Medical Students. Her  professional experiences include roles at Fordham University, Albert Einstein  Student Mental Health Counseling Center, and most recently, as an outpatient  psychiatrist at Maimonides Medical Center, where she enjoyed teaching and  supervising residents.  

Treatment approach  

Dr. Baluna emphasizes creating a warm, empathic, and nonjudgmental  therapeutic environment. She collaborates closely with patients to develop  personalized treatment plans that consider cultural, biological,  psychological, and social factors. With a strong interest in psychotherapy,  she frequently employs ego-supportive and insight-oriented therapy techniques  during follow-up sessions.  

What you can expect in a first visit    

During an initial visit, patients can expect a welcoming and supportive  atmosphere where Dr. Baluna conducts a comprehensive assessment. This  involves exploring the patient's history, current challenges, and individual  circumstances. The goal of the first session is to collaboratively build an  individualized treatment plan tailored specifically to the patient's unique  needs.  

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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 speciualize in  medication management and collaborate with you on a treatment plan that fits  your needs and comfort level.

Ekta Rathee, DNP, PMHNP-C, is an experienced psychiatric and mental health nurse practitioner with an extensive clinical background in a variety of patient care settings. Rathee's diverse clinical background has strengthened her belief in a holistic approach for optimal patient outcomes. Though her primary focus remains medication management of anxiety, depression, bipolar disorder, OCD, PTSD, ADHD, she equally supports and incorporates the principles of cognitive behavioral therapy, acceptance and commitment therapy, motivational interviewing and enhancement therapy, and supportive therapy in her daily patient care practice. Rathee truly believes in an individualized and holistic patient care approach, which requires a wealth of knowledge, experience, and a commitment to stay abreast of the latest in the field. Her favorite learning modality is to learn from unique patient care scenarios, which often requires a deep dive into the existing body of evidence-based knowledge. Her most important advice for her patients is to never lose hope.

Dr. Swetha Mummini earned her medical degree from SUNY Downstate Medical Center and completed her psychiatry residency at the University of Maryland/Sheppard Pratt. She has worked across various clinical settings, including inpatient units, residential treatment centers, and substance use disorder clinics. Her clinical interests include mood disorders, OCD, women’s mental health, and eating disorders.

Dr. Mummini takes a holistic approach to mental health, recognizing that there is no one-size-fits-all solution. She thoughtfully integrates medication when appropriate, alongside lifestyle changes, sleep, and stress management. She prioritizes strong therapeutic relationships and uses 30-minute follow-up visits that often include elements of psychotherapy.

In the first appointment, Dr. Mummini gathers a thorough psychiatric history, explores current symptoms, and learns about the patient’s goals. She works collaboratively to develop personalized, evidence-based treatment plans, blending integrative psychiatry with ongoing support for long-term well-being.