Nathan Roberson, LPC

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.

Background and credentials

Dr. Gerald Matthews is a board-certified adult psychiatrist. He earned his medical degree from the University of Louisville School of Medicine in Louisville, KY. Following medical school, he entered active duty service in the U.S. Army, where he completed his psychiatry residency at Tripler Army Medical Center in Honolulu, HI. After completing his training, he practiced as a staff psychiatrist at Fort Hood, TX, fulfilling his service obligation.

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Treatment approach

Dr. Matthews specializes in medication management, working primarily with adult patients in an outpatient setting. While his primary focus is pharmacological treatment, he frequently collaborates with therapists to provide comprehensive care when indicated. He has extensive experience treating civilians, active-duty military personnel, and veterans, addressing conditions such as mood and anxiety disorders, psychosis, and trauma-related disorders.

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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. Matthews takes time to understand their history, symptoms, and treatment goals. He provides a structured yet compassionate approach to care, discussing medication options and potential therapeutic interventions. For patients who may benefit from additional therapy, he collaborates with therapists to ensure a well-rounded treatment plan tailored to each individual's 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 specialize in medication management and collaborate with you on a treatment plan that fits your needs and comfort level.

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Dr. Joshua Kane is a board certified psychiatrist who completed his undergraduate studies at Yale University, medical school at SUNY Downstate and Psychiatry Residency at Brown. Dr. Kane also completed a five-year training program in psychoanalysis and psychodynamic therapy at the Boston Psychoanalytic Society and Institute. Dr. Kane has worked in a variety of treatment settings, including partial hospitals, outpatient community mental health clinics, and private practices. Dr. Kane also worked at Brown University Counseling and Psychological services providing medication management and supervision to therapists. Dr. Kane's extensive therapy training sets him apart as a psychiatrist, and his treatment approach reflects this knowledge. While medications play an important role in treatment, Dr. Kane believes that lasting change involves a patient working with a therapist to better understand themselves. Dr. Kane enjoys working with adults who face challenges with depression, anxiety and PTSD.

Dr. Ernesto Gonzalez is a board certified adult psychiatrist. He completed his undergraduate training at Yale University and received his medical degree from the University of Pennsylvania School of Medicine. He completed his residency training at the Cambridge Health Alliance/Harvard Medical School Adult Psychiatry Training Program. Dr. Gonzalez prefers a holistic approach that takes the time to know the whole patient, incorporating biological, psychological, social, and cultural perspectives in crafting a comprehensive, individualized, treatment plan. He practices medication management combined with supportive therapy, typically delivered within 30 minute sessions. Elements of psychodynamic, dialectical behavior and cognitive-behavioral therapy will also be incorporated into sessions based on a patient's individual needs. If additional therapy is needed, Dr. Gonzalez will recommend the addition of an individual therapist to the patient's treatment team. Having dedicated his career to adult outpatient psychiatry, Dr. Gonzalez has worked with patients from a wide range of ages, cultures, ethnicities, and social settings across the New York City area. His primary focus is working with patients with depression, anxiety, ADHD, and PTSD. He also values working with people adjusting to changes in their lives, whether it be grieving the loss of a loved one, changes in employment, relationships, or adjusting to changes that come with age. Prior to joining Talkiatry, Dr. Gonzalez was an Assistant Professor at the NYU Grossman School of Medicine and served as Director of the Adult Outpatient Psychiatric Department, Assertive Community Treatment (ACT) Team, and Collaborative Care Departments at Woodhull Hospital in Brooklyn, New York. He also had a small practice near his home. Dr. Gonzalez has also had a lifelong interest in meeting new people and experiencing different cultures. This interest has taken him as far away as the townships of Cape Town, South Africa and as close as his local diner, and it edifies the work he does with patients.

Background  and credentials    

Dr. Columban Heo is a board-certified psychiatrist. He earned his medical  degree from Touro University Nevada and completed his residency at Unity  Health White County Medical Center. Dr. Heo further specialized by completing  a fellowship in Consultation-Liaison Psychiatry at the Cleveland Clinic,  where he gained extensive experience working within multidisciplinary  healthcare teams, particularly focused on psychiatric care for patients with  complex medical conditions.    

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Treatment approach  

Dr. Heo specializes in treating a broad range of psychiatric conditions,  notably mood and anxiety disorders. He integrates medication management with  a holistic, personalized approach to treatment, emphasizing the  interconnectedness of mind, body, and spirit. Dr. Heo believes in tailoring  treatment plans individually, combining therapy and medications to suit each  patient’s unique needs, and highlights the importance of healthy  relationships in achieving overall mental health.    

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What you can expect in a first visit    

Patients visiting Dr. Heo for the first time can expect a comprehensive and  personalized assessment that explores not just their psychiatric symptoms but  their overall well-being and personal relationships. Dr. Heo prioritizes a  holistic evaluation, carefully balancing medication considerations and  therapeutic interventions tailored specifically to each patient’s situation  and goals. He creates an empathetic, collaborative atmosphere to discuss and  develop personalized plans for mental and emotional wellness.  

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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.

Dr. Steve Paschos is a board-certified Psychiatrist at Talkiatry. He attended Loyola University Chicago on the Lake Shore campus, completing a bachelor's degree in science and a Degree in Classical Studies. He then attended Medical School at Rush Medical College in Chicago and completed a 5-year combined Internal Medicine & Psychiatry residency in 2011. Dr. Paschos subsequently completed a 1-year fellowship in Geriatric Medicine at Rush University Medical Center. He has spent the last 12 years fulfilling his passion for integrating Internal Medicine & Psychiatry, working with a diverse range of patients suffering from severe mental illnesses. ‍Dr. Paschos' years of experience have included working at Cook County Health Services � Cermak Health Services at Cook County Department of Corrections with an extremely diverse patient population with varying psychiatric illnesses. He has also worked as an inpatient psychiatric hospitalist and as the director of the Intensive Care Unit at Chicago Behavioral Hospital in Illinois. Dr. Paschos also acted as a medical director of an IOP and established an outpatient psychiatric practice in conjunction with the Intensive Outpatient Program. He has had the opportunity and privilege of treating individuals who suffer from various diagnoses, especially challenging patients who have suffered from integrated or Med-Psych concerns involving primary mood disorders, Bipolar Affective disorders, prior trauma, severe medical problems/diagnoses along with concurrent personality pathology. ‍Dr. Paschos utilizes supportive psychotherapy, brief cognitive behavioral therapy, and at times psychodynamic therapy to address his patients' current complaints and to identify the locus of their symptoms. He believes in utilizing an all-encompassed approach using mindfulness and various psychotherapies along with comprehensive medication management. To quote Hippocrates "Where there is love for the art of medicine there is a love of humanity.”