Nicole Parrish, MD

Joseph Smith, LMHC, earned his Master's Degree in Clinical Mental Health Counseling from Eastern Kentucky University in 2015 and has worked with patients in a clinical capacity for the past six years. While in graduate school, he was exposed to various clinical and research experiences, where he found his passion in examining the motivational factors of human behavior. Joseph's academic work strengthened his interest to work with individuals in a therapeutic capacity, which ultimately led to advanced experiential training in crisis interventions and the treatment of individuals with severe and persistent mental illness. Before relocating to New York City, he worked with individuals in under-served communities in the Appalachian region. Joseph subscribes to a humanistic, motivational enhancement, and cognitive behavioral framework. Understanding the benefit of therapeutic rapport, Joseph fosters an environment of self-acceptance and self-awareness while promoting intrinsic motivation for patients to act as their own catalyst of change. In addition, Joseph has a passion for working with individuals from diverse backgrounds, the LGBTQIA+ community, women with reproductive challenges, and victims of domestic violence.

Jacqueline Bowling began her counseling career in 2013, and for the past 7 years, she has worked in Outpatient Services, working with people of all ages and with all mental illnesses as well. Prior to outpatient services, she worked with in-home services, providing counseling services to individuals as well as their natural support system. Jacqueline got her Undergraduate and Master's degree in Education and Human Services, completed in December 2013, at the University of Lindsey Wilson, Columbia, Kentucky. In June of 2021, she became Clinic Coordinator, and in October 2021 she completed training for Licensed Professional Clinical Counselor Supervisor. She is currently a Licensed Professional Clinical Counselor in Texas and Kentucky. Her areas of professional focus are cognitive behavioral therapy (CBT), motivational interviewing (MI), and Solution-focused, along with integrating other clinical modalities to fit the needs of clients/patients as they work towards meeting goals/objectives.

Rebecca Johnson, LCSW, is a dedicated mental health professional with experience in a variety of settings. With a MSW from Louisiana State University and licensure in multiple states, she brings a well-rounded, evidence-based approach to therapy.

Rebecca’s work spans multiple roles across in and outpatient settings, with a strong focus on individuals facing substance use, domestic violence, and co-occurring conditions. At Lower Key Medical Center, she served as an inpatient social worker and the Intensive Outpatient Program (IOP) coordinator, where she provided crisis intervention, therapy, and groups. In her role as IOP coordinator, she managed IOP tracks, ensuring patients receive comprehensive psychotherapeutic support via group and individual therapy.

Previously, her work at the Guidance/Care Center molded her expertise in crisis response, relapse prevention, and intensive therapeutic interventions, in various settings. Finally, her work as a Clinical Counselor at the Children’s Home Society, working closely with parents involved in the child welfare system, providing therapy and court-informed treatment recommendations further solidified this knowledge.

Rebecca uses a person-centered and eclectic style, modalities such as Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Internal Family Systems, and mindfulness-based. She believes in tailoring interventions to each client’s unique needs, fostering resilience and self-efficacy in their journey toward healing.

Dr. Komal Shah, M.D. is double board certified in adult & geriatric psychiatry. She did her residency at Nassau University Medical Center, New York & then did fellowship in geriatric psychiatry at LIJ-Albert Einstein school, New York. She has been practicing psychiatry for over 25 years.  

Dr. Shah has extensive experience in evaluating & managing a variety of psychiatric disorders such as mood disorders, anxiety disorders, psychotic disorders, dementia, etc. She held an academic position as a clinical assistant professor at Rutgers-UBHC for several years. Dr. Shah has worked in various clinical settings including inpatient, outpatient clinics, partial hospital programs, nursing homes, thus serving vast variety of patient populations. She has also volunteered her services at NAMI (National Alliance for mental illness)-SAMHAJ to create & promote awareness of mental health issues in the community. All this makes her a very well experienced & efficient psychiatrist.  

Dr. Komal Shah believes in creating a strong therapeutic alliance first with her patients based on mutual trust & honesty. Her primary modality of treatment is medication management, but she may also provide supportive psychotherapy and education, practicing evidence-based medicine. Dr. Shah likes to collaborate patient care with their medical providers and/or therapist.

‍

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.

‍

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).

‍

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.

‍

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. 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!

‍