Nida Khan, DO

Dr. Ioana Horotan-Enescu is a board-certified Psychiatrist. Before joining Talkiatry, she was an Active-Duty staff psychiatrist at Blanchfield Army Community Hospital, Fort Campbell, KY. Her military service also included roles such as Medical Director of Behavioral Health and Interim Clinic Chief for Embedded Behavioral Health Clinic. She completed her internship and residency at Walter Reed National Military Medical Center and earned her Doctor of Osteopathy Degree from the University of New England College of Osteopathic Medicine. Her clinical experience spanned from the inpatient to the outpatient setting and afforded her the opportunity to develop comprehensive skills in the treatment of PTSD, mood disorders, thought disorders, addiction and perinatal mood disorders. Her teaching experience spanned multiple institutions, where she has served as a preceptor and mentor for medical students, nurse practitioner and physician assistant students. In addition to medication management, she augments her practice by implementing mindfulness, psychodynamic and supportive therapy techniques in her everyday practice to enhance treatment and improve treatment response. Dr. Horotan-Enescu holds several certifications, including in Cognitive Behavioral Health Therapy for Suicide Prevention, Motivational Interviewing and Battlefield Acupuncture. She has delivered presentations at national and international conferences on various topics, reinforcing her commitment to advancing the field of psychiatry.

Edmund Clark, MD, serves as Chief Psychiatrist at Talkiatry with over 17 years of board-certified experience, including more than 5 years delivering tele-psychiatric care to underserved areas. His career spans 23 years in public service, including leadership roles as Chief of the VA Mental Health Clinics in Jacksonville, FL, and program manager for the University of Florida’s Psychiatry Residency Training Program. A former U.S. Navy psychiatrist, he deployed multiple times, including to Iraq in support of an Army Combat Stress Control clinic, gaining expertise in evidence-based PTSD treatments. Dr. Clark earned his medical degree from the University of Florida and completed his psychiatry residency at the National Naval Medical Center and Walter Reed, serving as chief resident for over 50 military trainees. Before medicine, he served in the U.S. Peace Corps in Kenya.

Dr. Clark values a collaborative approach built on honesty, rapport, and ensuring patients feel heard. He helps patients identify and address multiple factors influencing their mental health, aiming for positive, lasting changes that improve function across life domains. He encourages evidence-based therapies and, when needed, involves other providers to support comprehensive care.

Dr. Clark uses measurement-based tools to assess medication efficacy and guide treatment decisions. He integrates supportive psychotherapy to strengthen coping skills and reduce negative thinking, while incorporating motivational interviewing techniques to promote recovery and self-improvement.

Jennifer Garner is a board-certified Family Psychiatric Nurse Practitioner with Talkiatry. She obtained a Bachelor of Science in Nursing from the University of Tennessee, Knoxville, in 2009 and a master's degree from Vanderbilt University in 2011. Jennifer enjoys treating all adults and has outpatient experience with community mental health, corrections, and private practice. Besides outpatient care, she has worked in crisis stabilization and ambulatory detox for adults with primary psychiatric and dual diagnosis illnesses. Jennifer is skilled in treating a wide range of conditions including ADHD, bipolar disorder, substance misuse, anxiety, OCD, and PTSD. She is committed to fostering a welcoming and inclusive environment, ensuring all gender identities feel safe and respected. With a focus on patient-centered care, her approach is carefully tailored to each person's individual needs and goals, promoting a collaborative therapeutic relationship. During appointments, she combines medication management with therapy techniques to empower patients with the skills for their well-being. Appointments are as unique as each individual that she meets with. If you're ready (and even if you're not so sure) take the first step and let's talk.

Deora Johnson, PMHNP, is a board-certified adult psychiatric nurse practitioner with 24 years of experience. He is passionate about providing clients with a holistic approach to mental health care, incorporating both pharmacologic and non-pharmacologic interventions. Deora works with adult and senior populations, focusing on the assessment, diagnosis, and treatment of mental health conditions. He collaborates closely with clients to guide them through understanding and selecting the most effective interventions and medication management options for their needs. Supportive therapy, solution-focused therapy, and motivational interviewing are integral components of his medication management sessions.

Deora earned his Master of Science in Nursing from Vanderbilt University in Nashville, Tennessee, and completed a nursing practice degree at the University of Alabama in Birmingham. He has experience treating patients in a variety of outpatient and inpatient settings.

His areas of specialty include the treatment of major depressive disorder, anxiety disorders, bipolar disorder, ADHD, PTSD, and insomnia. His research focused on non-pharmacologic interventions for insomnia in individuals with depression.

Deora also has experience working with military veterans. At the VA Outpatient Clinic in Baltimore, Maryland, he treated veterans returning from Operation Iraqi Freedom and Operation Enduring Freedom, as well as those from the Vietnam and Korean War eras. His clinical work focused on PTSD, major depressive disorder, anxiety disorders, and bipolar disorder.

Deora believes the therapeutic relationship offers a unique opportunity to work collaboratively through life’s challenges. He views medication management as an important part of a comprehensive treatment plan that also includes therapy.

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Dr. Irene Pastis is a board-certified psychiatrist who specializes in adult psychiatry.  She completed residency training at East Carolina University in both internal medicine and psychiatry.  After residency, she pursued her passion in psychiatry and stayed on as a clinical assistant professor in the department of psychiatry at East Carolina University.  In this role she specialized in treating adults with mental illness in both the inpatient and outpatient settings.  She has spent a considerable amount of time teaching residents and medical students and has published several papers focusing on the neuroscience pathways of mental health conditions.  In her daily practice, Dr. Pastis focuses on evidence-based treatments utilizing the latest clinical guidelines and current approved treatments.  In addition to medication management, she also incorporates psychotherapy in the treatment of mental health conditions.  Dr. Pastis is passionate about taking a collaborative approach with her patients to help them reach their potential.

Dr. Chuck Stanfa is a board-certified psychiatrist who genuinely enjoys helping people.  He has practiced in a wide range of settings, including both outpatient and inpatient during the past 10 years.  He studied medicine at the University of Medicine and Dentistry of New Jersey.  He completed his psychiatry residency training at Drexel University College of Medicine in Philadelphia.  He went on to complete a Community Psychiatry Fellowship at the University of Pennsylvania and has continued to serve the greater Philadelphia area.  

Dr. Stanfa tries to take a person-centered approach to psychiatry.  He spends time getting to know each person and is easy to talk to.  He takes a collaborative approach to medication management and provides supportive therapy.  He believes that the relationship is one of the most important aspects of treatment.  He is open to working with most diagnoses including Mood Disorders, Anxiety Disorders, PTSD, ADHD, Personality Disorders, and others.  He will work with each person to develop a treatment plan that works for them.

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