Nida Khan, DO

Keren Salcedo graduated from SUNY Oswego in 2019 with a degree in Mental Health Counseling. While in school she interned at an outpatient addiction treatment center which sparked her interest in working with adults. After graduation she moved back to New York City. Keren continued her work in addiction by working at a rehab facility. She later transitioned to an outpatient clinical where she had the opportunity to work with clients across a wide of diagnosis for three years. This experience has made her more comfortable and confident supporting individuals with diverse mental health needs.

It is important to Keren that every client feels safe, heard and supported. She is passionate about creating a comfortable and friendly environment where you can speak openly and feel at ease. Keren is easygoing and approachable, and she believes in meeting clients where they are. Her goal is to build a trusting relationship where you feel comfortable to explore your thoughts, feelings, and goals at your own pace.

In the beginning, Keren's approach would be Person Centered Therapy to help build a strong therapeutic relationship and for clients to feel supported. Once we’ve established a foundation, she would tailor her approach based on the clients' presenting concerns. Keren often incorporated techniques that she has experienced and feels comfortable using, such as Cognitive Behavior Therapy, Solution Focused Therapy and Motivational Therapy. She also believes in being flexible and adapting her methods to fit each client's situation.

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Background and credentials

Dr. Inano is a board-certified adult psychiatrist. She earned her bachelor's degree in psychology from Xavier University in New Orleans and obtained her medical degree from the University of California Davis. She completed her general psychiatry residency at the University of Texas at Austin Dell School of Medicine. Before transitioning to private practice, Dr. Inano worked within the Veterans Affairs healthcare system, where she gained extensive experience treating a diverse range of mental health conditions. She has also served as an Affiliate Faculty member at the University of Texas at Austin Dell School of Medicine, supervising and training psychiatry residents.

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Treatment approach

Dr. Inano employs a kind, collaborative, and patient-centered approach to psychiatry. She specializes in treating depression, anxiety, and trauma-related disorders, with additional training in psychotherapeutic modalities for PTSD. She strives to create a safe and supportive environment where patients feel comfortable exploring their concerns and working toward healing.

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What you can expect in a first visit

During the first visit, patients can expect a thorough and compassionate evaluation aimed at understanding their unique experiences, symptoms, and treatment goals. Dr. Inano emphasizes collaboration, ensuring that each patient is actively involved in their treatment plan. She provides a supportive space where patients can discuss their concerns, and she tailors treatment options—including therapy and medication management—to meet individual 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. Delima-Tokarz is double Board Certified in Psychiatry and Lifestyle medicine. She completed her psychiatry residency training at the University of Maryland/Sheppard Pratt, where she served as the chief resident. She has practiced in various settings over her career, including working for the Department of Defense, private practice, and community mental health. Dr. Delima-Tokarz is fluent in Portuguese, English, and Spanish. Dr. Delima-Tokarz has more than five years of experience treating patients with anxiety, depression, PTSD, Bipolar, OCD, ADHD, and other mental health issues. She employs pharmacotherapy along with supportive therapy and integrative approaches. Dr. Delima-Tokarz is currently working on completing her Ph.D. in Integrative Medicine and is passionate about a holistic and integrative approach to mental health. Her philosophy includes a healing-oriented approach that considers the whole person, including all lifestyle aspects. Dr. Delima-Tokarz aims to provide collaborative and comprehensive care, which may include medication management, lifestyle interventions, stress reduction techniques, and other integrative approaches. She believes building a strong therapeutic relationship where the patient feels empowered is the key to healing.‍

Dr. Karla Garcia is a board-certified psychiatrist trained in Adult Psychiatry. She graduated from the University of Notre Dame with a Bachelor of Science and a Master of Education. She then went on to complete her medical education and residency training at the University of Chicago. She is board certified in Adult Psychiatry by the American Board of Psychiatry and Neurology.

Dr. Garcia believes in patient-centered care, seeking to care for the whole person.  She values the therapeutic relationship, working to guide patients in their treatment while also encouraging patients to take an active role in their care. Dr. Garcia cares about getting to know you as a person and helping you reconnect with your values. Her clinical approach is holistic, collaborative, and supportive.

Dr. Garcia focuses on evidence-based treatments for psychiatric illness that utilize a combination of medications and psychotherapy. Using a range of skills and interventions, Dr. Garcia believes in a multi-faceted approach to treatment.

Dr. Garcia has experience working in a wide variety of inpatient, emergency, partial hospitalization, intensive outpatient, and outpatient psychiatric settings and in treating a broad spectrum of psychiatric disorders including depression, anxiety, bipolar disorder, trauma, substance use disorders, personality disorders, ADHD, and OCD. She treats patients in English and Spanish.

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!

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Dr. Erlach is a board certified adult psychiatrist who has previously worked for the United States Air Force and the Department of Veterans Affairs. He attended medical school at the Uniformed Services University of Health Sciences, graduating in 2009, followed by active duty military service in the United States Air Force until 2024. He completed residency training at the combined military-civilian Wright State University/Wright Patterson AFB training program in Dayton, Ohio.

Dr. Erlach enjoys working with all types of patients. He takes a collaborative approach to patient care and develops a treatment plan alongside the patient so that both are fully invested in the plan. He generally has weekend and evening appointments only.

Dr. Erlach incorporates therapy into medication management appointments. Dr. Erlach feels that addressing psychosocial stressors and developing coping mechanisms are a vital component to treatment.

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