Sameerah Akhtar, MD

Dr. Ariela Karasov completed her psychiatry residency at Stanford, serving as Chief Resident in her final year, and pursued a fellowship in Neuropsychiatry at Stanford Hospital. She is board certified in Behavioral Neurology and Neuropsychiatry and has worked as a National Expert in bipolar disorder at the VA. She has experience treating Generalized Anxiety Disorder, Obsessive-Compulsive Disorder, Bipolar Disorder, PTSD, and Depression, as well as patients with comorbid neurologic and mental health conditions. Dr. Karasov has also taught residents as adjunct clinical faculty at the University of Wisconsin Hospital and Clinics.

Dr. Karasov takes a collaborative approach, actively engaging patients in treatment planning and decision-making. She incorporates therapy into her practice, emphasizing each individual’s values and what gives their life meaning and purpose. Patients can expect a thoughtful, empathetic, and patient-centered environment where their goals and experiences are prioritized.

She values a thorough evaluation to understand how medical, psychological, and social factors contribute to a patient’s presentation. When appropriate, she invites family members or friends to provide collateral information to ensure a complete understanding, guiding a tailored and effective treatment plan.

Kelly Vandivert, LPC, is a Licensed Professional Counselor with over twenty-seven years of diverse experience in the mental health field. Her career has spanned a variety of settings, from residential facilities to outpatient community services, in-home, school, and private practice. Her passion for people and love of experience has afforded her the chance to work with people of all ages from a variety of cultural and socio-economic backgrounds. Kelly has been licensed since 2008, focusing much of her time since then working together with adolescents and adults regarding the treatment of mood disorders, such as depression and anxiety, adjustment-related concerns and life transitions, as well as trauma and abuse. Kelly has a client-centered and comprehensive approach to therapy, drawing from a variety of treatment modalities including Cognitive Behavioral Therapy and Dialectical Behavior Therapy. Her approach emphasizes the importance of the therapeutic relationship for a safe place to share and engage in self-discovery and personal growth. She values an evidence-based approach utilizing the latest research for effective treatment incorporating her experience with each individual's own values and preferences.

Jan Hollis-Cole, LCSW, began her career as a social worker for hospice in 1999 and has extensive experience helping families cope with death and grief due to illness and/or trauma. Following her foundational work with hospice care, Jan expanded her clinical knowledge and expertise in a variety of settings to include substance abuse, challenges related to ADHD, anxiety, depression, LGBTQIA+ issues, and navigating the foster care/adoption system.

Jan believes that connection is the foundation of positive growth and dedicates her work to providing a safe place for clients to engage in self-expression and to explore the particular challenges they face on a daily basis.

Her approach is client centered, focusing on evidenced based therapies such as Cognitive Behavioral Therapy (CBT), Dialectical Behavorial Therapy (DBT) and Eye Movement Desensitization Reprocessing (EMDR). Jan works with clients of all ages and encourages inclusion and diversity within families to promote individual growth.

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Angela Harrington is a licensed mental health therapist with 26 years of professional therapy work. She is currently licensed in NE, OK, KS, and CO. She specializes in stress, anxiety, self-esteem, motivation, depression, and coping with life changes. She uses a wide range of clinical approaches in talk therapy, including client-centered therapy, cognitive behavioral therapy (CBT), mindfulness, motivational interviewing, and solution-focused support.

Ian Provo is a Licensed Clinical Social Worker who is also certified in Complex Trauma treatment. He has held a clinical license for 27 years, where he has worked in a number of capacities as a mental health professional, including Clinical Director, Director of Treatment, private practice, direct care services, and case management. Ian completed his Bachelor's degree from Arizona State University and his Master's Degree from the University of Illinois. Ian is passionate about his work and believes strongly in the human potential and resilience in overcoming life's obstacles and barriers. His therapeutic model focuses on multidimensional modalities, including cognitive behavioral therapy, psychodynamic model, psychoeducational approaches, and mindfulness techniques. Ian has vast experience in working with victims of sexual abuse and trauma in addition to treating anxiety, depression, ADHD, PTSD and providing couple's therapy. In addition to his professional work, Ian is actively engaged in volunteer work where he helps victims of sexual human trafficking, providing clinical assessments and engaging in public awareness campaigns. He recently composed, produced, and directed an anti-human trafficking music video for an organization.

Background  and credentials    

Dr. Christa DeFries is a board-certified Adult Psychiatrist. She earned her  medical degree from UT Southwestern Medical School in Dallas, Texas, and  completed her residency in Adult Psychiatry at Baylor Scott & White in  Temple, Texas. Following residency, Dr. DeFries gained additional experience  treating homeless and formerly homeless populations in New York City,  particularly focusing on individuals with histories of trauma and substance  addiction, prior to joining Talkiatry.    

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Treatment approach    

Dr. DeFries practices Adult Psychiatry, employing an integrative treatment  approach combining medication management, psychotherapeutic methods, and  lifestyle modifications. She recognizes that each patient benefits from a  personalized mix of these three aspects of care. Dr. DeFries specializes in  treating diverse psychiatric conditions, including those related to trauma,  substance addictions, and various mental health disorders.    

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What you can expect in a first visit    

In a first visit with Dr. DeFries, patients can expect a comprehensive  evaluation aimed at understanding their individual mental health history,  specific concerns, and overall treatment goals. Dr. DeFries emphasizes an  individualized approach, carefully exploring the best combination of  medication, therapy, and lifestyle adjustments tailored specifically to each  patient's needs. Patients can anticipate an empathetic and collaborative  environment focused on their personal experiences and goals.    

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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.