Sarah Debrey, MD

Dr. Natalia Roque is a psychiatrist who received her BA in Biology from the University of Chicago and her medical degree from Loyola University Chicago Stritch School of Medicine. She returned to the University of Chicago to complete her psychiatry residency, where she served as Chief Resident of the outpatient psychiatry clinics and was a member of the Diversity, Equity, and Inclusion Committee. She has experience treating patients across inpatient, outpatient, and consultation-liaison psychiatry settings, with additional training in treatment-resistant depression, trauma, neuropsychiatry, ECT, ketamine, geriatric psychiatry, student counseling, LGBTQ+ mental health, women’s mental health, and culturally sensitive care.

Dr. Roque believes in building a strong therapeutic alliance grounded in empathy, respect, and curiosity. She values collaboration and open communication, ensuring that patients feel like active partners in their care. Her goal is to create a safe, supportive space where individuals feel understood as whole people, not defined solely by their symptoms. She also prioritizes incorporating cultural background and social determinants of health, including financial stressors and systemic barriers into treatment planning.

In her work, Dr. Roque begins by taking time to understand each patient’s unique story, experiences, and goals. She approaches care through a trauma-informed lens and with cultural sensitivity to ensure treatment feels safe, respectful, and relevant. Her process integrates evidence-based approaches, including psychodynamic therapy and cognitive behavioral therapy (CBT), while tailoring care plans to meet both clinical needs and patient preferences. Dr. Roque regularly checks in on progress, invites feedback, and adjusts treatment collaboratively to support an ongoing, responsive therapeutic process.

Dr. Jennifer Ruch is a board-certified psychiatrist who strives to understand her patients' lived experiences and aspirations to develop supportive therapeutic relationships through empathetic listening, mutual trust, and respect. She collaboratively creates individualized care plans that align with personal treatment goals in a safe and judgment-free environment. After completing her Bachelor of Science degree in Human Biology with a focus in psychology from the University of California, Merced, she earned her medical degree from Lake Erie College of Osteopathic Medicine. Dr. Ruch completed her General Psychiatry Residency at Arnot Ogden Medical Center in New York. Her clinical experience involves treating individuals of all age groups from diverse populations and socioeconomic backgrounds suffering from anxiety, depression, bipolar disorder, psychotic disorders, neurodevelopmental disorders, and neurocognitive disorders. She has provided care in inpatient and outpatient psychiatric facilities, the Veterans Affairs Medical Center, emergency rooms, state facilities, and an inpatient chemical dependency center. She also performed pre-procedure psychological evaluations for bariatric and spinal cord surgeries, and psychiatric consult liaison services on medical units and has clinical training in inpatient and outpatient neurology. Her clinical experience incorporated treatment modalities such as pharmacotherapy and interventional psychiatry, including Transcranial Magnetic Stimulation and Spravato. Dr. Ruch integrates a wide array of psychotherapy as needed; however, her practice primarily focuses on medication management while utilizing referrals to therapists and providing collaborative care for optimal outcomes.

Dr. Anne Rohs is board certified in both adult and geriatric psychiatry and has practiced psychiatry for over 10 years. She has extensive experience treating critically ill patients in hospital settings. This experience allowed her to hone skills necessary to care for individuals with complex psychiatric illnesses complicated by medical conditions. Dr. Rohs' approach to care involves providing a consistent, empathic, non-judgmental space to develop and attain shared treatment goals. She is committed to developing a partnership that is always respectful of patients' points of view, and she utilizes this knowledge to inform treatment plans that are safe, effective, and agreeable to patients. At the same time, she is sensitive to financial or insurance coverage factors that may impact treatment. After completing residency training at Montefiore Medical Center, Dr. Rohs was invited to serve an additional year as Senior Chief Resident for its adult psychiatry residency training program. She spent the next year as a fellow in Geriatric Psychiatry before her appointment as an attending physician on Montefiore's acute psychiatric inpatient unit. During her training years, Dr. Rohs made several trips to Uganda to serve as an attending physician with the Doctors for Global Health Project. Dr. Rohs subsequently transferred to Bronx Psychiatric Center (BPC), where she treated inpatients and outpatients suffering from severe mental disorders. At BPC, she expanded her knowledge base and became an expert in advanced psychopharmacology. Dr. Rohs also spent time prior to joining Talkiatry as an attending physician at NYU Langone Hospital. Dr. Rohs specializes in treating a variety of psychiatric conditions including mood disorders, psychotic disorders, anxiety disorders, PTSD, and dementia. She is attuned to the direct and indirect mental health impact of the pandemic and its aftermath on patients of all ages. Dr. Rohs does not usually treat ADHD patients. For the small number of patients she treats who have ADHD, Dr. Rohs requires comprehensive testing, multiple follow ups, and a full medical workup before confirming a diagnosis to ensure appropriateness and safety of chosen treatment.Dr. Anne Rohs is board certified in both adult and geriatric psychiatry and has been in practice for over ten years. She has an extensive background working in hospital settings treating critically ill patients. This experience has helped hone her skills in caring for individuals with complex psychiatric illnesses complicated by medical conditions. Dr. Rohs’ approach is to provide a consistent, empathic, non judgmental space to develop and attain shared treatment goals. Dr. Rohs is committed to developing a partnership which is always respectful of patients’ points of view, and she utilizes this knowledge to inform treatment plans that are safe, effective and agreeable to patients. She is sensitive to financial or insurance coverage factors that may impact treatment.

After completing residency training at Montefiore Medical Center, Dr. Rohs was invited to serve an additional year as Senior Chief Resident for their adult psychiatry residency training program. She spent the following year as a fellow in Geriatric Psychiatry before being appointed an attending physician on Montefiore’s acute psychiatric inpatient unit. Dr. Rohs subsequently transferred to Bronx Psychiatric Center, where she treated patients suffering from severe mental disorders in both inpatient and outpatient settings. As a result, she further expanded her knowledge base and became an expert in advanced psychopharmacology. Prior to joining Talkiatry, Dr. Rohs served as an attending physician at NYU Langone Hospital. She has also been an attending physician for the Doctors for Global Health Project in Uganda.

Dr. Rohs specializes in treating a variety of psychiatric conditions including schizophrenia, bipolar disorder, generalized anxiety disorder, depression, and dementia. She is attuned to the direct and indirect mental health impact of the pandemic on patients of all ages. As the Covid situation evolves, Dr. Rohs is available to see patients either in the office or via telehealth platforms.

Dr. Rohs does not usually treat ADHD patients. For the small number of patients she treats who have ADHD, Dr. Rohs requires comprehensive testing, multiple follow ups, and a full medical workup before confirming a diagnosis to ensure appropriateness and safety of chosen treatment.

Dr. Kevin Lu is a board certified adult psychiatrist. In addition to medication management, he integrates elements of psychotherapy, psychoeducation, lifestyle changes, and relationship skills into his approach. He enjoys working with a variety of individuals and conditions, with particular experience with veterans, immigrants, and university students. He has a friendly and casual style, and prioritizes strong therapeutic relationships in his work. Dr. Lu completed his undergraduate studies at New York University's Stern School of Business, and after a short career in finance, he made a transition into medicine. He received his medical degree from the Zucker School of Medicine at Hofstra/Northwell, and completed residency training in psychiatry at the University of Arizona in Tucson.

Background and credentials

Dr. Sabera Saklayen is a board-certified psychiatrist licensed in Adult Psychiatry. She earned her bachelor’s degree from Ohio State University and her medical degree from Wright State University Boonshoft School of Medicine. She completed her psychiatry training at Stony Brook University Hospital, where she served as chief resident and was awarded the William Turner Award for outstanding performance in psychiatry residency. She has extensive experience treating diverse populations, including vulnerable and underserved communities, having worked as an outpatient psychiatrist at Bellevue Hospital for two years.

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Treatment approach

Dr. Saklayen specializes in medication management but takes a holistic, patient-centered approach that integrates supportive therapy, cognitive-behavioral therapy (CBT), and motivational interviewing (MI). She has extensive experience treating depression, bipolar disorder, generalized anxiety, panic disorder, social anxiety, OCD, insomnia, and substance use disorders. She is particularly skilled in treating college students and individuals navigating difficult life transitions. If more in-depth therapy is needed, she may refer patients to a therapist as part of a comprehensive care plan.

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What you can expect in a first visit

During the first visit, patients can expect a thorough and compassionate evaluation, where Dr. Saklayen carefully assesses symptoms, history, and treatment goals. She prioritizes collaboration and individualized treatment planning, ensuring that patients feel comfortable and supported in their mental health care. Follow-up visits are typically 30 minutes and focus on medication management and therapy integration, with referrals to additional therapy when needed for the best possible outcome.

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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. Khandie Graham is a board-certified psychiatrist who completed her medical training at UCLA/Drew Medical Education and her psychiatry training at University of California, San Francisco/Fresno in 2013. She has served as a psychiatrist in the United States Air Force and prior to joining Talkiatry, was an inpatient psychiatrist. Dr. Graham's practice focuses on medication management. Typically, she offers this in conjunction with supportive therapy in 30-minute follow-up visits. However, occasionally Dr. Graham may believe that additional therapy is also needed and ask that you bring a therapist into your care team to provide the best outcome. Dr. Graham treats all adults and specializes in depression, bipolar disorder, anxiety disorders, ADHD, and life changes. She prides herself in partnering with patients to create individualized treatment plans. Dr. Graham is a great listener and spends time with her patients.