Satveet Khela, DO

Dr. Tsujimoto-Ryzewski is a board-certified adult psychiatrist. She received her medical degree from the University of Nevada, Reno School of Medicine. She completed her residency at the University of Nevada, Reno School of Medicine, where she served as a chief resident during her last year of training. Dr. Tsujimoto-Ryzewski has treated patients with a wide variety of diagnoses both during her residency and after her training while working at a busy private practice clinic as well as for the Veterans Administration. Dr Tsujimoto-Ryzewski focuses on medication management and supportive psychotherapy. If she feels that additional therapy is needed, she will ask that you bring in a therapist as part of the treatment team. Dr. Tsujimoto-Ryzewski will work collaboratively with you in a caring environment to assist you in reaching your goals.

Dr. Sabrina Lefcochilos-Fogelquist earned her bachelor’s degree from Georgetown University and her medical degree from Sidney Kimmel Medical College at Thomas Jefferson University. She completed her psychiatry residency at the Icahn School of Medicine at Mount Sinai Morningside/West in New York City. She has experience in outpatient, inpatient, and emergency psychiatry, treating a broad spectrum of mental health conditions across diverse populations.

Dr. Lefcochilos-Fogelquist values compassionate, holistic care and strives to build long-term, collaborative relationships with her patients. She is particularly drawn to the outpatient setting, where she can engage with the evolving narratives of her patients’ lives. She creates a warm, supportive environment where individuals feel safe, respected, and heard.

Her process begins with a comprehensive evaluation to understand each patient’s history, concerns, and goals. Treatment plans are individualized and may include medication management and psychotherapy. She integrates supportive, cognitive behavioral, psychodynamic, and mindfulness-based techniques to meet patients' evolving needs.

Darcie Farrell is an ANCC Board Certified Family Psychiatric Nurse Practitioner.  She has worked exclusively in the field of psychiatry during her forty-year nursing career.  She has worked in many care settings, including as a psychiatric Home Health Nurse and as a Certified Case Manager (CCM) in Psychiatry at Blue Cross Blue Shield. During her time at Excellus Blue Cross Blue Shield, she realized the urgent need for psychiatric nurse practitioners, so enrolled in the BSN/MSN program at the University of Rochester, graduating in 2016 with her BSN and in 2018 with her MSN.  She has strong skills and experience in Motivational Interviewing, having worked as a Motivational Counselor for a University of Rochester's Pediatric Research Program.   She has worked for the past seven years as a Nurse Practitioner in Geriatric Outpatient Psychiatry.

Darcie Farrell is a compassionate provider who is client centered. I rely on evidence-based scientific research when determining the best treatment options for clients.  

Darcie Farrell has a very relaxed process for working with patients which allows the client to provide information that is pertinent to their goals for care.  Then, together, we determine which treatment options are likely to be best for the client.

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Background and credentials

Dr. Ian Goldberg is a board-certified adult and child/adolescent psychiatrist and a licensed physician in New York state. He has been practicing since 1988 and has extensive experience working with patients in private practice, hospital settings, and community-based mental health programs. His professional career has included work both in and outside of the United States.

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Treatment approach

Dr. Goldberg takes an eclectic approach to psychiatric care, integrating various treatment modalities, including psychodynamic perspectives and medication management. His focus is on improving his patients' overall quality of life by tailoring treatment strategies to their unique needs.

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What you can expect in a first visit

During the initial visit, patients can expect a comprehensive and individualized evaluation. Dr. Goldberg values collaboration and strives to create a treatment plan that is both effective and adaptable. His experience allows him to approach each case with insight and flexibility, ensuring that patients receive care that is aligned with their personal goals and circumstances.

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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. Mendez obtained his medical degree from the University of Texas Medical School in Houston. He subsequently completed his Psychiatry residency training at the same institution, UT Medical School in Houston. Dr. Mendez has extensive training in the field and is board certified in Adult Psychiatry by the American Board of Psychiatry and Neurology. After professional training, Dr. Mendez has had vast experience of 15 years primarily in the outpatient setting including ample experience with telemedicine services to patients. He has extensive experience in diagnosing and treating adult patients dealing with attention deficit disorders and a wide spectrum of adjustment and anxiety disorders. Dr. Mendez has a special interest in the treatment of mood disorders from Major Depression to Bipolar spectrum disorders. Dr. Mendez prioritizes the development of great communication, mutual understanding and trust with his patients as he finds these elements to be key to a successful treatment. He establishes his treatment plans upon evidence-based guidelines and encourages a holistic approach for optimal well-being. Through effective medication management and supportive psychotherapy, Dr. Mendez leads his patients to optimal mental health. He encourages patients to strive to develop fulfillment and optimal functionality in their life's roles.

Dr. Bianca Fleming is a double board-certified psychiatrist in Adult and Child and Adolescent Psychiatry. She completed her undergraduate studies at the University of Georgia, earned her MD from Morehouse School of Medicine, completed psychiatry residency at the University of North Carolina at Chapel Hill, and a child and adolescent fellowship at Emory University School of Medicine. She has experience across inpatient, outpatient, and integrative community health settings.

Dr. Fleming values gathering thorough information through a warm, conversational interview style. She strives to create a supportive therapeutic space while maintaining a balanced sense of patient accountability to promote meaningful progress.

Her approach emphasizes shared agenda setting at every visit to ensure both patient and provider needs are met. Dr. Fleming takes a detailed history to guide clinical decisions, prioritizes patient education, and delivers evidence-based, patient-centered care. She integrates psychotherapy into all medication management appointments to support holistic treatment.

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