Stephanie Negrey, MD

More Clinicians

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.

Stephanie Price, DO

Staff Psychiatrist

Dr. Stephanie Price is a board-certified psychiatrist. Her practice focuses on medication management and supportive therapy. She believes in a collaborative approach to treatment planning because shared decision-making helps provide the best outcome for patients. She went to college at the University of Rochester in Rochester, NY and received her degree in Microbiology. She completed her medical education at Edward Via College of Osteopathic Medicine in Spartanburg, SC, and completed her residency training at Creighton University School of Medicine-Valleywise Health in Phoenix, AZ. She served as vice chief resident during her residency training. She has additional post-residency experience working in the outpatient setting treating multiple conditions such as depression, anxiety, PTSD, bipolar disorder, insomnia, OCD and psychotic disorders. Areas of interest include depression, anxiety, bipolar disorder, and ADHD.‍

Stephanie Powers, DO

Staff Psychiatrist

Background and credentials

Dr. Stephanie Powers is a board-eligible psychiatrist with over 18 years of experience in psychiatric care. She earned her advanced medical degree from Adelphi University and completed her psychiatry residency training at SUNY Stony Brook University Hospital and Medical Center. Additionally, she holds a master’s degree in Developmental Psychology from Columbia University. Dr. Powers has held academic roles as an Associate Professor at Stony Brook University Hospital Medical Center and as a clinical instructor at New York College of Osteopathic Medicine, where she has supervised and trained residents and medical students.

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Treatment approach

Dr. Powers specializes in medication management and supportive therapy, providing compassionate psychiatric care tailored to individual patient needs. She has extensive experience treating adults in inpatient, outpatient, and emergency psychiatric settings, with a particular focus on PTSD in veterans. She has worked at Zucker Hillside Hospital, Pederson-Krag, Brookhaven Memorial Hospital, Northport VA Medical Center, Nassau University Medical Center, and Damian Family Care Centers. Her treatment philosophy is centered on helping patients reach their full potential and improve their overall quality of life.

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What you can expect in a first visit

During the first visit, patients can expect a comprehensive psychiatric evaluation, where Dr. Powers carefully assesses their symptoms, medical history, and personal goals. She prioritizes collaborative treatment planning, ensuring that each patient receives a personalized approach that may include medication management and therapeutic interventions. Her approach is patient-centered and focused on fostering well-being, with ongoing support to help individuals achieve their mental health 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.

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Stephanie Jarvie, MD

Staff Psychiatrist

Dr. Stephanie Jarvie is a board-certified psychiatrist and has been practicing for over eight years. Stephanie completed her Bachelor's degree at the University of Bristol in her native United Kingdom. She attended Saint George's University school of medicine in Grenada and completed her residency training in psychiatry at New York Medical College Metropolitan Hospital in NYC, New York. As chief resident, Dr. Jarvie learned to balance her clinical experience with organizational duties and scholarly activities. She has played a crucial role, both clinically, and has been a part of multi-disciplinary treatment teams. More recently, she has been an inpatient clinical psychiatrist at Banner University medical center in Arizona and has served as an assistant professor of psychiatry at the University of Arizona for four years. Stephanie is from Edinburgh, Scotland. Her studies and training have taken her on a journey from the United Kingdom and the Caribbean to New York City and Arizona. She uses her exposure to diverse patient populations from around the world to help with her clinical skills and treatment plans. Dr. Jarvie has a wealth of knowledge and experience in treating a diverse range of psychiatric disorders such as major depression disorder, anxiety, bipolar spectrum disorder, and post-traumatic stress disorders. Dr. Jarvie's practice focuses on medication management. She offers this in conjunction with supportive therapy in 30-minute follow-up. She works collaboratively with patients to develop individualized treatment plans to help them achieve their goal, which may include medication management, lifestyle interventions, and stress reduction techniques. Dr. Jarvie believes that additional therapy may be necessary and asks that you bring a therapist into your care team to provide the best outcome.

Deborah Edelman, DO

Staff Psychiatrist

Background and credentials

Dr. Edelman is Board Certified in Psychiatry and Board Eligible in Child and Adolescent Psychiatry. She completed her psychiatry residency training at the Medical College of Georgia and SUNY Downstate, followed by a fellowship in Child and Adolescent Psychiatry at SUNY Downstate. Throughout her career, Dr. Edelman has practiced in various clinical environments, including inpatient child and adolescent psychiatric units, academic outpatient treatment clinics for adults and children, emergency psychiatric settings, and community psychiatry. She has over seven years of experience.

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Treatment approach

Dr. Edelman utilizes a collaborative, supportive, and patient-centered approach, combining pharmacotherapy with therapeutic modalities such as cognitive-behavioral therapy (CBT), psychodynamic therapy, supportive therapy, and interpersonal therapies. She treats a wide variety of conditions, including depression, anxiety, OCD, bipolar disorder, ADHD, learning disorders, substance use disorders, PTSD, and schizophrenia. Her goal is to partner closely with patients to meet their specific needs, achieve their personal goals, and enhance their overall quality of life.

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What you can expect in a first visit

Patients can expect their initial visit with Dr. Edelman to include a comprehensive psychiatric evaluation, during which she takes the time to understand each patient's individual concerns, goals, and history. She emphasizes collaborative planning of treatment, carefully integrating medications and tailored therapeutic interventions. Patients will experience a compassionate and supportive atmosphere designed to set clear expectations and foster progress toward their personal mental health goals.

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Why Talkiatry?

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Joel Witherspoon, LCMHC

Staff Therapist

Joel Witherspoon is a licensed Clinical Mental Health Counselor with over 20 years of clinical experience working in various mental health settings, working directly with clients from diverse backgrounds living with a broad range of mental health conditions. Joel earned his Undergraduate degree at California State University Long Beach, Graduate School at East Carolina University, Greenville, NC, and completed his internship in Raleigh, NC. Joel has been practicing for 19 years as a Licensed Clinical Mental Health Counselor, focusing on mood disorders, trauma, situational adjustment disorders, and any life challenge that interferes with a client's happiness. Working with Joel, treatment is specific to the individual with the focus on modalities that are specific to each person's challenges. Joel uses an eclectic approach with a foundation in person-centered therapy, cognitive behavioral therapy, dialectical behavioral therapy, interpersonal therapy, and trauma therapy combined with somatic interventions such as mindfulness.

Patricia Klaine, MD

Staff Psychiatrist

Dr. Patricia Klaine is an attending physician working at Talkiatry. She is board certified in adult psychiatry. After completing her training in adult psychiatry, she continued her education by completing a fellowship in consultation-liaison psychiatry, which enables her to treat patients with a variety of medical comorbidities confidently. Dr. Klaine focuses on medication management. She offers this in addition to supportive psychotherapy in 30-minute follow up visits. For some patients, it may be important to bring in additional psychotherapy for well-rounded care. Dr. Klaine received her medical degree from St. George's University in Grenada, and after that, she completed her training in general adult psychiatry at Maimonides Medical Center in Brooklyn, New York. She went on to complete a fellowship in consultation-liaison psychiatry at Mount Sinai Hospital in New York. After completing her training, she worked on an inpatient psychiatric unit before deciding to transition into outpatient psychiatric care. She looks forward to a collaborative relationship with her patients.

Karel Routhier, MD

Staff Psychiatrist

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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Kayla Garcia, LMHC

Staff Therapist

Kayla is a dedicated therapist with a robust educational background and extensive experience in the field of psychology. She earned a Bachelor of Arts in Psychology from Florida International University and completed a Master of Science at Nova Southeastern University. During her internship at Aventura Hospital and Medical Center, Kayla worked within inpatient psychiatric units, gaining valuable experience in crisis management and acute psychiatric care. Kayla has a particular interest in helping clients navigate anxiety, depression, and relationship issues. She brings empathy, understanding, and a client-centered approach to her practice, ensuring that each individual feels heard and supported on their journey to mental wellness. Outside of their professional life, Kayla enjoys spending quality time with family and her two dogs. Whether hiking or relaxing by the beach, she cherishes these moments of connection and tranquility.

Gisela Ayub, PMHNP

Staff Nurse Practitioner

Gisela Ayub, DNP, PMHNP-BC is a Nationally Certified Psychiatric Nurse Practitioner who received her first master's in nursing from Point Loma Nazarene University (PLNU) and her second Masters of Nursing with emphasis in Psychiatry from Gonzaga University. Gisela also completed her Doctorate in Nursing Practice Degree from PLNU. Gisela’s passion for helping those most in need started when she was just a young girl with a dream of becoming a physician someday. Life did not work the way it was planned for Gisela and she decided to become a nurse. Gisela worked as a registered nurse for over 13 years in different areas of nursing before focusing solely in the area of psychiatry. She has experience working in the areas of medical surgical, medical rehab, cardiac, oncology, labor and delivery and kidney dialysis. But her inspiration to help psychiatric patients was born from seeing the unmet needs of those patients, and the desire to be able to provide more compassionate care. Gisela's desire to become a Psychiatric Nurse Practitioner grew stronger with time, with the only idea in her mind to provide better care for those patients.

During the 1990’s, Gisela served her country proudly and spent 4yrs in the Navy. While attending her first master's in nursing at PLNU, she volunteered at the PLNU city clinic for the uninsured and under-privileged, providing mental health assessments and therapy. After graduating PLNU, Gisela continued providing free therapy to patients at the clinic. In addition, due to her strong background in nursing, Gisela has been able to identify other medical issues that correlate to patients' mental health, and through the use of an extensive questionnaire and ongoing assessment of presenting problems, she has been able to refer patients for additional care. Gisela has also worked as a preceptor, helping other new nurse practitioners understand how to provide the best care possible and communicate with patients.

Gisela believes that it is very important to help the patient feel they are in a safe space, establish a therapeutic environment that builds trust and openness, she listens fully, and uses a comprehensive questionnaire to obtain as much information as possible from the patient, in order to make an accurate diagnosis and select the correct treatment plan. Gisela always works with the collaboration of the patient, as this is the most important part of the treatment plan. Educating patients is also one of her strong suits. Gisela wants to make sure all of her patients are aware of the type of medications they are taking, explore options if needed, and the pros and cons of medications.

Darcie Farrell, PMHNP

Staff Nurse Practitioner

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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Latori Griffin, LMFT

Staff Licensed Marriage and Family Therapist

Dr. Latori Griffin is a Licensed Marriage and Family Therapist with over 10+ years' experience in helping clients with relationship issues, family conflicts, trauma and abuse, intimacy related issues, and personality distress. Her specialty areas include seeing clients from underserved backgrounds with challenging life circumstances, racial/cultural traumas, substance use/abuse, career and educational planning, and relational traumas. Her goals are to offer a holistic approach to therapy that is concerned with the whole person and is conducive to growth and healing. Considering the spiritual, emotional, physical, psychological, social, and societal aspects of a client's experiences are of the utmost importance in creating an environment of warmth and support. Dr. Griffin works with clients to create an open and safe environment where thoughts and feelings can be shared without fear of judgment, and she will tailor the treatment plan to meet the clients' unique and specific needs. It takes courage to seek out a more fulfilling and happier life and to take the first steps towards a change. Dr. Griffin is here to support & empower clients on that journey.

Stephanie Negrey, MD

Education and training

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