Sujal Kotadia, MD

Shanika is a dedicated and compassionate board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) with over a decade of experience in the mental health field. She holds a Bachelor of Science in Nursing, a Masters in Nursing Education, and a Post-Master’s Certificate as a Family Psychiatric Nurse Practitioner. Shanika is known for her patient-centered approach, prioritizing empathy, respect, and individualized care. She is committed to building strong therapeutic relationships grounded in trust and open communication.

New patients can expect a warm, non-judgmental environment where they feel heard and supported. Shanika collaborates closely with each patient to create personalized treatment plans, helping them feel empowered in their mental health journey.

Shanika begins with a comprehensive psychiatric evaluation to understand each patient’s history, symptoms, and goals. Her treatment may include medication management, supportive therapy, and psychoeducation. She specializes in anxiety, depression, bipolar disorder, ADHD, trauma/PTSD, mood disorders, and women’s mental health. Shanika has extensive experience providing care for both adolescents and adults in outpatient settings, with a particular focus on underserved communities.

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Ashley is an ANCC board-certified Psychiatric Mental Health Nurse Practitioner with over a decade of experience in Psychiatry. She has worked in inpatient and outpatient settings, crisis centers, and psychiatric emergency rooms. Ashley is deeply committed to working collaboratively with individuals to enhance their well-being, creating a personalized care plan tailored to each person’s unique needs.

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Her approach integrates medication management, supportive psychotherapy, and lifestyle interventions. As a prescriber specializing in psychopharmacology, Ashley provides comprehensive medication management while utilizing a shared decision-making model. She actively involves clients in their treatment planning, discussing various options to determine the most effective path forward.

During the initial session, Ashley prioritizes establishing a comfortable, open environment where clients feel at ease. She will review medical and psychiatric history, discuss treatment goals, and explore different therapeutic options based on individual preferences. Ashley encourages questions throughout the process to ensure a collaborative and supportive treatment experience.

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.

Dr. Maaeesha Pushpita, MD, is a board-certified psychiatrist with experience caring for patients across all age groups in both inpatient and outpatient settings. She holds a special interest in college-age populations, women’s and reproductive health, trauma-related care, nutritional psychiatry, and psychodynamic psychotherapy and psychopharmacology. Dr. Pushpita earned her medical degree from Northeast Ohio Medical University and completed her psychiatry residency at OhioHealth Riverside Methodist Hospital.

Dr. Pushpita’s approach to care is patient-centered, holistic, empathic, evidence-based, and culturally competent. She values building trust and fostering an environment where patients feel heard, supported, and empowered in their care.

In the initial session, Dr. Pushpita takes time to understand each patient’s history, concerns, and goals. She carefully rules out underlying physical conditions that may impact mental health and cognitive functioning, and collaborates with patients to identify lifestyle changes that can support their well-being. Treatment plans are tailored, evidence-based, and designed to be practical and achievable.

Ernest Smith, LPC, specializes in supporting adolescents, young adults, adults, and older adults as they navigate grief, anxiety, depression, trauma, and life transitions. With a compassionate and client-centered approach, he creates a safe, nonjudgmental space for individuals to explore their experiences and build the skills necessary for healing, growth, and resilience.

Ernest draws from a range of evidence-based modalities—including solution-focused therapy, person-centered therapy, cognitive-behavioral therapy (CBT), and dialectical behavior therapy (DBT). He tailors each session to meet the unique needs of his clients, whether helping adolescents manage emotional regulation and identity development or supporting older adults in coping with grief and life changes.

Ernest provides trauma-informed care and recovery-focused strategies that foster emotional safety, self-awareness, and long-term well-being. His goal is to walk alongside each person with empathy, understanding, and practical tools that promote lasting change and inner strength.

Dr. Justin Uzl is double board-certified in adult and consultation liaison psychiatry. His fellowship training helped him gain greater insight into the interface between medicine and mental healthcare. He has been practicing for seven years and has worked closely with individuals with co-occurring chronic medical issues, specifically organ transplantation. Dr. Uzl takes a holistic approach to mental healthcare combining medication management, psychotherapy, and lifestyle modifications to help his patients achieve a quality of life that allows them to pursue their goals. He sees the position of the psychiatrist as helping to educate and guide patients, allowing them to take an active role in their own recovery. Dr. Uzl believes diversity is a strength and embraces providing high quality services that affirm the dignity, worth and value of all individuals including the LGBTQ+ community. Dr. Uzl takes an evidence-based approach in his treatment of individuals suffering with depression, anxiety, trauma, difficulty focusing and concentrating, sleep issues, and interpersonal problems. He utilizes insight-oriented care, believing that gaining understanding of a person's feelings, thoughts, and actions will provide them the knowledge needed to make the positive change they desire. Therapy may be a key part of a person's treatment, and if greater frequency is needed outside of sessions with Dr. Uzl, he will refer and collaborate with a psychotherapist to help maximize a patient's success.