Swarnalata Debbarma, MD

Dr. Thomas Spina is an adult psychiatrist who began his practice at Talkiatry after completing his psychiatry residency at the Eastern Long Island branch of Stony Brook University, where he treated a diverse patient population. Dr. Spina received his undergraduate degree from St. John's University in Queens where he studied Philosophy. Initially interested in a career in law, Dr. Spina decided to change gears and pursue a career in medicine after watching a relative struggle with her diagnosis of Diabetes Mellitus. Dr. Spina then completed medical school at Tel Aviv University in Israel, where he fell in love with psychiatry during his clerkship at Ichilov medical center. During that rotation, he came to appreciate how each patient has his or her own unique story, regardless of their diagnosis. Dr. Spina favors a holistic and integrative approach to psychiatry, combining medication management with supportive therapy, elements of cognitive behavioral therapy, while remaining open to other treatment modalities depending on the needs of his patients. When more focused therapy is indicated, Dr. Spina may recommend that his patient work with a provider specializing in a particular modality of therapy as part of their treatment. Dr. Spina treats adult patients with mood disorders including major depressive disorder and bipolar disorder, anxiety spectrum disorders, OCD, PTSD and specific phobias. In his spare time, Dr. Spina enjoys a variety of hobbies, including Brazilian Jiu-Jitsu, running, baseball, and exploring new eateries and shops.

Dr. Zeshen Wu is an ABPN board certified psychiatrist with more than 10 years of experience. He completed his undergraduate studies at the University of Texas at Austin, followed by medical school at the University of Texas Medical Branch. He completed residency in psychiatry at Dell Medical School in Austin. Dr. Wu focuses on effective and safe medication management as well as supportive and psychodynamic therapy in his practice. He likes to focus on a gentle, collaborative, and patient-centered approach. He specializes in forming individualized pharmacological treatments as well as taking time to explore stressors and psychological issues to achieve complete and comprehensive care. Dr. Wu had previously served as assistant professor of psychiatry at UTHealth McGovern Medical School in Houston and has been involved in many years of teaching and mentorship. At UTHealth, he also served as clinical faculty in one of the nation's largest inpatient psychiatric campuses and is experienced in treating a wide range of adult mental illnesses including mood disorders, anxiety, OCD, and ADHD.

Dr. Jiang is a board-certified adult psychiatrist. His practice focuses on medication management and supportive therapy. His major goal is for treatment to be patient centered, with a focus on high quality, evidence-based care in the safest and most meaningful way. Dr. Jiang completed an undergraduate degree at the University of California, Los Angeles. He received his medical degree from Oakland University William Beaumont, School of Medicine. He then completed his psychiatry residency at Loyola University Medical Center. Dr. Jiang's areas of interest include depression and post-traumatic stress disorder.‍

Dr. Caleb Cheatham is a board-certified psychiatrist who completed his undergraduate studies at Stetson University in DeLand, FL, before earning his medical degree and completing his psychiatry residency at the University of Tennessee Health Science Center in Memphis, TN. He brings a strong foundation in psychopharmacology and a deep commitment to person-centered care.

Dr. Cheatham takes an open, nonjudgmental approach and strives to create a safe space for patients to share vulnerably. He believes in leading with compassion and listening as a core tool for understanding. His treatment philosophy is integrative—combining thoughtful medication management with supportive, individualized therapy—and he encourages patients to consider the role of lifestyle factors like sleep, nutrition, and exercise.

Dr. Cheatham begins with a conversational consultation focused on understanding each patient’s story and needs. Together, they co-create a personalized treatment plan grounded in the patient’s values. He emphasizes clear communication and routinely revisits treatment goals to ensure alignment, progress, and ongoing support.

Dr. Kristin Ratz is a Board-Certified psychiatrist who is an expert in the diagnosis, treatment, and prevention of mental, emotional and behavioral disorders. She specializes in medication management combined with supportive therapy during 30-minute follow-up sessions. Dr. Ratz recognizes that each patient is unique and believes in an environment of collaboration, in which the patient and psychiatrist work together in order to develop the best individualized treatment plan. A California local, Dr. Ratz obtained her undergraduate education at University of California, Davis, graduating magna cum laude with a degree in Human Development. She then attended medical school at Loma Linda University School of Medicine, obtaining her Medical Doctorate. Following this, she completed her adult psychiatry residency training at the distinguished University of California, Irvine. Dr. Ratz has worked in a diverse range of healthcare settings, including county and community clinics, and is very experienced in telepsychiatry. She pays close attention to not only an individual's emotional state, but also their physical, spiritual, and social well-being, in order to provide her patients with exceptional holistic care.

Dr. Kerstin Asquith is a board-certified psychiatrist at Talkiatry. She has extensive experience working with a wide range of diagnoses and patient populations, with particular interest in treating depression, anxiety, PTSD, and OCD. She also has additional training in college mental health. Dr. Asquith believes in the importance of getting to know each of her patients and the unique issues that bring them into treatment. Her approach involves collaborating with patients to create personalized treatment plans and considering both medication and non-medication methods.

Dr. Asquith is from California and completed her undergraduate studies at the University of California, Davis. She obtained her medical degree from Creighton University School of Medicine and then trained at Stanford University's Adult Psychiatry Residency Program. She subsequently completed a fellowship in student mental health at Stanford University. Most recently, Dr. Asquith worked as an outpatient psychiatrist at The Permanente Medical Group. In her free time, she enjoys traveling, trying new foods, and spending time with friends and family.