Swarnalata Debbarma, MD

Background and credentials

Dr. Matthew Koller is a board-certified adult psychiatrist who completed his undergraduate training at The University of Texas at Austin. He earned his medical degree from The University of Texas Health Science Center at San Antonio and completed his general adult psychiatry residency at Baylor College of Medicine in Houston, TX, where he served as Chief Resident of Education in his final year of training.

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Treatment approach

Dr. Koller believes that understanding a patient fully is essential before treatment begins, emphasizing a collaborative and patient-centered approach to care. His practice is primarily focused on medication management, but he also incorporates supportive therapy and other therapeutic modalities as needed. He may recommend including a therapist in the treatment plan to ensure comprehensive, well-rounded care. He has experience treating a wide range of mental health conditions, including depression, anxiety, insomnia, personality disorders, bipolar disorder, PTSD, and psychotic disorders.

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What you can expect in a first visit

During the first visit, patients can expect a thorough and individualized psychiatric evaluation, where Dr. Koller takes the time to understand their symptoms, history, and treatment goals. He prioritizes open communication and shared decision-making, working closely with patients to develop personalized treatment plans. While medication management is the foundation of his approach, he remains flexible and adaptive, incorporating therapy and other interventions as needed to help patients achieve optimal mental health.

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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. Breaunnah Bloomer Jackson is a board-certified Child & Adolescent Psychiatrist who earned her undergraduate degree from Howard University and a master’s in biological sciences from Mississippi College. She completed medical school at LSU Health Sciences Center – Shreveport, followed by a general psychiatry residency and child & adolescent psychiatry fellowship at LSU Health Sciences Center – New Orleans, where she served as Chief Fellow.

Dr. Breaunnah Bloomer Jackson creates a welcoming, supportive space for children, adolescents, and their families. She takes a compassionate and collaborative approach to care, focusing on medication management while integrating supportive therapy, brief cognitive techniques, parent guidance, psychoeducation, and motivational strategies. When ongoing therapy is needed, she works closely with therapists to ensure connected, comprehensive care.

She is passionate about meeting young people where they are, honoring their individuality, and working with families to navigate challenges together. With a strong foundation in human development and a deep commitment to equity, Dr. Bloomer Jackson is building a practice that supports the whole person—and every story.

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Dr. Natalie Armijo is a board-certified adult psychiatrist with over twenty years of experience. She completed medical school, internship and residency at the University of New Mexico. She has worked for private HMOs and government facilities. Her private practice combines conventional treatment with nutrition and physical activity to support total health.

Dr. Armijo treats patients, ages 18 to 64, who have conditions related to anxiety, depression, trauma and ADHD with medication and supportive therapy. Her clinical interests include integrative medicine and nutritional psychiatry.

Your first visit with Dr. Armijo will range from thirty minutes to one hour and is designed to collect and clarify information about you. Topics will include your current symptoms, previous mental health treatment, medical conditions, substance use and family history. She will review treatment options, including their risks and benefits. At the end of the visit, she will let you know if her clinical experience and the limitations of an online platform are compatible with your needs. Your safety is her priority.

Follow-up visits range from twenty to thirty minutes and will initially focus on how you are responding to treatment. As your condition stabilizes, she will help you.

- Organize a long-term mental health

- Develop discipline to accomplish your goals

- Evaluate your progress

- Maintain motivation to reach your highest potential

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Dr. Ernesto Gonzalez is a board certified adult psychiatrist. He completed his undergraduate training at Yale University and received his medical degree from the University of Pennsylvania School of Medicine. He completed his residency training at the Cambridge Health Alliance/Harvard Medical School Adult Psychiatry Training Program. Dr. Gonzalez prefers a holistic approach that takes the time to know the whole patient, incorporating biological, psychological, social, and cultural perspectives in crafting a comprehensive, individualized, treatment plan. He practices medication management combined with supportive therapy, typically delivered within 30 minute sessions. Elements of psychodynamic, dialectical behavior and cognitive-behavioral therapy will also be incorporated into sessions based on a patient's individual needs. If additional therapy is needed, Dr. Gonzalez will recommend the addition of an individual therapist to the patient's treatment team. Having dedicated his career to adult outpatient psychiatry, Dr. Gonzalez has worked with patients from a wide range of ages, cultures, ethnicities, and social settings across the New York City area. His primary focus is working with patients with depression, anxiety, ADHD, and PTSD. He also values working with people adjusting to changes in their lives, whether it be grieving the loss of a loved one, changes in employment, relationships, or adjusting to changes that come with age. Prior to joining Talkiatry, Dr. Gonzalez was an Assistant Professor at the NYU Grossman School of Medicine and served as Director of the Adult Outpatient Psychiatric Department, Assertive Community Treatment (ACT) Team, and Collaborative Care Departments at Woodhull Hospital in Brooklyn, New York. He also had a small practice near his home. Dr. Gonzalez has also had a lifelong interest in meeting new people and experiencing different cultures. This interest has taken him as far away as the townships of Cape Town, South Africa and as close as his local diner, and it edifies the work he does with patients.

Dr. Molly Fels is a board-certified psychiatrist. She completed her undergraduate education at Barnard College followed by medical school at Rutgers-Robert Wood Johnson Medical School. Dr Fels then completed her psychiatry residency training at Mount Sinai Beth Israel. She has previously worked in the Mount Sinai health system in the psychiatric emergency department and inpatient psychiatric unit. Dr. Fels has an interest in treating patients with a wide variety of psychiatric disorders including depression, anxiety, ADHD, and in working with patients who have experienced trauma. She believes in addressing holistic and lifestyle factors with her patients, including nutrition and sleep, in addition to pharmacology. Dr. Fels combines medication management and supportive psychotherapy to provide well-rounded and comprehensive care to her patients and prioritizes involving patients actively in each step of their psychiatric treatment.

Dr. Kothari's treatment approach begins with establishing a good therapeutic rapport with her patients and listening to her patients so that they feel heard. Dr. Kothari likes to spend time providing psychoeducation on medications when discussing the treatment plan. Dr. Kothari's practice focuses on medication management primarily, but may incorporate supportive psychotherapy during medication visits. Dr. Kothari may recommend additional psychotherapy if she feels a patient may benefit from this. Dr. Kothari's current practice does not include the use of any controlled substance medications, such as stimulants, benzodiazepines, and certain sleep aids.