Tetyana Tarnavsky, MD

Background and credentials

Dr. Puja Kumar is trained in adult, child, and adolescent psychiatry and is a board-certified pediatrician. She earned her Bachelor of Science from the University of Calgary and her medical degree from St. George’s University in Grenada. She completed her pediatrics residency at Maimonides Medical Center in New York and practiced pediatrics with MedStar Shah Medical Group in Maryland before transitioning to psychiatry. She later trained in child and adult psychiatry at University Hospitals Cleveland Medical Center.

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Treatment approach

Dr. Kumar provides medication management combined with supportive therapy, typically in 30-minute follow-up visits. She takes a holistic approach to treatment, considering the impact of lifestyle, parenting practices, and family dynamics on mental health. She emphasizes integrative care, ensuring that treatment plans are tailored to each patient’s unique needs and circumstances.

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What you can expect in a first visit

During the first visit, patients can expect a thorough and compassionate evaluation, where Dr. Kumar takes time to understand their symptoms, medical history, and environmental influences. She prioritizes collaborative decision-making, working closely with patients and, when applicable, their families, to develop a comprehensive and personalized treatment plan. Follow-up visits typically focus on medication adjustments, supportive therapy, and lifestyle recommendations to optimize mental health outcomes.

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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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Damaris Chukwura, DNP, PMHNP-BC, is a Board-Certified Family Psychiatric Mental Health Nurse Practitioner with over a decade of experience in mental health care. She began her nursing career in 2007 and has been practicing as a psychiatric nurse practitioner since 2014. Damaris has worked in a wide range of settings including inpatient hospitals, residential treatment centers, partial and intensive outpatient programs, correctional psychiatry, and substance abuse treatment. Her clinical experience spans various conditions such as ADHD, eating disorders, mood disorders, psychotic disorders, PTSD, and treatment-resistant depression. She earned her BSN from Texas Christian University, MSN from The University of Texas at Arlington, and her DNP from The University of Alabama in Huntsville.

Damaris values open communication and collaboration with her patients. She creates a warm, caring environment where individuals feel heard and respected. Her approach is both evidence-based and supportive, blending professionalism with a welcoming demeanor. She is passionate about mental health advocacy and reducing stigma. Outside of work, Damaris enjoys spending time with her husband and three children, traveling, decorating, and watching reality TV.

During initial psychiatric evaluations, Damaris takes time to fully understand each patient’s history, concerns, and goals. She develops individualized treatment plans that align with these goals and may include supportive therapy or referrals for more intensive therapy if needed. Follow-up appointments typically last 30 minutes, allowing time to track progress and make adjustments as necessary.

Dr. Tiffany Chu earned her medical degree from the University of Southern California and completed her psychiatry residency at the Medical Center of Aurora. She has experience treating a wide range of psychiatric conditions, including depression, anxiety, ADHD, obsessive-compulsive disorder, panic disorder, and post-traumatic stress disorder.

Dr. Chu takes a holistic approach to psychiatry, aiming to promote long-term wellness and address root causes. Along with medication and psychotherapy, she may explore diet, nutrition, lifestyle factors, and integrative therapies. She strives to create a warm, supportive environment where patients feel truly heard.

Dr. Chu values shared decision-making. She listens carefully to patients’ concerns and goals and collaborates with them to develop individualized treatment plans tailored to each person’s needs.

Dr. Earl De Guzman is a psychiatrist who values therapeutic partnership, working with patients to balance symptom relief with meaningful self-exploration. He earned his BS in Psychology from the University of California, Davis, and his MD from Ross University School of Medicine. He completed his psychiatry residency at Los Angeles County + University of Southern California Medical Center and a consultation-liaison psychiatry fellowship at Stanford University Medical Center. He is triple-board-certified in psychiatry, consultation-liaison psychiatry, and addiction medicine, and holds psychoanalytic psychotherapy training certification from the Psychoanalytic Center of California. Currently, he is a psychoanalyst-in-training at the New Center for Psychoanalysis. His expertise spans medication management, supportive therapy, and psychodynamic therapy.

Dr. De Guzman takes a collaborative, patient-centered approach, creating a warm and nonjudgmental environment. He listens deeply, asks thoughtful questions, and encourages honest exploration of symptoms and underlying patterns. He values authenticity, curiosity, and respect for each patient’s unique experiences. While symptom relief is important, his goal is to foster self-understanding and long-term growth. He works best with patients open to collaboration and motivated for change, whether through medication management, therapy, or both.

Dr. De Guzman begins with a consultation phase to ensure a good fit, listening carefully to understand each patient’s challenges and goals. Together, he and his patients build a working alliance by clarifying difficulties, identifying realistic changes, and exploring deeper patterns. When appropriate, he prescribes medication thoughtfully, aiming to support therapy rather than replace it. Each session integrates supportive and psychodynamic elements, combining medication review with therapeutic dialogue. Treatment plans are regularly revisited, allowing flexibility and growth, with the ultimate aim of empowering patients toward lasting change.

Dr. Sharon Kahler is Board Certified in Adult and Child & Adolescent Psychiatry and treats patients of all ages. She has over a decade of experience in both community mental health centers and private practice, working with individuals from diverse backgrounds. She earned her medical degree from New York Medical College, completed Adult Psychiatry Residency at New York-Presbyterian/Weill Cornell, and completed Child and Adolescent Fellowship training at NYU Langone and Bellevue Hospital. Her clinical interests include mood and anxiety disorders, PTSD, and childhood psychiatric disorders.

Dr. Kahler is committed to providing compassionate, high-quality mental health care. She fosters a therapeutic, nonjudgmental environment where patients can openly share their concerns and values. Viewing treatment as a partnership, she encourages patients to play an active role in their care and takes a whole-person approach, considering lifestyle, environmental, and social factors that contribute to healing.

Dr. Kahler begins with a comprehensive assessment to understand each patient’s history, background, and treatment priorities. She develops individualized treatment plans using evidence-based approaches, supporting patients in navigating life’s challenges and finding a path to mental wellness.

Dr. Robert Smeed, DO, is a board-certified psychiatrist with a passion for healing the human mind and consciousness. He earned his Doctor of Osteopathic Medicine from Lake Erie College of Osteopathic Medicine and completed his Psychiatry Residency at Wayne State University College of Medicine. Certified by the American Board of Psychiatry and Neurology (ABPN), Dr. Smeed served as an outpatient psychiatrist at Veterans Affairs for 11 years, honing his expertise in mental health care. Driven by a deep interest in consciousness and innovative treatments, he combines talking therapies, neuromodulation, and modern psychopharmacology to help patients achieve lasting wellness.

Dr. Smeed is proficient in treating a wide range of psychiatric conditions while specializing in treatment-resistant depression, neurodevelopmental disorders, anxiety and trauma disorders. His treatment style is empathic and collaborative, emphasizing family dynamics and relationships while integrating psychodynamic principles with biopsychosocial models. He approaches each patient with creativity, using open-ended discussions and innovative therapeutic and psychopharmacologic strategies to tailor care, ensuring a personalized and effective treatment experience.

Dr. Smeed begins with open-ended dialogue, allowing patients to develop their narrative, which is often therapeutic. Treatment plans are customized to patient needs and align with diagnostic standards of care. He incorporates medication reviews, mindfulness techniques, cognitive behavioral therapy (CBT), supportive therapy, and psychodynamic approaches. Dr. Smeed also educates patients on lifestyle factors, such as diet and exercise, to support mental health, fostering a holistic and individualized path to wellness.