Zachary Myslinski, MD

Dr. Anil Joseph (AJ) Kulangara completed additional training in Psychiatry at the University of Washington after working primarily in women’s health, primary care, and military medicine as a Battalion Surgeon in the United States Army.  Following his military service, he trained in Psychiatry and served the mental health needs of our Veteran population. He is excited to now bring his unique expertise and experiences to Talkiatry, as well as his additional training in Women’s Mental Health, Reproductive and Perinatal Psychiatry, PTSD, and trauma-informed ADHD evaluation and treatment.

Dr. AJ’s approach focuses on behavioral change, with medication management and supportive therapies serving as important (and often essential) adjuvants to optimizing mental health.

During your first meetings with Dr. AJ, you should expect a thorough evaluation of your clinical and social histories, as well as some introductory psychoeducation.  Following that screening, anticipate a discussion about his approach to your condition and an initial treatment plan.  Please feel free to bring up any questions or concerns at any time during this process, and note-taking is highly encouraged!

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Dr. Danielle Gelfond is an Adult Psychiatrist and a graduate from Loyola University Medical Center's residency program in Chicago, IL. Prior to attending residency, Dr. Gelfond graduated from Rush Medical College at Rush University. Throughout residency, Dr. Gelfond spent time focusing on her clinical interests which include mood disorders, anxiety disorders, substance use disorders, and women's mental health. During her training, Dr. Gelfond spent several years working with the Perinatal population and completed a year-long program focusing on Women's Mental Health through the National Curriculum in Reproductive Psychiatry organization. She held the role of Chief Resident of her program during the last two years of her training and received several awards commending her leadership style and rapport with patients through her program. Dr. Gelfond takes on a holistic and "patient-centered" approach in her treatment style. She incorporates both medication management, supportive psychotherapy, and discussions surrounding lifestyle and wellness into her appointments and emphasizes patient education and autonomy, which she believes helps support the therapeutic relationship, improve clinical outcomes, and helps treatment align with the patient's goals of care.

Denise White, PMHNP, has worked in the mental health field for over 30 years following the completion of her Bachelor’s degree in Psychology from Suffolk University in Boston. She began her career as a mental health technician in a geriatric residential program and later pursued additional education in nursing, earning an Associate Degree in Nursing from Quincy College, a Bachelor’s Degree in Nursing from South University, and a Master’s in Nursing from Eastern Kentucky University. Over the years, she has held diverse roles in adult and children’s case management, residential and intensive outpatient programs, inpatient psychiatric care, and crisis stabilization. Denise has provided care in both inpatient and outpatient settings as well as through hospital consult services across the country.

Denise prides herself on her ability to empathize with her patients and meet them exactly where they are in their journey. She believes that trust is the foundation of the therapeutic relationship and works diligently to create a supportive, nonjudgmental environment where patients feel safe, heard, and respected.

In the initial evaluation, Denise focuses on gathering comprehensive information to form a complete understanding of each patient’s unique background and needs. From there, she develops an individualized treatment plan that aligns with the patient’s prioritized goals. Each session begins from that foundation, allowing her to support patients at their own pace as trust deepens and progress unfolds.

Maegan Roberts, PMHNP, earned her MSN from Indiana University School of Nursing and her BSN from the University of Evansville. She worked as a Registered Nurse in inpatient psychiatry for five years before transitioning to outpatient care as a psychiatric nurse practitioner in 2017. Maegan has experience treating patients across the lifespan, from school-aged children to older adults. She is especially attuned to the challenges of young adulthood, parenting, and navigating complex family dynamics. Committed to lifelong learning, she values the insights and perspectives her patients bring to their care.

Maegan creates a therapeutic environment grounded in dignity, empathy, and respect. She empowers patients through education about diagnoses, symptoms, and medications while promoting autonomy and informed decision-making. Her approach blends psychopharmacology with supportive therapy, skill-building, and sustainable lifestyle strategies, helping patients build insight and resilience.

In the initial appointment, Maegan takes time to understand each patient’s history, concerns, and goals. From there, she collaborates with patients to create and adapt treatment plans that align with their evolving needs, always keeping the individual’s unique context and aspirations at the center of care.

Dr. Tanvi Gupta, a native Marylander who recently finished her fellowship training in Child and Adolescent Psychiatry from the University of Maryland. She completed her residency in general psychiatry from San Antonio, Texas and is a Board Certified Psychiatrist. Prior to training, Dr. Gupta attended medical school at Touro College of Osteopathic Medicine in in New York. She also holds a master's in biomedical science from Rutgers University in New Jersey and a bachelor's in public health from the University of Maryland. She is on the Early Career Psychiatrist Committee for the Child and Adolescent Psychiatrists of Greater Washington Area. Dr. Gupta has worked in various settings, ranging from academic centers, schools, state hospitals and residential treatment centers. She also provided medication management and therapy to Medicaid patients in an outpatient setting, delivering care to children and adolescents with various mental health disorders. Dr. Gupta has experience in Emergency Psychiatry as well.

Dr. Gupta greatly values connecting with her patients. She is gentle yet direct in her approach. She uses a shared decision-making process to design a treatment plan that align with her patient’s goals. Dr. Gupta provides psycho education for diagnoses and medication recommendations. She has a special interest in ADHD and trauma. She appreciates a family-based approach.

Dr. Gupta uses a comprehensive biopsychosocial evaluation, psychotherapy and medication management to treat a variety of mood disorders, anxiety disorders, as well as ADHD. Dr. Gupta promotes non-pharmaceutical interventions, when appropriate, with patient-oriented lifestyle and behavioral modifications.

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!