Alexandra Gotsche, DO | Talkiatry

Alexandra Gotsche, DO

Staff Psychiatrist
Languages
English
SPECIALTIES
Medication Management
ADHD
Anxiety
Bipolar Disorder
Depression
Obsessive-compulsive disorder (OCD)
PTSD/Trauma

Education and training

  • Kansas City University of Medicine and Biosciences (KCUMB) Doctor of Osteopathic Medicine (DO)

Get to know

Alexandra Gotsche, DO

Dr. Gotsche is a board-certified adult psychiatrist who is dedicated to helping individuals navigate their mental health journey. Originally from Illinois, she completed her undergraduate studies at Illinois State University before earning her medical degree from Kansas City University. She went on to complete her psychiatry residency at the University of Oklahoma. Following residency, she worked at the Kansas City VA Medical Center where she primarily focused on outpatient mental health. Outside of her clinical work, she enjoys cooking, reading, cycling, and hiking.

Dr. Gotsche takes a holistic, integrative, and evidence-based approach to mental health care. She emphasizes the importance of building a strong therapeutic alliance and working closely with each patient to ensure treatment fits their unique needs and goals. She is experienced in treating a variety of psychiatric conditions including mood disorders, anxiety, trauma-related disorders, and ADHD. She is committed to providing comprehensive care in a supportive environment.

Dr. Gotsche will conduct a thorough evaluation to learn each patient’s medical history, current symptoms, and treatment goals. She values open communication and a collaborative approach, ensuring that patients are actively involved in the decision-making process. An individualized treatment plan will be developed which may include medication management, psychotherapy, or referrals to additional services as needed. Her goal is to provide integrated, patient-centered care that promotes long-term well-being.

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Nilsa De Jesus Rosario, MD

Staff Psychiatrist

Dr. De Jesus is a bilingual psychiatrist, fluent in English and Spanish. She is a double board-certified psychiatrist in Adult Psychiatry and Child & Adolescent Psychiatry. Dr. De Jesus provides medication management services in combination with supportive therapy during 30-minute follow-up visits. Dr. De Jesus received her medical degree from the Universidad Central del Caribe School of Medicine in Bayamon, Puerto Rico. She completed her Adult Psychiatry residency at Jackson Memorial Hospital in Miami, FL. Subsequently, Dr. De Jesus pursued her fellowship in Child and Adolescent Psychiatry at Thomas Jefferson University Hospital in Pennsylvania and was a Chief Resident during her last year of training. Dr. De Jesus has been providing psychiatric services in the community mental health setting for 8 years. Her clinical focus has been in treating children, adolescents, and young adults with depression, anxiety, posttraumatic stress disorder, and ADHD. Dr. De Jesus believes in the importance of establishing an individualized treatment approach to meet each individual's need while providing comprehensive care to her patients.

Shelah Radke, MD

Staff Psychiatrist

Shelah Radke, MD, JD, is a double board-certified Child and Adolescent and Adult Psychiatrist with over a decade of extensive experience in mental health care, specializing in the well-being of children, adolescents, and young adults. She currently serves in St. Louis, MO, where she is known for her dynamic leadership as a Medical Director and her robust clinical practice. Throughout her career, Dr. Radke has held pivotal roles, including Medical Director of Crisis Psychiatry Services at Mercy Hospital and key positions in several reputable outpatient clinics across the U.S. Her clinical acumen spans a diverse range of settings, from private practice and crisis care to specialized programs in residential and educational institutions.

A staunch advocate for evidence-based approaches, Dr. Radke integrates lifestyle and pharmacological interventions to foster mental health resilience among her patients. She is particularly passionate about the shared decision-making model, which enhances patient empowerment and satisfaction by actively involving them in their treatment plans. Dr. Radke's academic contributions are equally notable. She has developed educational curriculums that significantly improve health outcomes and has shared her expertise through numerous media appearances and professional talks. Her commitment to medical education is reflected in her mentorship of nurse practitioners and her involvement in creating community psychiatry programs.

Complementing her medical expertise, Dr. Radke holds a Juris Doctorate, with a focus on public health and social policy, which enriches her understanding of the legal and systemic aspects of healthcare. Her approach is deeply holistic, informed by her training in integrative medicine and her personal commitment to wellness, which she practices through nutrition, exercise, and travel with her family. Dr. Radke's professional journey is driven by a commitment to optimizing mental health outcomes and enhancing the quality of life for her patients and their families.

Ariela Karasov, MD

Staff Psychiatrist

Dr. Ariela Karasov completed her psychiatry residency at Stanford, serving as Chief Resident in her final year, and pursued a fellowship in Neuropsychiatry at Stanford Hospital. She is board certified in Behavioral Neurology and Neuropsychiatry and has worked as a National Expert in bipolar disorder at the VA. She has experience treating Generalized Anxiety Disorder, Obsessive-Compulsive Disorder, Bipolar Disorder, PTSD, and Depression, as well as patients with comorbid neurologic and mental health conditions. Dr. Karasov has also taught residents as adjunct clinical faculty at the University of Wisconsin Hospital and Clinics.

Dr. Karasov takes a collaborative approach, actively engaging patients in treatment planning and decision-making. She incorporates therapy into her practice, emphasizing each individual’s values and what gives their life meaning and purpose. Patients can expect a thoughtful, empathetic, and patient-centered environment where their goals and experiences are prioritized.

She values a thorough evaluation to understand how medical, psychological, and social factors contribute to a patient’s presentation. When appropriate, she invites family members or friends to provide collateral information to ensure a complete understanding, guiding a tailored and effective treatment plan.

Stephen Hawk, DO

Staff Psychiatrist

Dr. Stephen Hawk is a board-certified psychiatrist with 25 years of experience. He earned his Doctor of Osteopathic Medicine from Kansas City University of Medicine and Biosciences and completed his psychiatry residency at the University of South Florida, Tampa. He has served in private practice and held leadership roles at the Veterans Administration, including Chief of Mental Health at Bay Pines VA. He led the launch of the VA Suicide Prevention 2.0 Telehealth Program and has training in AI in medicine.

Dr. Hawk combines talking therapies, neuromodulation, and modern psychopharmacology in a collaborative and empathic style. He focuses on family dynamics and integrates psychodynamic and biopsychosocial approaches, using creativity and open dialogue to tailor care.

He begins with open-ended conversations to help patients tell their story, then develops treatment plans together aligned with diagnostic standards. His approach includes medication review, mindfulness, CBT, supportive and psychodynamic therapy, and lifestyle education to support holistic wellness.

Brenda Camacho, MD

Staff Psychiatrist

Dr. Brenda Y. Camacho holds the position of Staff Psychiatrist at Talkiatry. She is board-certified in Adult Psychiatry. She has been practicing for over 25 years. While having treated a wide range of adult patients, Dr. Camacho's primary focus is treating adult outpatients with mood or psychotic disorders. Her practice focuses on medication management. Typically, she offers this in conjunction with supportive or insight-oriented therapy in 30-minute follow-up visits. On occasion, Dr. Camacho will believe additional therapy is also needed and asks that you bring a therapist into your care team to provide the best outcome. Dr. Camacho completed her undergraduate studies at Tufts University. She received her medical degree from Temple University School of Medicine in Philadelphia, PA and then continued with Temple for her residency in adult psychiatry. After completing training, Dr. Camacho worked at Cooper Hospital in Camden, NJ as Associate Director of Consultation/Liaison Service and Psychiatry Residency Training and Co-Director of the Neuropsychiatry Clinic. She then began working exclusively in outpatient settings, joined NewPoint Behavioral Health Care, and served as Medical Director before and after their merge with Acenda Integrated Health.

Michael Stoddard, MD

Staff Psychiatrist

Dr. Stoddard earned his medical degree from the University of Arizona College of Medicine - Tucson and completed his residency at the University of Arizona College of Medicine - Phoenix. He is board-certified in psychiatry and provides care for adult patient populations. Prior to his career in medicine, he proudly served in the U.S. Air Force.

Although Dr. Stoddard specializes in medication management of psychiatric conditions, supportive psychotherapy is often incorporated into his visits, as he believes a combined approach leads to a more robust treatment response. Additionally, he aims to enhance wellness through discussion of lifestyle modifications that emphasize quality sleep, a healthy diet, and regular exercise.

Initial appointments consist of a psychiatric evaluation and discussion of evidence-based treatment options. If telehealth is deemed to be an appropriate modality and pharmacotherapy is recommended, discussion will consist of selecting a suitable medication to address target symptoms while minimizing adverse effects. Follow-up visits focus on assessing treatment response and adjusting regimens to optimize outcomes.