A private outpatient practice in Flint, Texas

Physician-led adult psychiatry for Northeast Texas

At Northeast Texas Psychiatry, every appointment is with a psychiatrist, the same physicians who own the practice. We keep our patient panels deliberately small so that visits are unhurried, diagnosis is careful, and treatment is planned for the long term.

Begin a New Patient Request How we practice

All new patient requests are reviewed directly by our physicians prior to scheduling to determine whether we can responsibly assume care.

A physician-led standard of care

How We Practice

Northeast Texas Psychiatry is a private, physician-led outpatient practice providing longitudinal psychiatric care for adults.

We approach psychiatric care as a long-term therapeutic and professional relationship. Our new patient process is structured to reflect that commitment.

Learn more about our Standard of Care (PDF)

Select the seal to read our Standard of Care.

Conditions We Treat

We provide outpatient evaluation and treatment for adults with:

Care is grounded in careful diagnostic assessment, with attention to both symptom relief and long-term functional stability.

Access & Panel Size

We intentionally maintain smaller patient panels to ensure adequate time, continuity, and clinical depth for each patient. For this reason, we do not offer open online scheduling.

All new patient requests are reviewed directly by our physicians to determine whether the care requested falls within the scope of services we provide and whether we can responsibly assume ongoing outpatient treatment. We recognize that seeking psychiatric care can feel vulnerable, and we approach each request with care and deliberation.

Scheduling & Care Setting

Visits are by appointment only. We do not provide walk-in or urgent psychiatric services. Care is delivered in a private outpatient setting with an emphasis on professionalism, confidentiality, and continuity.

This practice is not equipped to provide emergency psychiatric care; individuals experiencing an emergency should call 911 or proceed to the nearest emergency department.

Payment Model

We operate as a direct-pay practice and do not contract with insurance. This model allows our physicians to practice independently, preserve longer visit times, and prioritize clinical judgment without administrative limitations imposed by third parties. We can provide documentation for patients who wish to pursue out-of-network reimbursement independently.

Care from the physicians who own the practice

The Physicians

Anna Kuklina, M.D.

Board-Certified Psychiatrist (American Board of Psychiatry and Neurology)
Co-founder of Northeast Texas Psychiatry, PLLC

Dr. Kuklina is a board-certified psychiatrist and co-founder of Northeast Texas Psychiatry, PLLC. She provides comprehensive outpatient psychiatric care for adults.

Her clinical interests include bipolar disorder, psychotic disorders, and borderline personality disorder, with a focus on precise, evidence-based psychopharmacology and optimization of complex medication regimens.

She earned her medical doctorate at The University of Texas Medical Branch at Galveston and completed specialty training in General Psychiatry at The University of Texas Health Science Center at Tyler. Prior to medical school, she graduated summa cum laude with a B.S. in Biomedical Sciences from The University of Texas Rio Grande Valley and participated in laboratory research, an experience that continues to inform her evidence-based, methodical approach to clinical care.

Outside the clinic, Dr. Kuklina enjoys spending time with her family and pets, tending to orchids, cooking, and reading.

Ryan Poch, M.D.

Co-founder of Northeast Texas Psychiatry, PLLC

Dr. Poch is a co-founder of Northeast Texas Psychiatry, PLLC. He provides adult outpatient psychiatric care with a structured, patient-centered approach that emphasizes diagnostic precision, practical treatment planning, and attention to social supports.

His clinical interests include severe mental illness, mood and anxiety disorders, complex psychopharmacology, and deprescribing when clinically appropriate, with a focus on helping patients achieve sustainable functional improvement in daily life.

He earned his medical doctorate from Texas Tech University Health Sciences Center in Lubbock and completed specialty training in Rural Adult Psychiatry at The University of Texas Health Science Center at Tyler. Prior to medicine, he earned a B.S. in Economics from Brigham Young University and developed a strong background in information technology. That experience informs his analytical, systems-oriented approach to clinical problem-solving.

Originally from Salt Lake City, Utah, Dr. Poch is conversational in German after living in Germany for two years and is currently studying Russian. Outside the clinic, he enjoys spending time with family and pets, exploring new foods, tackling home improvement projects, and reading contemporary fiction.

Reviews & privacy

A Note on Privacy

Rooted in East Texas

Adult Psychiatry for Tyler, Longview, and the Communities Around Us

Our office sits in Flint, just south of Tyler among the pine forests that give this corner of Texas its character. We provide adult outpatient psychiatric care for patients from across Northeast Texas and nearby East Texas communities.

Patients regularly travel to our practice from Tyler, Longview, Jacksonville, Lindale, Mineola, Quitman, Bullard, Palestine, Kilgore, Overton, Henderson, Nacogdoches, Canton, Frankston, Marshall, Athens, Gilmer, Mount Pleasant, Sulphur Springs, Carthage, Whitehouse, Van, Winnsboro, and surrounding communities.

Initial visits are conducted in person in Flint. When clinically appropriate, some follow-up visits may be offered by telehealth for patients who are physically located in Texas at the time of the visit.

Considering psychiatric care?

Start with a new patient request. Every request is read and considered by our physicians, not a scheduling service.

Begin a New Patient Request