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Andrew Li, MD
Dr. Li is a board-certified adult psychiatrist based in Florida. He has a particular focus on combining supportive psychotherapy techniques with medication management in the treatment of psychiatric conditions. Some conditions he has particular experience in managing include attention/focus difficulties, anxiety, depression and bipolar mood issues, but he is well-versed in addressing a wide variety of diagnoses.
Allison Cheng, MD
Dr. Cheng is a board-certified psychiatrist who provides medication management alongside supportive therapy. She takes an individualized, patient-centered approach, creating comprehensive treatment plans tailored to each person's needs. With an approachable and caring demeanor, she helps patients address both immediate concerns and underlying stressors. Dr. Cheng believes in evidence-based practices while maintaining sensitivity to each patient's unique mental health journey.
Michelle Zaydlin, MD
Dr. Michelle Zaydlin is a board-certified psychiatrist who has experience in caring for diverse patient populations presenting with an array of diagnoses. Her interests include neurodevelopmental disorders (autism, ADHD), mood disorders, anxiety, trauma, and comorbid medical conditions. She has completed internships in pediatric neuropsychology and worked as a behavior therapist, delivering Applied Behavior Analysis (ABA) therapy, enriching her understanding of development and neurocognitive functioning. Additionally, Dr. Zaydlin actively participates in research and is actively engaged in educational initiatives for other healthcare providers. Dr. Zaydlin believes in a collaborative and compassionate approach to mental health care. She works with patients across their lifespans, integrating psychopharmacology and psychotherapy. She integrates cultural sensitivity with evidence-based practices to provide individualized, holistic care. Her empathetic approach and clinical knowledge enable her to foster meaningful connections with her patients and facilitate positive treatment outcomes.
Shelby Goicochea, MD
Dr. Goicochea is Peruvian and speaks Spanish fluently. She is a "triple Gator” having completed her undergraduate and medical degree at the University of Florida (UF) and psychiatric training at UF Jacksonville. She was recognized by the Gold Humanism Honor Society for exemplary service, integrity, clinical excellence, and compassion and awarded Resident of the Year for exceptional clinical skills and commitment to patients. Dr. Goicochea is a board-certified adult psychiatrist who specializes in providing person-centered mental health care. She believes in a comprehensive, holistic approach to best improve the overall well-being of her patients; she explores psychosocial and physical health contributions to psychiatric symptoms and incorporates therapy into visits to develop a deeper understanding of the particular psychiatric concerns and their impact on patients' lives. Dr. Goicochea actively listens and creates an empathetic, non-judgmental space to work collaboratively with patients in achieving treatment goals. Dr. Goicochea's expertise is in the combination of evidence-based medication management with psychotherapy, which includes supportive, person-centered, cognitive behavioral, acceptance and commitment, interpersonal, and solution-focused therapy. While she enjoys working with young adults, her skills and experience allow her to effectively assist patients of all ages. Her clinical areas of interest include the treatment of depression, bipolar disorder, anxiety, and ADHD.
Tetyana Tarnavsky, MD
Dr. Tetyana Tarnavsky is a board-certified psychiatrist trained in Adult Psychiatry. She attended Dnipropetrovsk State Medical Academy in Ukraine where she received her M.D., M.S. and Ph.D. degrees in Psychiatry. Dr. Tarnavsky completed her residency at Harvard South Shore Psychiatry Residency Training Program in MA, where she was elected chief resident. Dr. Tarnavsky has an extensive research experience in Ukraine and the USA. She had studied computer addiction for her dissertation; had multiple abstracts and presentations; published several articles in peer-reviewed psychiatric journals as well as a book entitled Computer Addiction: Formation, Diagnosis, Correction and Prophylaxis. She has helped organize international conferences with the goal of improving access to and quality of healthcare in Dnipropetrovsk, Ukraine, and providing a national model for health care reform. Dr. Tarnavsky has worked with a variety of patients with diverse backgrounds in a Community Health Center and in the Partial Hospitalization Program as well as supervised medical students, psychiatry residents, and nurse practitioners. She has been a lecturer on psychiatry at Harvard Medical School and was involved in the training of psychiatry residents in the Harvard South Shore Psychiatry Training Program. Her primary focus has been on treating adults with depression, anxiety, post traumatic stress disorder, adjustment disorder, ADHD and other disorders. Dr. Tarnavsky strives to provide quality and compassionate treatment to individuals and their families.
Natalia Roque, MD
Dr. Natalia Roque is a psychiatrist who received her BA in Biology from the University of Chicago and her medical degree from Loyola University Chicago Stritch School of Medicine. She returned to the University of Chicago to complete her psychiatry residency, where she served as Chief Resident of the outpatient psychiatry clinics and was a member of the Diversity, Equity, and Inclusion Committee. She has experience treating patients across inpatient, outpatient, and consultation-liaison psychiatry settings, with additional training in treatment-resistant depression, trauma, neuropsychiatry, ECT, ketamine, geriatric psychiatry, student counseling, LGBTQ+ mental health, women’s mental health, and culturally sensitive care.
Dr. Roque believes in building a strong therapeutic alliance grounded in empathy, respect, and curiosity. She values collaboration and open communication, ensuring that patients feel like active partners in their care. Her goal is to create a safe, supportive space where individuals feel understood as whole people, not defined solely by their symptoms. She also prioritizes incorporating cultural background and social determinants of health, including financial stressors and systemic barriers into treatment planning.
In her work, Dr. Roque begins by taking time to understand each patient’s unique story, experiences, and goals. She approaches care through a trauma-informed lens and with cultural sensitivity to ensure treatment feels safe, respectful, and relevant. Her process integrates evidence-based approaches, including psychodynamic therapy and cognitive behavioral therapy (CBT), while tailoring care plans to meet both clinical needs and patient preferences. Dr. Roque regularly checks in on progress, invites feedback, and adjusts treatment collaboratively to support an ongoing, responsive therapeutic process.
Gaurav Agarwal, MD
Background and credentials
Dr. Agarwal is a board-certified adult psychiatrist. He obtained his bachelor's degree in Biological Sciences from the University of California at Irvine and graduated cum laude with his medical degree from the American University of Antigua. Dr. Agarwal completed his psychiatry residency training at the University of Central Florida, where he was elected chief resident.
Treatment approach
Dr. Agarwal employs a collaborative and patient-centered approach, primarily focusing on medication management in combination with supportive therapy. He is a strong advocate of psychoeducation, believing it to be an integral part of effective psychiatric care. Dr. Agarwal specializes in treating adults experiencing depression, anxiety, PTSD, and insomnia. He is also experienced in managing patients with psychiatric conditions complicated by medical comorbidities such as obesity, hypertension, chronic pain, and diabetes.
What you can expect in a first visit
Patients visiting Dr. Agarwal for the first time can anticipate a comprehensive evaluation conducted in a collaborative and supportive environment. Dr. Agarwal prioritizes understanding each patient's individual needs and concerns, creating a personalized treatment plan that integrates medication, supportive therapy, and psychoeducation. Follow-up visits typically last about 30 minutes, allowing time to adjust treatment and reinforce therapeutic strategies.
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.
Manasi Parrish, MD
Dr. Parrish is a board-certified adult psychiatrist with extensive experience in community psychiatry, academic psychiatry, veterans' mental health, and correctional psychiatry. She completed medical school and adult psychiatry residency at University of Miami/Jackson Memorial Hospital and a Master of Public Health from University of Virginia. She graduated with honors from University of Southern California with a Bachelor of Arts in Communication.
Dr. Parrish is a member of the prestigious Alpha Omega Alpha national medical honor society. She has also produced over 20 peer-reviewed papers and posters.
Dr. Parrish has worked with geriatric patients, individuals who identify as LGBTQ+, patients with serious mental illness, women with perinatal and postpartum needs, individuals with cancer, patients with co-occurring substance use disorders, and combat veterans.
Dr. Parrish takes a patient-centered collaborative approach to tailor treatment plans to meet each individual's goals. Her technique promotes overall wellness. Utilizing her expertise in diagnosis and pharmacology, she optimizes care, monitors progress and ensures treatment success. Dr. Parrish incorporates behavioral activation techniques to promote improved mental health and overall well-being, with the ultimate goal of helping patients feel their best.
William Gamberino, MD
Dr. Gamberino is a board certified adult psychiatrist who has been in practice for over 25 years. He has always been fascinated by how the brain works, especially in the setting of stress, anxiety, and trauma. He completed his training at the Pennsylvania State University College of Medicine MD/PhD program and earned his PhD in Neuroscience. He subsequently completed a Residency in Adult Psychiatry including an Anxiety Disorder Research Fellowship at the University of Florida. Dr. Gamberino had a private practice for over 10 years with a focus on providing psychotherapy integrated with pharmacological management. He worked for 25 years with adult and geriatric Veterans at Department of Veterans Affairs with focus on treating PTSD, as well as a full range of anxiety and mood disorders including 7 years of providing care through telehealth treatment. Dr. Gamberino also has 10 years of experience working with adolescents in the juvenile justice system.
Dr. Gamberino is experienced and comfortable treating a wide variety of psychiatric conditions including PTSD, mood disorders such as major depression and bipolar disorder, and all anxiety disorders such as generalized anxiety disorder, social phobia, panic disorder, and OCD. He enjoys sharing knowledge with patients to help them better understand the origins of their symptoms and a range of strategies to manage them.
Dr. Gamberino utilizes a non-paternalistic approach respecting the autonomy of his patients while helping them gain insight into their presenting problems utilizing a collaborative shared decision making approach to help reduce symptoms and optimize functioning. His practice combines evidence-based medication management with psychotherapy utilizing elements of supportive, cognitive behavior, and insight-oriented therapy. Dr. Gamberino utilizes a patient, caring approach, meeting patients where they are to empower them with making changes that lead toward improvement and optimization of their wellness.
Puja Kumar, 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.
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.
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.
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.
Shantale Williams-Jules, MD
Dr. Williams-Jules is an adult psychiatrist who focuses primarily on medication management in conjunction with supportive therapy. She completed her undergraduate training at Spelman College in Atlanta, GA, followed by her master's in public health degree at New York Medical College. She has completed medical school at American University of Antigua and finished her residency in psychiatry at the University of Texas Southwestern. Dr. Williams-Jules has a passion for treating adults with mental health disorders, especially within the perinatal population. She has a genuine interest in management of trauma, while also treating a vast array of disorders including depression, anxiety, bipolar disorder and posttraumatic stress disorder. She has worked with clients of varying cultures and demographics, and has experience with treating patients with medical comorbidities. Dr. Williams-Jules takes a delicate approach to diagnosis and management and believes in holistic care, which incorporates mindfulness and deep breathing techniques to address the mind and body connection. She tailors individualized treatment to address the specific needs of patients. Dr. Williams-Jules is a member of the American Psychiatric Association and the Dallas County Medical Society. She has presented her research at the Annual APA conference and is co-author of many published psychiatric papers.
Steven Mathew, DO
Dr. Steven Mathew is a trained adult and child and adolescent psychiatrist. He recently completed his child and adolescent psychiatry fellowship at the University of Miami/Jackson Health System, where he served as chief fellow. He completed his general psychiatry residency at Pine Rest Christian Mental Health Services in Grand Rapids, Michigan. Dr. Mathew earned his Doctor of Osteopathic Medicine from the Philadelphia College of Osteopathic Medicine’s Georgia campus, a satellite campus located in the Atlanta metro area. He graduated from the University of Georgia with a Bachelor of Science in Biology and afterwards obtained a Master of Public Health in Health Policy and Management.
Dr. Mathew has had extensive clinical experiences caring for patients across the lifespan in specialty inpatient units, partial hospitalization programs, emergency psychiatry, outpatient clinics, consult liaison psychiatry, and telemedicine. He has clinical expertise in treating depression, anxiety, trauma, OCD, ADHD, and tic disorders.
Dr. Mathew's treatment approach combines evidence-based medication management with supportive therapy, emphasizing empathy, collaboration, and goal-oriented care tailored to each patient and family.
Alejandra Cattan, MD
Dr. Alejandra Cattan is a bilingual psychiatrist who delivers care in English and Spanish. She went to medical school in Buenos Aires, Argentina, and completed her psychiatry residency at Bronx Care Health system. She then completed additional training in Psychodynamic Psychotherapy at NY Medical College Psychoanalytic Institute. After completing residency, she worked as an attending psychiatrist in New York and later transitioned to dedicated outpatient work. Dr. Cattan brings exceptional care to her patients. She provides supportive psychotherapy and applies psychodynamic psychotherapy skills to discover the root of their suffering, in conjunction with medication management resources. Dr. Cattan believes in a biopsychosocial model to address her patients' issues. Her areas of expertise include medication management, mood disorders, anxiety disorders, bipolar disorder, PTSD, and substance use disorders.
Tejaskumar Patel, MD
Dr. Patel is a distinguished psychiatrist with over 24 years of experience. He completed his psychiatric residency at the University of South Dakota School of Medicine, where he served as chief resident and earned the Outstanding Resident of the Year award. He then pursued a fellowship in Consultation-Liaison Psychiatry at Harvard Medical School/Beth Israel Deaconess Medical Center.
He is triple Board certified in Adult Psychiatry, Consultation-Liaison Psychiatry, and Sleep Medicine and also holds certification in Behavioral Neurology and Neuropsychiatry from the United Council for Neurological Subspecialties. These credentials reflect his expertise in psychiatry, neurology, and the management of complex psychiatric conditions in medically ill patients.
Dr. Patel has worked in diverse settings including inpatient units, psychiatric consult services, outpatient clinics, and nursing homes. He is skilled in neuromodulation treatments such as Electroconvulsive Therapy (ECT) and Transcranial Magnetic Stimulation (TMS).
In addition to clinical practice, he has served leadership roles of chairman of a psychiatric department, medical director of a behavioral health service line in a regional health system, and founder/CEO of a private psychiatric and TMS clinic. Dedicated to ongoing professional growth, Dr. Patel remains at the forefront of psychiatric advancements in psychiatric care, earning a reputation as a respected leader in the field.
Dr. Patel combines deep knowledge of neurobiology, behavioral health, and the mind-body connection to offer a collaborative, evidence-based, and holistic approach to care. He integrates diet, exercise, yoga, meditation, and lifestyle modifications with psychotherapy and medication management.
His approach emphasizes active listening, curiosity, compassion, and even humor—creating a warm and supportive environment. By encouraging patients to integrate their unique life experiences into their treatment, he fosters ownership, empowerment, and active participation in the healing process.
During your first visit, Dr. Patel will review your symptoms, medical and psychiatric history, past treatments, substance use, psychosocial factors, and family history. He will discuss treatment options—including risks and benefits—and determine if his expertise and the telehealth platform are the right fit for your needs. Your safety is his top priority.
Follow-up visits focus on monitoring progress, adjusting treatments, maintaining stability, and supporting your motivation to achieve your fullest potential.
Sarah Debrey, MD
Dr. Debrey is board-certified in adult psychiatry. Her approach is client-centered, individualized, and collaborative. She focuses on building a strong therapeutic alliance with each client to work towards achieving enhanced functioning and meaning in their lives. She works with individuals experiencing a wide range of mental health concerns, including depression and other mood concerns, bipolar spectrum illnesses, OCD, PTSD, anxiety disorders, and substance use disorders. Though she specializes in medication management, she believes in an integrative and comprehensive treatment program that incorporates multiple aspects of an individual's health and wellness. Along with discussing physical health concerns, diet, exercise, personal connection, and stress management, she incorporates various therapeutic modalities, including CBT, DBT, ACT, and mindfulness, into her work. In some instances, Dr. Debrey may recommend more intensive psychotherapy with a collaborating therapist in order to help facilitate the best care possible. Dr. Debrey received her medical degree from Rush Medical College. She also holds a graduate degree in epidemiology from the Johns Hopkins Bloomberg School of Public Health. Following medical school, she completed her residency in psychiatry at Emory University School of Medicine. During her final year of residency, she served as chief resident at Grady Memorial Hospital. Prior to joining Talkiatry, Dr. Debrey was an assistant professor at Emory University Department of Psychiatry, where she worked as an attending psychiatrist at Grady Behavioral Health. While at Grady, Dr. Debrey worked primarily as a community psychiatrist with a focus on working with individuals experiencing psychosis. She also frequently worked on the inpatient psychiatry service at Grady. As an Emory faculty member, teaching and mentorship were an especially meaningful part of her work.
Angel Vest, LCSW
Angel Vest is a licensed clinical/independent social worker with extensive experience working in the mental health and substance use fields. Angel has worked with patients of various populations with differing levels of need. Angel's undergraduate university, where she obtained her Bachelor of Arts with a concentration in psychology, is located in Portsmouth, OH. Her graduate school, where she completed her Master's of Social Work with a concentration in advanced clinical practice, is located in Minneapolis, MN. Angel's internships were completed in Portsmouth, OH, and academic residencies were completed in Atlanta, GA. Angel has been treating substance use disorders since 2016 and other mental health conditions since 2019. She uses an eclectic and trauma-focused approach with a foundation in Motivational Interviewing and Cognitive Behavioral Therapy, accompanied by somatic interventions to enhance the mind-body connection. Angel specializes in the treatment of Insomnia Disorder, Obsessive-Compulsive Disorder, depression, anxiety, and trauma-related disorders. Angel prioritizes the therapeutic relationship as a collaborative one and will work with you to address any barriers to overall health, happiness, and well-being.
Find the right fit fast
Our process was built to help you get the care you’re looking for quickly, with personalized matches and easy online booking.
What psychiatry shouldn’t be
What you get with Talkiatry
Go from searching to scheduled in minutes
Tell us about you
Enter your location, insurance details, and what kind of care you’re looking for.
Get in-network matches
We’ll show you clinicians who take your insurance, specialize in your concerns, and have availability.
Get seen quickly
Great care shouldn’t mean a long wait. Our average time to a first visit is 6 days, not weeks or months.
FAQs
How does Talkiatry work?
Talkiatry is an online psychiatry practice designed to make high-quality mental health care more accessible. We’re 100% virtual, in-network with major insurance plans, and first appointments are typically available in days.
To get started, you’ll complete a quick online assessment to tell us what you’re looking for. We’ll match you with psychiatrists who are licensed in your state, in-network with your insurance, and experienced in treating your concerns. You’ll choose the clinician you’d like to work with.
Your first visit is an in-depth evaluation where your psychiatrist will listen, provide a diagnosis, and work with you to create a treatment plan tailored to your goals and preferences. You’ll continue seeing the same clinician over time, adjusting your plan as your needs evolve. Our team is always here to help with scheduling, insurance, and questions about your care.
Do you provide therapy?
Care at Talkiatry starts with psychiatry. If you already have a Talkiatry psychiatrist, they can refer you to one of our therapists if you’ve decided together that therapy is the right next step. However, you can’t see a Talkiatry therapist if you aren’t already seeing one of our psychiatrists.
What should I do if I’m having an emergency?
Talkiatry does not provide emergency care. If you or someone you know is in crisis, please visit your nearest emergency room, call 911, or call or text the Suicide and Crisis Lifeline at 988.
How much will my visit cost?
The majority of our visits cost patients $25 or less after insurance*, but your exact out-of-pocket cost depends on your plan. The best way to get a clear estimate is to contact your insurance provider directly. Here’s what to ask them:
- Do I have mental health benefits that include outpatient psychiatry?
- Is Talkiatry in-network for my plan?
- What’s my copay or coinsurance for outpatient psychiatry visits?
- Do I have a deductible? If so, how close am I to meeting it?
- Do I have an out-of-pocket maximum? If so, how close am I to reaching it?
- Are virtual or telehealth psychiatry visits covered the same as in-person care?
- Is prior authorization required for outpatient psychiatry?
- Can you provide a cost estimate for an in-network psychiatry visit using CPT code 99204?
- Can you provide a cost estimate for an in-network psychotherapy visit using CPT code 90833?
*Includes all patient costs from 9/24-9/25: copayment, deductible, coinsurance, and $0 payments. Excludes missed appt. fees. Your medical visit costs can vary depending on insurance coverage.
What if I don’t want to take medication?
Psychiatrists are medical doctors, and medication is often part of how they treat mental health conditions. At Talkiatry, your psychiatrist will start by listening and discussing your options with you. Medication is always your choice, but if it’s not something you’re open to considering, we may not be the best fit for ongoing care at this time.
How do I know if Talkiatry can help me?
Talkiatry provides virtual, in-network psychiatric care for people struggling with mild to moderate mental health issues. Here’s what we can help with:
- Anxiety
- ADHD (attention-deficit/hyperactivity disorder)
- Bipolar disorder
- Child & adolescent care
- Depression
- OCD (obsessive-compulsive disorder)
- Pregnancy & postpartum care
- PTSD (post-traumatic stress disorder)
- Substance use disorder
Our goal is to connect you with the best possible care for you. At your first visit, your doctor will confirm whether Talkiatry is the right fit. If they recommend in-person or higher-level care, they’ll guide you to the appropriate resources.
What if my insurance changes from Cigna?
Insurance changes are common, and we’re here to help. Talkiatry is in-network with thousands of plans. If your insurance changes, reach out to a Care Coordinator to update your information and confirm your coverage by calling 833-351-TALK (8255).
Do I still take the assessment if I’m already diagnosed with depression?
Yes. Our online assessment is an important part of how we match you with the right psychiatrist. Your first visit will include a thorough evaluation so your psychiatrist can confirm your diagnosis and tailor your treatment plan to your current needs.
