Felicitas Koster, DO

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.

Dr. Akhtar is a board-certified psychiatrist specializing in compassionate and comprehensive mental health care. She focuses on medication management for a wide range of psychiatric conditions, providing supportive therapy to help individuals navigate life's challenges and enhance their overall well-being, while emphasizing lifestyle changes and the development of coping skills. Dr. Akhtar completed her medical degree at the American University of Antigua, gaining a profound understanding of the biological, psychological, and social aspects of mental health. Following her residency at Bergen, Newbridge Medical Center, where she was appointed Chief Resident in her fourth year, she worked for several years in both inpatient and outpatient hospital settings. Committed to holistic wellness, Dr. Akhtar believes in empowering individuals to make positive changes in their lives and offers guidance on nutrition, exercise, sleep hygiene, and stress management techniques. She is dedicated to fostering a therapeutic alliance built on trust, empathy, and collaboration. Her approach is rooted in evidence-based practices and tailored to meet the unique needs of each individual under her care.

Dr. Amanda Kerr is a board-certified Psychiatrist. Her practice focuses on medication management, though she passionately believes in a holistic approach. She attended Boston University for her undergraduate studies and Loyola Marymount University for graduate school. She then completed her training at Midwestern University Arizona College of Osteopathic Medicine for medical school and Rowan University School of Osteopathic Medicine for residency, where she was selected to serve as Chief Resident during her final year. After completion of her residency in 2016, she dedicated seven years to serving a wide range of patients in a community mental health setting, both in-person and via telepsychiatry. She also serves as a provider at an Intensive Outpatient Program. She has experience treating patients with depressive and bipolar disorders, anxiety disorders, PTSD, and OCD. She also has extensive teaching experience in various settings. Dr. Kerr has a gentle and approachable style when providing medication management in conjunction with supportive psychotherapy, and at times Cognitive Behavioral Therapy techniques to more fully address each individual's needs. She utilizes mindfulness approaches as well, which she finds personally meaningful in her practices of meditation and yoga. If Dr. Kerr feels you would benefit from working with a therapist as well, she may recommend and values a collaborative approach.

Dr. Mark Varela is a board-certified psychiatrist joining Talkiatry directly out of residency. He focuses primarily on medication management, often accompanied by brief cognitive, motivational, or supportive therapy. He may request that you also meet with a therapist regularly for your benefit. Dr. Varela received his medical degree and general psychiatric residency training both from Texas Tech University Health Sciences Center in West Texas. He treats young adults and adults with a wide variety of mental health concerns, including ADHD, mood disorders, anxiety, OCD, and PTSD.

Dr. Zeshen Wu is an ABPN board certified psychiatrist with more than 10 years of experience. He completed his undergraduate studies at the University of Texas at Austin, followed by medical school at the University of Texas Medical Branch. He completed residency in psychiatry at Dell Medical School in Austin. Dr. Wu focuses on effective and safe medication management as well as supportive and psychodynamic therapy in his practice. He likes to focus on a gentle, collaborative, and patient-centered approach. He specializes in forming individualized pharmacological treatments as well as taking time to explore stressors and psychological issues to achieve complete and comprehensive care. Dr. Wu had previously served as assistant professor of psychiatry at UTHealth McGovern Medical School in Houston and has been involved in many years of teaching and mentorship. At UTHealth, he also served as clinical faculty in one of the nation's largest inpatient psychiatric campuses and is experienced in treating a wide range of adult mental illnesses including mood disorders, anxiety, OCD, and ADHD.

Dr. Gregory Marc Varhely is a board-certified general adult psychiatrist. He grew up in Austin, Texas, and attended Texas State University, where he earned a BA in Psychology and a Master's degree in Biology/Biochemistry. After graduating from medical school at Ross University, he completed his residency in Psychiatry at the Medical College of Wisconsin. Dr. Varhely has served as an outpatient psychiatrist at the Department of Veterans Affairs and acted as an attending physician for resident psychiatrists at Texas A&M and UT Dell Medical Schools. He then acted as a sole proprietor of an outpatient psychiatric medication management and psychotherapy practice in Georgetown, Texas and later started contracting for North Central Health Care Mental Health Clinic, applying psychotropic medication management expertise to community-based treatment facilities in Wisconsin. Dr. Varhely's approach is rooted in forming meaningful connections with his patients. He wholeheartedly believes that psychological suffering stems from a blend of biological, psychological, social, and environmental factors. Dr. Varhely works together with his patients to uncover these factors and create treatment plans tailored to their specific needs using an eclectic blend of the latest in psychopharmacology, as well as psychodynamic, supportive, and cognitive-behavioral therapy.