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Shelley Sellinger, MD
Dr. Shelley Sellinger is a board-certified psychiatrist who has been in practice for 25 years. Her career has been devoted to serving both her local community as well as high-risk and underserved patients. As a pioneer and advocate for the use of telepsychiatry years prior to the pandemic, she has presented at the American Telehealth conference as well as at grand rounds. Dr. Sellinger's practice focuses on medication management as well as supportive and insight-oriented psychotherapy. She believes that a combination of therapy, as well as the use of medications, helps provide a patient with the best outcome. Her goal is to help patients live their best and most fulfilling lives. In addition to general psychiatry, she has a keen interest in mood disorders, helping creatives achieve their goals and the LGBTQ community.
Prit Patel, MD
Dr. Prit Patel is a board-certified adult psychiatrist. He obtained his medical degree from the University of South Florida and subsequently completed his residency training at the University of Texas at Austin and Northwell Health's Zucker Hillside Hospital. During his training, Dr. Patel also served as chief resident of Zucker's Hillside Hospital's outpatient psychiatric department. Following his training, Dr. Patel has previously worked at New York Presbyterian's Gracie Square Hospital, where he served as an inpatient psychiatrist treating a variety of mental health conditions, utilizing a combination of medication management and therapeutic techniques in helping those experiencing distress due to their conditions. Throughout his training and career thus far, Dr. Patel has received several awards for his clinical care and contribution to medical and psychiatric education, such as Zucker Hillside's Psychiatric Educator award. Dr. Patel has also contributed to medical research in the domains of psychiatry and LGBTQ+ healthcare .Dr. Patel has an interest in not only treating disorders but also helping patients improve their overall well-being. He treats a variety of conditions including depression, bipolar disorder, anxiety disorders, obsessive-compulsive disorders, and trauma-related disorders, through the use of medication and therapy. He has particular experience and interest in treating LGBTQ+ patients as well as young professionals and young adults.
Syed Hussain, MD
Dr. Hussain is known for his compassionate, thoughtful approach to psychiatry and his commitment to helping patients feel genuinely seen and supported. He takes pride in getting to know each person as a whole—beyond just symptoms or diagnoses—and works to build on that from the very first session. Originally from New York, Dr. Hussain completed his undergraduate studies at the University of Buffalo, earned his medical degree from St. George’s University, and completed residency training at Northwell Health in New York and Connecticut.
Dr. Hussain treats a wide range of mental health conditions including depression, anxiety, ADHD, PTSD, OCD, bipolar and psychotic disorders. His approach is collaborative and patient-centered, with a strong focus on shared decision-making. Treatment often includes medication management and therapy techniques like cognitive behavioral therapy and motivational interviewing. Sessions are always a judgment-free space where patients feel safe, respected, and empowered.
During an initial visit, Dr. Hussain conducts a thoughtful and collaborative assessment focused on understanding a patient’s symptoms, experiences, and treatment goals. From there, he works closely with each person to develop a personalized plan, including medication options and other therapeutic strategies. His goal is to create a safe, respectful space where patients feel heard, empowered, and supported throughout their care.
Gira Borad, MD
Dr. Borad is a Board Certified Psychiatrist and has specialized in Addiction Psychiatry. She finished her residency at the WVU campus of Charleston, WV, and finished the Addiction Psychiatry Fellowship at UPMC/Western Psychiatry Institute in Pittsburgh, PA. She has previously worked as an Assistant Professor at WVU of Charleston, where she was involved in working with residents in inpatient and outpatient settings, provided psychiatric consult services to hospitalized patients, and was part of the Outpatient Comprehensive Opioid treatment program where she provided Medication Assisted Treatment for patients with substance use disorders. She has an interest in treating patients with mood, anxiety, and psychotic disorders. Dr. Borad has a special interest in treating individuals having a substance use history and struggling to quit, and has expertise in treating patients with a dual diagnosis of substance use with other psychiatric conditions. She primarily does medication management, in addition to providing some supportive therapy and motivational interviewing to her patients in her 30-minute follow-up appointments. In addition, she may suggest bringing in a therapist to add to your care if clinically necessary.
Robert Smeed, DO
Dr. Robert Smeed, DO, is a board-certified psychiatrist with a passion for healing the human mind and consciousness. He earned his Doctor of Osteopathic Medicine from Lake Erie College of Osteopathic Medicine and completed his Psychiatry Residency at Wayne State University College of Medicine. Certified by the American Board of Psychiatry and Neurology (ABPN), Dr. Smeed served as an outpatient psychiatrist at Veterans Affairs for 11 years, honing his expertise in mental health care. Driven by a deep interest in consciousness and innovative treatments, he combines talking therapies, neuromodulation, and modern psychopharmacology to help patients achieve lasting wellness.
Dr. Smeed is proficient in treating a wide range of psychiatric conditions while specializing in treatment-resistant depression, neurodevelopmental disorders, anxiety and trauma disorders. His treatment style is empathic and collaborative, emphasizing family dynamics and relationships while integrating psychodynamic principles with biopsychosocial models. He approaches each patient with creativity, using open-ended discussions and innovative therapeutic and psychopharmacologic strategies to tailor care, ensuring a personalized and effective treatment experience.
Dr. Smeed begins with open-ended dialogue, allowing patients to develop their narrative, which is often therapeutic. Treatment plans are customized to patient needs and align with diagnostic standards of care. He incorporates medication reviews, mindfulness techniques, cognitive behavioral therapy (CBT), supportive therapy, and psychodynamic approaches. Dr. Smeed also educates patients on lifestyle factors, such as diet and exercise, to support mental health, fostering a holistic and individualized path to wellness.
Sabera Saklayen, MD
Background and credentials
Dr. Sabera Saklayen is a board-certified psychiatrist licensed in Adult Psychiatry. She earned her bachelor’s degree from Ohio State University and her medical degree from Wright State University Boonshoft School of Medicine. She completed her psychiatry training at Stony Brook University Hospital, where she served as chief resident and was awarded the William Turner Award for outstanding performance in psychiatry residency. She has extensive experience treating diverse populations, including vulnerable and underserved communities, having worked as an outpatient psychiatrist at Bellevue Hospital for two years.
Treatment approach
Dr. Saklayen specializes in medication management but takes a holistic, patient-centered approach that integrates supportive therapy, cognitive-behavioral therapy (CBT), and motivational interviewing (MI). She has extensive experience treating depression, bipolar disorder, generalized anxiety, panic disorder, social anxiety, OCD, insomnia, and substance use disorders. She is particularly skilled in treating college students and individuals navigating difficult life transitions. If more in-depth therapy is needed, she may refer patients to a therapist as part of a comprehensive care plan.
What you can expect in a first visit
During the first visit, patients can expect a thorough and compassionate evaluation, where Dr. Saklayen carefully assesses symptoms, history, and treatment goals. She prioritizes collaboration and individualized treatment planning, ensuring that patients feel comfortable and supported in their mental health care. Follow-up visits are typically 30 minutes and focus on medication management and therapy integration, with referrals to additional therapy when needed for the best possible outcome.
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.
Jennifer Ruch, DO
Dr. Jennifer Ruch is a board-certified psychiatrist who strives to understand her patients' lived experiences and aspirations to develop supportive therapeutic relationships through empathetic listening, mutual trust, and respect. She collaboratively creates individualized care plans that align with personal treatment goals in a safe and judgment-free environment. After completing her Bachelor of Science degree in Human Biology with a focus in psychology from the University of California, Merced, she earned her medical degree from Lake Erie College of Osteopathic Medicine. Dr. Ruch completed her General Psychiatry Residency at Arnot Ogden Medical Center in New York. Her clinical experience involves treating individuals of all age groups from diverse populations and socioeconomic backgrounds suffering from anxiety, depression, bipolar disorder, psychotic disorders, neurodevelopmental disorders, and neurocognitive disorders. She has provided care in inpatient and outpatient psychiatric facilities, the Veterans Affairs Medical Center, emergency rooms, state facilities, and an inpatient chemical dependency center. She also performed pre-procedure psychological evaluations for bariatric and spinal cord surgeries, and psychiatric consult liaison services on medical units and has clinical training in inpatient and outpatient neurology. Her clinical experience incorporated treatment modalities such as pharmacotherapy and interventional psychiatry, including Transcranial Magnetic Stimulation and Spravato. Dr. Ruch integrates a wide array of psychotherapy as needed; however, her practice primarily focuses on medication management while utilizing referrals to therapists and providing collaborative care for optimal outcomes.
Thayanne Delima-Tokarz, DO
Dr. Delima-Tokarz is double Board Certified in Psychiatry and Lifestyle medicine. She completed her psychiatry residency training at the University of Maryland/Sheppard Pratt, where she served as the chief resident. She has practiced in various settings over her career, including working for the Department of Defense, private practice, and community mental health. Dr. Delima-Tokarz is fluent in Portuguese, English, and Spanish. Dr. Delima-Tokarz has more than five years of experience treating patients with anxiety, depression, PTSD, Bipolar, OCD, ADHD, and other mental health issues. She employs pharmacotherapy along with supportive therapy and integrative approaches. Dr. Delima-Tokarz is currently working on completing her Ph.D. in Integrative Medicine and is passionate about a holistic and integrative approach to mental health. Her philosophy includes a healing-oriented approach that considers the whole person, including all lifestyle aspects. Dr. Delima-Tokarz aims to provide collaborative and comprehensive care, which may include medication management, lifestyle interventions, stress reduction techniques, and other integrative approaches. She believes building a strong therapeutic relationship where the patient feels empowered is the key to healing.
Shama Milon, MD
Background and credentials
Dr. Shama Milon is a triple-board eligible physician in Pediatrics, Psychiatry, and Child and Adolescent Psychiatry. She earned her undergraduate degree from Duke University and her medical degree from the University of Cincinnati College of Medicine. She completed her combined training in Pediatrics, Psychiatry, and Child and Adolescent Psychiatry at the Icahn School of Medicine at Mount Sinai in New York, where she served as chief resident during her final year of training.
Treatment approach
Dr. Milon specializes in treating mood disorders, anxiety, PTSD, ADHD, OCD, and patients with co-occurring psychiatric and medical conditions. She is dedicated to outpatient care, focusing on long-term relationships with her patients. Her treatment approach is comprehensive, integrating medication management with psychotherapy, including psychodynamic psychotherapy, cognitive-behavioral therapy (CBT), dialectical behavior therapy (DBT), play therapy, dyadic therapy, and family therapy. She emphasizes creating an empathetic, judgment-free space where patients and families feel supported and understood. If she believes additional therapy is necessary, she may recommend adding a therapist to the care team.
What you can expect in a first visit
During the first visit, patients can expect a comprehensive psychiatric evaluation, where Dr. Milon carefully assesses physical, emotional, and psychological needs. She takes a holistic and patient-centered approach, ensuring that treatment plans are tailored to each individual’s unique circumstances. She prioritizes open communication and collaboration with both patients and families to create a structured, effective treatment plan that may include medication management and therapy interventions.
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.
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.
Joy James, MD
Background and credentials
Dr. James is a board-certified adult psychiatrist with 32 years of clinical experience. She earned her medical degree from Tufts University, Boston’s affiliated program and completed her residency training at Steward St. Elizabeth Medical Center in Boston, where she initiated the residency program and received the Resident Teaching Award for excellence in teaching. Throughout her career, she has served in various leadership roles, including as Chief of Psychiatry at Pro Medica Healthcare Company.
Treatment approach
Dr. James specializes in community adult psychiatry and is deeply invested in providing comprehensive care for individuals and families. She has extensive experience working in outpatient, inpatient, consult-liaison, and emergency room settings, allowing her to tailor treatment to diverse patient needs. Her approach prioritizes holistic, patient-centered care, ensuring that each treatment plan aligns with a patient’s specific challenges and goals.
What you can expect in a first visit
During the first visit, patients can expect a thorough psychiatric evaluation where Dr. James carefully reviews their symptoms, medical history, and treatment objectives. She fosters a compassionate and collaborative environment, ensuring that patients feel supported in their journey toward better mental health. Her extensive experience allows her to provide personalized treatment strategies, which may include medication management and therapeutic interventions tailored to each individual’s needs.
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.
Emily Komarczyk, MD
Dr. Komarczyk is a board-certified adult psychiatrist who takes a special interest in developing a therapeutic alliance with each patient by providing an informative, encouraging, and holistic approach to mental health. At the heart of her practice is creating a warm, empathetic, and nonjudgmental space that allows her to work collaboratively with her patients to help them achieve their goals. Her treatment plans include evidence-based medication management, cognitive behavioral therapy, mindfulness-based cognitive therapy, acceptance and commitment therapy, and dialectical behavior therapy.
Lopa Rana, MD
Lopa Rana, MD, is a board-certified psychiatrist who has been practicing for over 29 years. Dr. Rana completed her medical school at B.J Medical College, Ahmedabad, India. Her Psychiatry training was at the State University of New York at Buffalo. She has practiced in varied settings, like being a faculty at SUNY Buffalo, a Private practice in a suburban town of Detroit, Michigan, for 4 years. She, then held a Senior Psychiatrist position at Henry Ford Behavioral Health for 14 years, in Michigan. She has been an Associate Professor at Oakland University William Beaumont School of Medicine. In the recent years, Dr. Ranahasd has been overseeing Outpatient Behavioral health at the Corewell Health William Beaumont hospital for the past 10 years. Throughout her career, she has been training and supervising Psychiatry Residents and Medical Students. Apart from being competent in the management of common Psychiatric conditions like Major Depression, Anxiety Disorders, Bipolar Disorder, Psychotic disorders and ADHD, she has an expertise in Advanced Psychopharmacology with a specialty interest in Psychiatric disorders during the pregnancy and the postpartum period. She has almost 2 decades of experience in helping women manage the course of their Mood and Anxiety disorders during and after pregnancy. She has been the consultant for Maternal Fetal Medicine and Obstetricians at Corewell Health for women who have questions and concerns regarding planning, managing, and guiding them during pregnancy and the postpartum period. Rana has performed several Zulresso (Brexanolone) infusions for women with severe postpartum depression, with remarkable outcomes. Dr. Rana values greatly the safety of the customized treatment options for her patients and informed decision making with her patients. Apart from English, she is fluent in Gujarati and Hindi languages.
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.
Rishell Tsujimoto-Ryzewski
Dr. Tsujimoto-Ryzewski is a board-certified adult psychiatrist. She received her medical degree from the University of Nevada, Reno School of Medicine. She completed her residency at the University of Nevada, Reno School of Medicine, where she served as a chief resident during her last year of training. Dr. Tsujimoto-Ryzewski has treated patients with a wide variety of diagnoses both during her residency and after her training while working at a busy private practice clinic as well as for the Veterans Administration. Dr Tsujimoto-Ryzewski focuses on medication management and supportive psychotherapy. If she feels that additional therapy is needed, she will ask that you bring in a therapist as part of the treatment team. Dr. Tsujimoto-Ryzewski will work collaboratively with you in a caring environment to assist you in reaching your goals.
Jessica Matthews, MD
Background and credentials
Dr. Jessica Matthews is a board-certified general psychiatrist. She earned her medical degree from the University of Texas Health Science Center at San Antonio and completed her psychiatry residency at Tripler Army Medical Center in Honolulu, HI. After her training, she was stationed at Fort Hood, TX, where she worked as a staff physician in the inpatient unit at Carl R. Darnall Army Medical Center and later became the inpatient medical director. She subsequently transitioned to outpatient care, serving as a staff physician and later as clinic chief in the outpatient embedded behavioral health clinics. She continued working as a staff physician after leaving the military.
Treatment approach
Dr. Matthews specializes in medication management, often incorporating supportive and cognitive-behavioral-focused therapy into treatment. Follow-up visits typically last 30 minutes, during which she evaluates progress and adjusts treatment as needed. She takes a collaborative approach and may recommend additional therapy when she believes it will optimize patient outcomes. Her primary areas of focus include treating adults with depression, anxiety, and stress/trauma-related disorders.
What you can expect in a first visit
During the first visit, patients can expect a comprehensive evaluation where Dr. Matthews takes the time to understand their symptoms, history, and treatment goals. She prioritizes a structured yet patient-centered approach, discussing medication management options while considering therapeutic interventions tailored to individual needs. If necessary, she may recommend additional therapy as part of a well-rounded treatment plan.
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.
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?
Is there a cost to my health system?
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?
Is there a cost to my health system?
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?
Is there a cost to my health system?
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?
Is there a cost to my health system?
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?
Is there a cost to my health system?
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.
What if my insurance changes from Blue Cross Blue Shield?
Is there a cost to my health system?
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 bipolar disorder?
Is there a cost to my health system?
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.
