PTSD Psychiatrists in Virginia

Dr. Irene Pastis is a board-certified psychiatrist who specializes in adult psychiatry.  She completed residency training at East Carolina University in both internal medicine and psychiatry.  After residency, she pursued her passion in psychiatry and stayed on as a clinical assistant professor in the department of psychiatry at East Carolina University.  In this role she specialized in treating adults with mental illness in both the inpatient and outpatient settings.  She has spent a considerable amount of time teaching residents and medical students and has published several papers focusing on the neuroscience pathways of mental health conditions.  In her daily practice, Dr. Pastis focuses on evidence-based treatments utilizing the latest clinical guidelines and current approved treatments.  In addition to medication management, she also incorporates psychotherapy in the treatment of mental health conditions.  Dr. Pastis is passionate about taking a collaborative approach with her patients to help them reach their potential.

Dr. Tanvi Gupta, a native Marylander who recently finished her fellowship training in Child and Adolescent Psychiatry from the University of Maryland. She completed her residency in general psychiatry from San Antonio, Texas and is a Board Certified Psychiatrist. Prior to training, Dr. Gupta attended medical school at Touro College of Osteopathic Medicine in in New York. She also holds a master's in biomedical science from Rutgers University in New Jersey and a bachelor's in public health from the University of Maryland. She is on the Early Career Psychiatrist Committee for the Child and Adolescent Psychiatrists of Greater Washington Area. Dr. Gupta has worked in various settings, ranging from academic centers, schools, state hospitals and residential treatment centers. She also provided medication management and therapy to Medicaid patients in an outpatient setting, delivering care to children and adolescents with various mental health disorders. Dr. Gupta has experience in Emergency Psychiatry as well.

Dr. Gupta greatly values connecting with her patients. She is gentle yet direct in her approach. She uses a shared decision-making process to design a treatment plan that align with her patient’s goals. Dr. Gupta provides psycho education for diagnoses and medication recommendations. She has a special interest in ADHD and trauma. She appreciates a family-based approach.

Dr. Gupta uses a comprehensive biopsychosocial evaluation, psychotherapy and medication management to treat a variety of mood disorders, anxiety disorders, as well as ADHD. Dr. Gupta promotes non-pharmaceutical interventions, when appropriate, with patient-oriented lifestyle and behavioral modifications.

Dr. Amy Lowry is a board-certified psychiatrist who earned her medical degree from the University of Texas Medical Branch in Galveston after completing her undergraduate studies at Texas Lutheran University. She was commissioned as an officer in the U.S. Navy and completed her psychiatry residency at Naval Medical Center Portsmouth. She has provided psychiatric care in outpatient settings across Louisiana and North Carolina, focusing on adult and young adult populations. Dr. Lowry brings extensive experience in comprehensive psychiatric evaluations, medication management, and psychotherapy, utilizing cognitive-behavioral (CBT), psychodynamic, supportive, and dialectical behavioral (DBT) therapy approaches. Her passion lies in holistic, compassionate, and evidence-based care for a wide range of conditions including depression, anxiety, PTSD, ADHD, and life transitions.

Dr. Lowry creates a warm, respectful environment where patients feel heard and valued. She encourages autonomy through mental health education and open dialogue, working to ensure patients are informed and engaged in their treatment. She prioritizes empathy and trust, believing a strong doctor-patient relationship is key to achieving lasting therapeutic outcomes.

Dr. Lowry begins with a comprehensive understanding of each patient's history, concerns, and goals. She develops individualized treatment plans and incorporates psychotherapy into each session to align with patient goals and enhance treatment response. Patient goals are revisited regularly to adapt plans as progress is made.

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Sonya R. Isler, PMHNP-BC, began her nursing journey over 30 years ago in a state psychiatric hospital in Goldsboro, NC, inspired by the poised nurse she admired at church as a child. Her path includes roles as LPN, RN, BSN, and multiple advanced practice degrees. Sonya has worked in inpatient and outpatient settings, VA clinics, and private practices. She also serves as a preceptor for PMHNP students at her alma mater, the University of North Carolina at Chapel Hill.

Sonya creates a welcoming, respectful space where patients feel safe to communicate openly. She practices active listening and values patient input when setting therapy goals. Her approach is holistic—treating the whole person—and she encourages collaboration, helping patients feel seen, heard, and empowered in their care.

Sonya reviews a patient's history before each session and begins with clear introductions and goal setting. She invites open discussion of concerns and tailors' treatment plans with patient input. She often incorporates CBT, motivational interviewing, and solution-focused therapy into care, promoting growth through supportive, personalized strategies.

Belinda received her undergraduate education at the University of Tulsa and completed her nurse practitioner training at the University of Texas–Arlington, earning a Master of Science in Nursing. She is nationally board-certified in psychiatry across the lifespan and has over a decade of experience working in outpatient, residential, and inpatient care settings. She is skilled in medication management and utilizes therapeutic modalities such as CBT, DBT, ACT, and psychodynamic approaches.

Belinda is a passionate psychiatric nurse practitioner dedicated to continual development and lifelong learning. With over ten years of experience, she spent more than five years working in a residential eating disorders facility. She has evaluated and treated individuals with a wide range of diagnoses, including depression, anxiety, OCD, and PTSD. Belinda believes in addressing the whole person and thrives on helping people find individualized solutions. While she specializes in using medication when necessary to alleviate symptoms, she also incorporates therapeutic techniques into her sessions to help clients discover what works best for them.

She prioritizes the therapeutic relationship and supports patient-centered goals. Belinda empowers her clients to choose options that align with their lives and encourages active engagement in self-care. She is deeply committed to helping individuals improve their quality of life by identifying and addressing areas of struggle, such as depression or grief. Additionally, she supports clients in recognizing and overcoming fears by identifying stressors and developing new coping strategies. Her approach inspires clients to reduce stress and prioritize rest and sleep to enhance overall wellness—body, mind, and soul.

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Dr. Bailey is a board certified psychiatrist, specializing in medication management and psychotherapy. He enjoys the opportunity to help patients better understand their diagnosis and how biological, psychological and social interventions can be applied to live a more fulfilling life.  

As a recipient of the Army Health Professions Scholarship Program, Dr. Bailey earned his medical degree from the Edward Via College of Osteopathic Medicine in Blacksburg, Virginia followed by residency at Walter Reed National Military Medical Center in Bethesda, MD.  

After completing residency, Dr. Bailey served at Brooke Army Medical Center in San Antonio, TX where he held several positions including Chief of Inpatient Behavioral Health Services. He also completed operational assignments, most notably a nine-month deployment to Iraq for which he was awarded the Meritorious Service Medal. Dr. Bailey enjoys teaching and has held academic appointments at Long School of Medicine and Uniformed Services University of the Health Sciences.

Mary Birse is a board-certified Psychiatric Mental Health Nurse Practitioner (ANCC) with over 20 years of nursing experience. She graduated magna cum laude with a BSN from Florida Atlantic University and earned her MSN from the University of Florida. She completed a Psychiatric NP Residency at the VA in Charleston, SC. Mary has worked in a variety of settings including the West Palm Beach VA Medical Center, the Palm Beach County Firefighter’s Clinic, various outpatient telehealth platforms, and a child and adolescent inpatient facility. She was also an adjunct professor at Palm Beach State College.

Mary believes in empowering patients through education and collaboration so they can play an active role in their mental health journey. She works to create a warm and welcoming space where patients feel safe, heard, and understood. Whether the treatment path includes therapy, medication, integrative approaches, or a combination, she ensures that the plan reflects the patient's needs and goals.

Mary takes a thorough and holistic approach to care. She spends time understanding each patient’s history and past treatments—what has or hasn’t worked—and listens carefully to their current concerns and future goals. By factoring in lifestyle and preferences, she works with patients to build thoughtful, individualized treatment plans.

Before pursuing medicine, Dr. Kenneth Ethan Lai explored a range of passions. After earning dual degrees in Biology and Biochemistry from the University of California, Riverside, he opened a popular Riverside eatery featured on The Food Channel. He later transitioned to the IT industry, earning a master’s degree and certifications, before answering his true calling in medicine, graduating from Saint Matthews University School of Medicine.

Dr. Lai believes psychiatry combines science and the art of medicine. Patients value his professionalism, patience, empathy, and attentive listening. He acknowledges the many choices patients have in providers and strives to create a welcoming, collaborative, and supportive environment for everyone seeking care.

Dr. Lai treats both adults and children/adolescents with expertise in psychopharmacology, psychotherapy, addiction, geriatrics, and dual-diagnosis care. He is trained in TMS and ECT, is a Certified Suboxone Prescriber, and offers consultations and treatment through office-based or telemedicine visits. His approach is tailored to each patient’s needs, integrating compassionate care with evidence-based treatment.

Dr. McGowan is a board-certified adult psychiatrist with over 14 years of experience, during which time he primarily treated active-duty US Navy sailors, their family members, and military retirees in the outpatient setting. His practice focuses on medication management in addition to supportive and cognitive-behavioral therapy in 30-minute follow-up visits. He is a strong advocate of multiple treatment modalities and, in certain situations, may suggest that therapy and/or regular physical exercise be included in your treatment plan to provide the best outcome. He received his B.S. in Physics from the United States Naval Academy. After serving as an Intelligence Officer in the Navy for eight years, he transitioned to medicine and earned his medical degree from the Uniformed Services University of the Health Sciences in Bethesda, MD. After completing an intern year in Family Medicine, Dr. McGowan completed residency training in Psychiatry at Naval Medical Center Portsmouth, VA, where he remained on staff for the next ten years and was primarily involved in resident training and education. He held academic appointments at the Uniformed Services University and Eastern Virginia Medical School and served as the Psychiatry Residency Program Director for six years. He served his final four years in uniform running the behavioral health department at Naval Air Station Whidbey Island, WA. He recently retired from the Navy after a 30-year career. Dr. McGowan has extensive experience in outpatient psychiatric care. In addition to the full spectrum of mood and anxiety disorders, he has treated a very large number of patients with PTSD stemming from combat, natural disasters, and sexual trauma. He believes that, like his service to the country, working alongside others in their journey to better mental health is an incredible privilege.

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.

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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.

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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.

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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.

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Dr. Kothari's treatment approach begins with establishing a good therapeutic rapport with her patients and listening to her patients so that they feel heard. Dr. Kothari likes to spend time providing psychoeducation on medications when discussing the treatment plan. Dr. Kothari's practice focuses on medication management primarily, but may incorporate supportive psychotherapy during medication visits. Dr. Kothari may recommend additional psychotherapy if she feels a patient may benefit from this. Dr. Kothari's current practice does not include the use of any controlled substance medications, such as stimulants, benzodiazepines, and certain sleep aids.

Jennifer Garner is a board-certified Family Psychiatric Nurse Practitioner with Talkiatry. She obtained a Bachelor of Science in Nursing from the University of Tennessee, Knoxville, in 2009 and a master's degree from Vanderbilt University in 2011. Jennifer enjoys treating all adults and has outpatient experience with community mental health, corrections, and private practice. Besides outpatient care, she has worked in crisis stabilization and ambulatory detox for adults with primary psychiatric and dual diagnosis illnesses. Jennifer is skilled in treating a wide range of conditions including ADHD, bipolar disorder, substance misuse, anxiety, OCD, and PTSD. She is committed to fostering a welcoming and inclusive environment, ensuring all gender identities feel safe and respected. With a focus on patient-centered care, her approach is carefully tailored to each person's individual needs and goals, promoting a collaborative therapeutic relationship. During appointments, she combines medication management with therapy techniques to empower patients with the skills for their well-being. Appointments are as unique as each individual that she meets with. If you're ready (and even if you're not so sure) take the first step and let's talk.

Jennifer Young-Cott is a dedicated Psychiatric Mental Health Nurse Practitioner who brings compassion, warmth, and a strong commitment to patient well-being into her work. With a deep respect for each individual’s story, she values creating a safe, supportive, and healing environment. Outside of clinical practice, Jennifer enjoys learning Spanish and spending time hiking with her dog, Mavis—interests that help her maintain balance and bring a holistic perspective to care.

Jennifer approaches care through a collaborative, patient-centered lens. She believes trust, confidentiality, and open communication are essential to effective treatment. With extensive experience in both inpatient and outpatient psychiatry, she brings expertise in trauma, mood disorders, anxiety, and thought disorders while remaining attentive to each patient’s unique needs and goals.

Jennifer begins by listening carefully and gathering a thorough history to understand each patient’s challenges and strengths. She partners with patients to develop individualized treatment plans using current, evidence-based interventions. Her process emphasizes empathy, collaboration, and ongoing support to promote long-term mental health and overall well-being.

Neena Tressa Mathew has built an impressive career in the medical field, with a strong focus on mental health. She is dually board-certified as a Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) and Family Nurse Practitioner (FNP-BC), providing care across all age groups. Fluent in English, Hindi, and Malayalam, she is licensed to practice in Florida, New York, Texas, and Georgia. Neena offers a patient-centered approach that integrates her diverse experience and certifications.

Her dedication to mental health is evident through her extensive hands-on experience in assessing, treating, and evaluating patients with a wide range of psychiatric conditions, including ADHD, depression, anxiety, PTSD, OCD, schizophrenia, and bipolar disorder. She has delivered exceptional care at institutions such as Mindful Behavioral Healthcare, AdventHealth Hospital, and Park Place Behavioral Health Care. Her international experience includes roles in Canada, where she further developed her expertise in geriatric psychiatry. Neena has also worked in various practice areas, including addiction medicine, grief counseling, and primary care.

Her academic background includes a Post-Master’s Certification from Florida State University and a Master of Science from D’Youville College in Buffalo, NY. She also holds a Bachelor of Science in Nursing from Delhi University and a Master’s Degree in Social Work from the Delhi School of Social Work. Her professional affiliations, including membership in the American Nurses Association, reflect her commitment to the field. Recognized for her academic, leadership, and research capabilities, Neena was invited to join Sigma Theta Tau International (STTI) as a graduate nursing student for her excellence in scholarship and outstanding achievements in nursing.

Neena has contributed to several U.S. nursing journals and magazines and has published and presented research articles in international peer-reviewed journals. She maintains an active academic presence through platforms like Google Scholar and ResearchGate.

Her approach to care is both traditional—prescribing evidence-based psychiatric medications—and holistic, incorporating natural treatments such as vitamins, supplements, lifestyle modifications, nutrition, exercise, and stress management. She believes in the mind-body-spirit connection, viewing individuals as whole beings rather than a collection of symptoms, echoing the philosophy of Hippocrates, the "Father of Medicine." Her holistic philosophy is evident in her skillful management of psychotropic medications and her integration of psychotherapy, including supportive therapy, cognitive behavioral therapy (CBT), and psychodynamic therapy.

Neena’s primary interest lies in exploring the relationship between mental, physical, and spiritual health. She finds great fulfillment in helping others and goes beyond diagnosis and treatment by conducting thorough mental health assessments to ensure accurate identification of psychiatric conditions. What sets her apart is her commitment to patient education—empowering individuals and their families with a deep understanding of their conditions and treatment plans, including medication as part of a comprehensive care strategy.

In addition to her clinical work, Neena serves as a clinical instructor, sharing her knowledge and insights with future healthcare professionals. This dual role highlights her multifaceted contribution to healthcare, emphasizing both treatment and education in supporting individuals on their mental health journeys.

Outside of her professional life, Neena enjoys reading, writing, beach activities, hiking, and traveling with her family. She is also actively involved in charitable work through the Lions Club. She lives by the principle:

“Give, and it will be given to you. A good measure, pressed down, shaken together and running over, will be poured into your lap. For with the measure you use, it will be measured to you.” (Luke 6:38)

Indeed, she believes that it is in giving that we truly receive.

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Dr. Michael Underriner is an adult psychiatrist. His approach to treatment is holistic, taking into account the entire person, and emphasizes the importance of the therapeutic bond to help people reduce suffering and achieve their goals. He is a member of the Gold Humanism Honor Society. Dr. Underriner's practice focuses on a mix of medication management, offered in conjunction with supportive therapy in 30-minute follow-up visits, and insight-oriented psychotherapy offered in weekly 45-minute visits. He works with people struggling with ADHD, depression, anxiety, obsessive-compulsive and related disorders, and difficulties with self-esteem and relationships. Occasionally Dr. Underriner may believe that additional therapy is warranted and recommend a separate therapist to provide the best outcome. He received his medical degree from the University of Chicago Pritzker School of Medicine and completed his residency training at New York University. During training, he gained experience treating patients with various psychiatric illnesses in several different clinics and hospital-based settings. He worked with experts in the field of depression and provided consultations for patients considering transcranial magnetic stimulation. He also published a review article on long-term injectable medications for psychosis. Dr. Underriner has maintained an interest in teaching and remains connected to the psychiatry department at NYU. He has supervised and taught junior residents and medical students. Additionally, he is interested in global health and disparities in access to care and has traveled to Ghana to teach medical students rotating through psychiatry at the university there.

Dr. Ramsey is board certified in general and child and adolescent psychiatry. His practice primarily focuses on medication management. He sees himself as a collaborator with therapists and counselors in caring for their shared patients and their families. He received his medical degree from the University of Tennessee Health Science Center in Memphis, TN. He completed his residency at West Virginia University Hospitals and WVU School of Medicine and a fellowship in child and adolescent psychiatry at the Yale Child Study Center, Yale University School of Medicine, and Yale-New Haven Hospital in New Haven and Middletown, CT. He completed his undergraduate studies at the University of Memphis. Dr. Ramsey remained in CT for two additional years, working in the Department of Children and Families, serving the state's at-risk youth and adolescents at a psychiatric residential treatment facility. He then returned to West Virginia University as clinical faculty in its School of Medicine. During the 12-year academic appointment, he had active roles in educating, training, and supervising medical students, general psychiatry residents, child and adolescent psychiatry fellows, and trainees from various disciplines. He worked for many years with adolescent males at both the Dually Diagnosed and Specialized Residential Treatment Centers within West Virginia University Healthcare. He provided outpatient and acute inpatient care, as well as hospital-based consultation services. Within the community, he provided medication evaluation and management services to residential treatment facilities and university student health. He has been seeing patients and collaborating with providers through telemedicine since 2016. While Dr. Ramsey specializes in working with patients with anxiety, he does not prescribe benzodiazepines.‍