Upton Thomas, MD

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.

Dr. Andrew Miller is a board-certified psychiatrist with extensive experience treating patients across Indiana. He earned his undergraduate degree in Biology with a minor in Chemistry from Indiana University, followed by his Doctorate of Medicine and residency training in psychiatry. He went on to complete a fellowship in child and adolescent psychiatry and maintains active involvement in professional organizations, including serving as past president of the Indiana Council of Child and Adolescent Psychiatry. Outside of medicine, Dr. Miller values time with his wife and two children and enjoys sports, Lego building, and supporting Indiana athletics.

Dr. Miller believes in building a collaborative therapeutic relationship grounded in respect and open communication. He strives to create a safe, supportive environment where patients of all ages—children, adolescents, and adults—feel heard and understood. He works to balance medical expertise with patient preferences, encouraging shared decision-making and honoring each individual’s goals in treatment.

Dr. Miller begins with a thorough evaluation to gain a complete understanding of each patient’s history, strengths, and challenges. From there, he develops a personalized treatment plan that may include therapy, medication management, and integration of other supportive resources. He is committed to ongoing follow-up, adjusting care as needed, and helping patients move toward lasting improvement in their mental health and overall well-being.

Dr. Namrata Shah is a board-certified adult psychiatrist who completed her undergraduate training at the University of Wisconsin-Madison and earned her medical degree at the American University of Antigua. She completed her psychiatry residency at Creedmoor Psychiatric Center with training at New York-Presbyterian/Columbia University Irving Medical Center.

In addition to experience providing inpatient and outpatient care, Dr. Shah has worked with a wide variety of patient populations. The conditions she treats include depression, bipolar disorder, anxiety disorders, panic disorder, OCD, and ADHD. In addition, Dr. Shah is particularly interested in issues related to women’s mental health, including perinatal mental health issues.

Dr. Shah emphasizes the importance of a strong doctor-patient therapeutic alliance and a patient-centered approach. To provide the best care, she believes in compassion, open communication, and collaboration. As a primary treatment method, she combines psychopharmacological medication and supportive therapy.

Dr. Maxine Minto is a double board-certified psychiatrist. She is board certified in General Adult Psychiatry and Child and Adolescent Psychiatry. She is a Distinguished Fellow of the American Psychiatric Association (APA). Dr. Minto is an associate professor of psychiatry at the University of Central Florida College of Medicine. She is an active member of both the APA and American Academy of Child and Adolescent Psychiatry. Dr. Minto received her medical degree from the University of Miami Miller School of Medicine. She completed her general psychiatry residency and child-adolescent fellowship at the University of Miami/Jackson Memorial Hospital. She has more than 25+ years of experience working in the psychiatric profession. She has previously worked extensively in the role of medical director in multiple settings. Dr. Minto was honored with the role of medical director of a large community mental health center, child psychiatry inpatient program, adult and child inpatient residential treatment program, and outpatient residential day treatment program. She also has 8 years of experience working with the Deaf community. Dr. Minto specializes in psychopharmacology and supportive therapy. She performs comprehensive psychiatric evaluations, develops patient-centered individualized treatment plans, and schedules regular follow-up appointments. She has a wealth of experience in treating patients with depression, bipolar disorder, ADHD, and anxiety disorders.

Dr. Karla Garcia is a board-certified psychiatrist trained in Adult Psychiatry. She graduated from the University of Notre Dame with a Bachelor of Science and a Master of Education. She then went on to complete her medical education and residency training at the University of Chicago. She is board certified in Adult Psychiatry by the American Board of Psychiatry and Neurology.

Dr. Garcia believes in patient-centered care, seeking to care for the whole person.  She values the therapeutic relationship, working to guide patients in their treatment while also encouraging patients to take an active role in their care. Dr. Garcia cares about getting to know you as a person and helping you reconnect with your values. Her clinical approach is holistic, collaborative, and supportive.

Dr. Garcia focuses on evidence-based treatments for psychiatric illness that utilize a combination of medications and psychotherapy. Using a range of skills and interventions, Dr. Garcia believes in a multi-faceted approach to treatment.

Dr. Garcia has experience working in a wide variety of inpatient, emergency, partial hospitalization, intensive outpatient, and outpatient psychiatric settings and in treating a broad spectrum of psychiatric disorders including depression, anxiety, bipolar disorder, trauma, substance use disorders, personality disorders, ADHD, and OCD. She treats patients in English and Spanish.

Dr. Saisha Jackson is a board-certified psychiatrist in Adult Psychiatry. She completed her undergraduate training at Hampton University followed by medical school at Michigan State University College of Human Medicine. She has completed a Residency in Psychiatry at Howard University.

She has a genuine interest in treating a vast array of psychiatric disorders including depression, anxiety, bipolar disorders, post-traumatic stress disorders and obsessive compulsive and related disorders. She specializes in psychopharmacology. Her practice focuses on medication management, and typically offers this in conjunction with supportive therapy in 30-minute follow-up visits.

Dr. Qureshi is a Board-Certified General Psychiatrist. She was born and raised in Hyderabad, India. She underwent her medical training at Mamata Medical College, India and completed residency at Maimonides Medical Center, Brooklyn, NY. Dr. Qureshi has gained extensive training in psychiatric inpatient, outpatient, and emergency settings and has worked with diverse populations. She has practiced Telepsychiatry since her graduation, including working at community mental health centers serving the serious mentally ill in underserved areas. Dr. Qureshi's practice includes management of psychiatric disorders in adults including Depression, Anxiety, Bipolar disorder, PTSD, OCD, and others. She is interested in treating issues related to women's health as well. Dr. Qureshi has an empathetic and culturally sensitive approach that is patient-centered and focused on building a strong therapeutic alliance. She believes in collaborating with other providers involved in the patient's care. Her approach involves medication management in tandem with therapy techniques like CBT, Supportive therapy, IPT, and motivation therapy.

Dr. Wang is a board-certified psychiatrist in both General Psychiatry and Addiction Psychiatry, with extensive experience in providing compassionate, evidence based to mental healthcare. She currently serves as an outpatient psychiatrist providing care to veterans, where she integrates evidence-based medication management with psychotherapy. Dr. Wang completed her psychiatry residency at the University of Wisconsin-Madison, where she also contributed to clinical education through supervising residents and conducting quality improvement initiatives.

Dr. Wang believes in crafting individualized treatment plans that address both the biological and psychological aspects of mental illness. She specializes in the combined use of psychotherapy and medication management to support long-term healing. Dr. Wang encourages her patients to become active participants in their recovery process and empowers them to grow into their own healers. Her therapeutic approach emphasizes insight, autonomy, and long-term well-being.

During the initial visit, patients can expect a warm, thoughtful, and collaborative evaluation. Dr. Wang takes time to understand her patients’ symptoms, personal history, strengths, and goals in order to develop a tailored and sustainable treatment plan. She believes in shared decision-making and provides clear, compassionate communication around both therapy and medication options.

Dr. Kahlon is an experienced Psychiatrist who spent the last 24 years of his career working in Veterans Affairs, where he was able to treat a wide variety of patients. Dr. Kahlon provides medication management along with supportive therapy. In some cases Dr. Kahlon may refer you to a counselor or therapist for further care and collaboration. He has experience treating a wide range of conditions, including major depressive disorder, panic disorder, generalized anxiety disorder, obsessive-compulsive disorder, and PTSD. Dr. Kahlon utilizes a well-rounded approach to treat the whole person, through medication, active listening, and recommending talk-centered counseling programs. Dr. Kahlon was trained in the VA system associated with Chicago Medical School (Finch University), which is located in North Chicago, Illinois. At the conclusion of his training, he was hired at the VA in Danville, Illinois until 2021. He also had a part-time private practice, which enhanced his experience in adult psychiatry. Dr. Kahlon graduated from a prestigious medical school that has consistently held a high position (4th) among the top 100 medical schools in the world.‍

Dr Jennifer Twing is a board-certified physician in Psychiatry. She completed her undergraduate studies in Neuroscience and Behavior at Vassar College in New York, medical education at Trinity College in Dublin, Ireland and Psychiatry Residency at the University of North Dakota in Fargo, ND. She has experience working in a variety of settings treating psychiatric conditions across the lifespan. She is also currently training to be certified in Psychedelic Assisted Psychotherapy.

Dr Twing has a warm approach to patient care, is easy to talk to and aims to cultivate a safe and comfortable atmosphere. She is empathetic and understanding, ensuring that her patients feel heard and are supported.

Her main focus is in treating anxiety, depressive disorders and trauma through medication management. She also integrates a holistic approach encompassing lifestyle, spiritual and nature-based healing practices to help reduce stress, improve mood, and enhance overall quality of life. She recommends that you work with a therapist or counselor as well to optimize treatment outcomes.

Dr. Jennifer Hailey is a board-certified psychiatrist in Psychiatry. She completed her undergraduate training at Michigan State University followed by medical school at Nova Southeastern University College of Osteopathic Medicine. She has completed a residency in psychiatry at Michigan State University. Dr. Hailey has worked in many different settings including private hospitals, jails, military treatment facilities and private practice. She enjoys educating her fellow providers who specialize in psychiatry as well as other areas of medicine. She has a genuine interest in treating a vast array of psychiatric disorders including depression, anxiety, post-traumatic stress disorders, obsessive compulsive and personality disorders. She also has experience in treating patients with medical comorbidities and has training in issues related to women's health.

Dr. Danielle Gelfond is an Adult Psychiatrist and a graduate from Loyola University Medical Center's residency program in Chicago, IL. Prior to attending residency, Dr. Gelfond graduated from Rush Medical College at Rush University. Throughout residency, Dr. Gelfond spent time focusing on her clinical interests which include mood disorders, anxiety disorders, substance use disorders, and women's mental health. During her training, Dr. Gelfond spent several years working with the Perinatal population and completed a year-long program focusing on Women's Mental Health through the National Curriculum in Reproductive Psychiatry organization. She held the role of Chief Resident of her program during the last two years of her training and received several awards commending her leadership style and rapport with patients through her program. Dr. Gelfond takes on a holistic and "patient-centered" approach in her treatment style. She incorporates both medication management, supportive psychotherapy, and discussions surrounding lifestyle and wellness into her appointments and emphasizes patient education and autonomy, which she believes helps support the therapeutic relationship, improve clinical outcomes, and helps treatment align with the patient's goals of care.

Anita Vijayakumar is a board-certified psychiatrist trained in Adult Psychiatry. She completed her medical training at the University of Illinois and completed psychiatry residency training at the Medical College of Wisconsin, where she was the Chief Resident. She has been practicing for over 7 years and has a wide range of experience in depression, anxiety, and various life transitions. Dr. Vijayakumar's approach is holistic, collaborative, supportive, and patient-centered. She uses a measurement-based approach so patients can see the progress they make. Dr. Vijayakumar generally incorporates 30 minute follow up sessions with psychoeducation and psychodynamic therapies. She seeks to create a space for her patients to feel safe and validated while gaining tools to reach their goals. She is happy to refer patients for additional therapy if needed. In addition to her psychiatry practice, Dr. Vijayakumar writes both fiction and nonfiction about mental health and identity.‍

Dr. Ariela Karasov completed her psychiatry residency at Stanford, serving as Chief Resident in her final year, and pursued a fellowship in Neuropsychiatry at Stanford Hospital. She is board certified in Behavioral Neurology and Neuropsychiatry and has worked as a National Expert in bipolar disorder at the VA. She has experience treating Generalized Anxiety Disorder, Obsessive-Compulsive Disorder, Bipolar Disorder, PTSD, and Depression, as well as patients with comorbid neurologic and mental health conditions. Dr. Karasov has also taught residents as adjunct clinical faculty at the University of Wisconsin Hospital and Clinics.

Dr. Karasov takes a collaborative approach, actively engaging patients in treatment planning and decision-making. She incorporates therapy into her practice, emphasizing each individual’s values and what gives their life meaning and purpose. Patients can expect a thoughtful, empathetic, and patient-centered environment where their goals and experiences are prioritized.

She values a thorough evaluation to understand how medical, psychological, and social factors contribute to a patient’s presentation. When appropriate, she invites family members or friends to provide collateral information to ensure a complete understanding, guiding a tailored and effective treatment plan.

Dr. Bryce Toburen is a board-certified psychiatrist dedicated to compassionate, collaborative care across the lifespan. His training includes an MD from the Medical College of Wisconsin, residency at The Ohio State University where he served as Chief Resident, and a fellowship in Child & Adolescent Psychiatry at Nationwide Children's Hospital. Outside the clinic, he enjoys sports, tennis, exploring nature, traveling, and spending time with loved ones.

Each patient brings a unique story, and he strives to create a safe, respectful space where you feel heard and supported. His interest in psychiatry stems from a desire to maximize the well-being of patients and their families through strong therapeutic relationships. Compassion and curiosity guide his work, along with a strong belief in the power of connection and collaboration. You can expect open communication and a focus on your personal goals throughout your time together.

Treatment is personalized using evidence-based approaches that include psychotherapy, medication management, and lifestyle strategies. He specializes in addressing anxiety, depression, ADHD, OCD, and trauma-related concerns. Collaboration and trust are central to his approach, with an emphasis on empowering patients to take an active role in their healing and well-being.

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Dr. James “Jim” Staudenmeier is a physician with a distinguished career in military and civilian psychiatry. A retired Colonel in the U.S. Army, he has served as a plenary and invited speaker at national and international conferences on topics including addiction, electroconvulsive therapy, hypnotherapy, and quality improvement. He is a Certified Healthcare Executive, holds a master’s degree in preventive medicine and biometrics, and has published in peer-reviewed journals. His clinical background includes pain management, addiction psychiatry, child and adult psychiatry, and academic appointments at multiple universities.

Dr. Staudenmeier values collaboration and encourages patients to ask questions, clarify expectations, and identify their primary concerns from the start. While medication management is part of care, he emphasizes insight, goal setting, and skill building. He integrates hypnotherapy, guided imagery, relaxation, and meditation to support wellness, pain management, sleep, anxiety, and addiction, tailoring treatment to each patient’s needs.

Dr. Staudenmeier takes a flexible, whole-person approach, combining medication management with evidence-based therapies such as CBT, CPT, motivational interviewing, and family-based interventions. He works comfortably with children, adults, families, service members, Veterans, and individuals facing life transitions, including end-of-life concerns. His goal is to help patients develop practical tools for lasting mental, emotional, and spiritual well-being.

Dr. Alicia Garcete is a board-certified child, adolescent, and adult psychiatrist in practice for over 12 years. Her practice focuses on medication management, recognizing  family involvement is extremely important and is an integral part of treatment. Dr Garcete has treated a wide variety of patients. Her primary focus is treating depression, anxiety disorders, ADHD, PTSD and OCD. Additionally, she can provide supportive therapy and elements of cognitive-behavioral therapy but on occasions more therapy support may be needed, and the recommendation to bring a psychotherapist on the care team may occur to provide an optimal outcome. Dr. Garcete is bilingual and provides care in both Spanish and English.

Prior to Talkiatry, Dr Garcete treated children, adolescents, and adults was at the intensive outpatient and partial hospitalization levels of care with focus on behavioral approaches in the Depression recovery and Anxiety/OCD programs.

Dr. Garcete earned her Medical Degree from the Universidad Nacional de Asuncion, Facultad de Ciencias Medicas in Paraguay. She completed her general psychiatrist residency at Maimonides Medical Center in New York. She was also a Fellow in Psychoanalysis at the Psychoanalytic Institute, Affiliate to New York University School of Medicine, and completed her child and adolescent psychiatrist fellowship at Elmhurst Hospital Center, affiliate to Mount Sinai Hospital. Dr. Garcete also held a clinical assistant professor appointment from the department of psychiatry at SUNY Downstate Medical Center.