Amrish Pipalia, MD

Background and credentials

Dr. Inano is a board-certified adult psychiatrist. She earned her bachelor's degree in psychology from Xavier University in New Orleans and obtained her medical degree from the University of California Davis. She completed her general psychiatry residency at the University of Texas at Austin Dell School of Medicine. Before transitioning to private practice, Dr. Inano worked within the Veterans Affairs healthcare system, where she gained extensive experience treating a diverse range of mental health conditions. She has also served as an Affiliate Faculty member at the University of Texas at Austin Dell School of Medicine, supervising and training psychiatry residents.

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Treatment approach

Dr. Inano employs a kind, collaborative, and patient-centered approach to psychiatry. She specializes in treating depression, anxiety, and trauma-related disorders, with additional training in psychotherapeutic modalities for PTSD. She strives to create a safe and supportive environment where patients feel comfortable exploring their concerns and working toward healing.

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What you can expect in a first visit

During the first visit, patients can expect a thorough and compassionate evaluation aimed at understanding their unique experiences, symptoms, and treatment goals. Dr. Inano emphasizes collaboration, ensuring that each patient is actively involved in their treatment plan. She provides a supportive space where patients can discuss their concerns, and she tailors treatment options—including therapy and medication management—to meet individual needs.

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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. Stephen Geisler is a board-certified adult psychiatrist and has been practicing for over 37 years. His practice focuses on medication management, and typically offers this in conjunction with supportive therapy in 30-minute follow-up visits. If Dr. Geisler feels you would benefit from working with a therapist in conjunction with medication management, he welcomes collaboration with your therapist to make for the best outcome. Dr. Geisler is a graduate of the New York University School of Medicine. He completed a fellowship in Psychoanalytic Psychotherapy at the Zucker Hillside Hospital of Northwell Health after finishing his residency training there. He is currently an Assistant Clinical Professor at the Donald and Barbara Zucker School of Medicine at Hofstra/Northwell. Over the years Dr. Geisler has received a number of awards including NAMI Exemplary Psychiatrist Award, The APA Irma Bland Certificate of Excellence in Teaching Residents, the Zucker Hillside Hospital Department of Psychiatry Recognition Award for Education, and twice received the Outstanding Teacher of the Year Award from the graduating residents' class. Dr. Geisler is a member of the American Psychiatric Association, the Nassau Suffolk District Branch of the APA and the American Society of Clinical Psychopharmacology. Through the years, Dr. Geisler has participated in many clinical research projects, has been the co-author of many papers, and has made many presentations. Dr. Geisler specializes in psychopharmacology, especially tailoring individualized treatment to serve the needs of patients with a variety of conditions. He has a lot of experience in treating patients with depression, bipolar disorder, anxiety disorders, ADHD, and OCD.

Dr. Shaily C. Desai, MD is a board-certified psychiatrist who treats adults. She graduated Magna Cum Laude and with General Honors from University of Miami. She completed medical school at the University of Miami Miller School of Medicine in the prestigious Honors Program in Medicine. She continued her medical education at Jackson Memorial Hospital & University of Miami Hospital for her 4-year psychiatry residency training program. After completing her training, Dr. Desai held an academic appointment at the University of Miami while working at the Miami Veterans Affairs Hospital initially as a behavioral health consultant in the Primary Care Mental Health Integration (PCMHI) model and later as a Behavioral Health Interdisciplinary Program (BHIP) psychiatrist in the Mental Health Treatment Coordinator (MHTC) role.

Dr. Desai’s background spans clinical care, academic research, and community service, giving a comprehensive understanding of mental healthcare delivery across different settings. Dr. Desai developed expertise in quickly building rapport with patients, conducting medication management assessments, and implementing effective interventions. These experiences taught Dr. Desai how to maintain clinical excellence while showing patience and respect for each patient's unique circumstances. She understands the delicate balance of providing thorough care within the constraints of virtual sessions and she has developed strategies to ensure patients feel supported and understood, even though a screen.

By combining clinical expertise with genuine empathy and persistence, Dr. Desai helps her patients navigate their treatment journey with confidence and hope. Dr. Desai’s practice focuses on medication management and supportive psychotherapy in typically 30-minute follow up visits. At times, additional psychotherapy is needed, and a therapist may be added to provide the best outcome.

Dr. Melody Stupey is a board-certified psychiatrist with over 26 years of experience treating adults in both inpatient and outpatient settings. She earned her medical degree from Oregon Health Sciences University and completed her residency at the University of Texas at San Antonio. Dr. Stupey is certified by the American Board of Psychiatry and Neurology.

Dr. Stupey believes in a collaborative approach to treatment, emphasizing active listening, compassion, and respect. She strives to create a warm, supportive environment where patients feel safe and empowered to speak openly without fear of judgment.

Her treatment process is holistic, considering physical, emotional, and lifestyle factors. She evaluates diet, physical activity, sleep habits, and thought patterns alongside medication needs. Dr. Stupey prioritizes using the lowest effective dose of medication to meet treatment goals while supporting the patient’s overall well-being.

Emily-Rose Virden, PMHNP-BC, earned her advanced nursing degree at the Massachusetts General Hospital Institute of Health Professions and has many years of experience as both a psychiatric nurse and a Psychiatric Mental Health Nurse Practitioner. She has practiced across a wide range of mental health settings, including inpatient, outpatient, partial programs, and Emergency Room care.

She strives to build trusting relationships with her patients and values open, honest communication throughout the treatment process. Emily-Rose creates an inclusive, supportive environment where every patient feels heard, respected, and genuinely cared for.

During initial appointments, she explores each patient’s history and current concerns to determine the most appropriate treatment plan. She works collaboratively with patients to set meaningful goals and encourages ongoing participation in each session to support strong, successful outcomes.

Dr. Rachel Klein received her medical degree from the UCLA School of Medicine and completed her residency training at Harbor-UCLA. She went on to complete a Consultation Liaison fellowship at Yale New Haven Hospital. Dr. Klein has served as a Consultation Liaison psychiatrist providing psychiatric care to patients across hospital settings and in emergency rooms. She has also worked in community health, delivering outpatient psychiatric care to a diverse range of patients.

Dr. Klein provides care in a supportive, non-judgmental, and empathetic manner. She works collaboratively with patients to identify goals and treatments that are effective, safe, and minimize the risk of dependence. Her approach emphasizes education about mental health and the use of non-pharmacological strategies to enhance wellbeing. She values treating the whole person and considers physical health as an integral part of understanding emotional distress.

Dr. Klein begins by understanding each patient’s history, concerns, and goals during the initial session. She takes time to establish an accurate diagnosis, sometimes gathering additional information from trusted friends or family members when helpful. She develops individualized treatment plans aligned with each patient’s goals, provides education about medications and their side effects when indicated, and closely monitors progress over time.