Amrish Pipalia, MD

Dr. Desir is a Board-Certified Psychiatrist who completed her undergraduate training at The University of Scranton followed by medical school at the New York Institute of Technology College of Osteopathic Medicine. She completed psychiatry residency at Nassau University Medical Center where she served as the Administrative Chief Resident in her final year. Dr. Desir has been in practice for 4 years and has provided patients with compassionate psychiatric care. She has worked in community mental health settings throughout her career, in which she served a wide variety of patient populations. Dr. Desir is experienced in treating various psychiatric illnesses including mood disorders, anxiety disorders, OCD, PTSD, and ADHD. At the heart of Dr. Desir's clinical approach is a strong emphasis on establishing trust and building a therapeutic relationship. She also provides psychoeducation to help patients make informed decisions regarding their care. She works collaboratively with patients to develop individualized treatment plans to help them achieve their goals. Dr. Desir's practice focuses on medication management. Typically, she offers this in conjunction with supportive or emotionally focused therapy in 30-minute follow-up visits. Occasionally, Dr. Desir may believe that additional therapy is also needed and ask that you bring a therapist into your care team to provide the best outcome. Talkiatry takes medication management seriously. All state-controlled substance databases are reviewed and taken into consideration during your initial evaluation.

Dr. Rabia Choudhry, DO, became a psychiatrist with one mission: to provide compassionate, high-quality mental health care accessible to anyone, anywhere. Originally from Pakistan, she pursued her undergraduate degree at Benedictine University in Illinois, medical school at Des Moines University in Iowa, and psychiatry residency at Trinity Health Livonia Hospital/Wayne State University in Michigan. She has experience in inpatient, outpatient, forensic, and community mental health settings.

Dr. Choudhry is committed to meeting patients where they feel most comfortable, whether at home, work, or elsewhere. She offers the same compassion, attentiveness, and expertise as in-person care while removing barriers like travel, time constraints, and distance. Her approach emphasizes that patients are more than a diagnosis, focusing on the whole person—their story, struggles, and strengths.

Dr. Choudhry partners with patients to create individualized therapeutic plans that may include medication management and holistic strategies. Her goal is to promote mood stability, balance emotions, reduce anxiety, quiet overwhelming thoughts, resolve interpersonal conflicts, and strengthen resilience. She believes healing is best achieved through collaboration, open dialogue, and empowering patients to make informed choices about their care.

Dr. Erica Cusick is a board-certified psychiatrist at Talkiatry. She completed her undergraduate training at the University of Rochester and medical school at Lake Erie College of Osteopathic Medicine. She is committed to treating a wide range of mental health disorders and addressing the psychological and emotional challenges faced by adults of all ages. During her residency training at Allegheny General Hospital, Dr. Cusick developed a keen interest in the nuances of medication management, including drug interactions and side effects, ensuring accurate diagnoses, the mental health needs of women, identification of attention-deficit/hyperactivity disorder in adults, and addressing mental health issues that may arise with concussions, traumatic brain injuries, strokes, Parkinson's Disease or dementia. Dr. Cusick approaches patient care collaboratively by actively listening to patients and involving them in their treatment planning while providing evidence-based care.

Melissa Sims, MSN, APRN, PMHNP-BC, is a board-certified psychiatric mental health nurse practitioner who is passionate about delivering high-quality, compassionate, and comprehensive mental health care. She earned her Master of Science in Nursing from the University of Alabama at Birmingham in 2022 and has since worked in both community mental health and correctional settings.

Melissa takes a collaborative approach to care, working closely with other mental health professionals, medical providers, families, and relevant support systems to ensure well-rounded treatment. She emphasizes a patient-centered, individualized approach, combining medication management with psychotherapy to meet each person’s unique needs.

Patients working with Melissa can expect a thorough evaluation, accurate diagnosis, and a personalized treatment plan tailored to their mental health goals. One of her core priorities is to empower individuals to make informed decisions about their care by providing education grounded in research, evidence-based practices, and clinical experience.

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Dr. Delane Casiano is a board-certified adult psychiatrist with specialized interest and expertise in cultural psychiatry. She earned her undergraduate degree from Brown University and her medical degree from Morehouse School of Medicine. She completed psychiatry residency and research fellowship at the University of Pennsylvania. Such organizations as the American Psychiatric Association, National Institute of Mental Health, and Philadelphia Department of Behavioral Health have recognized her research examining cultural influences on mental health beliefs and service utilization.

Dr. Casiano brings a systems-based, culturally informed perspective to her work. With over 15 years of experience, she has supported individuals with diverse backgrounds and identities. Examples of her leadership of multidisciplinary teams include serving as associate medical director of a women's trauma program and founding an integrated care program for underserved communities. She has directed academic training programs, presented at national conferences, and led numerous community-based events focused on mental health awareness and stigma reduction.

Dr. Casiano values compassion and collaboration in the treatment relationship. She helps patients navigate depression, anxiety, ADHD, and post-traumatic stress, while also supporting those facing major life transitions.

Her approach combines evidence-based medication management, supportive therapy, and

psychoeducation. She tailors each treatment plan to the individual while offering encouragement and structure.

Dr Mark Giordano is a board-certified psychiatrist with over ten years of experience in adult psychiatry, addiction medication, pregnancy and post-partum care, complex medical consultation, and military health. Dr G practices psychodynamic psychotherapy as well as evidenced based medication management. Dr G has extensive experience working with culturally diverse populations, and is an Army veteran who deployed to Korea and Afghanistan.

Patients often describe Dr G as caring, providing clear explanations, and responsive to concerns.   Dr G highly values his patients trusting him to listen and respect them, as well as in his clinicial skills.  He works hard at helping his patients understand his approach to treatment, and what is happening along the way and why. He may be the medical expert, but he and his patients are partners working together in the process of achieving better health and functionality for them so they can live their best lives.

Dr G starts by explaining his overall approach to medication management and his goal of helping his patients live a better life free of disability. He conducts a detailed evaluation of your concerns, your experiences, and your priorities in treatment.  Dr G develops a unique treatment plan based on your unique needs. He emphasizes positive developments over the course of your work together and makes sure you always have a chance to discuss any questions or concerns you want him to know and answer.