Anisha Gulati, MD

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. Rodriguez is a board-certified adult psychiatrist, who is also fluent in Spanish. He completed residency at North Florida Regional in Gainesville via the University of Central Florida, where he also served as chief resident for education. He received his medical degree from Lincoln Memorial University – DeBusk College of Osteopathic Medicine in Tennessee. He also holds a master’s and bachelor’s degree in engineering from the University of South Florida, in Tampa.

Dr. Rodriguez has worked with a wide array of patients across various medical settings and has experience treating patients with psychiatric illness who may also be suffering from medical comorbidities, such as obesity, hypertension, pain, and diabetes. He has been deeply involved with teaching and emphasizes psychoeducation while working in collaboration with his patients to help tailor their personalized treatment plan. His primary focus has been on treating adults with depression, bipolar disorder, anxiety, ADHD, OCD and PTSD.

Dr. Rodriguez has an approachable, patient-centered style, combined with a passion for optimizing sleep as it pertains to management of a psychiatric illness and overall well-being. He offers supportive therapy as part of his medication management visits, and at times may also offer cognitive behavioral therapy to address underlying stressors which may be contributing to one’s presenting ailments. He may also recommend including a therapist in your care team to optimize outcomes.

Darcie Farrell is an ANCC Board Certified Family Psychiatric Nurse Practitioner.  She has worked exclusively in the field of psychiatry during her forty-year nursing career.  She has worked in many care settings, including as a psychiatric Home Health Nurse and as a Certified Case Manager (CCM) in Psychiatry at Blue Cross Blue Shield. During her time at Excellus Blue Cross Blue Shield, she realized the urgent need for psychiatric nurse practitioners, so enrolled in the BSN/MSN program at the University of Rochester, graduating in 2016 with her BSN and in 2018 with her MSN.  She has strong skills and experience in Motivational Interviewing, having worked as a Motivational Counselor for a University of Rochester's Pediatric Research Program.   She has worked for the past seven years as a Nurse Practitioner in Geriatric Outpatient Psychiatry.

Darcie Farrell is a compassionate provider who is client centered. I rely on evidence-based scientific research when determining the best treatment options for clients.  

Darcie Farrell has a very relaxed process for working with patients which allows the client to provide information that is pertinent to their goals for care.  Then, together, we determine which treatment options are likely to be best for the client.

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Dr. Thomas Spina is an adult psychiatrist who began his practice at Talkiatry after completing his psychiatry residency at the Eastern Long Island branch of Stony Brook University, where he treated a diverse patient population. Dr. Spina received his undergraduate degree from St. John's University in Queens where he studied Philosophy. Initially interested in a career in law, Dr. Spina decided to change gears and pursue a career in medicine after watching a relative struggle with her diagnosis of Diabetes Mellitus. Dr. Spina then completed medical school at Tel Aviv University in Israel, where he fell in love with psychiatry during his clerkship at Ichilov medical center. During that rotation, he came to appreciate how each patient has his or her own unique story, regardless of their diagnosis. Dr. Spina favors a holistic and integrative approach to psychiatry, combining medication management with supportive therapy, elements of cognitive behavioral therapy, while remaining open to other treatment modalities depending on the needs of his patients. When more focused therapy is indicated, Dr. Spina may recommend that his patient work with a provider specializing in a particular modality of therapy as part of their treatment. Dr. Spina treats adult patients with mood disorders including major depressive disorder and bipolar disorder, anxiety spectrum disorders, OCD, PTSD and specific phobias. In his spare time, Dr. Spina enjoys a variety of hobbies, including Brazilian Jiu-Jitsu, running, baseball, and exploring new eateries and shops.

Gregory Miller, DO, is an adult psychiatrist who prioritizes understanding his patients by first listening to their stories. He collaborates with them to develop both pharmacological and non-pharmacological solutions aimed at improving their functionality. Dr. Miller emphasizes that functioning better often leads to feeling better. Whenever possible, he approaches treatment within the context of the family system surrounding the individual. Raised in South Carolina, and now residents of Florida, Dr. Miller and his wife of 31 years have six children. He enjoys outdoor activities and team sports and is an avid fan of Tolkien and C.S. Lewis. He at times incorporates analogies from their works into therapy if appropriate.

Dr. Romanow is double board-certified in Adult Psychiatry and Forensic Psychiatry. He graduated summa cum laude from the University of Pittsburgh with a Bachelor of Science degree in Sports Medicine/Athletic Training and then attended Drexel University College of Medicine. After medical school, he completed his residency in Adult Psychiatry at the University of Virginia, where he obtained a certificate in additional psychotherapy training. After residency, Dr. Romanow completed a fellowship in Forensic Psychiatry at the University of Virginia. During his fellowship, he trained at the prestigious Institute of Law, Psychiatry, and Public Policy (ILPPP) and Western State Psychiatric Hospital where he performed criminal and civil forensic evaluations. He also provided clinical care at a maximum security prison. Prior to joining Talkiatry, Dr. Romanow worked at a healthcare system in Montana providing inpatient and outpatient psychiatric care involving medication management and psychotherapy. Additionally, he operates a private forensic psychiatry practice that conducts mental health evaluations for the legal system. Dr. Romanow has extensive experience treating various mental health disorders including depression, bipolar disorder, anxiety and obsessive-compulsive disorders, post-traumatic stress disorder, and ADHD. His clinical work includes assisting patients who experience mental health disorders with co-occurring substance use problems. He has training in various schools of psychotherapy including cognitive behavioral therapy (CBT), CBT for insomnia, motivational interviewing and supportive psychotherapy. Dr. Romanow incorporates treatment focusing on the importance of exercise, diet, and good sleep habits as a part of comprehensive mental health care.‍