Barbara Pack, LPCC

More Clinicians

Michael Robbins is a psychiatric nurse practitioner with over 17 years of experience specializing in psychiatric medication management. He earned his MSN from the University of Tennessee in 2006. His career spans various settings, including acute inpatient care, private practice, community mental health, and substance abuse treatment. Michael treats conditions such as depression, anxiety, PTSD, OCD, bipolar disorder, and ADHD. He has worked both remotely and in-person, adapting to the evolving healthcare landscape. Michael is known for his expertise in psychopharmacology, tailoring treatment plans to each patient’s needs while minimizing side effects. His compassionate and patient-centered approach has made him a trusted provider in the mental health community.

Alexandra Starmer, LMHC

Staff Licensed Mental Health Counselor

Meet Alex Starmer, LMHC, your friendly mental health counselor here at Talkiatry. She's not just a counselor; she's your partner on your mental health journey. Alex earned her Master of Science in Mental Health Counseling from Syracuse University in 2020 and has been in the field since January 2021, working closely with clients facing mental health and substance use challenges. Alex believes in the power of the mind-body connection, and she loves to share polyvagal exercises and mindfulness techniques to help you better understand yourself. She's always learning and growing, with ongoing training in Internal Family Systems (IFS) and eye movement desensitization and reprocessing (EMDR). Her go-to tools for therapy are Acceptance and Commitment Therapy (ACT) and Cognitive Behavioral Therapy (CBT). With her, you can expect a compassionate and comprehensive approach to your mental well-being. You're in good hands with Alex.‍

Rebecca Jarrell, LPC

Staff Therapist

Rebecca Jarrell is a Licensed Professional Counselor in Texas and a Licensed Professional Clinical Counselor in California and New Mexico. She has been in the mental health field for over 24 years in a variety of clinical settings. Early in her career, she worked in an inpatient psychiatric hospital on the child and adolescent unit. Most recently, Rebecca has spent over a decade in the private practice setting working with adults and specializing in anxiety, depression, trauma, and grief and loss issues. While she provides a holistic, individualized treatment approach, she has a strong background in Cognitive Behavioral Therapy. She is a Certified Clinical Trauma Professional (CCTP) and a Certified Grief Educator. She feels strongly about treating each client as a unique individual and meeting them wherever they are on their mental health journey. Rebecca is committed to creating a supportive and nonjudgmental environment where clients feel seen, heard, and empowered to make meaningful changes in their lives. Clients looking for a therapist will find Rebecca to be compassionate and direct, encouraging clients to challenge and reframe distorted thoughts while reinforcing positive adaptive behaviors.

Erica Cusick, DO

Staff Psychiatrist

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.

Anthony Finch, MD

Staff Psychiatrist

Dr. Anthony Finch is a graduate of the New York-Presbyterian Hospital/Weill Cornell Medical Center General Psychiatry residency and the Duke University Geriatric Psychiatry fellowship programs; he is board certified in Psychiatry by the ABPN. Dr. Finch was born and raised in New York and now lives in North Carolina. Dr. Finch specializes both in psychiatric medication management and various forms of psychotherapy. He believes that effective psychiatric treatment requires attention to multiple domains, including the establishment of a strong doctor/patient relationship, the development of a sound understanding of who the patient is as an individual, and a comprehensive assessment of spiritual and biological factors contributing to mental health. As such, Dr. Finch's practice includes both pharmacological and psychotherapeutic interventions that aim to treat the whole person on an individualized basis. He sees patients of all ages, specializing in older adults, and treats all psychiatric conditions. Dr. Finch received the 2023 Distinguished House Staff Award from the New York Weill Cornell Medical Center Alumni Council; this is awarded to one graduating house staff member from each department annually for excellence during training. He has conducted research on depression and PTSD, published a number of papers in peer-reviewed journals, presented posters at conferences, and written a chapter for a book on medical education. He practices in both English and German.

Cerra Guins, LMHC

Staff Therapist

Cerra Guins is a licensed clinical mental health counselor and certified dialectical behavioral therapist. She has worked with various ages, mental health disorders, and culture backgrounds. Cerra attended undergraduate school in Summerdale, PA, graduate school in Altamonte Springs, FL, and attended an internship in Apopka, FL. Cerra has been practicing for 4 years as a Clinical Mental Health Counselor, focusing on mood disorders, psychosis, and crisis intervention. Cerra prioritized tailoring treatment around each individual in an effort to provide the most beneficial services by using a treatment modality that fits the individual's personal concerns. Cerra uses a Dialectical Behavioral approach with a foundation in Cognitive Behavioral Therapy.

Faiza Farooq, MD

Staff Psychiatrist

Background and credentials

Dr. Farooq obtained her medical degree from Dow Medical College, one of the most prestigious medical schools in Pakistan. She completed her residency in General Psychiatry at New York Medical College-Westchester Medical Center in Valhalla, New York. Dr. Farooq is ECFMG certified and an active member of the American Psychiatric Association. During her training, she gained diverse clinical experience in psychiatric inpatient, outpatient, and emergency care settings.

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Treatment approach

Dr. Farooq emphasizes a friendly, collaborative, and patient-centered treatment approach, focusing on building strong therapeutic relationships. Her practice primarily centers on medication management, combined with supportive therapy, cognitive-behavioral therapy (CBT), and motivational interviewing. She tailors treatment approaches to the unique needs and goals of each patient.

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What you can expect in a first visit

Patients meeting Dr. Farooq for the first time can anticipate a welcoming and collaborative atmosphere. Her initial evaluation focuses on understanding each patient’s symptoms, concerns, and individual treatment goals. Dr. Farooq integrates medication management with supportive therapy and therapeutic modalities such as CBT and motivational interviewing, ensuring treatment plans are personalized and aligned with patient-care objectives.

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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.

Tiffany Abtahi, MD

Staff Psychiatrist

Dr. Tiffany Abtahi is board certified in adult psychiatry and has been in practice for over 6 years. She completed her residency at Icahn School of Medicine, Elmhurst Hospital Center program where she served as Chief Resident in her final year. After completing her residency training, Dr Abtahi worked as a staff psychiatrist in the VA Medical Center focusing on PTSD, depression, and anxiety. Dr. Abtahi has held an academic appointment at the University of UT Southwestern medical school and has spent her professional career supervising/teaching medical students and psychiatry residents. Dr. Abtahi's practice focuses on medication management and providing psychoeducation to her patients. However, if indicated, Dr. Abtahi may believe that additional therapy is also needed and ask that you bring a therapist into your care team to provide the best outcome. Dr. Abtahi has experience treating a large variety of mental health conditions across a variety of populations. She strongly believes in tailoring treatments through a holistic and patient-centered approach based on individual and multi-faceted histories. Dr. Abtahi looks forward to working with you.

Paulina Bollat Orbea, LCSW

Staff Therapist

Paulina Bollat Orbea is a Licensed Clinical Social Worker in Florida and Colorado. She earned her Master’s Degree in Social Work at Florida International University and has worked in a variety of clinical settings including outpatient clinic, psychiatric hospital, correctional facility, community mental health, university counseling and research and private practice environments.

Paulina has experience working with individuals who experience depression, anxiety, trauma, stress, family conflict, LGBTQ+ related concerns, substance use disorders and other mental health concerns. Paulina has worked with people of diverse ethnicities, cultures and identities. As a Guatemalan native, she is also able to offer therapy in Spanish.

Paulina’s therapeutic approach is dependent on the patient’s needs. She largely follows a Cognitive Behavioral approach, while also implementing psychodynamic, Internal Family Systems, Person-Centered and Solution-Focused orientations. Her treatment style prioritizes evidence-based practice and a therapeutic alliance built through empathy, collaboration and cultivating a safe, judgement-free space for the patient.

Ayanna Swinton Jamison, MD

Staff Psychiatrist

Dr. Ayanna Swinton Jamison is a board-certified psychiatrist with over 18 years of experience in general, as well as child and adolescent psychiatry. She has extensive experience in counseling, and medication management. Dr. Jamison is committed to educating her patients about their illness and providing personalized care for each patient. Dr. Jamison received her undergraduate degree from Jackson State University. She graduated from Saint Louis University Medical School and completed her residency training in general psychiatry and child and adolescent psychiatry at the University of South Carolina. Dr. Jamison is a proud mom of four who enjoys spending time with her family, and attending her kids' sports events.

Gaurav Agarwal, MD

Staff Psychiatrist

Background and credentials

Dr. Agarwal is a board-certified adult psychiatrist. He obtained his bachelor's degree in Biological Sciences from the University of California at Irvine and graduated cum laude with his medical degree from the American University of Antigua. Dr. Agarwal completed his psychiatry residency training at the University of Central Florida, where he was elected chief resident.

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Treatment approach

Dr. Agarwal employs a collaborative and patient-centered approach, primarily focusing on medication management in combination with supportive therapy. He is a strong advocate of psychoeducation, believing it to be an integral part of effective psychiatric care. Dr. Agarwal specializes in treating adults experiencing depression, anxiety, PTSD, and insomnia. He is also experienced in managing patients with psychiatric conditions complicated by medical comorbidities such as obesity, hypertension, chronic pain, and diabetes.

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What you can expect in a first visit

Patients visiting Dr. Agarwal for the first time can anticipate a comprehensive evaluation conducted in a collaborative and supportive environment. Dr. Agarwal prioritizes understanding each patient's individual needs and concerns, creating a personalized treatment plan that integrates medication, supportive therapy, and psychoeducation. Follow-up visits typically last about 30 minutes, allowing time to adjust treatment and reinforce therapeutic strategies.

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Why Talkiatry?

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Satveet Khela, DO

Staff Psychiatrist

Dr. Satveet Khela is a board certified physician specializing in adult psychiatry. She has been practicing since 2021. In addition to focusing on medication management, Dr. Khela's practice also prioritizes a whole person approach, incorporating aspects of nutrition, lifestyle, mindfulness, and supportive or brief cognitive behavioral therapy into the treatment plan. Occasionally, Dr. Khela may believe that additional therapy is also needed and ask that you see a separate therapist to provide the best outcome. Dr. Khela received her undergraduate degree from the University of California, Berkeley and her medical degree from A.T. Still University. She completed her residency at University of California San Francisco Fresno, where she served as chief resident in her final year. After completing her training, Dr. Khela worked with medically ill patients with co-morbid psychiatric illnesses. Throughout her career, Dr. Khela has worked with a diverse set of patients in various stages of their lives. Dr. Khela focuses on treating patients with anxiety, depression, PTSD, bipolar, OCD, and other mental health issues. She believes in empowering her patients to be active players in their treatment plans to facilitate the best care possible.

Barbara Pack, LPCC

Education and training

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