Bethanie Berson, NP

Shelah Radke, MD, JD, is a double board-certified Child and Adolescent and Adult Psychiatrist with over a decade of extensive experience in mental health care, specializing in the well-being of children, adolescents, and young adults. She currently serves in St. Louis, MO, where she is known for her dynamic leadership as a Medical Director and her robust clinical practice. Throughout her career, Dr. Radke has held pivotal roles, including Medical Director of Crisis Psychiatry Services at Mercy Hospital and key positions in several reputable outpatient clinics across the U.S. Her clinical acumen spans a diverse range of settings, from private practice and crisis care to specialized programs in residential and educational institutions.

A staunch advocate for evidence-based approaches, Dr. Radke integrates lifestyle and pharmacological interventions to foster mental health resilience among her patients. She is particularly passionate about the shared decision-making model, which enhances patient empowerment and satisfaction by actively involving them in their treatment plans. Dr. Radke's academic contributions are equally notable. She has developed educational curriculums that significantly improve health outcomes and has shared her expertise through numerous media appearances and professional talks. Her commitment to medical education is reflected in her mentorship of nurse practitioners and her involvement in creating community psychiatry programs.

Complementing her medical expertise, Dr. Radke holds a Juris Doctorate, with a focus on public health and social policy, which enriches her understanding of the legal and systemic aspects of healthcare. Her approach is deeply holistic, informed by her training in integrative medicine and her personal commitment to wellness, which she practices through nutrition, exercise, and travel with her family. Dr. Radke's professional journey is driven by a commitment to optimizing mental health outcomes and enhancing the quality of life for her patients and their families.

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Background and credentials

Dr. Escamilla is a board-certified psychiatrist with over 20 years of experience in treating mental health conditions. He is a graduate of Harvard College and earned his medical degree from the University of Texas Southwestern Medical School. He completed his psychiatry training at the University of California at San Francisco and further specialized through a research fellowship with the American Psychiatric Association. In addition to his clinical work, he is a Jungian Analyst and holds academic positions as an adjunct professor at Rutgers University Department of Psychiatry and as the Frank McMillan Jr. Scholar at the Jung Center of Houston.

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Treatment approach

Dr. Escamilla brings a deeply analytical and research-driven approach to psychiatry, integrating traditional psychiatric treatment with Jungian analysis. He has a strong background in academic research and clinical psychiatry, contributing extensively to the field through research publications. His expertise spans a wide range of mental health challenges, and he is committed to understanding the complexities of each patient’s experience to tailor a treatment plan that best suits their needs.

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What you can expect in a first visit

During the first visit, patients can expect a comprehensive psychiatric evaluation that takes into account their personal history, psychological patterns, and treatment goals. Dr. Escamilla’s approach emphasizes thoughtful analysis and evidence-based care, ensuring that each patient receives a personalized and insightful treatment plan. His sessions may incorporate medication management, psychotherapy, and Jungian analytical techniques to provide a holistic and individualized treatment experience.

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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. Sheena Dohar is a board certified general psychiatrist. Before joining Talkiatry, she practiced extensively in community mental health with adults of all ages in both outpatient and inpatient settings and as the medical director of several intensive outpatient and dialectical behavioral therapy (DBT) based programs. She has experience in private practice and in the dual diagnoses of mental health and substance abuse disorders. Dr. Dohar graduated from Carnegie Mellon University with a Bachelor of Science in Biology and Psychology and then completed medical school at West Virginia University School of Medicine. She trained during her residency at WVU, where she served as a chief resident and received the Brandon K. Fuller Award for Physician Empathy in 2017. Dr. Dohar's practice focuses on medication management. Her goals include helping people feel comfortable seeking treatment as well as promoting an understanding of the purpose and reasoning behind the use of various medications to treat psychiatric disorders. Typically, she offers this in conjunction with supportive or emotionally focused therapy in 30-minute follow-up visits. When Dr. Dohar may believe that additional therapy is also needed, she will ask that you bring a therapist into your care team to provide the best outcome. Dr. Dohar appreciates and values working with therapists within the Talkiatry practice and in the community in a collaborative effort to promote wellness. She strives to build strong therapeutic relationships with the people that she sees in her practice. Her passions include working in the community at large to encourage a better understanding of mental health disorders and to promote suicide awareness and prevention. She has interests in pharmacogenomics as well as treatment resistant approaches to depression. Dr. Dohar appears in several professional publications.‍

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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Background  and credentials    

Dr. Andrew Lelin is a board-certified Psychiatrist in Adult Psychiatry. He  received his bachelor's degree from Johns Hopkins University and a master's  in Medical Humanities, Compassionate Care, and Bioethics from Stony Brook  University. Dr. Lelin earned his medical degree from Hofstra-Northwell School  of Medicine and completed his residency at Rutgers-Robert Wood Johnson School  of Medicine, where he specialized in advanced psychopharmacology with diverse  patient populations. He also has extensive training and experience in  psychotherapeutic modalities, including psychodynamic therapy,  cognitive-behavioral therapy, habit-reversal therapy, and cognitive  processing therapy. Following his training, Dr. Lelin provided inpatient  consultation and crisis intervention services in New York City.    

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Treatment approach    

Dr. Lelin employs a compassionate, humanistic approach designed to align  closely with his patients' personal goals and values. His method integrates  advanced psychopharmacology with psychotherapeutic techniques such as  psychodynamic, cognitive-behavioral, habit-reversal, and cognitive processing  therapies. He aims to carefully balance diagnosis, avoiding both  overdiagnosis and underdiagnosis, to ensure precise and tailored care. Dr.  Lelin’s approach is particularly effective in addressing conditions like  anxiety, depression, bipolar disorder, OCD, trauma-related issues, and other  psychiatric conditions.    

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What you can expect in a first visit    

During the initial visit, patients can expect a comprehensive, detailed  evaluation designed to thoroughly understand their individual experiences and  needs. Dr. Lelin prioritizes establishing a compassionate and comfortable  environment where patients can openly discuss their concerns and goals. This  initial assessment is followed by meticulous and thoughtful follow-ups,  providing clarity and direction in the treatment process.    

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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 speciualize in  medication management and collaborate with you on a treatment plan that fits  your needs and comfort level.

Dr. Michael Underriner is an adult psychiatrist. His approach to treatment is holistic, taking into account the entire person, and emphasizes the importance of the therapeutic bond to help people reduce suffering and achieve their goals. He is a member of the Gold Humanism Honor Society. Dr. Underriner's practice focuses on a mix of medication management, offered in conjunction with supportive therapy in 30-minute follow-up visits, and insight-oriented psychotherapy offered in weekly 45-minute visits. He works with people struggling with ADHD, depression, anxiety, obsessive-compulsive and related disorders, and difficulties with self-esteem and relationships. Occasionally Dr. Underriner may believe that additional therapy is warranted and recommend a separate therapist to provide the best outcome. He received his medical degree from the University of Chicago Pritzker School of Medicine and completed his residency training at New York University. During training, he gained experience treating patients with various psychiatric illnesses in several different clinics and hospital-based settings. He worked with experts in the field of depression and provided consultations for patients considering transcranial magnetic stimulation. He also published a review article on long-term injectable medications for psychosis. Dr. Underriner has maintained an interest in teaching and remains connected to the psychiatry department at NYU. He has supervised and taught junior residents and medical students. Additionally, he is interested in global health and disparities in access to care and has traveled to Ghana to teach medical students rotating through psychiatry at the university there.