Gaurav Agarwal, MD

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.

Virginia Hogan, PMHNP, is a dedicated psychiatric mental health nurse practitioner with experience in both inpatient and outpatient psychiatric care. She began her career in general surgery and primary care before pursuing her passion for mental health. Virginia earned a bachelor’s degree in Biology, a BSN in Nursing, and a Master of Science in Nursing from Northern Kentucky University. She is board-certified through the ANCC as a Psychiatric Mental Health Nurse Practitioner.

Virginia is deeply committed to patient-centered care, always taking into account and respecting each individual’s unique needs and experiences. She emphasizes patient strengths when setting treatment goals and fosters a supportive, empathetic environment. Patients can expect someone who listens attentively, values collaboration, and works to build a positive and mutually respectful therapeutic relationship.

During the initial session, Virginia encourages patients to share their stories in order to gain a full understanding of their history, concerns, and goals. Together, she and her patients develop individualized treatment plans that align with those goals. Follow-up appointments are designed to track progress, celebrate growth, and make thoughtful adjustments as needed.

Dr. Laura Rosas is an adult psychiatrist at Talkiatry who practices compassionate, patient-centered care. As a multiracial psychiatrist, she serves diverse communities and focuses on treatment plans that respect each patient's background. She treats various diagnoses, including trauma, mood, personality, and eating disorders, with a particular interest in the student and LGBTQ+ communities. Using a range of skills and interventions from psychodynamic therapy, cognitive behavioral therapy (CBT), dialectical behavior therapy (DBT), acceptance and commitment therapy (ACT), and mentalization-based therapy (MBT), Dr. Rosas prioritizes a collaborative approach. She ensures patients are actively involved in shaping their treatment, including decisions about medication and supplements. This cooperation allows for personalized care plans that align with each patient's needs, values, and goals. Recognizing that cultural influences, substance use, financial constraints, and other societal factors impact mental health, Dr. Rosas examines these personal aspects to provide effective, holistic care in a non-judgmental space. She graduated from McGovern Medical School (UT Houston) and completed her residency in psychiatry at the University of Chicago. She aims to make healthcare more accessible and affordable, driving systemic changes in mental health care.

Background and credentials

Dr. Ian Goldberg is a board-certified adult and child/adolescent psychiatrist and a licensed physician in New York state. He has been practicing since 1988 and has extensive experience working with patients in private practice, hospital settings, and community-based mental health programs. His professional career has included work both in and outside of the United States.

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Treatment approach

Dr. Goldberg takes an eclectic approach to psychiatric care, integrating various treatment modalities, including psychodynamic perspectives and medication management. His focus is on improving his patients' overall quality of life by tailoring treatment strategies to their unique needs.

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What you can expect in a first visit

During the initial visit, patients can expect a comprehensive and individualized evaluation. Dr. Goldberg values collaboration and strives to create a treatment plan that is both effective and adaptable. His experience allows him to approach each case with insight and flexibility, ensuring that patients receive care that is aligned with their personal goals and circumstances.

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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. Michael Fiori is Board Certified in Adult Psychiatry and Addiction Medicine. He has practiced general psychiatry for 37 years, and has also sub-specialized in Addiction Psychiatry for the past 20 years. Dr. Fiori's practice emphasizes Diagnostic Clarification, which is an ongoing process. He is highly trained and experienced in the biological and psychosocial underpinnings of psychiatric problems. He typically follows diagnostic evaluations with 30-minute follow up visits for medication adjustments and brief therapy. Dr. Fiori often enjoys collaborating with outside therapists when needed. Dr. Fiori graduated from Amherst College and received his medical degree from NY Medical College. He subsequently completed his residency in psychiatry at the Mount Sinai Medical Center in NYC. He excelled in Academic Psychiatry as both a teacher and a mentor. His practice has always combined medications with evidence-based therapies to alleviate suffering and maximize functioning. In addition to his work as a Board Certified Adult Psychiatrist, he has specialized in helping patients suffering from Substance Use Disorders. Dr. Fiori is Board Certified in Addiction Medicine, and helps patients understand the interrelationships between their Substance Use Disorders and their Psychiatric illnesses.

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.