Gaurav Agarwal, MD

Dr. Hajr Ben Cheikh earned her medical degree from Eastern Virginia Medical School, where she worked with refugee populations and participated in global health initiatives in Haiti. She completed her psychiatry residency at MedStar Georgetown University Hospital, serving as inpatient chief resident. Dr. Ben Cheikh has experience across diverse settings including inpatient units, PHPs, IOPs, collaborative care, academic and community clinics, and perinatal mental health.

Dr. Ben Cheikh values open communication, transparency, and collaboration, and she takes a friendly, supportive approach to patient care. She practices evidence-based medicine with a minimalist perspective on pharmacologic treatment, often preferring single agents that can address multiple concerns when clinically appropriate.

Dr. Ben Cheikh approaches care holistically, considering diagnoses, comorbidities, social background, and lifestyle. Initial sessions focus on diagnostic clarity, with treatment goals developed collaboratively. Follow-ups center on patient priorities, emphasizing shared goals and personalized strategies for meaningful progress.

Dr. Raafay Deen is a board eligible adult psychiatrist. At the heart of Dr. Deen's clinical approach is a strong emphasis on establishing trust and building a therapeutic relationship to help patients achieve their goals. Dr. Deen's practice focuses on medication management. Typically, he offers this in conjunction with supportive or emotionally focused therapy in 30-minute follow-up visits. Occasionally, Dr. Deen 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. Deen received his medical degree from Lake Erie College of Osteopathic Medicine and went on to complete his residency in psychiatry at Westchester Medical Center. He has practiced in various settings over his career, including inpatient psychiatric units, outpatient clinics, emergency rooms, and inpatient substance abuse rehab/detox programs where he treated patients with a variety of psychiatric illnesses. The philosophy of his practice is to collaborate with patients to meet their specific needs and make an impact in various stages of their lives.‍

Dr. Karina Fatova is a board certified psychiatrist who hails from New York City but has made New Orleans her home for the past ten years. She is a graduate of Albert Einstein College of Medicine in Bronx, NY, and she did her adult psychiatry residency at Tulane University in New Orleans, LA. She was proud to have her first position post-residency at the River Oaks Hospital Trauma Unit in New Orleans, LA where she treated patients with Complex PTSD and eating disorders. The Trauma Unit was one of a few of its kind nationally because it provided very specialized treatment that was affordable to many. Dr. Fatova then went on to work at the New Orleans Veterans Affairs Hospital for the last five years in its ambulatory outpatient mental health clinic. Though her passion is Complex Trauma/PTSD, she also regularly saw veteran patients who have been diagnosed with anxiety, depression, bipolar disorder, ADHD, and adjustment disorder. During her five years at the New Orleans VA, she received three special commendations from the director of the VA for feedback from her patients about her effective integrative approach to supportive psychotherapy and medication management. She believes that her rapport with her patients, and their therapeutic work together, is just as important as the medication she prescribes to heal or alleviate their symptoms. Dr Fatova employs psychodynamic therapy techniques, at times, to help those patients who would like to explore childhood experiences that may continue to impact them in their adult lives. With respect to medication management she regularly helps patients target symptoms such as sleep issues, nightmares, persistent worry, emotional dysregulation, frequent mood changes, impulsivity, and "toning down the nervous system," among others. She strongly believes that treatment decisions are best approached as a collaboration between patient and doctor. She sees young adults who are just starting their journey into adulthood, as well as adults who have been navigating life with challenges, which may include untreated, or poorly treated, mental health symptoms. Often, by the time Dr. Fatova sees a patient, they may have lost a significant amount of faith in their mental health doctors, and she is particularly attuned to helping individuals with this type of experience.

Dr. Fatemeh Safian is a board-certified psychiatrist with experience in outpatient, inpatient, and telepsychiatry settings. She completed her residency at Larkin Community Hospital, caring for a diverse range of patients. Dr. Safian diagnoses and treats a wide variety of conditions, including depression, anxiety, OCD, PTSD, trauma-related disorders, phobias, personality disorders, ADHD, bipolar disorder, postpartum depression, and concerns across all age groups. She is dedicated to creating a safe, supportive space where people feel truly heard—believing good psychiatry starts with listening.

Dr. Safian fosters a warm, respectful, and judgment-free environment where patients can share openly. She takes time to understand each person’s symptoms, story, values, and goals. Medication is just one option; she also considers therapy, lifestyle changes, and other supports. Collaboration and trust are central to her approach, with patients guiding the care decisions.

During the first appointment, Dr. Safian conducts an in-depth, unhurried conversation to explore the patient’s history and goals. Together, they develop a personalized treatment plan that may include medication, therapy referrals, and practical strategies. Ongoing follow-ups provide space to track progress, make adjustments, and ensure the patient feels comfortable and empowered.

Dr. Seth Flesher is double board-certified in adult psychiatry and addiction medicine.  Dr. Flesher’s practice focuses on medication management of psychiatric illness without the use of controlled substances.  Typically, he offers this in conjunction with supportive or emotionally focused therapy in 30-minute follow-up visits. However, occasionally Dr. Flesher may believe that additional therapy is also needed and ask that you bring a therapist into your care team to provide the best outcome.

Before joining Talkiatry Dr. Flesher was Medical Director of Advanced Psychiatric Services [complex/high profile cases] at Kings County Hospital and Unit Chief of the Covid19 positive unit.  He was also a clinical professor at Downstate Medical College where he was voted educator of the year numerous times by psychiatric residents and medical students.  Dr. Flesher is a graduate of the prestigious combined 6-year BS/MD program at The Sophie Davis School of Biomedical Education.  He did research at the neuropsychiatric branch of the National Institute of Mental Health, completed his psychiatric residency at St. Lukes/Roosevelt Hospital, and he received his master’s degree in public health from Columbia University.

Dr. Flesher believes that psychiatry should start with a thorough assessment to arrive at an accurate diagnosis.  Then a discussion with the patient of the different evidence-based options available.  Followed by shared decision-making to arrive at an effective treatment plan to achieve the goals that the patient identifies as being important.  This should be done in an honest, open, non-judgmental, but realistic environment.  Understanding that the ultimate goal is to get the patient to a position where they will no longer need medication and/or therapy.

Dr. Carolyn Benson has 21 years of experience in treating adults, adolescents, and children. After graduating medical school at Brody School of Medicine in Greenville, North Carolina, she moved to Rochester, NY to complete her residency and fellowship at University of Rochester School of Medicine. Her focus over the last ten years has been on working with young adults, children/adolescents, and their families. Her expertise covers a wide array of therapeutic modalities and mental health diagnoses. The primary focus of her sessions is to provide medication management with education on treatment options. She will provide therapy models that are appropriate within that 20�30 minute medication session. If longer therapy time frames are indicated, she will discuss the need to add a therapist to your treatment team to achieve optimal care. Her successful treatment outcomes are based on experience, staying current on psychiatric treatments, and having open communication with patients and families of children/adolescents so they can choose the most effective treatments. Prior to medical school, she worked in both marine and biochemical research venues and was coauthor in several research papers. She has an avid interest in the emerging field of neuroscience and frequently gives talks to colleagues and students on current research topics. Her primary objectives in her work are to help patients achieve success in both treatment and life goals and to always take time to truly listen to her patients.