Georgia Gaveras, DO

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. Cedric Skillon is a board-certified adult psychiatrist with over 20 years of experience. Dr. Skillon’s clinical expertise includes treating adults with depressive disorders, bipolar disorders, anxiety disorders, substance -related and addictive disorders, and trauma related disorders. Dr. Skillon has worked in a variety of mental health care settings including academia, community mental health centers, and a substance use treatment center.

Dr. Skillon grew up in Detroit, Michigan. He obtained his Bachelor of Science from the University of Michigan. He received his medical degree from Wayne State University. He completed a General Psychiatry Residency at University Health Center of Pittsburgh, Western Psychiatric Institute and Clinic

Dr. Skillon combines a wealth of knowledge and experience with a compassion for meeting the patient “where they are” in their healing process. He believes in allowing the patient to feel heard in every session. He fully explains the risk and benefits of each treatment option. Then in collaboration, he and his patient agree on the next step to take towards the patient’s treatment goals.

Dr. Skillon is dedicated to providing hope and healing in a trusting environment. He combines empathy with a patient centered, and evidence-based approach in helping patients reach their treatment goals.

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.

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. Sabrina Lefcochilos-Fogelquist earned her bachelor’s degree from Georgetown University and her medical degree from Sidney Kimmel Medical College at Thomas Jefferson University. She completed her psychiatry residency at the Icahn School of Medicine at Mount Sinai Morningside/West in New York City. She has experience in outpatient, inpatient, and emergency psychiatry, treating a broad spectrum of mental health conditions across diverse populations.

Dr. Lefcochilos-Fogelquist values compassionate, holistic care and strives to build long-term, collaborative relationships with her patients. She is particularly drawn to the outpatient setting, where she can engage with the evolving narratives of her patients’ lives. She creates a warm, supportive environment where individuals feel safe, respected, and heard.

Her process begins with a comprehensive evaluation to understand each patient’s history, concerns, and goals. Treatment plans are individualized and may include medication management and psychotherapy. She integrates supportive, cognitive behavioral, psychodynamic, and mindfulness-based techniques to meet patients' evolving needs.

*THIS PROVIDER CANNOT PRESCRIBE CONTROLLED SUBSTANCES FOR NH PATIENTS* Doctor Phillip Sullivan is a staff psychiatrist at Talkiatry. He is board certified in both adult psychiatry and child and adolescent psychiatry. His interest in psychiatric treatment was originally triggered by the humanistic writings of Abraham Maslow, Carl Rogers, and Rollo May. As he earned his medical degree and started post-graduate psychiatric training, he went on to learn psycho-pharmacological, cognitive-behavioral, and psychodynamic treatment approaches. He combines these perspectives in diagnosing and treating psychiatric conditions including depression, bipolar spectrum disorders, anxiety, stress and trauma related disorders, adjustment problems, maternal mental health, OCD, ADHD and other disorders. His practice focuses on supportive pharmacological treatment, and he sees listening and empathy as essential elements of the treatment process. He strives to provide a comfortable experience in which doctor and patient work together to understand the presenting problems, develop a treatment plan, reduce symptoms, and optimize functioning. Doctor Sullivan supports and encourages concurrent psychotherapy and will work collaboratively with therapists to optimize the best treatment results. Doctor Sullivan received his MD degree from Brown University Alpert School of Medicine. After completing a medical-surgical internship, he went on to a residency in adult psychiatry and a fellowship in child and adolescent psychiatry at Harvard Medical School's Massachusetts Mental Health Center. He has held academic appointments at Harvard Medical School and the University of New England School of Osteopathic Medicine. In the 36 years following completion of his training, he has worked as the medical director of a mental health center on the under-served Eastern Shore of Maryland, as the medical director of a child and adolescent psychiatric inpatient unit, as a staff psychiatrist at New Hampshire's Dartmouth Hitchcock Clinic, and as the medical director of child and adolescent psychiatric services at Concord New Hampshire's mental health center. Before joining Talkiatry, he served for 18 years as the chief of psychiatry at Southern New Hampshire Medical Center where he also spent three years as the hospital's chief of staff.