Heather Inano, MD

Dr. Sean Culver is an outpatient psychiatrist with experience treating a wide variety of disorders across multiple distinct age groups. He completed his undergraduate education at the University of Pittsburgh, graduating summa cum laude while majoring in neuroscience. He attended medical school at the Ohio State University College of Medicine, where he was granted an annual merit scholarship. Dr. Culver then remained at the OSU Wexner Medical Center for residency training. Outside of psychiatry, he enjoys numerous interests including soccer, hockey, music, photography, and video games.

During residency, Dr. Culver developed particular interest in working with young adults, college students, and athletes, but is comfortable with patients of all ages. He strongly believes in the practice of evidence-based medicine, utilizing the most current research to guide recommendations. He is a strong advocate for patient autonomy and therefore provides psychoeducation on diagnoses and medications so that each patient can make informed decisions which align with their own values.

Dr. Culver approaches each patient in the context of their individual interests, family dynamics, and life goals. He understands that not every patient requires or desires medication and is comfortable in a number of psychotherapy techniques including cognitive behavioral therapy, psychodynamic therapy, and supportive therapy. He emphasizes a trusting and honest therapeutic relationship with his patients.

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Dr. Morales is a board-certified psychiatrist who is dedicated to the bio-psycho-sociocultural model. This has been reflected in Dr. Morales' pursuit of treating patients suffering from diverse medical and psychiatric conditions, respective psychological mindedness, and varied socio-economic and cultural backgrounds. As an individual, Dr. Morales is fascinated by the human mind, its mechanisms to pursue goals, and the cyclical patterns seen in maladaptation and suffering. He believes in understanding patients' experiences and developing comprehensive treatment plans towards reconciliation. After completing his medical education at the East Carolina Brody School of Medicine, as a Brody Scholar, he subsequently completed psychiatry residency at Jackson Health System/University of Miami. Dr. Morales has had the opportunity to work with a diverse array of patients including high-functioning patients, veterans, trafficking victims, the severely mentally ill of low socio-economic status, and cancer patients across three distinct hospital systems via telemedicine and face-to-face interactions. His experience includes working with patients suffering from post-traumatic stress disorder, adjustment disorder, mood disorders, generalized anxiety disorder, panic disorder, and more. He honors active listening, analytic understanding, supportive psychotherapy techniques, and evidence-based and methodological treatment for patient care and actualization. His goal is to assist patients in navigating short- and long-term goals as well as improved quality of life. As a result, Dr. Morales focuses on medication management, which is offered in conjunction with supportive therapy, which is offered in 1-hour initial and 30-minute follow-up visits. Dr. Morales believes that appropriate patients can benefit from additional exploratory and self-actualizing therapy from other valued and specialized therapists to support targeted goals. He will not hesitate to recommend and promote consultations with therapists for such patients who are ready to pursue. Ultimately, Dr. Morales seeks to understand, validate, and treat patients in a collaborative therapeutic alliance.

Dr. David Wait, MD is American Board of Psychiatry and Neurology certified and a fellow of the American Psychiatric Association. A skilled psychopharmacologist and psychotherapist, he has over 30 years’ experience successfully helping people overcome a diverse range of emotional, psychiatric, and addiction challenges.

David was born in Sioux Falls, South Dakota, and is a graduate of Augustana College. He obtained his MD at the USD School of Medicine. His residency was at the University of Arkansas for Medical Sciences (UAMS) in Little Rock where he was trained in both psychotherapy and biological management of psychiatric challenges.

Following residency training, Dr. Wait continued to work with UAMS and the State of Arkansas in research and program development focusing on implementing and then teaching novel strengths focused care for people with severe mental illness for the first 12 years of his career.

Later, Dr. Wait moved with his wife and three children to Coeur d'Alene, Idaho. He has since been in clinical practice and leadership roles in inpatient, outpatient, and telehealth psychiatric care settings.

Rather than focus primarily on illness or problems, Dr. Wait’s approach is to first evaluate his patients comprehensively, then utilize what’s learned from this to treat and empower them to make and then practice choices that lead to improved health and well-being, using an integrative model that recognizes that mental, physical, social, and spiritual health are one.

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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.

Background and credentials    

Dr. Catherine Cashman is triple board-certified by the American Board of  Psychiatry and Neurology in Adult Psychiatry, Child & Adolescent  Psychiatry, and Forensic Psychiatry. She holds two Bachelor’s degrees: one in  Finance from New York University, and another in Biology from the University  of New Orleans. She earned her medical degree from Nova Southeastern  University and completed an Adult Psychiatry residency at LSU Health Sciences  Center in New Orleans. Dr. Cashman subsequently completed two fellowships:  the first in Child & Adolescent Psychiatry at LSU New Orleans, along with  a certification in Infant Mental Health (working with children ages 0–6 years  and their caregivers); the second fellowship was in Forensic Psychiatry at  the University of Rochester and the Rochester Regional Forensic Unit.    

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Treatment approach    

Dr. Cashman brings an extensive and specialized skillset to psychiatry,  informed by her triple board-certifications. Her treatment approach  integrates clinical expertise from adult, child and adolescent, and forensic  psychiatry, emphasizing accurate diagnosis, risk assessment, and  evidence-based care. With specialized expertise in forensic psychiatry and  competency assessments, she employs rigorous evaluation methods to accurately  inform treatment planning and risk management, particularly in complex or  legally-involved cases.    

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What you can expect in a first visit    

Patients visiting Dr. Cashman for the first time can expect a detailed and  comprehensive psychiatric evaluation. Given her forensic and clinical  experience, initial assessments are thorough, focusing on clear diagnostic  understanding, individualized risk assessment, and appropriate treatment  planning. Patients can anticipate a collaborative, professional, and  structured environment aimed at clarifying diagnoses and addressing their  unique mental health needs effectively.    

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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.

Cassandra Thomas-Jingles is a dedicated, board-certified Psychiatric Nurse Practitioner with dual certification as a Family Nurse Practitioner. She is deeply passionate about helping others and takes a holistic, evidence-based approach to mental healthcare, empowering patients to live life to their fullest potential.

Her practice focuses on medication management and supportive therapy, offering 30-minute follow-up sessions. When additional therapy is needed, she recommends including a therapist in the care team to ensure the best possible outcomes. With extensive experience in both outpatient and inpatient settings, Cassandra has worked with adults and children facing a wide range of mental health conditions, including ADHD, anxiety, depression, and psychotic disorders. She strongly believes in prioritizing client involvement and fostering interprofessional collaboration.

Your mental health journey is unique, and Cassandra is here to listen with compassion and without judgment. All conversations are confidential, and her goal is to create a safe, welcoming space where you feel comfortable sharing your thoughts and concerns.

During your initial appointment, Cassandra will review your mental health history, current symptoms, lifestyle factors, and any previous treatments to gain a comprehensive understanding of your needs. Together, you will develop a personalized treatment plan that may include therapy, medication, or other supportive strategies. She values shared decision-making, ensuring your input is considered at every step of the process.

If medication is part of your treatment, Cassandra will clearly explain its benefits, potential side effects, and how your progress will be monitored. Adjustments can be made as needed to achieve the best possible outcome.

Healing takes time, and Cassandra is committed to supporting you throughout the process. Follow-up appointments are essential for tracking progress, making necessary adjustments, and ensuring you receive the care you need.

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