Irene Pastis, MD

Trudy Warner-Phillips, PMHNP, is a board-certified psychiatric nurse practitioner with over 25 years in nursing and 7+ years in psychiatric care. Her experience spans outpatient, inpatient, and telehealth settings, where she treats conditions such as anxiety, depression, PTSD, mood disorders, and ADHD. She is passionate about delivering thoughtful, evidence-based care in a supportive and accessible virtual environment.

Trudy’s approach is grounded in trust, respect, and collaboration. She values open, honest communication and aims to create a space where clients feel heard, safe, and empowered. By understanding each person beyond their symptoms, she tailors care to support individual challenges, strengths, and goals.

Initial sessions involve a thorough assessment of medical and psychiatric history, current concerns, and past treatments. Trudy then works with clients to develop a personalized care plan focused on their most pressing symptoms. Her treatment may include medication management, supportive therapy, and lifestyle recommendations to promote lasting emotional well-being.

Background and credentials

Dr. Agarwal is a board-certified adult psychiatrist. He obtained his bachelor's degree in Biological Sciences from the University of California at Irvine and graduated cum laude with his medical degree from the American University of Antigua. Dr. Agarwal completed his psychiatry residency training at the University of Central Florida, where he was elected chief resident.

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Treatment approach

Dr. Agarwal employs a collaborative and patient-centered approach, primarily focusing on medication management in combination with supportive therapy. He is a strong advocate of psychoeducation, believing it to be an integral part of effective psychiatric care. Dr. Agarwal specializes in treating adults experiencing depression, anxiety, PTSD, and insomnia. He is also experienced in managing patients with psychiatric conditions complicated by medical comorbidities such as obesity, hypertension, chronic pain, and diabetes.

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What you can expect in a first visit

Patients visiting Dr. Agarwal for the first time can anticipate a comprehensive evaluation conducted in a collaborative and supportive environment. Dr. Agarwal prioritizes understanding each patient's individual needs and concerns, creating a personalized treatment plan that integrates medication, supportive therapy, and psychoeducation. Follow-up visits typically last about 30 minutes, allowing time to adjust treatment and reinforce therapeutic strategies.

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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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Melissa Sims, MSN, APRN, PMHNP-BC, is a board-certified psychiatric mental health nurse practitioner who is passionate about delivering high-quality, compassionate, and comprehensive mental health care. She earned her Master of Science in Nursing from the University of Alabama at Birmingham in 2022 and has since worked in both community mental health and correctional settings.

Melissa takes a collaborative approach to care, working closely with other mental health professionals, medical providers, families, and relevant support systems to ensure well-rounded treatment. She emphasizes a patient-centered, individualized approach, combining medication management with psychotherapy to meet each person’s unique needs.

Patients working with Melissa can expect a thorough evaluation, accurate diagnosis, and a personalized treatment plan tailored to their mental health goals. One of her core priorities is to empower individuals to make informed decisions about their care by providing education grounded in research, evidence-based practices, and clinical experience.

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Dr. Nicholas Sahagian is a Psychiatrist in Colorado who has been practicing since 2023. He completed his MD and Adult Psychiatry Residency at the Chicago Medical School at Rosalind Franklin University and earned his BA in Neuroscience at Skidmore College. Dr. Sahagian has experience managing a broad array of complex psychiatric diagnoses in patients of diverse socioeconomic, cultural, and clinical backgrounds. Outside of work, he enjoys hiking, biking, skiing, playing guitar, reading, and collecting board games.

Dr. Sahagian offers psychiatric medication management while also incorporating elements of cognitive behavioral therapy, motivational interviewing, internal family systems, and lifestyle interventions. He believes that every patient is unique, and he works to create a supportive environment where individuals feel heard and empowered in their care.

Grounded in the biopsychosocial model, Dr. Sahagian takes a collaborative, patient-centered approach. He partners with patients to develop personalized treatment plans that integrate biological, psychological, and social factors, with the goal of guiding them along their path to improved wellness.

Background  and credentials    

Dr. Columban Heo is a board-certified psychiatrist. He earned his medical  degree from Touro University Nevada and completed his residency at Unity  Health White County Medical Center. Dr. Heo further specialized by completing  a fellowship in Consultation-Liaison Psychiatry at the Cleveland Clinic,  where he gained extensive experience working within multidisciplinary  healthcare teams, particularly focused on psychiatric care for patients with  complex medical conditions.    

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Treatment approach  

Dr. Heo specializes in treating a broad range of psychiatric conditions,  notably mood and anxiety disorders. He integrates medication management with  a holistic, personalized approach to treatment, emphasizing the  interconnectedness of mind, body, and spirit. Dr. Heo believes in tailoring  treatment plans individually, combining therapy and medications to suit each  patient’s unique needs, and highlights the importance of healthy  relationships in achieving overall mental health.    

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What you can expect in a first visit    

Patients visiting Dr. Heo for the first time can expect a comprehensive and  personalized assessment that explores not just their psychiatric symptoms but  their overall well-being and personal relationships. Dr. Heo prioritizes a  holistic evaluation, carefully balancing medication considerations and  therapeutic interventions tailored specifically to each patient’s situation  and goals. He creates an empathetic, collaborative atmosphere to discuss and  develop personalized plans for mental and emotional wellness.  

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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.

Dr. Lindsay Works is board-certified in psychiatry and addiction medicine. She earned her Doctor of Osteopathic Medicine (DO) degree from Rocky Vista University in Colorado and completed her internship and psychiatry residency at Walter Reed National Military Medical Center. She has extensive experience in both inpatient and outpatient psychiatric care, particularly in military and veteran populations.

Dr. Works specializes in psychiatric care and addiction medicine, offering treatment for a range of mental health and substance use disorders. She takes a comprehensive and structured approach, integrating medication management with individualized treatment planning. Her background in military psychiatry allows her to provide specialized care for veterans and active-duty service members, particularly those experiencing PTSD, substance use issues, and other psychiatric conditions.

During the first visit, patients can expect a detailed and structured psychiatric evaluation, where Dr. Works carefully assesses mental health concerns, treatment history, and personal goals. She prioritizes collaboration and patient engagement, ensuring that each treatment plan is tailored to the individual’s needs. She works with patients to develop an approach that may include medication management, therapy referrals, and support for addiction-related challenges, depending on each patient's unique situation.

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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