Irene Pastis, 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.

Mu Xu, MD is a Psychiatrist at Talkiatry. He obtained his medical doctorate degree from the University of Chicago Pritzker School of Medicine and PhD from New York University. He completed his psychiatry residency at New York University. Dr Xu is licensed to practice in California, New York, New Jersey, Connecticut, Pennsylvania, and Maryland. Dr. Xu provides both medication management for a variety of psychiatric conditions. Dr. Xu is fluent in English and Mandarin. Dr. Xu is a general adult psychiatrist specializing in medication management. He values building strong connections with patients from all walks of life and tailoring treatments to their unique needs. His working style is characterized by attentive listening, detailed follow-up questions, and straightforward communication, fostering a collaborative and empathetic environment.

Dr. Debrey is board-certified in adult psychiatry. Her approach is client-centered, individualized, and collaborative. She focuses on building a strong therapeutic alliance with each client to work towards achieving enhanced functioning and meaning in their lives. She works with individuals experiencing a wide range of mental health concerns, including depression and other mood concerns, bipolar spectrum illnesses, OCD, PTSD, anxiety disorders, and substance use disorders. Though she specializes in medication management, she believes in an integrative and comprehensive treatment program that incorporates multiple aspects of an individual's health and wellness. Along with discussing physical health concerns, diet, exercise, personal connection, and stress management, she incorporates various therapeutic modalities, including CBT, DBT, ACT, and mindfulness, into her work. In some instances, Dr. Debrey may recommend more intensive psychotherapy with a collaborating therapist in order to help facilitate the best care possible. Dr. Debrey received her medical degree from Rush Medical College. She also holds a graduate degree in epidemiology from the Johns Hopkins Bloomberg School of Public Health. Following medical school, she completed her residency in psychiatry at Emory University School of Medicine. During her final year of residency, she served as chief resident at Grady Memorial Hospital. Prior to joining Talkiatry, Dr. Debrey was an assistant professor at Emory University Department of Psychiatry, where she worked as an attending psychiatrist at Grady Behavioral Health. While at Grady, Dr. Debrey worked primarily as a community psychiatrist with a focus on working with individuals experiencing psychosis. She also frequently worked on the inpatient psychiatry service at Grady. As an Emory faculty member, teaching and mentorship were an especially meaningful part of her work.‍

Mekayla Davila is a Licensed Mental Health Counselor (LMHC) who has been in practice for 6 years. She has experience working with many diverse populations and mental health conditions. Mekayla attended graduate school at Teachers College Columbia University where she received an M.A. and M.Ed. in Mental Health Counseling. Her education and experience span both psychology and criminal justice fields as she has always been interested in their intersectionality. In previous roles, Mekayla has worked mostly with children, adolescents, and adults of minority populations, with focuses on treating anxiety, depression, trauma, and other stressor-related disorders. Mekayla strongly believes that every therapeutic interaction is unique, so she uses an eclectic approach, with foundations in Cognitive Behavioral Therapy and Psychodynamic Therapy, to tailor treatment to the specific needs of each individual. Mekayla puts emphasis on the therapeutic relationship and finds it important to provide a safe and comforting environment for all.

Dr. Parrish is a board-certified adult psychiatrist with extensive experience in community psychiatry, academic psychiatry, veterans' mental health, and correctional psychiatry. She completed medical school and adult psychiatry residency at University of Miami/Jackson Memorial Hospital and a Master of Public Health from University of Virginia. She graduated with honors from University of Southern California with a Bachelor of Arts in Communication.  

Dr. Parrish is a member of the prestigious Alpha Omega Alpha national medical honor society. She has also produced over 20 peer-reviewed papers and posters.  

Dr. Parrish has worked with geriatric patients, individuals who identify as LGBTQ+, patients with serious mental illness, women with perinatal and postpartum needs, individuals with cancer, patients with co-occurring substance use disorders, and combat veterans.  

Dr. Parrish takes a patient-centered collaborative approach to tailor treatment plans to meet each individual's goals. Her technique promotes overall wellness. Utilizing her expertise in diagnosis and pharmacology, she optimizes care, monitors progress and ensures treatment success. Dr. Parrish incorporates behavioral activation techniques to promote improved mental health and overall well-being, with the ultimate goal of helping patients feel their best.

Dr. Lemaire Leo Pierre is a board certified adult psychiatric provider with over 10 years of experience. He has additional years working in the medical field as a physician assistant. Dr. Pierre's practice entails medication management accompanied by supportive psychotherapy. He frequently encourages other forms of psychotherapy with a counselor to maximize treatment outcomes. After completing medical school at Central America Health Science University, he returned to New York City and completed his psychiatry residency at New York Medical College Program at Metropolitan Hospital Center. Subsequently, he moved to Minnesota and worked with Park Nicollet Health Service/HealthPartners. He had been there for 10.5 years, where he oversaw a successful psychiatric practice and helped his patients who had been struggling with their conditions. Dr. Pierre is a member of the American Board of Psychiatry and Neurology, in addition to the American Psychiatry Association and State Psychiatry Association. He also enjoys attending conferences and reading journals to learn about cutting-edge treatments so that he is updated on the most recent FDA-approved medications.