Irene Pastis, MD

Dr. Arif Patel is a board-certified adult psychiatrist. He obtained his medical degree from Rowan University School of Osteopathic Medicine and completed his residency training at Authority Health, an affiliate of Michigan State University. In addition, he has completed a Psychoanalytic Psychotherapy Fellowship from the Michigan Psychoanalytic Institute. He has 4 years of clinical experience. Dr. Patel's practice focuses primarily on medication management. Follow-up appointments typically last 30 minutes and incorporate elements of supportive psychotherapy, CBT, and motivational interviewing. Dr. Patel utilizes a collaborative approach to treatment, ensuring that treatment plans align with patients' goals and values. Dr. Patel has extensive clinical experience in various psychiatric settings including inpatient, outpatient, and emergency settings. He has treated patients of various ages and of diverse cultural and spiritual backgrounds. He has extensive training in the community mental health system, where he has treated patients with severe mental illness and substance use disorders. Dr. Patel practices general adult psychiatry. His practice focuses on medication management in conjunction with supportive psychotherapy. Dr. Patel has experience in treating a wide array of psychiatric disorders including mood disorders, anxiety disorders, trauma, and ADHD.

Dr. McGowan is a board-certified adult psychiatrist with over 14 years of experience, during which time he primarily treated active-duty US Navy sailors, their family members, and military retirees in the outpatient setting. His practice focuses on medication management in addition to supportive and cognitive-behavioral therapy in 30-minute follow-up visits. He is a strong advocate of multiple treatment modalities and, in certain situations, may suggest that therapy and/or regular physical exercise be included in your treatment plan to provide the best outcome. He received his B.S. in Physics from the United States Naval Academy. After serving as an Intelligence Officer in the Navy for eight years, he transitioned to medicine and earned his medical degree from the Uniformed Services University of the Health Sciences in Bethesda, MD. After completing an intern year in Family Medicine, Dr. McGowan completed residency training in Psychiatry at Naval Medical Center Portsmouth, VA, where he remained on staff for the next ten years and was primarily involved in resident training and education. He held academic appointments at the Uniformed Services University and Eastern Virginia Medical School and served as the Psychiatry Residency Program Director for six years. He served his final four years in uniform running the behavioral health department at Naval Air Station Whidbey Island, WA. He recently retired from the Navy after a 30-year career. Dr. McGowan has extensive experience in outpatient psychiatric care. In addition to the full spectrum of mood and anxiety disorders, he has treated a very large number of patients with PTSD stemming from combat, natural disasters, and sexual trauma. He believes that, like his service to the country, working alongside others in their journey to better mental health is an incredible privilege.

Michael Huang is a psychiatric mental health nurse practitioner who takes a holistic, collaborative, and non-judgmental approach to mental health care. He graduated from Boston College with his MSN after many years of working in inpatient psychiatry at McLean Hospital in Belmont, MA, and has over a decade of experience in mental health care. He has worked in various outpatient settings, first in Boston and more recently in Las Vegas, gaining extensive experience with individuals from diverse socio-economic and cultural backgrounds.

Michael strongly believes that each person’s struggle is unique, and the solutions and treatments should be individualized based on the person’s goals. Having experienced childhood trauma himself, he is particularly passionate about and experienced in treating C-PTSD, OCD, ADHD, and borderline personality disorder. His focus is on helping others find peace, whether momentary or lasting, in their chaotic and often overwhelming lives.

The first appointment with Michael includes a comprehensive psychiatric evaluation and a discussion about your goals for treatment. While pharmacological treatment may be part of the plan, Michael prefers to focus on the therapeutic aspect of care, as he believes therapy is an essential component of healing. With Michael, you can expect to collaboratively create a treatment plan that you feel comfortable with, rather than simply being told what to do.

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Jennifer Garner is a board-certified Family Psychiatric Nurse Practitioner with Talkiatry. She obtained a Bachelor of Science in Nursing from the University of Tennessee, Knoxville, in 2009 and a master's degree from Vanderbilt University in 2011. Jennifer enjoys treating all adults and has outpatient experience with community mental health, corrections, and private practice. Besides outpatient care, she has worked in crisis stabilization and ambulatory detox for adults with primary psychiatric and dual diagnosis illnesses. Jennifer is skilled in treating a wide range of conditions including ADHD, bipolar disorder, substance misuse, anxiety, OCD, and PTSD. She is committed to fostering a welcoming and inclusive environment, ensuring all gender identities feel safe and respected. With a focus on patient-centered care, her approach is carefully tailored to each person's individual needs and goals, promoting a collaborative therapeutic relationship. During appointments, she combines medication management with therapy techniques to empower patients with the skills for their well-being. Appointments are as unique as each individual that she meets with. If you're ready (and even if you're not so sure) take the first step and let's talk.

Dr. Desir is a Board-Certified Psychiatrist who completed her undergraduate training at The University of Scranton followed by medical school at the New York Institute of Technology College of Osteopathic Medicine. She completed psychiatry residency at Nassau University Medical Center where she served as the Administrative Chief Resident in her final year. Dr. Desir has been in practice for 4 years and has provided patients with compassionate psychiatric care. She has worked in community mental health settings throughout her career, in which she served a wide variety of patient populations. Dr. Desir is experienced in treating various psychiatric illnesses including mood disorders, anxiety disorders, OCD, PTSD, and ADHD. At the heart of Dr. Desir's clinical approach is a strong emphasis on establishing trust and building a therapeutic relationship. She also provides psychoeducation to help patients make informed decisions regarding their care. She works collaboratively with patients to develop individualized treatment plans to help them achieve their goals. Dr. Desir's practice focuses on medication management. Typically, she offers this in conjunction with supportive or emotionally focused therapy in 30-minute follow-up visits. Occasionally, Dr. Desir may believe that additional therapy is also needed and ask that you bring a therapist into your care team to provide the best outcome. Talkiatry takes medication management seriously. All state-controlled substance databases are reviewed and taken into consideration during your initial evaluation.

Dr. Arjun Kaverimanian is an adult psychiatrist with a clinical approach emphasizing the intersection of medication-based treatment and talk therapy. He earned his medical degree from Saint Louis University School of Medicine, after which he completed his psychiatry residency training at Loyola University Medical Center. During his training, he gained experience across a wide range of mental health settings, including community mental health centers and the Department of Veterans Affairs, and worked at various levels of care—from inpatient units to partial hospitalization and intensive outpatient programs, as well as outpatient clinics.

Dr. Kaverimanian has cultivated a robust skill set in psychotherapy techniques—including psychodynamic therapy, Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, supportive therapy, and mindfulness-based approaches—which he integrates alongside evidence-based medication management.

Dr. Kaverimanian is committed to understanding each patient as a whole, taking into account the interplay of psychological, social, and biological factors that shape a person's mental health. He has particular areas of interest in the treatment of depression, anxiety, and post-traumatic stress disorder.

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