Jacob Kannarkat , MD

Dr. Shay is a board-certified psychiatrist practicing adult general psychiatry since 2014, most recently in the outpatient clinic at VA St. Louis Healthcare System. She earned her bachelor's degree in business at the University of Iowa and worked for years in the insurance industry managing medicolegal issues before deciding to pursue medicine as a second career. Embracing principles of holistic medicine, Dr. Shay completed her medical degree at Midwestern University/Chicago College of Osteopathic Medicine and her residency in general psychiatry at Loyola University Medical Center in the bio-psycho-social model of care. Her broad range of training in university, VA, and state hospital settings and significant life and work experiences prepared Dr. Shay to practice across the diagnostic spectrum. She especially enjoys helping patients with disorders of adjustment, anxiety, attention, mood, and sleep. In her practice, Dr. Shay utilizes medication management along with collaboration, education, motivational interviewing, and other brief psychotherapy interventions during 30-minute follow-up visits to support her patients in achieving their health and wellness goals. Dr. Shay advocates for therapy if needed to enhance recovery, is serious about safe prescribing, and believes teamwork is key.‍

Dr. Nidhi Sharoha is a double board certified psychiatrist in Psychiatry and Consultation Liaison Psychiatry. She completed her undergraduate training at Stony Brook University followed by medical school at New York Institute of Technology College of Osteopathic Medicine. She has completed both a Residency in Psychiatry and Fellowship in Consultation Liaison Psychiatry at Nassau University Medical Center. Dr. Sharoha has held academic appointments at Stony Brook University Hospital, practicing as a consultant psychiatrist and Associate Director of Consultation Liaison Psychiatry Fellowship. She has been deeply involved in teaching throughout her years. She has a genuine interest in treating a vast array of psychiatric disorders including depression, anxiety, bipolar disorders, post-traumatic stress disorders, and obsessive compulsive and related disorders. She also has experience in treating patients with medical comorbidities and has training in issues related to women's health. Patients looking for a psychiatric provider will find that Dr. Sharoha has a gentle approach to diagnosis and management of her patients. She believes in the principle that body and mind are interconnected, which allows her to provide comprehensive care to all of her patients.

Dr. Michael Fiori is Board Certified in Adult Psychiatry and Addiction Medicine. He has practiced general psychiatry for 37 years, and has also sub-specialized in Addiction Psychiatry for the past 20 years. Dr. Fiori's practice emphasizes Diagnostic Clarification, which is an ongoing process. He is highly trained and experienced in the biological and psychosocial underpinnings of psychiatric problems. He typically follows diagnostic evaluations with 30-minute follow up visits for medication adjustments and brief therapy. Dr. Fiori often enjoys collaborating with outside therapists when needed. Dr. Fiori graduated from Amherst College and received his medical degree from NY Medical College. He subsequently completed his residency in psychiatry at the Mount Sinai Medical Center in NYC. He excelled in Academic Psychiatry as both a teacher and a mentor. His practice has always combined medications with evidence-based therapies to alleviate suffering and maximize functioning. In addition to his work as a Board Certified Adult Psychiatrist, he has specialized in helping patients suffering from Substance Use Disorders. Dr. Fiori is Board Certified in Addiction Medicine, and helps patients understand the interrelationships between their Substance Use Disorders and their Psychiatric illnesses.

Background and credentials

Dr. Edelman is Board Certified in Psychiatry and Board Eligible in Child and Adolescent Psychiatry. She completed her psychiatry residency training at the Medical College of Georgia and SUNY Downstate, followed by a fellowship in Child and Adolescent Psychiatry at SUNY Downstate. Throughout her career, Dr. Edelman has practiced in various clinical environments, including inpatient child and adolescent psychiatric units, academic outpatient treatment clinics for adults and children, emergency psychiatric settings, and community psychiatry. She has over seven years of experience.

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Treatment approach

Dr. Edelman utilizes a collaborative, supportive, and patient-centered approach, combining pharmacotherapy with therapeutic modalities such as cognitive-behavioral therapy (CBT), psychodynamic therapy, supportive therapy, and interpersonal therapies. She treats a wide variety of conditions, including depression, anxiety, OCD, bipolar disorder, ADHD, learning disorders, substance use disorders, PTSD, and schizophrenia. Her goal is to partner closely with patients to meet their specific needs, achieve their personal goals, and enhance their overall quality of life.

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What you can expect in a first visit

Patients can expect their initial visit with Dr. Edelman to include a comprehensive psychiatric evaluation, during which she takes the time to understand each patient's individual concerns, goals, and history. She emphasizes collaborative planning of treatment, carefully integrating medications and tailored therapeutic interventions. Patients will experience a compassionate and supportive atmosphere designed to set clear expectations and foster progress toward their personal mental health goals.

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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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Dr. Marla Richard is a Stanford-trained board-certified psychiatrist and is board-eligible for geriatric psychiatry from UCSD. She has been practicing in a variety of settings for the last 30 years. Dr. Richard uses an integrated health paradigm with general and geriatric patients using traditional psychopharmacology, interpersonal neurobiology practices, and personality assessments to look at root motivations for behaviors to address core issues and with medication management as needed. Dr. Marla believes that you need to take a whole-person approach to both mental and physical health. She received her undergraduate degree from the University of Minnesota, Duluth, and then attended medical school at Stanford Medical School to complete her MD. With visions of becoming a general surgeon, she went to the University Hospitals of Cleveland and completed two years of general surgery training before seeing the light and transferring to psychiatry. She completed her psychiatry training at Stanford University and geriatric training many years later at UCSD. Her focus includes an integrated approach to the consideration of mental and physical health while incorporating mindfulness tools to teach skills of stress and anxiety management in everyday life. In conjunction with medication management, she uses interpersonal neurobiology to help clients understand triggers as well as methods to calm overactive stress responses and reactivity.

Dr. Pipalia is board-certified in both adult psychiatry and internal medicine. Since graduation from residency, he gained specialized experience in treating veterans with terminal illness, specifically Amyotrophic Lateral Sclerosis (aka Lou Gehrig's Disease), at the VA Medical Center in Portland, OR. He combines both psychotherapy and medication treatment to provide holistic care that addresses not only your mental health but also the parts of your life that surround and are deeply intertwined with your mental health. When more intensive psychotherapy is warranted, he collaborates with an experienced psychotherapist to serve you better. With his experience of internal medicine, he is also comfortable with navigating complex medical issues that may interact with your mental health. Dr. Pipalia is a graduate of St. George's University School of Medicine. He completed a combined Psychiatry & Internal Medicine residency training program at East Carolina University. He went on to complete a fellowship in Clinical Informatics at Oregon Health & Science University, learning how to use modern digital technologies and patient data to improve patient care. His academic activities include a presentation he has given multiple times on Illness Identity, teaching other clinicians how having an illness can change how we perceive our place in the world and how to help patients manage their relationship with illness.