Jacqueline Hong, MD

Dr. Gregory Marc Varhely is a board-certified general adult psychiatrist. He grew up in Austin, Texas, and attended Texas State University, where he earned a BA in Psychology and a Master's degree in Biology/Biochemistry. After graduating from medical school at Ross University, he completed his residency in Psychiatry at the Medical College of Wisconsin. Dr. Varhely has served as an outpatient psychiatrist at the Department of Veterans Affairs and acted as an attending physician for resident psychiatrists at Texas A&M and UT Dell Medical Schools. He then acted as a sole proprietor of an outpatient psychiatric medication management and psychotherapy practice in Georgetown, Texas and later started contracting for North Central Health Care Mental Health Clinic, applying psychotropic medication management expertise to community-based treatment facilities in Wisconsin. Dr. Varhely's approach is rooted in forming meaningful connections with his patients. He wholeheartedly believes that psychological suffering stems from a blend of biological, psychological, social, and environmental factors. Dr. Varhely works together with his patients to uncover these factors and create treatment plans tailored to their specific needs using an eclectic blend of the latest in psychopharmacology, as well as psychodynamic, supportive, and cognitive-behavioral therapy.

Dr. Carter chose the field of psychiatry with the goal of empowering her patients and equipping them with the skills and tools to improve their mental health. She strives to create a safe, nonjudgmental space where patients feel heard and supported. She strives to destigmatize mental illness and normalize seeking help when struggling. Her passion for psychiatry stems from a deep interest in connecting with people and understanding their unique stories.

Dr. Carter believes the patient-physician relationship should be a partnership, built on trust, empathy, and shared goals. She encourages honesty, collaboration, and open communication, and believes there are no wrong questions, and your voice matters. She encourages questions and feedback and tailors care to each person’s goals, comfort level, and pace.

Dr. Carter wants to get to know the whole person, not just their symptoms. Together, she works with patients to create a personalized and thoughtful treatment plan that may include therapy, lifestyle support, and/or medication, always with room to adjust based on your evolving needs and preferences.

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Erika Zarco is a Licensed Marriage & Family Therapist and Telehealth provider. She has extensive experience working in non-profits, schools, academic settings, and private practice. Erika is certified in Trauma-Informed Interventions, Advanced Grief Counseling, Addictions-Informed Care, Narrative Therapy, Emotional Freedom Techniques (EFT), Solution-Focused Brief Therapy, and Nutrition & Integrative Medicine for trauma. She holds a BA in Humanities from New College of California and a master’s in Counseling from the Wright Institute.

Erika values open communication and helps clients set clear treatment goals. She fosters a collaborative environment using narrative counseling, Internal Family Systems, and “parts” work to help clients re-story their experiences. She also offers EFT Tapping for trauma, anxiety, depression, and pain. Erika works from the belief that clients are the experts in their own lives and promotes self-determination through Motivational Interviewing, Harm Reduction, and Energy Psychology.

Erika begins by understanding what brings clients to therapy and building a strong therapeutic relationship. She tailors Narrative Counseling and EFT sessions to each individual, collaboratively creating personalized treatment plans with achievable, transformational goals. Her approach is holistic, supportive, and designed to empower clients to recognize their strengths and motivation for meaningful change.

Dr. Carmen Orellana is a Staff Psychiatrist at Talkiatry who has been in practice for over 6 years, both in the U.S. and abroad. She is double board-certified in child and adolescent psychiatry and adult psychiatry. Dr. Orellana's practice focuses on medication management. She strives to provide exceptional medical care and has extensive experience in treating persons with diverse behavioral disorders and backgrounds. Dr.Orellana involves her patients in all decisions about their health, and provides care that is respectful of patient preferences, needs, and values. Typically, she would recommend evidence-based treatments to her patients and may, occasionally, believe that concurrent therapy is also needed. She would ask that you bring a therapist into your care team to provide the best outcome. Dr.Orellana received her medical degree from Universidad Evang�lica de El Salvador. Dr. Orellana completed a residency in Psychiatry and a fellowship in child and adolescent psychiatry at the Southern University School of Medicine in Springfield, Illinois. After completing her training, Dr. Orellana remained in the school, where she worked as an Assistant Professor of Child and Adolescent Psychiatry, supervising and teaching medical students, residents, and fellows, and treating patients with various psychiatric conditions. Dr. Orellana has experience in treating treatment-resistant mood disorders with electroconvulsive therapy (ECT) and transcranial magnetic stimulation (TMS).‍

Derek Miller is a Licensed Clinical Social Worker, who has extensive experience working in the fields of substance abuse and mental health. Derek has worked with clients with a large variety of concerns and backgrounds, with more experience with male and minority populations. Derek attended undergraduate school in Alfred, NY, graduate school in Rochester, NY, including a school-based visit to Estonia to learn about social work systems abroad. Derek's greatest passion is helping people make lasting change in their lives. His approach draws both on professional and personal experiences with addiction, trauma, first responders, relationships and more. By creating a space and relationship where you feel safe, valued, and respected, Derek works together with you to overcome the challenges of today and build resiliency for the challenges yet to come. Therapy can be a truly transformative experience, when it is built on human connection and dedication to change. Derek takes an active approach, which includes asking tough questions while staying respectful, as well as humor and friendly conversations when appropriate. Therapy begins with building trust and a good relationship. Derek utilizes experiences from various practice models, including Cognitive Processing Therapy, Solution Focused Therapy and Motivational Interviewing.

Dr. Kristin Ratz is a Board-Certified psychiatrist who is an expert in the diagnosis, treatment, and prevention of mental, emotional and behavioral disorders. She specializes in medication management combined with supportive therapy during 30-minute follow-up sessions. Dr. Ratz recognizes that each patient is unique and believes in an environment of collaboration, in which the patient and psychiatrist work together in order to develop the best individualized treatment plan. A California local, Dr. Ratz obtained her undergraduate education at University of California, Davis, graduating magna cum laude with a degree in Human Development. She then attended medical school at Loma Linda University School of Medicine, obtaining her Medical Doctorate. Following this, she completed her adult psychiatry residency training at the distinguished University of California, Irvine. Dr. Ratz has worked in a diverse range of healthcare settings, including county and community clinics, and is very experienced in telepsychiatry. She pays close attention to not only an individual's emotional state, but also their physical, spiritual, and social well-being, in order to provide her patients with exceptional holistic care.