Jennifer Young-Cott, PMHNP

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. Tetyana Tarnavsky is a board-certified psychiatrist trained in Adult Psychiatry. She attended Dnipropetrovsk State Medical Academy in Ukraine where she received her M.D., M.S. and Ph.D. degrees in Psychiatry. Dr. Tarnavsky completed her residency at Harvard South Shore Psychiatry Residency Training Program in MA, where she was elected chief resident. Dr. Tarnavsky has an extensive research experience in Ukraine and the USA. She had studied computer addiction for her dissertation; had multiple abstracts and presentations; published several articles in peer-reviewed psychiatric journals as well as a book entitled Computer Addiction: Formation, Diagnosis, Correction and Prophylaxis. She has helped organize international conferences with the goal of improving access to and quality of healthcare in Dnipropetrovsk, Ukraine, and providing a national model for health care reform. Dr. Tarnavsky has worked with a variety of patients with diverse backgrounds in a Community Health Center and in the Partial Hospitalization Program as well as supervised medical students, psychiatry residents, and nurse practitioners. She has been a lecturer on psychiatry at Harvard Medical School and was involved in the training of psychiatry residents in the Harvard South Shore Psychiatry Training Program. Her primary focus has been on treating adults with depression, anxiety, post traumatic stress disorder, adjustment disorder, ADHD and other disorders. Dr. Tarnavsky strives to provide quality and compassionate treatment to individuals and their families.‍

Dr. Troy Grantham is a board-certified staff psychiatrist who treats adult patients. A former engineer, Dr. Grantham has developed a passion for guiding patients along the road to recovery. He completed his undergraduate studies at The University of Texas at Austin and later completed medical school and residency in General Psychiatry at The University of Texas Medical Branch at Galveston. Dr. Grantham's practice focuses on medication management. He utilizes a systematic approach to ensure diagnoses are accurate and treatment plans are optimized to each individual patient. His approach is also holistic in nature, often incorporating therapy and lifestyle modification into the treatment plan. Dr. Grantham employs multiple therapeutic approaches in his practice depending on the needs of the patient including supportive therapy, Cognitive Behavioral Therapy (CBT), and Acceptance and Commitment Therapy (ACT). He places great emphasis on psychoeducation so that patients are aware of the nature and prognosis of their conditions as well as the treatment options available. When multiple treatment options are reasonable, Dr. Grantham takes patient preference into account, offering flexibility to the patient experience. He treats a variety of psychiatric disorders with a particular focus on mood disorders, anxiety disorders, obsessive-compulsive disorders, and trauma-related disorders.

Please note: Dr. Grantham does not prescribe long-term, daily benzodiazepine medications, however he is happy to help you taper off of these medications and transition to a safer, long-term medication regimen.

Dr. Kristina Kurtz is a board-certified adult psychiatrist who graduated from Lake Erie College of Osteopathic Medicine in Erie, Pennsylvania. She completed a Transitional Internship at St. Joseph Mercy Hospital Oakland in Pontiac, Michigan, and Psychiatry Residency training at Henry Ford Health System in Detroit, Michigan. During her residency training, she held multiple professional leadership positions, including ethics committee consultant, associate chief resident, and chief resident. She has experience developing residency curriculum, and teaching psychiatry residents and medical students. Prior to relocating to Colorado Springs, Dr. Kurtz served as the Adult Inpatient Service Chief at Henry Ford Kingswood Hospital. She joined Talkiatry after serving as the Medical Director of Behavioral Health at UCHealth Memorial Hospital as well as Regional Medical Director for Colorado for Lifestance Health. Dr. Kurtz is passionate about providing holistic, evidence-based care to both adults and geriatric patients. She believes in providing a well-rounded approach to care which includes both medication management as well as psychodynamic psychotherapy and supportive therapy for a wide variety of disorders including depression, anxiety, PTSD, ADHD, substance use disorders, and bipolar disorder. She believes that medication management is most effective when an environment of shared decision-making exists between the prescriber and the patient and tailors her approach to meet each individual patient's needs.

Dr. Carder has been practicing for over 20 years in general adult psychiatry. She is board certified by the American Board of Psychiatry and Neurology and has a certification in Elder Law. She has advanced training in psychopharmacology, which she earned with distinction. Dr. Carder's practice focuses on medication management. Typically, she offers this in conjunction with supportive therapy in 30-minute follow-up visits. However, occasionally Dr. Carder may believe that additional therapy is also needed and ask that you bring a therapist into your care team to provide the best outcome. She received her medical degree from the University of Toledo, College of Medicine and Life Sciences, where she was given the outstanding medical student award by the Department of Head and Neck Surgery. She completed her internship with the Department of Family Medicine and completed her residency with the Department of Psychiatry both at the University of Toledo, College of Medicine and Life Sciences. Throughout her career, she has been the Medical Director of two Community Mental Health Centers and is also the Corporate Medical Director for a company providing neuropsychiatric and general psychiatric care to patients residing in nursing facilities. She received her certification in Elder Law through the Mitchell Hamline School of Law. She has also been a preceptor for numerous universities and has trained advanced practice providers in psychiatry. In addition to general adult and geriatric psychiatry, Dr. Carder's areas of interest include complex psychiatric and medical conditions, neuropsychiatric issues, and treatment-resistant cases. She enjoys using her medical expertise to solve difficult cases. She has an interest in exploring combined traditional psychiatric practice with complementary and holistic approaches to treatment and believes in keeping her patients healthy rather than only addressing illness.

Dr. Kira Posteraro is double board-certified in Adult and Addiction Psychiatry and has over 10 years of clinical experience. She completed her General Adult Psychiatry Residency at Allegheny General Hospital in Pittsburgh, PA, followed by a fellowship in Addiction Psychiatry at Beth Israel Medical Center in New York, NY.

Dr. Posteraro’s career has included serving as Director of Psychiatric Services at an addiction treatment center in Pittsburgh, PA, where she provided care across the full continuum of substance use disorder treatment—including residential, acute PHP, IOP, outpatient, and aftercare services. She later held the role of Section Chief Psychiatrist for the Center for Treatment of Addictive Disorders at VA Pittsburgh Healthcare System, offering both residential and outpatient services and acting as Medical Director for the SAMHSA-certified Opioid Treatment Program. Most recently, she served as Chief of Psychiatry for the Behavioral Health Service Line at VA Pittsburgh, where she had the honor of caring for our nation’s Veterans.

While her clinical expertise centers on the diagnosis and treatment of substance use disorders, Dr. Posteraro also has extensive experience treating a wide range of psychiatric conditions, including depressive and bipolar spectrum disorders, anxiety disorders, and trauma-related disorders.

Dr. Posteraro uses a collaborative, supportive approach to care, incorporating motivational interviewing to help guide patients on their journey to wellness. She integrates holistic strategies alongside medication management and is dedicated to meeting patients where they are in treatment to build individualized, effective recovery plans.

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