Julia Wellin, MD

Dr. Merna Guirguis is a general psychiatrist known for her patient-centered and accessible approach. She blends compassion with evidence-based care, creating a supportive environment where patients feel heard. Her practice integrates psychiatric medication management with psychoeducation, empowering patients to make informed decisions about their treatment.

Dr. Guirguis emphasizes collaboration and transparency. She listens carefully to each patient’s concerns, encourages questions, and works to build a trusting therapeutic relationship. Her style is approachable and adaptable, ensuring patients feel comfortable sharing their experiences and actively participating in their care.

She begins by reviewing each patient’s history, concerns, and goals to craft personalized treatment plans. Dr. Guirguis combines current clinical needs with long-term wellness objectives, adjusting care collaboratively over time. When appropriate, she may recommend additional therapy to complement medication management and optimize outcomes.

Dr. David Wait, MD is American Board of Psychiatry and Neurology certified and a fellow of the American Psychiatric Association. A skilled psychopharmacologist and psychotherapist, he has over 30 years’ experience successfully helping people overcome a diverse range of emotional, psychiatric, and addiction challenges.

David was born in Sioux Falls, South Dakota, and is a graduate of Augustana College. He obtained his MD at the USD School of Medicine. His residency was at the University of Arkansas for Medical Sciences (UAMS) in Little Rock where he was trained in both psychotherapy and biological management of psychiatric challenges.

Following residency training, Dr. Wait continued to work with UAMS and the State of Arkansas in research and program development focusing on implementing and then teaching novel strengths focused care for people with severe mental illness for the first 12 years of his career.

Later, Dr. Wait moved with his wife and three children to Coeur d'Alene, Idaho. He has since been in clinical practice and leadership roles in inpatient, outpatient, and telehealth psychiatric care settings.

Rather than focus primarily on illness or problems, Dr. Wait’s approach is to first evaluate his patients comprehensively, then utilize what’s learned from this to treat and empower them to make and then practice choices that lead to improved health and well-being, using an integrative model that recognizes that mental, physical, social, and spiritual health are one.

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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.‍

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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Roberta Gelfand is a Licensed Clinical Social Worker (LCSW) with over eight years of experience providing compassionate outpatient mental health care in New York and New Jersey. She works with children, adolescents, and adults across diverse settings, including private practice, outpatient programs, community mental health centers, and non-profit organizations. Roberta supports individuals facing depression, anxiety, trauma, life transitions, self-esteem concerns, attention challenges, and relationship issues. She holds a BA in Psychology and an MSW from Hunter College, CUNY, and is trained in CBT, DBT, ACT, MI, SFBT, IFS, trauma-informed care, mindfulness, emotionally focused therapy, and strengths-based approaches. She also holds certifications in ADHD, Autism Spectrum Disorder, Integrative Mental Health, and DBT, and has experience supporting neurodivergent individuals and the LGBTQIA+ community.

Roberta creates a warm, judgment-free, and collaborative space where clients feel safe, respected, and understood. Her humanistic, person-centered approach honors each individual’s identity, strengths, and lived experiences. She offers inclusive, affirming care for diverse identities, relationships, and family systems, blending emotional insight with practical tools. Therapy is flexible, personalized, and paced to meet each client’s unique goals and needs.

Roberta begins by developing a thorough understanding of each client’s history, concerns, strengths, and goals. Treatment planning is collaborative, individualized, and evidence-based. Sessions focus on increasing self-awareness, improving emotional regulation, and building effective coping strategies. She regularly revisits goals and approaches to ensure therapy remains supportive, relevant, and responsive to change.

James "Derek" Slover, LPC-S (but just call him Derek), has been practicing counseling since 2006. He has worked in a wide range of settings, including community clinics, hospitals, and telehealth- and now helps teens, parents, and adults navigate the challenges of anxiety, mood disorders, behavior issues, and more.

Derek's approach is collaborative, practical, and rooted in evidence-based care. He brings humor, clarity, and a no-nonsense style to counseling, believing that treatment should make sense and feel useful. You won't get psychobabble or a 47-slide PowerPoint presentation- just honest conversations, thoughtful listening, and tools that work. His clinical toolbox includes CBT, Parent Management Training, Exposure & Response Prevention, and other proven approaches tailored to each person's needs.

Counseling with Derek starts with a thorough assessment to understand what’s been getting in your way. From there, you’ll work together to set goals that reflect your values and priorities. Counseling typically moves through three phases: 1) building a strong therapeutic relationship, 2) doing the deep work of change, and 3) maintaining progress and preparing for graduation- because counseling should be a launchpad, not a lifelong subscription.

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