Khandie Graham, MD

Dr. Richard Mullin brings over a decade of experience in outpatient psychiatric care, with prior roles providing treatment to juveniles in detention and adults in jail and prison systems across West Virginia. He completed his medical degree at the Joan C. Edwards School of Medicine at Marshall University and trained in psychiatry and child and adolescent psychiatry at West Virginia University. Dr. Mullin emphasizes the importance of truly listening, so patients feel seen and heard.

Dr. Mullin works collaboratively with his patients to identify their main concerns and to build a treatment plan that feels right for them. He believes treatment should be a shared process in which the patient is empowered and supported in their mental health journey.

Taking a "less is more" approach to medication, Dr. Mullin focuses on minimizing prescriptions while still addressing all of a patient’s needs. His goal is to help patients eventually rely more on therapeutic skills than medication. He views treatment as a partnership—balancing his expertise in psychiatry with each patient's lived experience.

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Dr. Romanow is double board-certified in Adult Psychiatry and Forensic Psychiatry. He graduated summa cum laude from the University of Pittsburgh with a Bachelor of Science degree in Sports Medicine/Athletic Training and then attended Drexel University College of Medicine. After medical school, he completed his residency in Adult Psychiatry at the University of Virginia, where he obtained a certificate in additional psychotherapy training. After residency, Dr. Romanow completed a fellowship in Forensic Psychiatry at the University of Virginia. During his fellowship, he trained at the prestigious Institute of Law, Psychiatry, and Public Policy (ILPPP) and Western State Psychiatric Hospital where he performed criminal and civil forensic evaluations. He also provided clinical care at a maximum security prison. Prior to joining Talkiatry, Dr. Romanow worked at a healthcare system in Montana providing inpatient and outpatient psychiatric care involving medication management and psychotherapy. Additionally, he operates a private forensic psychiatry practice that conducts mental health evaluations for the legal system. Dr. Romanow has extensive experience treating various mental health disorders including depression, bipolar disorder, anxiety and obsessive-compulsive disorders, post-traumatic stress disorder, and ADHD. His clinical work includes assisting patients who experience mental health disorders with co-occurring substance use problems. He has training in various schools of psychotherapy including cognitive behavioral therapy (CBT), CBT for insomnia, motivational interviewing and supportive psychotherapy. Dr. Romanow incorporates treatment focusing on the importance of exercise, diet, and good sleep habits as a part of comprehensive mental health care.‍

Dr. Delane Casiano is a board-certified adult psychiatrist with specialized interest and expertise in cultural psychiatry. She earned her undergraduate degree from Brown University and her medical degree from Morehouse School of Medicine. She completed psychiatry residency and research fellowship at the University of Pennsylvania. Such organizations as the American Psychiatric Association, National Institute of Mental Health, and Philadelphia Department of Behavioral Health have recognized her research examining cultural influences on mental health beliefs and service utilization.

Dr. Casiano brings a systems-based, culturally informed perspective to her work. With over 15 years of experience, she has supported individuals with diverse backgrounds and identities. Examples of her leadership of multidisciplinary teams include serving as associate medical director of a women's trauma program and founding an integrated care program for underserved communities. She has directed academic training programs, presented at national conferences, and led numerous community-based events focused on mental health awareness and stigma reduction.

Dr. Casiano values compassion and collaboration in the treatment relationship. She helps patients navigate depression, anxiety, ADHD, and post-traumatic stress, while also supporting those facing major life transitions.

Her approach combines evidence-based medication management, supportive therapy, and

psychoeducation. She tailors each treatment plan to the individual while offering encouragement and structure.

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. Varma grew up in an immigrant family surrounded by aspiring doctors, and her passion for understanding the human mind and behavior blossomed early. This curiosity led her to pursue extensive medical training abroad, beginning at Kasturba Medical College in Southern India, followed by clerkships at the University of the West Indies in Trinidad and Tobago. She completed her Adult psychiatry residency at the University of Florida in Gainesville and specialized further with a child/adolescent fellowship at Brookdale University Hospital in Brooklyn, NY.

Dr. Varma believes in a holistic, integrative approach to mental health. Her philosophy centers on identifying the root causes of ailments rather than merely addressing symptoms. She views mental health care as a partnership, where the mind, body, and spirit work together to achieve wellness. Dr. Varma is committed to fostering a safe, confidential therapeutic alliance to help you explore your potential for healing.

Dr. Varma embraces integrative psychiatry, which combines the best of conventional Western medicine with complementary approaches. This involves a comprehensive biopsychosocial assessment tailored to each individual, incorporating psychopharmacology alongside lifestyle adjustments in diet, movement, and breathwork. She collaborates with therapists and other professionals to create a well-rounded treatment plan that honors your unique journey.

Dr. Mustafa Taquee is a board-certified Adult Psychiatrist. After receiving his undergraduate degree from Wayne State University in Detroit, he completed his medical degree at Oakland University William Beaumont in Rochester, MI. He is a graduate of the Adult Psychiatry Residency Program at St. Mary Mercy Hospital in Livonia, MI. As a testament to Dr. Taquee's desire to help patients reach their full potential, he has also completed a psychotherapy fellowship through the Michigan Psychoanalytic Institute. Dr. Taquee believes that every patient brings their own mosaic of experiences embedded in a unique story. He understands that building a strong therapeutic relationship through empathy, compassion, trust, and respect is essential. He enjoys taking time to understand his patient's goals, offer psychoeducation, and create a collaborative plan for treatment with the patient. He believes in a holistic approach to mental health treatment, which includes medication management, supportive and cognitive behavioral therapy techniques, as well as mind-body medicine techniques. He also has a special interest in psychodynamic therapy, an in-depth therapy modality, which he incorporates in all patient interactions and sessions. Due to the diversity and richness of culture in southeast Michigan, Dr.Taquee has experience working with patients from varied backgrounds. He enjoys the challenge such a heterogeneous environment brings and is particularly fond of working with young adults experiencing life transitions. He also has experience working with patients from lower socioeconomic backgrounds, as well as adolescents and geriatric populations.