Lori Peppers, MD

Background and credentials

Dr. Nilesh Tannu is a board-certified psychiatrist by the American Board of Psychiatry and Neurology. He earned his medical degree from B.J. Medical College in Pune and completed his adult psychiatry residency at the University of Texas Medical School at Houston, where he served as chief resident. During his training, he received awards from the Society of Biological Psychiatry, the American Academy of Addiction Psychiatry, and the American Psychiatric Institute for Research and Education. He has been practicing General Psychiatry and Consultation-Liaison Psychiatry for the past seven years at Texas Medical Center in Houston, Texas. Additionally, he has served as an assistant professor of psychiatry at the Texas Medical Center, working at UT Physicians Clinics and Memorial Hermann Hospital. He is also a member of the Editorial Board for BMC Genomics Journal.

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Treatment approach

Dr. Tannu follows the bio-psycho-social model to provide evidence-based psychopharmacologic treatment. He integrates supportive therapy and cognitive-behavioral therapy (CBT) modalities into his practice to create personalized and comprehensive treatment plans. He is committed to mental health care, education, and helping patients achieve optimal functioning in their personal and professional lives. His clinical expertise includes ADHD, anxiety disorders, depressive disorders, bipolar disorder, psychotic disorders, insomnia, eating disorders, and complex medical comorbidities.

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What you can expect in a first visit

During the first visit, patients can expect a comprehensive assessment where Dr. Tannu takes the time to understand their symptoms, treatment history, and personal goals. He employs a collaborative approach to develop a tailored treatment plan that may include medication management and therapy interventions. His focus is on evidence-based care, ensuring that patients receive treatments that are scientifically backed and aligned with their individual needs.

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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. Meghan Fahy Hebishi is double-board certified in General Psychiatry and Child and Adolescent Psychiatry. Originally from Delaware, Dr. Hebishi earned her medical degree from the Philadelphia College of Osteopathic Medicine in 2017. She also obtained a Master of Science in Biological Sciences from Drexel University and a Bachelor of Science in Biology from Juniata College. In 2017, Dr. Hebishi moved south and is happy to call North Carolina her home. She completed her internship at Campbell University/Harnett Health in 2018. She went on to complete a General Psychiatry Residency followed by a Fellowship in Child and Adolescent Psychiatry at East Carolina University Brody School of Medicine. Prior to joining Talkiatry in 2025, Dr. Hebishi was in private practice at North Raleigh Psychiatry in Raleigh, NC.

Dr. Hebishi is experienced in treating children, adolescents and adults. She utilizes medication management and psychotherapy in her clinical practice. Her areas of interest include ADHD across the lifespan, anxiety disorders, mood disorders (depression and bipolar disorder) and OCD. She is dedicated to building a collaborative relationship with patients and their families where shared-decision making is respected and encouraged. She is passionate about providing continuity of care to her patients as they navigate life's changes and challenges.

Dr. Schwartz is a board-certified Staff Psychiatrist at Talkiatry. He completed his residency at Bergen New Bridge Medical Center in Paramus, New Jersey, where he excelled in his leadership and knowledge, becoming the Chief Resident in just his third year of residency at the busiest outpatient behavioral health clinic in New Jersey. Upon completion of his third year of residency, he went on to become Chief Academic Resident of his program, which allowed him to bestow his knowledge of psychiatry on younger psychiatrists in training. After completing his residency in General Psychiatry, he went on to complete a fellowship in the prestigious Mount Sinai Health System in New York City, based primarily out of the Beth Israel location. During this fellowship he studied Consultation-liaison psychiatry, also known as psychosomatic medicine. It is an exciting subspecialty of psychiatry that focuses on the care of patients with comorbid psychiatric and general medical conditions. Consultation-liaison psychiatry deals with the understanding and advancement of medical science, education, and the provision of healthcare for medically ill and complex patients. Using his training, Dr. Schwartz can focus on using his extensive medication knowledge to help treat an array of psychiatric disorders. Despite medication management, he also works on a holistic approach to psychiatry, including working with the patient to get the proper therapy services when clinically indicated. During the initial interview, a thorough assessment is done, including any medical and psychiatric history, medications you may be currently taking, and supplements before any medication is dispensed. Using his knowledge in psychiatry and consult-liaison psychiatry, Dr. Schwartz's interests include depression, anxiety, ADHD, obsessive compulsive and related disorders, transgender patients on hormone therapies and post-surgical transition. He also has an extensive interest in medical illnesses with a psychiatric component such as cancer patients, transplant, HIV, and many others alike. He looks forward to working with you to enhance your emotional well-being.

Dr. Irene Pastis is a board-certified psychiatrist who specializes in adult psychiatry.  She completed residency training at East Carolina University in both internal medicine and psychiatry.  After residency, she pursued her passion in psychiatry and stayed on as a clinical assistant professor in the department of psychiatry at East Carolina University.  In this role she specialized in treating adults with mental illness in both the inpatient and outpatient settings.  She has spent a considerable amount of time teaching residents and medical students and has published several papers focusing on the neuroscience pathways of mental health conditions.  In her daily practice, Dr. Pastis focuses on evidence-based treatments utilizing the latest clinical guidelines and current approved treatments.  In addition to medication management, she also incorporates psychotherapy in the treatment of mental health conditions.  Dr. Pastis is passionate about taking a collaborative approach with her patients to help them reach their potential.

Dr Reddy is double board certified in adult as well as child and adolescent psychiatry. She has experience working at various levels of mental health care. Dr. Reddy has most recently served as the medical director for a partial hospitalization/intensive outpatient program (PHP/IOP) for adolescents in the Dallas/Fort Worth area. She completed her general psychiatry residency at the University of Illinois at Peoria and went on to pursue her child and adolescent psychiatry fellowship at the University of Texas Southwestern. She is knowledgeable in treating patients of all ages and a wide variety of diagnoses including depression, bipolar disorder, anxiety, ADHD, OCD, PTSD, and eating disorders. Dr. Reddy is passionate about working with LGBTQIA+ populations, providing culturally informed care, and taking a person-centered approach to providing comprehensive and individualized treatment to her patients. She is well versed in incorporating psychotherapy in conjunction with medication management. She has experience in incorporating supportive, cognitive behavioral, and dialectical behavioral therapeutic approaches in her care.

Dr. Ruchir Arvind is an Adult General psychiatrist. He is a Diplomat of the American Board of Psychiatry and Neurology. He has been practicing for 4 years.

Dr. Arvind believes in collaborative and educational approaches to address his client’s needs. He believes that therapy is a foundational part in building a long term therapeutic relationship with his clients. He tries to put some educational part in helping his client’s to have a deeper understanding about their illness and related struggles and needs. He likes to follow up closely regarding progress towards his client’s goals. He integrates psycho education in all sessions into explaining his reasoning behind the choice of treatment options based on evidence based medicine. He also provides a brief supportive psychotherapy and Cognitive Behavioral Therapy to aid in treatment for depression, anxiety and insomnia.

Dr. Arvind received his medical degree from PramukhSwami Medical College in India and completed his residency training at University of Texas Health Science Center in his Hometown of Houston, Texas. He held an academic position as a faculty with University of Texas Health Science Center – McGovern Medical School in Houston as assistant professor and enjoyed teaching opportunities.

During his pursuit for residency training in psychiatry Dr. Arvind had been extensively involved in clinical research understanding neurobiological and psychological aspects of development of different anxiety disorders and bipolar disorders as early as in childhood populations. He has had Publications for several peer-reviewed articles and manuscripts and presentations at annual conferences.

Dr. Arvind has experience in treating versatile patient populations. His areas of focus have been anxiety disorders, Acute stress and Post traumatic stress disorder, Attention Deficit Hyperactivity Disorder( ADHD ) and Attention Deficit Disorder ( ADD ) , Tics  and Tourette Syndrome ,Insomnia and depression. He has also worker with adults with Bipolar illness and pregnancy related anxiety and depression and helping clients with any psychiatric illness due to underlying neurological issues like Seizures, Multiple Sclerosis and NeuroCognitive Issues along with addressing Caregiver Burden for some clients.

Patients looking for a psychiatric provider will find Dr. Arvind’s approach in a gentle, friendly and educational way with a composed demeanor. He tends to approach Individualized treatment plans based on different needs for different clients and will always welcome any questions regarding the plan to reach Client’s Goals.