Margaret Ngumi, PMHNP

Dr. Gotsche is a board-certified adult psychiatrist who is dedicated to helping individuals navigate their mental health journey. Originally from Illinois, she completed her undergraduate studies at Illinois State University before earning her medical degree from Kansas City University. She went on to complete her psychiatry residency at the University of Oklahoma. Following residency, she worked at the Kansas City VA Medical Center where she primarily focused on outpatient mental health. Outside of her clinical work, she enjoys cooking, reading, cycling, and hiking.

Dr. Gotsche takes a holistic, integrative, and evidence-based approach to mental health care. She emphasizes the importance of building a strong therapeutic alliance and working closely with each patient to ensure treatment fits their unique needs and goals. She is experienced in treating a variety of psychiatric conditions including mood disorders, anxiety, trauma-related disorders, and ADHD. She is committed to providing comprehensive care in a supportive environment.

Dr. Gotsche will conduct a thorough evaluation to learn each patient’s medical history, current symptoms, and treatment goals. She values open communication and a collaborative approach, ensuring that patients are actively involved in the decision-making process. An individualized treatment plan will be developed which may include medication management, psychotherapy, or referrals to additional services as needed. Her goal is to provide integrated, patient-centered care that promotes long-term well-being.

Dr. Bardugon is a board-eligible psychiatrist who specializes in the treatment of adults. He has experience in treating patients with various forms of depression and anxiety, bipolar disorder, OCD, ADHD, PTSD, and substance use disorders. He seeks to provide a safe, non-judgmental, gender affirming space for patients as they strive to lead a happier, more contented life. After a pediatrics residency, Dr Bardugon worked for 13 years as a pediatric ER physician. His interest in psychiatry was piqued during this time as he witnessed the emergence of a child and adolescent mental health crisis. While ultimately deciding to focus his efforts on the treatment of adults, Dr Bardugon is keenly aware of the influence of child development and family systems on the behavioral health of adults. Dr Bardugon employs a holistic, multimodal treatment approach. Aiming to treat the whole person, he stresses the importance of nutrition, exercise, and sleep. Dr Bardugon believes an informed patient actively engaged in decision making surrounding treatment has the best chance of effecting lasting change. Believing in the synergistic effect of talk therapy and medication, he incorporates one or more talk therapy techniques including motivational interviewing, cognitive behavioral therapy, and supportive and psychodynamic psychotherapies into most sessions. He often recommends formal participation in some form of talk therapy and is happy to collaborate with other providers.

Dr. Pipalia is board-certified in both adult psychiatry and internal medicine. Since graduation from residency, he gained specialized experience in treating veterans with terminal illness, specifically Amyotrophic Lateral Sclerosis (aka Lou Gehrig's Disease), at the VA Medical Center in Portland, OR. He combines both psychotherapy and medication treatment to provide holistic care that addresses not only your mental health but also the parts of your life that surround and are deeply intertwined with your mental health. When more intensive psychotherapy is warranted, he collaborates with an experienced psychotherapist to serve you better. With his experience of internal medicine, he is also comfortable with navigating complex medical issues that may interact with your mental health. Dr. Pipalia is a graduate of St. George's University School of Medicine. He completed a combined Psychiatry & Internal Medicine residency training program at East Carolina University. He went on to complete a fellowship in Clinical Informatics at Oregon Health & Science University, learning how to use modern digital technologies and patient data to improve patient care. His academic activities include a presentation he has given multiple times on Illness Identity, teaching other clinicians how having an illness can change how we perceive our place in the world and how to help patients manage their relationship with illness.

Dr. Osaji is an Adult Psychiatrist who completed her psychiatry training at Texas Tech University Health Sciences Center, Lubbock, Texas. She served her program as a chief resident, which helped to build her leadership and interpersonal skills. She also dedicated herself to leading her resident team and fostering a supportive learning environment. She received the award of excellence in psychiatry knowledge during her residency training. She also has a Master's in Public Health from Texas Tech University Health Sciences Center and is a Phi Kappa Phi Honor Society member.

Dr. Osaji is an adult outpatient psychiatrist who provides care via telehealth. She strives to create a supportive, collaborative space where patients can explore what's bringing them in and work together to determine the best path forward. Whether someone is new to mental health care or returning after some time away, Dr. Osaji recognizes that it's normal to feel a mix of emotions at the start. She takes a thoughtful, personalized approach to treatment that may include medication, therapy recommendations, or simply creating space to talk. While telehealth offers flexibility and convenience, Dr. Osaji is committed to building a meaningful connection with each patient. She does not provide emergency services between sessions but ensures patients can access the appropriate resources when needed. As someone early in her career, Dr. Osaji brings fresh training and a strong commitment to transparency, lifelong learning, and evidence-informed care. She values open communication and believes deeply in each person's capacity for meaningful change.

Dr. Osaji creates a supportive, collaborative space to help patients explore their mental health concerns and goals. She takes a personalized approach that may include medication, therapy referrals, or check-ins, always valuing patient input. Follow-up visits are 20 to 30 minutes, focusing on monitoring progress and adjusting care as needed. She offers convenient access through telehealth while building meaningful, transparent relationships rooted in respect and growth. Dr. Osaji also values collaborative care and often coordinates with therapists or refers patients to therapy when additional support can enhance outcomes.

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Dr. Anantharam Peesapati is a board-certified adult psychiatrist who graduated from General Psychiatry Residency training at Rutgers Robert Wood Johnson Medical School. There, he honed his skills by treating a diverse patient population suffering from various diagnoses, including major depression, bipolar disorder, anxiety disorders, PTSD, ADHD, and substance use disorders. Prior to residency, Dr. Peesapati earned his medical degree from Florida Atlantic University Charles E. Schmidt College of Medicine & his bachelor's degree in Psychology with a specialization in Behavioral & Cognitive Neuroscience from the University of Florida. Dr. Peesapati is committed to providing comprehensive care to his patients, with a focus on medication management & psychoeducation, as well as supportive psychotherapy and cognitive-behavioral therapy. His approach is guided by psychodynamic principles and steeped in mindfulness, ensuring a holistic and personalized treatment plan for each individual. Dr. Peesapati's goal is to help every patient achieve their best mental health and well-being, which may include collaboration with a therapist while also considering the impact of lifestyle on their health.

Background and credentials

Dr. Shama Milon is a triple-board eligible physician in Pediatrics, Psychiatry, and Child and Adolescent Psychiatry. She earned her undergraduate degree from Duke University and her medical degree from the University of Cincinnati College of Medicine. She completed her combined training in Pediatrics, Psychiatry, and Child and Adolescent Psychiatry at the Icahn School of Medicine at Mount Sinai in New York, where she served as chief resident during her final year of training.

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Treatment approach

Dr. Milon specializes in treating mood disorders, anxiety, PTSD, ADHD, OCD, and patients with co-occurring psychiatric and medical conditions. She is dedicated to outpatient care, focusing on long-term relationships with her patients. Her treatment approach is comprehensive, integrating medication management with psychotherapy, including psychodynamic psychotherapy, cognitive-behavioral therapy (CBT), dialectical behavior therapy (DBT), play therapy, dyadic therapy, and family therapy. She emphasizes creating an empathetic, judgment-free space where patients and families feel supported and understood. If she believes additional therapy is necessary, she may recommend adding a therapist to the care team.

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What you can expect in a first visit

During the first visit, patients can expect a comprehensive psychiatric evaluation, where Dr. Milon carefully assesses physical, emotional, and psychological needs. She takes a holistic and patient-centered approach, ensuring that treatment plans are tailored to each individual’s unique circumstances. She prioritizes open communication and collaboration with both patients and families to create a structured, effective treatment plan that may include medication management and therapy interventions.

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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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