Mark Varela,MD

Dr. Peppers works with patients to meet the goals that matter to them. She believes that feeling heard and being understood are key factors in a successful treatment relationship.

She has been working in telehealth since 2018. She has worked extensively with patients dealing with trauma from childhood abuse, assaults, combat, and accidents. She also has a lot of experience treating depression, anxiety disorders, bipolar disorder, ADHD, and personality disorders.

After completing her training, Dr. Peppers worked in private practice and in various roles for the Department of Veterans Affairs. She most enjoys working in the clinic because of the long term follow-up.        

Dr. Peppers enjoys her work and includes psychotherapy in her appointments. She offers medication options to treat symptoms but also works with patients to examine behaviors and defenses that may be contributing to their problems. For patients who would benefit from more extensive psychotherapy, she may refer patients to a therapist and work collaboratively with the therapist.

She starts off with a thorough evaluation to make a diagnosis. Then, she works with patients to determine what their treatment goals are and develops a treatment plan to meet those goals.

Geoffrey Edelstein, LCSW, is a Licensed Certified Social Worker. His practice is informed by the latest neuro-cognitive sciences, emphasizing anxiety, depression, bipolar disorder, and other mental health conditions. In addition to working with children, adolescents, and adults, he also works with couples and families. Geoffrey also has experience working with LGBTQ+ clients. Geoffrey received his Master's in Social Work from New York University Silver School of Social Work. Before that, he earned a Bachelor of Arts in English Literature at Drew University. Geoffrey's experience includes Dialectical Behavior Therapy, Cognitive Behavior Therapy, and psychodynamic psychotherapy, but his unique approach to therapy also integrates music, writing, drawing, and origami. In crafting a treatment plan, Geoffrey draws on his years of clinical experience from Four Winds Hospital. There, Geoffrey served as the Coordinator of Children's Services and facilitated care for children ages 8-13 in a Dialectical Behavior Therapy group setting. Geoffrey also worked with adults and adolescents in Four Winds' inpatient units. Prior to this, Geoffrey worked in respite services at Family Services of Westchester and the Federally Qualified Health Center of the Hudson Valley Cerebral Palsy Association. Geoffrey is committed to delivering quality mental health services to his patients and is passionate about helping them reach their goals.

Dr. Roxanne McClung is a board-certified psychiatrist, specializing in general adult psychiatry.  She completed her General Psychiatry Residency at the University of Texas Health Science Center at Tyler, where she served as Chief Resident in her final year of training. She earned her MD (Doctor of Medicine) from the American University of the Caribbean, a Master of Science in Clinical Psychology from the University of Texas at Tyler, and a Bachelor of Arts in Psychology from Southern Methodist University. With over 20 years of experience in the mental health field, Dr. McClung brings a uniquely comprehensive and well-rounded approach to psychiatric care.  Having served in multiple roles – including case manager, psychotherapist, and program/clinical director –she has a deep understanding of patient care across various settings and perspectives.

Dr. McClung is passionate about helping people through life’s challenges. She creates a non-judgmental, patient-centered environment that fosters open communication and collaboration. She emphasizes individualized care that integrates medicine, lifestyle interventions, and psychotherapy. Treatment plans are grounded in the understanding that mental health is influenced by biological, psychological, social, and lifestyle factors.

Dr. McClung begins with a thorough assessment to understand each patient’s history, concerns, and goals. She works collaboratively to create a personalized treatment plan, and her approach ensures clarity, respect, and patient involvement throughout the process.

Background and credentials

Dr. Jenny Joseph is a board-certified adult psychiatrist. She earned her medical degree from St. George's University School of Medicine and completed her adult psychiatry residency at New York Medical College at Metropolitan Hospital Center. She has experience working with diverse patient populations and treating a range of psychiatric conditions.

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Treatment approach

Dr. Joseph specializes in medication management for various psychiatric conditions, including mood, anxiety, and psychotic disorders. She employs a patient-centered approach that emphasizes empathy, open communication, and collaboration. In addition to pharmacological treatment, she incorporates psychoeducation and supportive therapy to help patients better understand and manage their conditions. When beneficial, she may recommend additional therapy and coordinate care with a therapist to ensure comprehensive treatment.

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What you can expect in a first visit

During the first visit, patients can expect a thorough evaluation that explores their symptoms, treatment history, and personal goals. Dr. Joseph takes the time to listen and understand each patient's needs, ensuring that their treatment plan is tailored to their specific concerns. She provides a compassionate and structured approach to medication management while fostering a collaborative environment where patients feel supported in their mental health journey.

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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. McGowan is a board-certified adult psychiatrist with over 14 years of experience, during which time he primarily treated active-duty US Navy sailors, their family members, and military retirees in the outpatient setting. His practice focuses on medication management in addition to supportive and cognitive-behavioral therapy in 30-minute follow-up visits. He is a strong advocate of multiple treatment modalities and, in certain situations, may suggest that therapy and/or regular physical exercise be included in your treatment plan to provide the best outcome. He received his B.S. in Physics from the United States Naval Academy. After serving as an Intelligence Officer in the Navy for eight years, he transitioned to medicine and earned his medical degree from the Uniformed Services University of the Health Sciences in Bethesda, MD. After completing an intern year in Family Medicine, Dr. McGowan completed residency training in Psychiatry at Naval Medical Center Portsmouth, VA, where he remained on staff for the next ten years and was primarily involved in resident training and education. He held academic appointments at the Uniformed Services University and Eastern Virginia Medical School and served as the Psychiatry Residency Program Director for six years. He served his final four years in uniform running the behavioral health department at Naval Air Station Whidbey Island, WA. He recently retired from the Navy after a 30-year career. Dr. McGowan has extensive experience in outpatient psychiatric care. In addition to the full spectrum of mood and anxiety disorders, he has treated a very large number of patients with PTSD stemming from combat, natural disasters, and sexual trauma. He believes that, like his service to the country, working alongside others in their journey to better mental health is an incredible privilege.

Background and credentials

Dr. Sabera Saklayen is a board-certified psychiatrist licensed in Adult Psychiatry. She earned her bachelor’s degree from Ohio State University and her medical degree from Wright State University Boonshoft School of Medicine. She completed her psychiatry training at Stony Brook University Hospital, where she served as chief resident and was awarded the William Turner Award for outstanding performance in psychiatry residency. She has extensive experience treating diverse populations, including vulnerable and underserved communities, having worked as an outpatient psychiatrist at Bellevue Hospital for two years.

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Treatment approach

Dr. Saklayen specializes in medication management but takes a holistic, patient-centered approach that integrates supportive therapy, cognitive-behavioral therapy (CBT), and motivational interviewing (MI). She has extensive experience treating depression, bipolar disorder, generalized anxiety, panic disorder, social anxiety, OCD, insomnia, and substance use disorders. She is particularly skilled in treating college students and individuals navigating difficult life transitions. If more in-depth therapy is needed, she may refer patients to a therapist as part of a comprehensive care plan.

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What you can expect in a first visit

During the first visit, patients can expect a thorough and compassionate evaluation, where Dr. Saklayen carefully assesses symptoms, history, and treatment goals. She prioritizes collaboration and individualized treatment planning, ensuring that patients feel comfortable and supported in their mental health care. Follow-up visits are typically 30 minutes and focus on medication management and therapy integration, with referrals to additional therapy when needed for the best possible outcome.

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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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