Mark Varela,MD

Dr. David Gomez is a board-certified psychiatrist who is bilingual and fluent in English and Spanish. He earned his Doctor of Medicine degree from Florida International University and completed a residency in Psychiatry at the University of Miami / Jackson Memorial Hospital. During his training, he worked closely with a diverse array of patients, including minority and underserved communities, military veterans, trauma survivors, medically complex individuals with HIV and cancer, geriatric patients, and individuals with severe mental illness in both outpatient and inpatient settings. He received additional training through his participation in specialty clinics focused on mood and anxiety disorders, trauma-related conditions, and geriatric / memory disorders.

Dr. Gomez specializes in providing comprehensive mental health care to diverse patient populations. He combines psychotropic medications with supportive therapy using a psychodynamic listening approach to understand his patients and achieve their treatment goals.

He believes in tailoring treatment plans to meet individual needs, fostering a collaborative environment that empowers patients in their recovery. Known for his warm demeanor and attentive listening skills, Dr. Gomez creates a safe space for patients to express themselves safely. He emphasizes the importance of a strong therapeutic alliance and integrates psychodynamic principles, mindfulness techniques, and lifestyle modifications into his practice.

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Dr. Megan Tusken is a board-certified adult psychiatrist. She received her undergraduate degree from Brown University and her medical doctorate at the University of Chicago Pritzker School of Medicine. Prior to joining Talkiatry, Dr. Tusken completed residency training in general psychiatry at the University of Texas Southwestern Medical Center. Dr. Tusken provides evidence-based, patient-centered care and considers a trusting doctor-patient relationship integral to helping her patients achieve their treatment goals. During training, Dr. Tusken gained extensive experience in inpatient, consult, emergency room, and outpatient practice settings with culturally and socioeconomically diverse patient populations. She also elected to acquire additional experience with specific patient populations, including patients with treatment-resistant depression, substance use disorders, and sleep disorders, as well as LGBTQ+ individuals and older adults. Tusken's treatment approach is collaborative and holistic. She provides medication management for a variety of mental health conditions, with particular interest in mood and anxiety disorders. In addition to psychopharmacologic interventions, she firmly believes in the mind-body connection, and she incorporates psychotherapeutic techniques into her visits to provide the best, individualized care for each patient.

Steven Warren, PMHNP, has over 25 years of psychiatric nursing experience in both inpatient and outpatient settings. He has provided extensive individual and group psychotherapy and education, and since 2017, has offered medication management and brief therapy in a collaborative community mental health setting. Steven earned his Bachelor of Nursing in 2011 and Master of Nursing in 2017 from Indiana University, and is ANCC board-certified as a Psychiatric Mental Health Nurse Practitioner.

Steven values open and honest communication, working directly with patients to set clear, achievable treatment goals. He is dedicated to ensuring each person he works with feels heard, respected, and supported throughout their mental health journey. His approach emphasizes collaboration, empathy, and trust.

During the first session, Steven takes time to understand each patient’s history, concerns, and goals. He develops individualized treatment plans that reflect patient values, adapting them as needs evolve. Through a strong therapeutic relationship, he provides guidance and support to help patients achieve meaningful and lasting progress.

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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Background and credentials

Dr. Stefan is a psychiatrist with extensive experience in outpatient care, inpatient care, and assertive community treatment. She has served as a medical director for large institutions, overseeing the treatment of individuals with complex mental illnesses. Born and raised in Puerto Rico, she is fluent in both English and Spanish. She earned her medical degree from the University of Puerto Rico School of Medicine and completed her psychiatry residency at the University of Florida, where she received recognition for her skills as a psychotherapist.

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Treatment approach

Dr. Stefan is deeply committed to patient-centered care, adapting her role to the individual needs of each patient. She believes in treating the whole person, rather than just a diagnosis, recognizing that each patient has unique psychosocial circumstances. She has a strong foundation in psychotherapeutic interventions and is dedicated to providing engaging, compassionate, and meaningful therapy in every patient interaction. With over 10 years of experience as a psychiatrist, she has worked extensively in telemedicine since 2013, ensuring that remote care is as effective and personal as in-person visits.

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What you can expect in a first visit

Patients meeting Dr. Stefan for the first time can expect a comprehensive and holistic evaluation that considers their symptoms, personal history, and life circumstances. She takes the time to build strong therapeutic relationships, fostering a caring and engaging environment where patients feel understood and supported. Whether through telemedicine or in-person care, she prioritizes personalized treatment plans that integrate medication management and psychotherapy, ensuring the highest quality of care tailored to each patient’s 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. Thomas Crane is a board-certified psychiatrist who practices general adult psychiatry, with a special interest in managing depression, anxiety, OCD, and ADHD. He attended Calvin College for his Bachelor's Degree and Michigan State University College of Human Medicine for his Medical Degree. He then completed his Residency in Psychiatry at Ohio State University.‍After spending six months serving the prison population, he is back to doing what he finds most rewarding, which is one-on-one outpatient psychiatry. Dr. Crane places special emphasis on a triple-pronged approach to treating conditions, using medication, therapy, and lifestyle guidance. He enjoys building a therapeutic relationship with his patients, and he values longer-term continuity of care when appropriate. Dr. Crane recognizes that psychiatric conditions can hinder someone from enjoying their life in a way that they otherwise could, and his focus is on helping his patients obtain more happiness, while reducing frustration/pain.