Marnie Stefan, MD

Dr. Patel is a distinguished psychiatrist with over 24 years of experience. He completed his psychiatric residency at the University of South Dakota School of Medicine, where he served as chief resident and earned the Outstanding Resident of the Year award. He then pursued a fellowship in Consultation-Liaison Psychiatry at Harvard Medical School/Beth Israel Deaconess Medical Center.

He is triple Board certified in Adult Psychiatry, Consultation-Liaison Psychiatry, and Sleep Medicine and also holds certification in Behavioral Neurology and Neuropsychiatry from the United Council for Neurological Subspecialties. These credentials reflect his expertise in psychiatry, neurology, and the management of complex psychiatric conditions in medically ill patients.

Dr. Patel has worked in diverse settings including inpatient units, psychiatric consult services, outpatient clinics, and nursing homes. He is skilled in neuromodulation treatments such as Electroconvulsive Therapy (ECT) and Transcranial Magnetic Stimulation (TMS).

In addition to clinical practice, he has served leadership roles of chairman of a psychiatric department, medical director of a behavioral health service line in a regional health system, and founder/CEO of a private psychiatric and TMS clinic. Dedicated to ongoing professional growth, Dr. Patel remains at the forefront of psychiatric advancements in psychiatric care, earning a reputation as a respected leader in the field.

Dr. Patel combines deep knowledge of neurobiology, behavioral health, and the mind-body connection to offer a collaborative, evidence-based, and holistic approach to care. He integrates diet, exercise, yoga, meditation, and lifestyle modifications with psychotherapy and medication management.

His approach emphasizes active listening, curiosity, compassion, and even humor—creating a warm and supportive environment. By encouraging patients to integrate their unique life experiences into their treatment, he fosters ownership, empowerment, and active participation in the healing process.

During your first visit, Dr. Patel will review your symptoms, medical and psychiatric history, past treatments, substance use, psychosocial factors, and family history. He will discuss treatment options—including risks and benefits—and determine if his expertise and the telehealth platform are the right fit for your needs. Your safety is his top priority.

Follow-up visits focus on monitoring progress, adjusting treatments, maintaining stability, and supporting your motivation to achieve your fullest potential.

Dr. Vargas is an adult psychiatrist who received her medical degree from the University of Texas Health Science Center of San Antonio. She subsequently completed her psychiatry residency training at UT Health San Antonio.

Dr. Vargas has a patient-centered and thorough approach to treatment. She has experience treating a broad spectrum of mental health disorders, with particular interest in depression, anxiety, and post-traumatic stress disorder. She has also worked in clinic with severely mentally ill patients at the South Texas VA in San Antonio.

Dr. Vargas's primary focus is medication management with an emphasis on shared decision-making; however, she frequently also utilizes supportive therapy, cognitive behavioral therapy, and psychodynamic therapy principles in her approach. She may refer patients to a therapist if further support would be beneficial.

‍

Dr. Andrews is a board-certified psychiatrist who received his medical degree from Lake Erie College of Osteopathic Medicine and completed his psychiatric residency at the University of Texas Health – San Antonio. Since graduating from medical school, Dr. Andrews served in the United States Air Force for over a decade, first as a Flight Surgeon and later as the Medical Director for mental health and substance abuse clinics overseas. In these roles, he provided medical support to Air Force personnel, their family members, and veterans. These invaluable experiences in high-pressure environments strengthened his desire to support the psychological challenges of individuals in a myriad of situations.

Outside of patient care, Dr. Andrews remains active in continuing education, ensuring the latest scientific advancements inform his practice. With a background grounded in medical excellence, military service, and clinical psychiatry, he brings a steady, knowledgeable, and compassionate presence to the healing process.

Dr. Andrews offers comprehensive psychiatric care to adults seeking support for mental health challenges. Whether you are experiencing stress, depression, panic attacks, sleep issues, or difficulty focusing, he provides a warm, nonjudgmental space to explore your concerns and work collaboratively on a treatment plan that aligns with your goals and values. He offers both medication management and a combination of psychotherapy techniques tailored to each patient’s unique needs for effective and lasting outcomes.

‍

Dr. Pilar Bare is an adult psychiatrist who completed her psychiatry residency at TriStar Centennial Medical Center in Nashville, Tennessee, where she served as Chief Resident. She earned her medical degree from Western University of Health Sciences College of Osteopathic Medicine of the Pacific Northwest in Oregon, where she studied osteopathic medicine which shaped her holistic view of health. She completed an intern year in Family Medicine at the University of Arkansas for Medical Sciences West. She holds a bachelor's degree in chemistry and biology from the University of Arkansas, where she graduated with honors.

Outside of work, she enjoys hiking, backpacking, visiting national parks, and spending time with her senior dog.

Dr. Bare believes that each individual's background plays a significant role in their mental health, and understanding a patient's personal story is critical to their healing journey. She believes in a respectful, collaborative relationship built on trust and open communication. While Dr. Bare integrates evidence-based medication management when clinically appropriate, she also emphasizes the therapeutic benefit of addressing lifestyle, relationships, and internal narratives.

Dr. Bare begins care with a thorough evaluation, exploring developmental history, impactful life events, and emotional patterns. From there, she develops a comprehensive treatment plan that may include medications, wellness strategies, and therapist collaboration. She considers each patient's strengths and challenges to guide care that promotes long-term recovery and personal growth.

‍

Dr. Fatima Ghandour is an adult psychiatrist originally from Southeast Michigan. She earned her undergraduate degree at the University of Michigan and her medical degree at Western Michigan University Homer Stryker MD School of Medicine. She completed her psychiatry residency at Authority Health in Detroit, where she was recognized as Resident of the Year in her graduating class. Dr. Ghandour has experience practicing in both outpatient and inpatient settings and has treated a wide range of conditions including depression, anxiety, ADHD, and PTSD.

Dr. Ghandour values open communication and collaboration, working closely with patients to set clear and meaningful treatment goals. She fosters a warm, supportive environment where patients feel heard, respected, and empowered to take an active role in their care. Her empathetic and patient-centered approach helps individuals feel safe sharing their unique experiences and challenges.

Dr. Ghandour begins each relationship with a thorough evaluation, taking time to understand each patient’s history, concerns, and goals. From there, she develops an individualized treatment plan that reflects the patient’s needs and preferences. She combines evidence-based strategies with ongoing dialogue to ensure treatment remains responsive and aligned with each patient’s progress and well-being.

Dr. Katherine Vital-Daley is an adult psychiatrist at Talkiatry. She treats all adults and her passion lies in providing accessible care for women facing challenges throughout pregnancy, childbirth, and postpartum and in reproductive psychiatry. Dr. Vital-Daley's academic background is rooted in science, with an undergraduate degree in biochemistry and molecular biology from the University of California, Merced. She then pursued her medical doctorate at the Medical University of the Americas. Following medical school, she completed her psychiatry residency training. The first two years were spent at East Carolina University, Brody School of Medicine, with a culmination of her last two years of residency at Allegheny Health Network in Pittsburgh, Pennsylvania, to further specialize in women's mental health, which solidified her expertise in this vital area.‍At Allegheny Health Network's Women's Behavioral Health clinic, Dr. Vital-Daley honed her skills in treating a range of conditions, including depression, anxiety, PTSD, OCD, bipolar disorder, and related issues, and served as a medical provider for their intensive perinatal/postpartum outpatient clinic. She also developed a deep understanding of perinatal mental health, supporting patients coping with perinatal loss and traumatic birthing experiences. In her practice, she employs supportive psychotherapy and mindfulness along with evidence-based medication management, utilizing the most current clinical guidelines and treatment modalities. ‍Dr. Vital-Daley's approach is rooted in a collaborative treatment approach. She works closely with patients, exploring past and current stressors and any relevant medical conditions to develop a comprehensive understanding of their individual needs. Recognizing the importance of cultural competency, she incorporates patients' unique backgrounds, beliefs, and core values into her care plans.