Meena Shah, MD

Emily-Rose Virden, PMHNP-BC, earned her advanced nursing degree at the Massachusetts General Hospital Institute of Health Professions and has many years of experience as both a psychiatric nurse and a Psychiatric Mental Health Nurse Practitioner. She has practiced across a wide range of mental health settings, including inpatient, outpatient, partial programs, and Emergency Room care.

She strives to build trusting relationships with her patients and values open, honest communication throughout the treatment process. Emily-Rose creates an inclusive, supportive environment where every patient feels heard, respected, and genuinely cared for.

During initial appointments, she explores each patient’s history and current concerns to determine the most appropriate treatment plan. She works collaboratively with patients to set meaningful goals and encourages ongoing participation in each session to support strong, successful outcomes.

Dr. La Haie is board certified in adult psychiatry and has been in practice for over 15 years.  She completed her residency at Banner Good Samaritan (now Banner University) Hospital in Phoenix, Arizona.  After completing her residency training, Dr. La Haie worked with the severely mentally ill population for several years, then transitioned to a private practice setting that offered the interventional options of transcranial magnetic stimulation and ketamine infusion.  Most recently, Dr. La Haie has worked at the Phoenix VA treating veterans, with focus on PTSD, depression and anxiety.  Dr. La Haie has held an academic appointment at the University of Arizona Medical School and has spent her professional career supervising/teaching medical students and psychiatry residents.

Dr. La Haie's practice focuses on medication management and providing psychoeducation to her patients. However, if indicated, Dr. La Haie may believe that additional therapy is also needed and ask that you bring a therapist into your care team to provide the best outcome.

Dr. La Haie has experience treating a large variety of mental health conditions across a variety of populations. She strongly believes in tailoring treatments through a holistic and patient-centered approach based on individual and multi-faceted histories. Dr. La Haie looks forward to working with you.

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Dr. Fang is a board-certified psychiatrist who completed his psychiatry residency at Duke University, where he received extensive training in Psychopharmacology, Psychotherapy (“Talk Therapy”), Transcranial Magnetic Stimulation (TMS), and Electroconvulsive Therapy (ECT). Throughout his life, Dr. Fang has lived in various places such as China, Canada, Upstate New York, Maine, and North Carolina, where he currently resides. This rich cultural experience allows him to connect with individuals from diverse backgrounds, which is crucial in the field of psychiatry where treatment is so highly personal. Dr. Fang has also practiced in multiple settings including a college mental health clinic, an adult ADHD clinic, a perinatal psychiatry clinic, a VA hospital, and a residential recovery program.

While Dr. Fang’s current practice is primarily focused on medication treatment, he utilizes his training as a therapist to ensure that patients feel understood and empowered to discuss any other issues they might be facing. With experience in many modalities of therapy including Psychodynamic, Supportive, Cognitive Behavioral Therapy (CBT), and Acceptance and Commitment Therapy (ACT), Dr. Fang knows that one size does NOT always fit all. If more in-depth therapy is felt to be beneficial, Dr. Fang may refer clients to a separate therapist.

Dr. Thomas Spina is an adult psychiatrist who began his practice at Talkiatry after completing his psychiatry residency at the Eastern Long Island branch of Stony Brook University, where he treated a diverse patient population. Dr. Spina received his undergraduate degree from St. John's University in Queens where he studied Philosophy. Initially interested in a career in law, Dr. Spina decided to change gears and pursue a career in medicine after watching a relative struggle with her diagnosis of Diabetes Mellitus. Dr. Spina then completed medical school at Tel Aviv University in Israel, where he fell in love with psychiatry during his clerkship at Ichilov medical center. During that rotation, he came to appreciate how each patient has his or her own unique story, regardless of their diagnosis. Dr. Spina favors a holistic and integrative approach to psychiatry, combining medication management with supportive therapy, elements of cognitive behavioral therapy, while remaining open to other treatment modalities depending on the needs of his patients. When more focused therapy is indicated, Dr. Spina may recommend that his patient work with a provider specializing in a particular modality of therapy as part of their treatment. Dr. Spina treats adult patients with mood disorders including major depressive disorder and bipolar disorder, anxiety spectrum disorders, OCD, PTSD and specific phobias. In his spare time, Dr. Spina enjoys a variety of hobbies, including Brazilian Jiu-Jitsu, running, baseball, and exploring new eateries and shops.

Dr. Tetyana Tarnavsky is a board-certified psychiatrist trained in Adult Psychiatry. She attended Dnipropetrovsk State Medical Academy in Ukraine where she received her M.D., M.S. and Ph.D. degrees in Psychiatry. Dr. Tarnavsky completed her residency at Harvard South Shore Psychiatry Residency Training Program in MA, where she was elected chief resident. Dr. Tarnavsky has an extensive research experience in Ukraine and the USA. She had studied computer addiction for her dissertation; had multiple abstracts and presentations; published several articles in peer-reviewed psychiatric journals as well as a book entitled Computer Addiction: Formation, Diagnosis, Correction and Prophylaxis. She has helped organize international conferences with the goal of improving access to and quality of healthcare in Dnipropetrovsk, Ukraine, and providing a national model for health care reform. Dr. Tarnavsky has worked with a variety of patients with diverse backgrounds in a Community Health Center and in the Partial Hospitalization Program as well as supervised medical students, psychiatry residents, and nurse practitioners. She has been a lecturer on psychiatry at Harvard Medical School and was involved in the training of psychiatry residents in the Harvard South Shore Psychiatry Training Program. Her primary focus has been on treating adults with depression, anxiety, post traumatic stress disorder, adjustment disorder, ADHD and other disorders. Dr. Tarnavsky strives to provide quality and compassionate treatment to individuals and their families.‍

Dr. Garrick Gaffney earned his medical degree from Kansas City University and completed his psychiatry residency at John Peter Smith Hospital in Fort Worth, Texas. A combat veteran, he served in the U.S. Marine Corps, including a tour in Iraq, and was honored with the Navy and Marine Corps Achievement Medal and a Certificate of Commendation for exemplary leadership.  During medical school, Dr. Gaffney pursued advanced training as an Osteopathic Manipulative Medicine fellow. As a resident, he served as Chief Academic Resident and earned accolades such as Intern of the Year and Outstanding Educator of the Year twice consecutively.  

Dr. Gaffney specializes in treating complex psychiatric conditions, including depression, anxiety, PTSD, OCD, bipolar disorder, and insomnia. He has presented case studies and quality improvement projects at national conferences, including the American Psychiatric Association (APA), Academy of Consultation-Liaison Psychiatry, and Association for Academic Psychiatry.  

A proponent of holistic care, Dr. Gaffney integrates psychotherapy into medication management and emphasizes lifestyle modifications and evidence-based integrative medicine

New patients receive comprehensive evaluations to rule out medical causes of symptoms, followed by tailored treatment plans combining therapy, medication, and lifestyle adjustments. Follow-up visits focus on symptom management through supportive, brief dynamic, or cognitive behavioral therapy, with frequent appointments until stabilization is achieved.  

Dr. Gaffney is committed to collaborative, patient-centered care that addresses both mental and physical well-being

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