Meena Shah, MD

Jackie LaVe' is a board certified Psychiatric Mental Health Nurse Practitioner. She is also dually certified as a Family Nurse Practitioner. She received her master’s degree and post-master’s certificate from Vanderbilt University. Jackie has 12 years of experience as a nurse and over 7.5 years of experience as a Nurse Practitioner. Jackie is licensed to practice in Montana, Arizona and New York.

Jackie LaVe’ offers a patient centered approach, working with individuals aged 18-65. She believes in engaging patients in the decision-making process. Jackie has professional interests in treating a wide range of adult psychiatric conditions including depression, anxiety, trauma, ADHD, OCD, panic, autism and bipolar disorder.

She provides psychiatric assessments and medication management along with brief supportive psychotherapy. She believes in educating patients, so they are empowered to work together to create treatment plans that improve their health and quality of life. Jackie has additional education and experience in cognitive behavioral therapy, mindfulness and motivational enhancement. Jackie can also review if adding a therapist to your care team could improve outcomes.

Background and credentials

Dr. Sinner is board-certified in Psychiatry. He completed his psychiatry residency training at Dartmouth-Hitchcock Medical Center. With over 14 years of experience, he has worked in a variety of settings, including five years in inpatient psychiatry in Vermont, where he served as Medical Director for a state hospital psychiatric unit and taught medical students. He then spent five years working in an outpatient community mental health center in Pennsylvania before transitioning to telepsychiatry, providing care to individuals in Pennsylvania, Florida, and New York.

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Treatment approach

Dr. Sinner employs a collaborative, patient-centered approach, tailoring treatment plans to meet each individual's specific needs. His practice integrates pharmacotherapy with cognitive behavioral therapy (CBT) and supportive therapy as needed. He specializes in treating a wide range of psychiatric conditions, including depression, bipolar disorder, anxiety, ADHD, neuropsychiatric disorders, developmental disorders, and personality disorders. His philosophy is to provide personalized care that makes a meaningful impact at different stages of a patient’s life.

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What you can expect in a first visit

During the first visit, patients can expect a comprehensive evaluation focused on understanding their mental health concerns, history, and treatment goals. Dr. Sinner takes a compassionate and collaborative approach, working closely with patients to create individualized treatment plans. He ensures that each patient receives a balanced and effective combination of medication management and therapeutic interventions suited to their unique 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. Khandie Graham is a board-certified psychiatrist who completed her medical training at UCLA/Drew Medical Education and her psychiatry training at University of California, San Francisco/Fresno in 2013. She has served as a psychiatrist in the United States Air Force and prior to joining Talkiatry, was an inpatient psychiatrist. Dr. Graham's practice focuses on medication management. Typically, she offers this in conjunction with supportive therapy in 30-minute follow-up visits. However, occasionally Dr. Graham 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. Graham treats all adults and specializes in depression, bipolar disorder, anxiety disorders, ADHD, and life changes. She prides herself in partnering with patients to create individualized treatment plans. Dr. Graham is a great listener and spends time with her patients.

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.

Jennifer Young-Cott is a dedicated Psychiatric Mental Health Nurse Practitioner who brings compassion, warmth, and a strong commitment to patient well-being into her work. With a deep respect for each individual’s story, she values creating a safe, supportive, and healing environment. Outside of clinical practice, Jennifer enjoys learning Spanish and spending time hiking with her dog, Mavis—interests that help her maintain balance and bring a holistic perspective to care.

Jennifer approaches care through a collaborative, patient-centered lens. She believes trust, confidentiality, and open communication are essential to effective treatment. With extensive experience in both inpatient and outpatient psychiatry, she brings expertise in trauma, mood disorders, anxiety, and thought disorders while remaining attentive to each patient’s unique needs and goals.

Jennifer begins by listening carefully and gathering a thorough history to understand each patient’s challenges and strengths. She partners with patients to develop individualized treatment plans using current, evidence-based interventions. Her process emphasizes empathy, collaboration, and ongoing support to promote long-term mental health and overall well-being.

Dr. Upton Thomas is a board-certified psychiatrist who takes a warm, collaborative, and evidence-based approach to care. With a focus on treating mood disorders, anxiety, OCD, and substance use, he integrates psychopharmacology and psychotherapy to support patients in achieving meaningful change. He brings curiosity, creativity, and a deep respect for each individual’s story to his clinical work.

Patients often find Dr. Thomas easy to talk to and appreciate his calm, thoughtful demeanor. He emphasizes shared decision-making and believes that treatment works best when the patient’s values and voice are at the center. Dr. Thomas aims to create a safe space for honest dialogue and ongoing reflection as treatment evolves.

Dr. Thomas begins with a comprehensive evaluation to understand each patient’s mental health history, current concerns, and goals. He then develops an individualized treatment plan that may include medication, therapy, or both. He prefers to use the lowest effective dose of medications and often integrates psychotherapeutic strategies such as CBT, DBT, or insight-oriented work into his sessions.

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