Megan Freeman, MD

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Dr. Megan Marumoto provides holistic and personalized care as an integrative psychiatrist board-certified in General Psychiatry, Child & Adolescent Psychiatry, Integrative Medicine, and Lifestyle Medicine. She takes a root cause approach to treating mental health conditions as a certified Functional Medicine practitioner. Dr. Marumoto treats a wide range of mental health conditions in children, adolescents, and young adults, including ADHD, anxiety, depression, phobias, OCD, and trauma-related conditions. Patients may expect a comprehensive assessment with evidence-based treatment focusing on nutrition and healthy lifestyle interventions as well as medication management in 20�30-minute sessions. She enjoys working collaboratively with therapists and health coaches to achieve the best outcomes. She also provides supportive therapy and other therapies when indicated. She received her medical degree from the John A Burns School of Medicine and completed her Psychiatry Residency and Child & Adolescent Psychiatry fellowship at the University of Hawaii. Wishing to provide comprehensive care beyond medication management and therapy, Dr. Marumoto completed a second fellowship in Integrative Medicine at the University of Arizona. She has over 20 years of clinical experience working with military and civilian populations.

Megan Tusken, MD

Staff Psychiatrist

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.

Megan Crochet, MD

Staff Psychiatrist

Dr. Megan Crochet is board certified in Adult Psychiatry and has completed a fellowship in child and adolescent Psychiatry. Dr. Crochet attended medical school at Drexel University College of Medicine and completed her training at Mount Sinai School of Medicine, followed by Tulane University School of Medicine, where she was a chief resident. Dr. Crochet provides a therapeutic medication management visit, which incorporates therapeutic techniques tailored to the individual patient needs while adjusting medication doses. Her goal is to help patients manage their symptoms while working towards, over time, uncovering the root causes. This comprehensive process helps to empower her patients and provides hope and acceptance of their psychiatric challenges. If indicated, Dr. Crochet may believe that additional therapy is also needed and recommend that you bring a therapist into your care team to provide the best outcome. Dr. Crochet has worked in hospital systems, private practice, and most recently telemedicine. When not practicing, she enjoys all things water, cooking and spending time with her daughter and dog.

Megan Wynne, MD

Staff Psychiatrist

Dr. Megan Wynne is board certified in adult psychiatry and completed fellowship training in Consultation-Liaison Psychiatry (Psychosomatic Medicine). She has been in practicing psychiatry since 2006. Dr. Wynne completed her medical degree at Drexel University School of Medicine in Philadelphia, PA, her psychiatric residency at Thomas Jefferson University Hospital in Philadelphia, PA and her consultation/liaison psychiatric fellowship at Long Island Jewish Hospital in Queens, NY. She continued to work in Consultation Liaison Psychiatry at North Shore Hospital in NY, before working for nine years at Philadelphia Veterans Administration Hospital as a staff psychiatrist and associate at the University of Pennsylvania University Hospital. During this time, she worked closely with patients struggling with Traumatic Brain Injury, Post Traumatic Stress Disorder, Depression and Anxiety. She acted as an attending psychiatrist in training medical students, psychiatric residents and fellows. Following a move to New Zealand, she worked as lead psychiatrist for Te Puna Waiora, Maori Mental Health team (Indigenous Person mental health clinic) at Counties Manakau District Health Board. She worked with multiple patients facing cultural challenges, as well as psychosocial stressors (poverty, family fragmentation, poor education). During this time, she worked within the indigenous system of mental health, which treats not just emotional or physical issues for a person, but spiritual and familial as well. She has incorporated this into her treatment approach for all patients. Dr. Wynne has always believed that medication must be used in conjunction with psychodynamic therapy, and medical and social supports to most appropriately treat a patient. She offers 30-minute sessions consisting of medication management and brief therapeutic support. She specializes in treating victims of trauma, medical comorbidity.

Irene Pastis, MD

Staff Psychiatrist

Dr. Irene Pastis is a board-certified psychiatrist who specializes in adult psychiatry.  She completed residency training at East Carolina University in both internal medicine and psychiatry.  After residency, she pursued her passion in psychiatry and stayed on as a clinical assistant professor in the department of psychiatry at East Carolina University.  In this role she specialized in treating adults with mental illness in both the inpatient and outpatient settings.  She has spent a considerable amount of time teaching residents and medical students and has published several papers focusing on the neuroscience pathways of mental health conditions.  In her daily practice, Dr. Pastis focuses on evidence-based treatments utilizing the latest clinical guidelines and current approved treatments.  In addition to medication management, she also incorporates psychotherapy in the treatment of mental health conditions.  Dr. Pastis is passionate about taking a collaborative approach with her patients to help them reach their potential.

Gregory Miller, DO

Staff Psychiatrist

Gregory Miller, DO, is an adult psychiatrist who prioritizes understanding his patients by first listening to their stories. He collaborates with them to develop both pharmacological and non-pharmacological solutions aimed at improving their functionality. Dr. Miller emphasizes that functioning better often leads to feeling better. Whenever possible, he approaches treatment within the context of the family system surrounding the individual. Raised in South Carolina, and now residents of Florida, Dr. Miller and his wife of 31 years have six children. He enjoys outdoor activities and team sports and is an avid fan of Tolkien and C.S. Lewis. He at times incorporates analogies from their works into therapy if appropriate.

Darius Robinson, MD

Staff Psychiatrist

Dr. Darius Robinson is a board-certified psychiatrist who is passionate about providing patient-centered, evidence-based mental health care. He specializes in diagnosing and treating a wide range of psychiatric conditions, including anxiety, depression, ADHD, and post-traumatic stress disorder (PTSD). Dr. Robinson combines evidence-based medication management with supportive psychotherapy to help his patients thrive. Dr. Robinson earned his undergraduate degree from Southern University at New Orleans. He later completed a Master's of Medical Science degree at Mississippi College in Clinton, MS. He went on to obtain his medical degree from Louisiana State University in Shreveport and completed his psychiatry residency at Louisiana State University in New Orleans. Dr. Robinson is certified by the American Board of Psychiatry and Neurology and is licensed to practice medicine in Louisiana, Michigan, Tennessee, and Kansas. Dr. Robinson believes in fostering a collaborative approach to care, partnering with his patients to create tailored treatment plans that honor their unique needs and goals. Dedicated to lifelong learning, he stays at the forefront of advancements in psychiatric care to ensure his patients receive the best possible outcomes. Above all, he is committed to empowering individuals to achieve lasting mental health and well-being.

Tania Majette, LCSW

Staff Therapist

Tania Majette is currently serving adults for individual therapy. She has 15 years of experience in providing counseling services to diverse populations, including at-risk youth, rural healthcare, and U.S. Veterans. She earned a Bachelor of Social Work, Bachelor of Arts in Psychology, and Master of Social Work from the University of South Florida. ‍Tania's most recent experience has been in providing psychotherapy and evaluation services to U.S. Veterans suffering from co-occurring substance use and mental health disorders. She has previous experience as a behavioral health program director for an integrated care medical practice in a rural community and as a clinical supervisor to other social workers, providing therapy to a wide variety of clients from different backgrounds and ages. Tania's treatment modality styles are primarily CBT, Solution Focused Therapy, and Psychodynamic Therapy. She is also experienced in implementing these modalities within a trauma-centered and/or faith-based approach. ‍Tania specializes in treating a wide range of diagnostic and psychosocial concerns, including the following: depression, anxiety, trauma, work-related stress, spirituality, racial issues, and interpersonal stress. Through her years of experience as a therapist, Tania has endorsed the belief that people need to be honored as experts of their own life experiences and should be free to share this without judgment or minimization.

Anil Kulangara, MD

Staff Psychiatrist

Dr. Anil Joseph (AJ) Kulangara completed additional training in Psychiatry at the University of Washington after working primarily in women’s health, primary care, and military medicine as a Battalion Surgeon in the United States Army. Following his military service, he trained in Psychiatry and served the mental health needs of our Veteran population. He is excited to now bring his unique expertise and experiences to Talkiatry, as well as his additional training in Women’s Mental Health, Reproductive and Perinatal Psychiatry, PTSD, and trauma-informed ADHD evaluation and treatment.

Dr. AJ’s approach focuses on behavioral change, with medication management and supportive therapies serving as important (and often essential) adjuvants to optimizing mental health.

During your first meetings with Dr. AJ, you should expect a thorough evaluation of your clinical and social histories, as well as some introductory psychoeducation. Following that screening, anticipate a discussion about his approach to your condition and an initial treatment plan. Please feel free to bring up any questions or concerns at any time during this process, and note-taking is highly encouraged!

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Hector Cardiel-Sam, MD

Staff Psychiatrist

Dr Cardiel- Sam is Board Certified in both General Psychiatry and Child and Adolescent Psychiatry. He completed undergraduate training at the University of Miami followed by medical school at St. George's University. He has completed a residency in psychiatry at Bergen New Bridge Medical Center and a fellowship training in child and adolescent psychiatry at Penn State University. ‍His training in Child and Adolescent Psychiatry has given him a unique perspective on mental illness. He has found that these conditions rarely start in adulthood, but rather, are a product of multiple factors and years of lived experience. For this reason, Dr Cardiel-Sam approaches his patients through a trauma-informed lens; an acknowledgement of the unique story and challenges that each individual has faced. He is comfortable treating a wide variety of psychiatric conditions including depression, anxiety, bipolar disorder, ADHD and many more. ‍Working with Dr Cardiel- Sam, you can expect holistic and collaborative psychiatric treatment. He believes that medication along with therapeutic treatment should fit seamlessly into a patient's life, with minimal inconvenience. He strives to empower patients in shared medical decision making, making time to explain risks/benefits and alternatives for treatment.

Carly Moskowitz, MD

Staff Psychiatrist

Dr. Moskowitz (she/her) is a licensed adult psychiatrist. She earned her medical degree from Albert Einstein College of Medicine and completed her psychiatry residency at the University of Arizona. She has extensive experience treating a wide range of mental health conditions, including depression, anxiety, ADHD, bipolar disorder, PTSD, OCD, and psychotic disorders. Dr. Moskowitz is especially passionate about working with transgender and other LGBTQ+ patients, offering inclusive, identity-affirming care tailored to each individual’s experience and needs.

Dr. Moskowitz takes a warm, collaborative approach grounded in empathy and trust. She believes in meeting patients where they are and working together to build a therapeutic relationship that supports healing, self-understanding, and personal growth. Patients can expect a nonjudgmental, respectful environment where their goals and concerns are genuinely heard and addressed.

Dr. Moskowitz integrates elements of psychodynamic, supportive, and cognitive-behavioral therapy into her work and offers medication management when appropriate. She emphasizes a personalized treatment plan for each patient, designed to align with their unique values, history, and goals. Her process includes thorough assessment, open dialogue, and flexible adjustments as needs evolve over time.

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Sarah Debrey, MD

Staff Psychiatrist

Dr. Debrey is board-certified in adult psychiatry. Her approach is client-centered, individualized, and collaborative. She focuses on building a strong therapeutic alliance with each client to work towards achieving enhanced functioning and meaning in their lives. She works with individuals experiencing a wide range of mental health concerns, including depression and other mood concerns, bipolar spectrum illnesses, OCD, PTSD, anxiety disorders, and substance use disorders. Though she specializes in medication management, she believes in an integrative and comprehensive treatment program that incorporates multiple aspects of an individual's health and wellness. Along with discussing physical health concerns, diet, exercise, personal connection, and stress management, she incorporates various therapeutic modalities, including CBT, DBT, ACT, and mindfulness, into her work. In some instances, Dr. Debrey may recommend more intensive psychotherapy with a collaborating therapist in order to help facilitate the best care possible. Dr. Debrey received her medical degree from Rush Medical College. She also holds a graduate degree in epidemiology from the Johns Hopkins Bloomberg School of Public Health. Following medical school, she completed her residency in psychiatry at Emory University School of Medicine. During her final year of residency, she served as chief resident at Grady Memorial Hospital. Prior to joining Talkiatry, Dr. Debrey was an assistant professor at Emory University Department of Psychiatry, where she worked as an attending psychiatrist at Grady Behavioral Health. While at Grady, Dr. Debrey worked primarily as a community psychiatrist with a focus on working with individuals experiencing psychosis. She also frequently worked on the inpatient psychiatry service at Grady. As an Emory faculty member, teaching and mentorship were an especially meaningful part of her work.‍

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Megan Freeman, MD

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Megan Marumoto, MD

Staff Psychiatrist

Megan Tusken, MD

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Megan Crochet, MD

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Megan Wynne, MD

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Irene Pastis, MD

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Gregory Miller, DO

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Darius Robinson, MD

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Tania Majette, LCSW

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Anil Kulangara, MD

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Hector Cardiel-Sam, MD

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Carly Moskowitz, MD

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Sarah Debrey, MD

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