Michael Murphy, MD

Dr. Michael Padua is a graduate from the University of Nevada, Reno School of Medicine and completed his psychiatry residency training at Loyola University Medical Center at Maywood, IL. He is trained and experienced in diagnosing and treating various psychiatric disorders including depression, anxiety, psychosis, and bipolar disorder with a focus on posttraumatic stress disorder, women's mental health, and cultural psychiatry. He combines his clinical expertise with a passion for working with underserved populations and the LGBTQIA+ population to address mental health needs across various communities. Dr. Padua has experience working in a variety of settings, which includes working as an outpatient psychiatrist at a federally qualified health center (FQHC), and as a correctional psychiatrist at the Washoe County Sherriff's Office in Reno, NV. In addition to his clinical work, Dr. Padua has also participated in research and education, and has co-authored peer-reviewed articles in the fields of psychiatry and biology.

Dr. Michael Watkins is a board-certified adult psychiatrist. He completed his residency at The University of Texas Health Science Center at Tyler. In addition to being thoroughly trained in psychopharmacology, Dr. Watkins has also received extensive training in psychotherapy. From traditional psychodynamic therapy to the more modern mindfulness-based dialectical behavior therapy, Dr. Watkins takes the approach that best serves his patients. In addition to being trained in a variety of therapies, Dr. Watkins also employs a positive psychiatry approach which, as well as addressing a patient's symptoms, also focuses on their strengths and how they can be used to overcome adversity. Prior to pursuing a career in psychiatry, Dr. Watkins was a high school math teacher, and prior to that, he was an NCAA Division I college athlete. His teaching and athletic careers have given him a well-rounded perspective on the human experience. Drawing on his academic training and life experiences, Dr. Watkins meets patients where they are at, helps them overcome their obstacles, and serves as a guide and a resource for them on their journey to their desired destination.

Dr. Michael Fiori is Board Certified in Adult Psychiatry and Addiction Medicine. He has practiced general psychiatry for 37 years, and has also sub-specialized in Addiction Psychiatry for the past 20 years. Dr. Fiori's practice emphasizes Diagnostic Clarification, which is an ongoing process. He is highly trained and experienced in the biological and psychosocial underpinnings of psychiatric problems. He typically follows diagnostic evaluations with 30-minute follow up visits for medication adjustments and brief therapy. Dr. Fiori often enjoys collaborating with outside therapists when needed. Dr. Fiori graduated from Amherst College and received his medical degree from NY Medical College. He subsequently completed his residency in psychiatry at the Mount Sinai Medical Center in NYC. He excelled in Academic Psychiatry as both a teacher and a mentor. His practice has always combined medications with evidence-based therapies to alleviate suffering and maximize functioning. In addition to his work as a Board Certified Adult Psychiatrist, he has specialized in helping patients suffering from Substance Use Disorders. Dr. Fiori is Board Certified in Addiction Medicine, and helps patients understand the interrelationships between their Substance Use Disorders and their Psychiatric illnesses.

Dr. Michael Underriner is an adult psychiatrist. His approach to treatment is holistic, taking into account the entire person, and emphasizes the importance of the therapeutic bond to help people reduce suffering and achieve their goals. He is a member of the Gold Humanism Honor Society. Dr. Underriner's practice focuses on a mix of medication management, offered in conjunction with supportive therapy in 30-minute follow-up visits, and insight-oriented psychotherapy offered in weekly 45-minute visits. He works with people struggling with ADHD, depression, anxiety, obsessive-compulsive and related disorders, and difficulties with self-esteem and relationships. Occasionally Dr. Underriner may believe that additional therapy is warranted and recommend a separate therapist to provide the best outcome. He received his medical degree from the University of Chicago Pritzker School of Medicine and completed his residency training at New York University. During training, he gained experience treating patients with various psychiatric illnesses in several different clinics and hospital-based settings. He worked with experts in the field of depression and provided consultations for patients considering transcranial magnetic stimulation. He also published a review article on long-term injectable medications for psychosis. Dr. Underriner has maintained an interest in teaching and remains connected to the psychiatry department at NYU. He has supervised and taught junior residents and medical students. Additionally, he is interested in global health and disparities in access to care and has traveled to Ghana to teach medical students rotating through psychiatry at the university there.

Dr. Tobias Murphy is a psychiatrist with Talkiatry who is licensed to provide care in the states of Ohio, West Virginia, and New York. He completed medical school and psychiatry residency at Marshall University's School of Medicine. He has additional training in neuropsychiatry and geriatric psychiatry. During his training, Dr. Murphy was actively involved in teaching medical students and residents. His most frequent lectures included LGBT and transgender mental health. He is a member of the American Psychiatric Association, the American Association of Gay and Lesbian Psychiatrists, the Gay and Lesbian Medical Association, the World Professional Association for Transgender Health. He was inducted into the Gold Humanism Honor Society and given awards for Inclusion and Advocacy as well as Honors in Community Service during training. He has published papers, presented at conferences, and served as an ad-hoc reviewer for medical journals. Dr. Murphy approaches medication management through the lens of compassionate listening and psychotherapy, seeking to reduce the stigma of mental illness and put patients at ease during their visits. He has experience treating a variety of conditions, including bipolar disorder, depression, OCD, PTSD, ADHD, and anxiety. He enjoys working with a diverse population of patients providing culturally informed care. Follow-up patient visits will include both supportive therapy and medication management during 30-minute encounters.

Gabrielle Delarose is a dually boarded Psychiatric Mental Health and Family nurse practitioner with over ten years of clinical experience. Gabrielle is dedicated to providing culturally competent and evidence-based medication management and psychotherapy to assist individuals in achieving their goals to live their best life. I believe in holistic treatment of individuals, and focus on the individual’s overall well-being, including how they are functioning socially and professionally. In addition to medication and psychotherapy, she is a proponent of incorporating research-supported alternative modalities, including dietary changes, exercise, social interaction, and yoga. She also advocates of forest bathing (“shinrin-yoku”), a practice of spending time in nature that yields both medical and mental health benefits as discovered in research trials from around the world. As a professionally trained cellist, she also frequently incorporates art and music into appointments and treatment plans with patients. Her goal for all her patients is to improve all facets of a person’s life with treatment. Gabrielle is an LGBTQ+ affirming provider and has extensive experience working with diverse populations.

New patients should know that the initial appointment will consist of obtaining their social history in addition to their medical history. This is an important part of establishing a therapeutic relationship in addition to obtaining health information to use in formulating treatment plans. A person’s identity and life experiences are a significant influence on a person’s health and well-being, and Gabrielle believes in discussing these experiences in order to best understand a patient’s background and incorporate that into their care. Patients are encouraged to write down any questions they may have prior to the appointment, as well as any significant points they want to discuss. This is encouraged because, as patients, we may forget to address these points without a prompt from the provider. Gabrielle also encourages patients to actively participate in their care and firmly believes in a patient’s right to autonomy and agency. This patient-centered approach empowers patients to help guide treatment plans that best fit the patient’s needs and abilities at any given time. Patients are also encouraged to discuss any concerns about medications or treatment, particularly if there are concerns about side effects.

Gabrielle works collaboratively with patients to determine appropriate and preferred treatment plans, including medication and therapy. She uses cognitive behavioral therapy (CBT) as the primary therapy modality, in conjunction with existential therapy, depending on the patient’s needs and preferences. She prefers to allow patients flexibility in their treatment, so the process may look less structured depending on the immediate needs of the patient. Other times, particularly while working through a specific problem in therapy, appointment agendas may be planned out for several weeks. If at any time, however, a need arises to deviate from preplanned appointment agenda, patients are encouraged to discuss this at the beginning of the appointment. Above all, patients’ needs will guide the agenda.