Michael Watkins, MD

Dr. Garrick Gaffney is board certified in psychiatry by the American Board of Psychiatry and Neurology (ABPN). He 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.

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.

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Background and credentials

Dr. Nilesh Tannu is a board-certified psychiatrist by the American Board of Psychiatry and Neurology. He earned his medical degree from B.J. Medical College in Pune and completed his adult psychiatry residency at the University of Texas Medical School at Houston, where he served as chief resident. During his training, he received awards from the Society of Biological Psychiatry, the American Academy of Addiction Psychiatry, and the American Psychiatric Institute for Research and Education. He has been practicing General Psychiatry and Consultation-Liaison Psychiatry for the past seven years at Texas Medical Center in Houston, Texas. Additionally, he has served as an assistant professor of psychiatry at the Texas Medical Center, working at UT Physicians Clinics and Memorial Hermann Hospital. He is also a member of the Editorial Board for BMC Genomics Journal.

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Treatment approach

Dr. Tannu follows the bio-psycho-social model to provide evidence-based psychopharmacologic treatment. He integrates supportive therapy and cognitive-behavioral therapy (CBT) modalities into his practice to create personalized and comprehensive treatment plans. He is committed to mental health care, education, and helping patients achieve optimal functioning in their personal and professional lives. His clinical expertise includes ADHD, anxiety disorders, depressive disorders, bipolar disorder, psychotic disorders, insomnia, eating disorders, and complex medical comorbidities.

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What you can expect in a first visit

During the first visit, patients can expect a comprehensive assessment where Dr. Tannu takes the time to understand their symptoms, treatment history, and personal goals. He employs a collaborative approach to develop a tailored treatment plan that may include medication management and therapy interventions. His focus is on evidence-based care, ensuring that patients receive treatments that are scientifically backed and aligned with their individual 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. De Jesus is a bilingual psychiatrist, fluent in English and Spanish. She is a double board-certified psychiatrist in Adult Psychiatry and Child & Adolescent Psychiatry. Dr. De Jesus provides medication management services in combination with supportive therapy during 30-minute follow-up visits. Dr. De Jesus received her medical degree from the Universidad Central del Caribe School of Medicine in Bayamon, Puerto Rico. She completed her Adult Psychiatry residency at Jackson Memorial Hospital in Miami, FL. Subsequently, Dr. De Jesus pursued her fellowship in Child and Adolescent Psychiatry at Thomas Jefferson University Hospital in Pennsylvania and was a Chief Resident during her last year of training. Dr. De Jesus has been providing psychiatric services in the community mental health setting for 8 years. Her clinical focus has been in treating children, adolescents, and young adults with depression, anxiety, posttraumatic stress disorder, and ADHD. Dr. De Jesus believes in the importance of establishing an individualized treatment approach to meet each individual's need while providing comprehensive care to her patients.

Dr. Nieves-Alvarado is a Board-certified psychiatrist who completed medical training at Duke University Psychiatry Program. Originally from Puerto Rico, she is fluent in both English and Spanish, which allows her to connect deeply with a diverse patient population.

Her practice combines medication management with insight-oriented therapy during every visit, promoting a comprehensive approach to mental health care. She advocates for her patients to engage in therapy alongside medication management, as she believes this integrated approach leads to better outcomes and sustained improvement. Dr. Nieves-Alvarado's practice is rooted in a collaborative, team-based approach, working closely with her patients to achieve long-term mental wellness.

Dr. Nieves-Alvarado earned her medical degree from the Universidad Central del Caribe School of Medicine in Bayamon, PR. Afterward, she moved to North Carolina, where she completed her residency at Duke University Hospital. During her training, she was nominated for a fellowship in psychodynamic practice by the Psychoanalytic Center of the Carolinas, showcasing her expertise in this area. She is also a dedicated advocate against childhood sexual trauma.

Her diverse training includes significant experience in jail and forensic psychiatry, as well as the treatment of military veterans under the veteran affairs health care system. She has experience in medically assisted treatments (MAT) for substance use disorders, Electroconvulsive therapy (ECT), and family therapy, enabling her to care for patients with complex needs.

Dr. Nieves-Alvarado treats patients across a wide age range, from young adults to the elderly. Passionate about improving access to mental health care, she joined Talkiatry to help patients facing time or transportation challenges receive the care they need.  

In addition to her clinical practice, Dr. Nieves-Alvarado remains involved with her alma mater’s Behavioral Health Department, contributing to academic education and maintaining a connection with the next generation of medical professionals. She continues to seek ongoing improvement in her field, remaining engaged with medical associations including North Carolina Psychiatric Association, American Psychiatric Association, and Alpha Omega Alpha national medical honor society. Dr. Nieves-Alvarado is committed to working hand-in-hand with her patients to achieve mental wellness.”

Dr. Mustafa Taquee is a board-certified Adult Psychiatrist. After receiving his undergraduate degree from Wayne State University in Detroit, he completed his medical degree at Oakland University William Beaumont in Rochester, MI. He is a graduate of the Adult Psychiatry Residency Program at St. Mary Mercy Hospital in Livonia, MI. As a testament to Dr. Taquee's desire to help patients reach their full potential, he has also completed a psychotherapy fellowship through the Michigan Psychoanalytic Institute. Dr. Taquee believes that every patient brings their own mosaic of experiences embedded in a unique story. He understands that building a strong therapeutic relationship through empathy, compassion, trust, and respect is essential. He enjoys taking time to understand his patient's goals, offer psychoeducation, and create a collaborative plan for treatment with the patient. He believes in a holistic approach to mental health treatment, which includes medication management, supportive and cognitive behavioral therapy techniques, as well as mind-body medicine techniques. He also has a special interest in psychodynamic therapy, an in-depth therapy modality, which he incorporates in all patient interactions and sessions. Due to the diversity and richness of culture in southeast Michigan, Dr.Taquee has experience working with patients from varied backgrounds. He enjoys the challenge such a heterogeneous environment brings and is particularly fond of working with young adults experiencing life transitions. He also has experience working with patients from lower socioeconomic backgrounds, as well as adolescents and geriatric populations.