Nicole Parrish, MD

Staff Psychiatrist
Languages
English
Conditions Treated
Anxiety
Bipolar Disorder
Depression
Obsessive-compulsive disorder (OCD)
PTSD/Trauma
Perinatal Psychiatry
Phobias
Postpartum Depression
Child/Adolescent

Education and training

• Randolph-Macon College, BS

• VCU Medical Center, MD

• Greenville Memorial Hospital, Residency

• VCU Health - Virginia Commonwealth University Health System, Fellowship

Get to know

Nicole Parrish, MD

Dr. Parrish is a board-certified General Psychiatrist and board-certified Child and Adolescent Psychiatrist. In addition to medication management, Dr. Parrish also provides supportive therapy and cognitive behavioral therapy techniques during appointments. When appropriate, she will refer patients for additional psychotherapy and will work to collaborate with therapists to help patients achieve the best outcomes. She received her medical degree from the Medical College of Virginia/VCU in Richmond, Virginia. She then traveled to Greenville, South Carolina where she completed a General Psychiatry residency at Greenville Health System/PRISMA Health and then returned to Virginia to complete a Child & Adolescent Psychiatry fellowship at The Virginia Treatment Center for Children/VCU Health System. Dr. Parrish is a strong advocate of an integrated approach to treating children and their families. She completed undergraduate training at Randolph-Macon College in Ashland, Virginia, where she studied psychology and elementary education. Prior to entering medical school, she was a licensed elementary school teacher in Virginia where she served children of various learning styles and needs. She continues to have an interest in learning disabilities, other neurodevelopmental disorders, ADHD, mood disorders, as well as many other areas of psychiatry.‍

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Dr. Cash attended Wright State University Boonshoft School of Medicine, where she developed a strong foundation in medicine and a passion for psychiatry. She completed her residency at Wright State University, honing her skills in understanding and treating mental health conditions.

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Dr. Cash works closely with patients to develop treatment plans that combine medication, lifestyle changes, and psychotherapeutic strategies to address their unique needs.

Thomas Spina, MD

Staff Psychiatrist

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.

Meredith McMillan, LMHC

Staff Licensed Mental Health Counselor

Meredith McMillan is a Licensed Mental Health Therapist with 9 years of experience working in mental health. She specializes in working with individuals who experienced trauma and toxic stress, as well as those with addiction issues, relationship challenges, and adjustment disorders. Ms. McMillan's therapy practice focuses on providing person-centered encouragement and support. She utilizes a trauma-focused cognitive behavioral approach to help you to develop your understanding of yourself and your challenges and enable you to utilize your strengths to facilitate your healing. She received a Master's Degree in Counseling Psychology from Palm Beach Atlantic University in Orlando, Florida, and established herself as a therapist working in community mental health in the Lakeland, Florida area. She spent several years working at Tri-County Human Services providing co-occurring outpatient substance abuse therapy. Later, she shifted to providing services to children through Tri-County's B-Net program and Children's Home Society. She went on to become the Clinical Supervisor at the Children's Home Society providing care to children and adolescents impacted by trauma and the child welfare system. Before joining Talkiatry, she also served as the clinical supervisor and therapist at The Mary Welsh Foundation, providing care to individuals of all ages and specializing in trauma and family issues. Ms. McMillan has worked with individuals dealing with a variety of mental health issues throughout her years of experience as a therapist. She has worked with people of all ages and has experience working with families and couples. She has had additional training to serve individuals dealing with addictions and with processing trauma. She has had extensive experience working with individuals dealing with mood disorders and anxiety, as well as relationship and parenting issues.

Melissa Racklin, LCSW

Racklin

Melissa Racklin is a licensed clinical social worker with over 20 years of experience. She works with individuals who have a wide variety of mental health challenges. Melissa helps individuals to work through symptoms that are holding them back and help them live a better, more fulfilling life.‍Melissa is experienced in the areas of panic disorders, generalized anxiety, OCD, phobias, separation anxiety. She particularly enjoys working with adults who are motivated to grow through the process of therapy. Melissa has worked extensively with clients who have depression, bipolar disorder, women's issues, ADHD, personality disorders, marital/relationship issues along with couples counseling, divorce, self-harm, adjustment disorders, and more. Melissa holds certification in clinical supervision as well as school social worker certification. And has training in red flags for suicidality.‍Melissa's approach is custom-tailored for each individual client. She has a supportive, genuine, and authentic style of treatment. Melissa is warm and empathic and strives to create a safe and trusting therapeutic environment for her clients. She utilizes active listening skills and is intuitive and skilled in various modalities of treatment. Most often, Melissa uses CBT, DBT, and a psychodynamic approach in her work with clients.

Diane Lewis, MD

Staff Psychiatrist

Background and credentials

Dr. Diane Lewis is board-certified in general psychiatry by the American Board of Psychiatry and Neurology. She earned both her undergraduate and medical degrees at Texas A&M University (College Station and Temple, TX) before completing her general psychiatry residency at UT Southwestern - Austin Programs (now Dell Medical School residency programs). After her residency, she practiced for eight years as a staff psychiatrist at the University of Texas' student counseling center. She also has experience working in hospital admissions and emergency department settings.

Treatment approach

Dr. Lewis employs a medication-management-focused approach typically paired with supportive therapy during 30-minute follow-up visits. She strongly values a collaborative treatment approach, frequently encouraging patients to incorporate additional therapy for the best outcomes. Her primary specialty is college mental health, treating patients aged 18-45 with a range of mental health conditions from mild to complex. Dr. Lewis emphasizes authenticity, compassion, and recognizing patients beyond their diagnoses, providing care tailored to individual circumstances and goals.

What you can expect in a first visit

During a first visit, patients can expect Dr. Lewis to conduct a thorough evaluation, carefully listening to their concerns, and considering their symptoms within the broader context of their lives. Her patients appreciate her down-to-earth and compassionate communication style. She aims to create an environment where patients feel understood, respected, and actively involved in shaping their personalized treatment plan, often recommending additional therapy support when beneficial for achieving optimal outcomes.

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.

John Whittier, MD

Staff Psychiatrist

Background and credentials

Dr. John Whittier is a board-certified psychiatrist. He earned his Bachelor of Arts in Molecular, Cellular, and Developmental Biology from the University of Colorado at Boulder and went on to obtain a master’s degree in Medical Science from Loyola University Chicago. He completed his medical training at the Robert Larner, M.D. College of Medicine at The University of Vermont and returned to Colorado for his psychiatry residency at the University of Colorado School of Medicine. While in residency, he specialized in the Psychotherapy Scholars Program and has since gained four years of experience treating psychiatric conditions through telehealth.

Treatment approach

Dr. Whittier primarily focuses on medication management for general psychiatric conditions. His approach is individualized, ensuring that each patient receives a treatment plan tailored to their unique needs. He integrates supportive therapy, medications, and evidence-based alternative therapies to provide a flexible and comprehensive approach. In addition to his general practice, he maintains a psychodynamic psychotherapy panel where he helps patients explore developmental and relational patterns that contribute to their symptoms. His specialties include treating depression, anxiety, adjustment disorders, PTSD, insomnia, bipolar disorder, and ADHD.

What you can expect in a first visit

During the first visit, patients can expect a one-hour comprehensive intake during which Dr. Whittier thoroughly evaluates their symptoms, medical history, and personal goals. He provides treatment options that prioritize flexibility, allowing patients to take an active role in their care. Follow-up visits typically last 20 to 30 minutes, focusing on assessing treatment progress and making necessary adjustments. For those engaged in psychodynamic psychotherapy, longer one-hour sessions are available for in-depth exploration of underlying psychological patterns.

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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Specialties
Anxiety
Bipolar Disorder
Depression
Obsessive-compulsive disorder (OCD)
PTSD/Trauma
Perinatal Psychiatry
Phobias
Postpartum Depression
Child/Adolescent
States
Virginia
New York
Maryland
Washington D.C.
Languages
English
Takes insurance
Virtual visits
2 years experience