Nilesh Tannu, MD

Dr. Abby Reineck currently serves as an outpatient child and adolescent psychiatrist.  She has been practicing for eleven years.

Dr. Reineck's practice is primarily medication-management services, offered in conjunction with either supportive or eclectic therapy. Follow-up appointments average 30 minutes, but may be more or less. Occasionally, Dr. Reineck believes the addition of a therapist is needed and will request you bring a therapist into your care team. This will be asked of individuals if she believes it will lead to an improved clinical outcome.

Dr. Reineck received her medical degree from Boonshoft School of Medicine at Wright State University, located in Dayton, OH. She completed her psychiatry residency and child-and-adolescent fellowship at Dartmouth-Hitchcock Medical Center, in Hanover, NH.

After completing her training, Dr. Reineck moved to Brattleboro, VT, where she became an attending psychiatrist at The Brattleboro Retreat, working on both the child and adolescent inpatient units. The Brattleboro Retreat's location was such that it served a large number of patients from nearby states, which included New Hampshire, Massachusetts, Connecticut  and New York. However, it also served as the only psychiatric inpatient facility for children and adolescents in the entire state of Vermont.

Dr. Reineck also worked as the lead psychiatrist on the inpatient, adult, dual-diagnosis unit. This unit provided care for individuals struggling with addiction and mental-health related issues, some of whom required medically supervised detoxification.  

After roughly five years, Dr. Reineck moved from Vermont to Erie, PA.  She began working at a residential treatment facility for child and adolescent patients who required care in a highly supervised and highly structured setting. Dr. Reineck also began serving as a child and adolescent psychiatrist for patients enrolled in a school-based partial-hospitalization program.  Dr. Reineck gradually transitioned from these roles into strictly outpatient work. She worked as an outpatient psychiatrist in Butler, PA, where she treated child, adolescent, and adult patients. Dr. Reineck eventually narrowed her scope of practice to providing psychiatric treatment for only outpatient children and adolescents.  She did so out of facilities located in Erie and Meadville,  PA.  

Dr. Reineck completed her undergraduate studies at Ohio University. While Dr. Reineck has experience treating a wide variety of patients, her primary focus has been treating children and adolescents with a vast array of presenting concerns.

Dr. Sabish Balan is a Board-Certified Psychiatrist with subspecialty certifications in Geriatric Psychiatry, Psychosomatic Medicine, and Addiction Medicine. He completed his medical education in India at Government Medical College, Kozhikode, followed by psychiatry training at the All India Institute of Medical Sciences (AIIMS), New Delhi. After relocating to the United States, he pursued residency at St. Luke’s Roosevelt Hospital Center and advanced fellowships at The Zucker Hillside Hospital and St. Luke’s Roosevelt Hospital Center. With over 17 years of psychiatry experience in the U.S., he has held leadership roles at NYC Health + Hospitals – Harlem and currently provides care at Northwell Health Phelps Hospital Addiction Treatment Services and the BeHealth Program. Fluent in English, Hindi, Urdu, and Malayalam, Dr. Balan brings a global perspective to patient care.

Dr. Balan strives to meet patients where they are, offering a warm and supportive environment that values the whole person. He integrates a bio-psycho-social approach to care, ensuring that patients feel heard, respected, and understood throughout their treatment journey.

In initial sessions, Dr. Balan takes a detailed history to understand each patient’s concerns, background, and goals. From there, he collaborates with patients to develop individualized treatment plans that align with their personal values and objectives, fostering partnership and long-term wellness.

Dr. Richard Shehane completed medical school at the University of Nevada School of Medicine and then went on to complete psychiatry residency training at Naval Medical Center San Diego. Dr. Shehane is a board-certified psychiatrist that specializes in the treatment of depression, anxiety, PTSD, bipolar disorder, schizophrenia, personality disorders and ADHD. Dr. Shehane has also worked extensively with patients that have experienced sexual trauma in their past and patients struggling with substance and alcohol use addictions.

Dr. Shehane will focus on two main approaches to mental health treatment: medication management and psychotherapy. Appointments will focus on a mix of interactions aimed at tailoring each patient’s specific medication needs as well as promoting mental health wellness through different types of evidence-based therapy techniques including mindfulness, CBT, CPT and psychodynamic psychotherapy.

Dr. Shehane works together patients to develop a plan that fits each patient’s individual needs. Initial appointments will focus on identifying and treating primary concerns, and then later appointments will center on building upon the therapeutic relationship to increase self-awareness, promote emotional insight, and secure lasting positive mental health changes.

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Margaret Gorelick is a board-certified Psychiatric-Mental Health Nurse Practitioner (PMHNP-BC) through the ANCC. She earned her Master of Science in Nursing from Fairfield University and her Bachelor of Science in Nursing from Western Connecticut State University. With 10 years of psychiatric experience, she began her career at MedStar Georgetown University Hospital in neurology and neurosurgery, later transitioning to psychiatry at Yale New Haven Hospital and Stamford Hospital. She provides outpatient medication management and psychotherapy, including psychodynamic therapy and CBT, for adults 18+, and has led grief support groups.

Margaret practices with a nonjudgmental, respectful approach grounded in active listening and trust. She believes healing begins with understanding and is dedicated to supporting individuals through every stage of their mental health journey.

The first visit is a comprehensive psychiatric evaluation to review history, symptoms, and goals, forming a personalized plan. Follow-ups are 30 minutes and focus on monitoring medication response, adjusting treatment as needed, and providing ongoing therapeutic support to ensure safe, effective progress.

Michelle Kaplan, LCSW, is a Licensed Clinical Social Worker with over 20 years of experience supporting individuals across the lifespan. She works with clients facing depression, anxiety, trauma, life transitions, and family system challenges, drawing on her experience in community and outpatient mental health settings.

Michelle is committed to helping clients navigate challenges and create positive change. She provides a safe, confidential space for exploring thoughts, feelings, and behaviors. Using active listening, empathy, support, and cognitive behavioral therapy, she collaborates with clients to identify challenges, develop coping strategies, and promote personal growth.

Michelle begins by discussing a client’s reasons for seeking therapy, reviewing their history, and exploring goals and concerns. Together, they establish a therapeutic rapport and create an individualized treatment plan tailored to the client’s needs, priorities, and desired outcomes.

Background  and credentials    

Dr. Christa DeFries is a board-certified Adult Psychiatrist. She earned her  medical degree from UT Southwestern Medical School in Dallas, Texas, and  completed her residency in Adult Psychiatry at Baylor Scott & White in  Temple, Texas. Following residency, Dr. DeFries gained additional experience  treating homeless and formerly homeless populations in New York City,  particularly focusing on individuals with histories of trauma and substance  addiction, prior to joining Talkiatry.    

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Treatment approach    

Dr. DeFries practices Adult Psychiatry, employing an integrative treatment  approach combining medication management, psychotherapeutic methods, and  lifestyle modifications. She recognizes that each patient benefits from a  personalized mix of these three aspects of care. Dr. DeFries specializes in  treating diverse psychiatric conditions, including those related to trauma,  substance addictions, and various mental health disorders.    

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What you can expect in a first visit    

In a first visit with Dr. DeFries, patients can expect a comprehensive  evaluation aimed at understanding their individual mental health history,  specific concerns, and overall treatment goals. Dr. DeFries emphasizes an  individualized approach, carefully exploring the best combination of  medication, therapy, and lifestyle adjustments tailored specifically to each  patient's needs. Patients can anticipate an empathetic and collaborative  environment focused on their personal experiences and goals.    

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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.