Nirupama Natarajan, MD

Background and credentials

Dr. Lillian Cole is a board-certified adult psychiatrist. She completed her undergraduate education at the University of North Carolina Wilmington and went on to earn both a master’s in biomedical sciences and a medical degree from Texas Tech University. She completed her psychiatry residency training at the University of Texas Southwestern Medical Center, where she gained experience working with a diverse range of patient populations across different ethnic, socioeconomic, and clinical backgrounds.

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Treatment approach

Dr. Cole emphasizes a holistic, patient-centered approach that integrates evidence-based medicine, psychotherapeutic techniques, lifestyle interventions, and psychoeducation. She believes that listening, collaboration, and compassion are essential to guiding patients toward recovery. Her practice primarily focuses on psychiatric medication management, and she has extensive experience treating mood disorders, anxiety, trauma-related disorders, and substance use disorders. When additional therapy is necessary for the best outcome, she may recommend integrating a therapist into the treatment plan.

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What you can expect in a first visit

Patients can expect a thorough and compassionate initial evaluation, where Dr. Cole takes the time to understand their symptoms, medical history, and treatment goals. She focuses on fostering a strong doctor-patient relationship and collaborates with each patient to create a personalized treatment plan that may include medication management, therapy, and lifestyle interventions. If additional therapy is indicated, she will coordinate with other providers to ensure comprehensive care tailored to the patient’s 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. Gregory Marc Varhely is a board-certified general adult psychiatrist. He grew up in Austin, Texas, and attended Texas State University, where he earned a BA in Psychology and a Master's degree in Biology/Biochemistry. After graduating from medical school at Ross University, he completed his residency in Psychiatry at the Medical College of Wisconsin. Dr. Varhely has served as an outpatient psychiatrist at the Department of Veterans Affairs and acted as an attending physician for resident psychiatrists at Texas A&M and UT Dell Medical Schools. He then acted as a sole proprietor of an outpatient psychiatric medication management and psychotherapy practice in Georgetown, Texas and later started contracting for North Central Health Care Mental Health Clinic, applying psychotropic medication management expertise to community-based treatment facilities in Wisconsin. Dr. Varhely's approach is rooted in forming meaningful connections with his patients. He wholeheartedly believes that psychological suffering stems from a blend of biological, psychological, social, and environmental factors. Dr. Varhely works together with his patients to uncover these factors and create treatment plans tailored to their specific needs using an eclectic blend of the latest in psychopharmacology, as well as psychodynamic, supportive, and cognitive-behavioral therapy.

Dr. Erlach is a board certified adult psychiatrist who has previously worked for the United States Air Force and the Department of Veterans Affairs. He attended medical school at the Uniformed Services University of Health Sciences, graduating in 2009, followed by active duty military service in the United States Air Force until 2024. He completed residency training at the combined military-civilian Wright State University/Wright Patterson AFB training program in Dayton, Ohio.

Dr. Erlach enjoys working with all types of patients. He takes a collaborative approach to patient care and develops a treatment plan alongside the patient so that both are fully invested in the plan. He generally has weekend and evening appointments only.

Dr. Erlach incorporates therapy into medication management appointments. Dr. Erlach feels that addressing psychosocial stressors and developing coping mechanisms are a vital component to treatment.

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Dr. Robben proudly served in the U.S. Air Force and has been practicing psychiatry for 17 years. He is happy to have completed his medical school education, as well as his residency in general psychiatry and fellowship in addiction psychiatry, all at the University of South Florida in Tampa. Dr. Robben is board certified in both general psychiatry and addiction psychiatry. He has experience in many roles over the span of his career to include working with Veterans diagnosed with posttraumatic stress disorder and substance use disorders, managing specialty clinics for patients with treatment-resistant depression, and working in general outpatient psychiatry clinics, as well as emergency and inpatient psychiatric settings. Dr. Robben also previously served as the Training Director for the University of South Florida Morsani College

of Medicine Addiction Psychiatry Fellowship Program. He is currently the Medical Director at a residential substance use disorder treatment center in Florida. Additionally, Dr. Robben is a certified Medical Review Officer and has additional qualifications in transcranial magnetic stimulation (TMS) and Spravato.

(esketamine). Dr. Robben has been voted as Addiction Medicine "Top Doctor" in Tampa Bay, FL by physicians for 8 of the last 9 years. Dr. Robben specializes in treating depression, bipolar disorder, anxiety, PTSD, OCD, ADHD and substance use disorders.

Dr. Robben uses a supportive, patient-centered approach, taking into account each individual's personal values and goals when formulating a treatment plan. He educates patients on the most up to date scientific evidence and provides multiple treatment options to help each person determine the most appropriate plan for them.  

Dr. Robben believes in a collaborative and holistic approach to working with his patients. Dr. Robben spends a significant amount of time educating his patients on all forms of mental health treatment, from medications and psychotherapy, to nutrition, exercise, meditation and sleep hygiene. What works well for

One person may not work well for another person. Having options and understanding the potential benefits and risks of each treatment empowers patients to take an active role in their own healthcare.

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Dr. Ismail is double board-certified by the American Board of Psychiatry and Neurology in both Adult Psychiatry and Child and Adolescent Psychiatry. She earned her medical degree from Cairo University, where she also completed her neurology residency at Cairo University Hospitals. Following this, she pursued psychiatric training at New York Medical College at St. Vincent’s Hospitals, where she was appointed Chief Resident and recognized as Resident of the Year.

Dr. Ismail further specialized with a fellowship in Child and Adolescent Psychiatry at UMDNJ/Rutgers Robert Wood Johnson Medical School. Her career includes multiple leadership roles, notably serving as Chief of the Child and Adolescent Partial Hospital Programs (PHP) at Rutgers University in Newark, NJ, where she provided direct care to young patients. She has also held Medical Director positions across various clinical settings, including child and adolescent inpatient units, outpatient programs, and intensive outpatient services for both adolescents and adults with mental health and co-occurring substance use disorders.

An active educator, Dr. Ismail has been a teaching faculty member, delivering lectures and providing supervision and evaluations for medical residents and child and adolescent psychiatry fellows. Her academic contributions extend to research, where she has served as a principal investigator on multiple studies.

Throughout her career in leadership and teaching, Dr. Ismail maintained an integrative private practice in New Jersey, serving residents of the NJ and NY metropolitan areas before relocating to North Carolina.

Dr. Ismail is passionate about integrative medicine, which combines evidence-based alternative therapies with conventional treatments to optimize outcomes. Her approach focuses on promoting overall wellness, keeping both the body and mind in harmony.

During the diagnostic evaluation, Dr. Ismail will review your medical history and past treatments to develop a comprehensive, personalized treatment plan that prioritizes your overall wellness. In addition to medication management, she incorporates supportive, cognitive, or psychodynamic psychotherapy during follow-up visits, as time allows. When appropriate, she may also recommend referrals to specialized psychotherapists to address your individual needs as part of a holistic treatment approach.

Dr. Lucky Ly is a board-eligible psychiatrist who received his medical degree at Lake Erie College of Osteopathic Medicine and completed training in the psychiatric residency program at Millcreek Community Hospital. He has experience treating various psychiatric disorders including depression, anxiety, obsessive-compulsive disorder, bipolar disorder, attention deficit/hyperactivity disorder, and other related disorders. Dr. Ly uses evidence-based treatments and supportive psychotherapy such as cognitive behavioral therapy and interpersonal psychotherapy to help his patients. He encourages open communication and active participation as he believes they are key to successful treatment.