Patricia Michel-Garrison, DO

Dr. Hess is double board-certified in Adult and Geriatric Psychiatry. He completed his psychiatry internship and residency training at St. Vincent's Hospital and Medical Center in New York City, and then completed a geriatric psychiatry fellowship at Mount Sinai Beth Israel Medical Center. Dr. Hess has practiced inpatient psychiatry at the Long Island College Hospital, NYU Langone Brooklyn, and Kingsbrook Jewish Medical Center. He has also worked in emergency rooms, day hospitals, and consultation-liaison settings, as well as seeing geriatric outpatients at a naturally-occurring retirement community (NORC) on the Lower East Side of Manhattan. Dr. Hess has taught St. George's University medical students during their clinical rotations in psychiatry. Dr. Hess has more than 24 years of experience providing patients with compassionate psychiatric care for depressive and bipolar disorders, anxiety, obsessive-compulsive disorder, post-traumatic stress disorder, and dementia. He uses pharmacotherapy as well as supportive psychotherapy. Dr. Hess may believe that additional therapy is also needed and ask that you bring a therapist into your care team to provide the best outcome. The philosophy of his practice is to collaborate with patients to meet their specific needs and make an impact in various stages of their lives.

Dr. Diane Papke holds the position of staff psychiatrist at Talkiatry. After graduating from medical school, she completed internship year in Internal Medicine at St. Joseph's Hospital in Phoenix, AZ, followed by two years of neurology residency at Barrow Neurological Institute before completing Psychiatric residency at Maricopa Medical Center in 2005. She then spent the majority of her time caring for SMI/seriously mentally ill patients with a mantra "propelling people forward to wellness.” Working on the supportive level of care for this population honed her skills to care for the highest level of outpatient care through ACT/assertive community treatment. She has a genuine interest in treating psychiatric disorders including anxiety, depression, PTSD, OCD, ADHD, and most specifically bipolar. She has experience treating medical comorbidities including neurologic disorders. In 2023, she extended her expertise and skills to the general population to include telehealth management of her patients. With a nonsense approach, she prides herself on collaborating with patients to attain their goals of optimum psychiatric health, believing that the cornerstone of a healthy partnership with any patient is a holistic approach. Listening with an open mind and heart while collaborating with her patients to provide the correct medication management and supportive care has always been the key for her. She is looking forward to meeting you!

Dr. Patricia de la Cabada earned her medical degree from Ross University School of Medicine and completed her psychiatry residency at the University of Central Florida/HCA Consortium in Gainesville, where she served as outpatient chief resident and received the Excellence in Psychotherapy award. She holds a bachelor’s degree in Anthropology from the University of Florida and has experience in outpatient, inpatient, and consult-liaison psychiatry. Dr. de la Cabada is fluent in Spanish and has special interests in OCD, depression, perinatal depression, bipolar disorder, anxiety, and PTSD.

Dr. de la Cabada approaches care with empathy and compassion, creating a warm, supportive environment. She values strong therapeutic relationships and uses a holistic lens that considers lifestyle and psychosocial factors. Her collaborative, patient-centered style focuses on creating personalized treatment plans.

She begins with a thorough history and discussion of concerns and goals. Treatment plans include medication management, supportive therapy, and lifestyle strategies, with follow-up visits to monitor progress and adapt care as needed.

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. Michael Bartolac is a board-certified psychiatrist with experience in both outpatient and inpatient psychiatric care. He has treated a wide range of psychiatric conditions including affective, psychotic, anxiety, trauma-related, substance use, neurodevelopmental, personality, and neurocognitive disorders. His clinical experience includes hybrid remote outpatient work, inpatient psychiatry on locked units, consultation for medically hospitalized patients, and performing electroconvulsive therapy (ECT). He earned his medical degree from Lake Erie College of Osteopathic Medicine and completed psychiatry residency at West Virginia University/Charleston Area Medical Center.

Dr. Bartolac values creating a space where patients feel comfortable voicing their concerns. His treatment style is rooted in open communication and trust. He primarily focuses on medication management and supportive therapy, while incorporating psychodynamic and cognitive behavioral techniques during 30-minute follow-up visits.

Dr. Bartolac is committed to providing competent and compassionate care. He takes a collaborative approach, working closely with patients and their healthcare team to ensure all aspects of care are aligned with the patient’s needs and goals.

Dr. Thistlethwaite is a board eligible adult psychiatrist and internal medicine physician. He completed his medical education at West Virginia University School of Medicine. Following completion of medical school, Dr. Thistlethwaite completed residency training at WVU/Charleston Area Medical Center with a dual specialization in internal medicine and psychiatry. Dr. Thistlethwaite's training included treatment of patients both in the inpatient and outpatient setting as well as management of patients with comorbid medical conditions. During his training Dr. Thistlethwaite became passionate about approaching patients in a holistic manner that addressed both their physical and mental health. He is especially passionate about ensuring that patients with mental health disorders are provided with appropriate general medical care as they are a marginalized and underserved group. Dr. Thistlethwaite's practice focuses on medication management for a wide array of conditions including depression, anxiety disorders, bipolar disorder, obsessive compulsive disorder, tic disorder/Tourette's, and post traumatic stress disorder. Dr. Thistlethwaite incorporates supportive psychotherapy, cognitive behavioral therapy interventions, and some psychodynamic therapy skills in his practice as well. Dr. Thistlethwaite believes in a collaborative and holistic approach to mental healthcare that incorporates the patient as well as all members of the healthcare team in every aspect of care.