Patricia Michel-Garrison, DO

Dr. Deringer is a psychiatrist with board certification in general psychiatry and addiction psychiatry. She earned her M.D. from the University of Michigan Medical School, and she completed her psychiatry residency and addiction psychiatry fellowship training at New York University. She has previously held faculty roles at New York University School of Medicine and Harvard Medical School. She has been involved in training the next generation of psychiatrists through her past work on the Program Director team for the MGH-McLean Psychiatry Residency Program. She has expertise in treating adults with mood disorders, anxiety disorders, substance use disorders, personality disorders, trauma, and ADHD.

Dr. Deringer cares deeply about understanding each patient's unique experience.  She recognizes that mental health symptoms are impacted by an individual's biological make-up, social situation, and their individual way of interacting with others in the world.  She will assess all of these factors and work with you to develop an appropriate treatment plan to help you feel better and meet your goals.  She incorporates supportive psychotherapy into all of her patient meetings; this may include discussions of the role of nutrition, exercise, and sleep habits in your overall well-being.

Dr. Deringer will begin the evaluation process with a thorough one-hour session in which we will discuss your current symptoms, your prior treatment history, your medical history, and your goals for treatment.  At the end of that session, she will begin to formulate her diagnostic impression and treatment recommendations.  Sometimes, the evaluation process may require more than one session, and it may be helpful for Dr. Deringer to gather information, with your permission, from prior treatment or to collaborate with your therapist if you have one.  Dr. Deringer will work with you on a medication treatment plan, if clinically indicated, to help you manage your symptoms and achieve your treatment goals.

Dr. Krishna Divadeenam is a staff psychiatrist at Talkiatry. He trained in New York and earned his medical degree from Albany Medical College in 1997.  He finished his internship at Vanderbilt Medical Center and completed his psychiatric residency at the University of Kansas Medical Center in 2000. During his residency, he served as Chief Resident at the Kansas City VA Medical Center (KCVA).  His initial post-residency focus was with patients with serious and persistent mental illness (SPMI) when he worked at the Johnson County Mental Health Center.  He has served as a adjunct professor at the University of Kansas providing clinical supervision to residents and yearly lectures on Bipolar disorder, Tourette’s and Obsessive compulsive disorder for over 20 years.  He worked at Midwest Psychiatric associates in an outpatient private practice for nearly 3 years before returning to the KCVA.  There he oversaw care for combat veterans as a clinical psychiatrist and the supervisor for the PTSD Specialty outpatient clinic.  After 5 years he transitioned to the inpatient unit as the inpatient supervisor and one of the attending physicians of the acute inpatient psychiatric unit.  In addition, he served as the University of Kansas Site director for their psychiatric residency program.  

Dr. Divadeenam believes in a holistic approach to mental health treatment, integrating medication management, supportive psychotherapy, and collaboration with therapists and support staff. He tailors treatment to each patient's unique needs, ensuring a comprehensive and individualized approach to care. His expertise includes treating a variety of psychiatric diagnoses, such as mood disorders, anxiety disorders (including OCD), ADHD, and PTSD.

In a first visit, patients can expect a thorough evaluation, where Dr. Divadeenam takes the time to understand their medical history, symptoms, and treatment goals. He emphasizes open communication and collaborative decision-making, ensuring that patients feel heard and supported. Based on this initial assessment, he will develop a personalized treatment plan, which may include medication management and referrals to therapy or other supportive services as needed.

Background and credentials

Dr. Agarwal is a board-certified adult psychiatrist. He obtained his bachelor's degree in Biological Sciences from the University of California at Irvine and graduated cum laude with his medical degree from the American University of Antigua. Dr. Agarwal completed his psychiatry residency training at the University of Central Florida, where he was elected chief resident.

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Treatment approach

Dr. Agarwal employs a collaborative and patient-centered approach, primarily focusing on medication management in combination with supportive therapy. He is a strong advocate of psychoeducation, believing it to be an integral part of effective psychiatric care. Dr. Agarwal specializes in treating adults experiencing depression, anxiety, PTSD, and insomnia. He is also experienced in managing patients with psychiatric conditions complicated by medical comorbidities such as obesity, hypertension, chronic pain, and diabetes.

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What you can expect in a first visit

Patients visiting Dr. Agarwal for the first time can anticipate a comprehensive evaluation conducted in a collaborative and supportive environment. Dr. Agarwal prioritizes understanding each patient's individual needs and concerns, creating a personalized treatment plan that integrates medication, supportive therapy, and psychoeducation. Follow-up visits typically last about 30 minutes, allowing time to adjust treatment and reinforce therapeutic strategies.

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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. Varma grew up in an immigrant family surrounded by aspiring doctors, and her passion for understanding the human mind and behavior blossomed early. This curiosity led her to pursue extensive medical training abroad, beginning at Kasturba Medical College in Southern India, followed by clerkships at the University of the West Indies in Trinidad and Tobago. She completed her Adult psychiatry residency at the University of Florida in Gainesville and specialized further with a child/adolescent fellowship at Brookdale University Hospital in Brooklyn, NY.

Dr. Varma believes in a holistic, integrative approach to mental health. Her philosophy centers on identifying the root causes of ailments rather than merely addressing symptoms. She views mental health care as a partnership, where the mind, body, and spirit work together to achieve wellness. Dr. Varma is committed to fostering a safe, confidential therapeutic alliance to help you explore your potential for healing.

Dr. Varma embraces integrative psychiatry, which combines the best of conventional Western medicine with complementary approaches. This involves a comprehensive biopsychosocial assessment tailored to each individual, incorporating psychopharmacology alongside lifestyle adjustments in diet, movement, and breathwork. She collaborates with therapists and other professionals to create a well-rounded treatment plan that honors your unique journey.

Dr. Carter chose the field of psychiatry with the goal of empowering her patients and equipping them with the skills and tools to improve their mental health. She strives to create a safe, nonjudgmental space where patients feel heard and supported. She strives to destigmatize mental illness and normalize seeking help when struggling. Her passion for psychiatry stems from a deep interest in connecting with people and understanding their unique stories.

Dr. Carter believes the patient-physician relationship should be a partnership, built on trust, empathy, and shared goals. She encourages honesty, collaboration, and open communication, and believes there are no wrong questions, and your voice matters. She encourages questions and feedback and tailors care to each person’s goals, comfort level, and pace.

Dr. Carter wants to get to know the whole person, not just their symptoms. Together, she works with patients to create a personalized and thoughtful treatment plan that may include therapy, lifestyle support, and/or medication, always with room to adjust based on your evolving needs and preferences.

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Dr. Natarajan is a Psychiatrist at Talkiatry providing psychiatric services to adults ages 18 and older. In her practice, Dr. Natarajan focuses on medication management and psychoeducation, often along with supportive therapy. She is committed to providing evidence-based and patient-centered quality care for her patients. She is dedicated to working collaboratively with patients as a team in order to help patients to the best of her ability. Dr. Natarajan received her medical degree from Rutgers Robert Wood Johnson in NJ. She then completed her psychiatry residency at Rutgers Robert Wood Johnson as well, where she served as Chief Resident. Dr. Natarajan has a vast array of clinical interests in psychiatry and behavioral health, including anxiety and mood disorders as well as wellness. In her free time, she enjoys traveling to new places, and spending time with her family and friends.