Prit Patel, MD

Dr. Jency Cynthia Sachidanandam completed her Residency and Fellowship at Texas Tech University Health Science Center in El Paso, gaining extensive training in diagnosing and treating various psychiatric conditions. As a Child and Adolescent Psychiatrist at Texas Tech, she works with a diverse patient population, addressing psychiatric disorders like depression, anxiety, bipolar disorders, PTSD, and OCD. Dr. Sachi emphasizes the importance of addressing both physical and mental health to achieve a good quality of life. She believes that mental health is interconnected with physical well-being and that treating one aspect without the other leads to incomplete care. Her holistic approach involves medication management, psychotherapy, and lifestyle modifications to promote overall health. Dr. Sachi is skilled in providing supportive psychotherapy and using psychodynamic therapy techniques to help patients understand and address their current stressors and underlying issues. Dr. Sachi has shown a genuine commitment to her patients and a passion for helping them achieve their best possible outcomes. She is dedicated to staying current with the latest advancements in psychiatry and continuously improving her skills to provide the highest standard of care. Her compassionate and patient-centered approach has earned her the respect and trust of her patients and colleagues alike.

Richard "Rick" States is a Licensed Professional Counselor, with broad and varied professional work experience in behavioral health (inpatient and outpatient, individuals and families, children and adults, direct service and program administration). Rick earned his B.A. in Psychology at Gannon University and his M.A. in Clinical Psychology at Edinboro University of Pennsylvania.

He's earned a Post-Master's Certificate in General Psychology from Northcentral University and has completed many doctorate credits in Psychology. Since 1999, Rick has taught university courses in Psychology, Sociology, and Human Services, most recently at Gannon University and Penn State University.

Rick's greatest area of clinical interest and skill centers around self-regulation or "how we manage" our thoughts, feelings, emotions, behaviors, etc. Rick appreciates the challenges related to anxiety, stress, depression, substance use, and trauma, and he employs various tools to help folks manage (e.g., cognitive behavioral therapy, psychodynamic therapy, humanism, mindfulness/somatic psychology, etc.).

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Dr. Upton Thomas is a board-certified psychiatrist who takes a warm, collaborative, and evidence-based approach to care. With a focus on treating mood disorders, anxiety, OCD, and substance use, he integrates psychopharmacology and psychotherapy to support patients in achieving meaningful change. He brings curiosity, creativity, and a deep respect for each individual’s story to his clinical work.

Patients often find Dr. Thomas easy to talk to and appreciate his calm, thoughtful demeanor. He emphasizes shared decision-making and believes that treatment works best when the patient’s values and voice are at the center. Dr. Thomas aims to create a safe space for honest dialogue and ongoing reflection as treatment evolves.

Dr. Thomas begins with a comprehensive evaluation to understand each patient’s mental health history, current concerns, and goals. He then develops an individualized treatment plan that may include medication, therapy, or both. He prefers to use the lowest effective dose of medications and often integrates psychotherapeutic strategies such as CBT, DBT, or insight-oriented work into his sessions.

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Dr. Luna Sanchez Rivera holds the position of Staff Psychiatrist at Talkiatry. After completing residency in 2016 at the Ponce Medical School Psychiatry Residency in Puerto Rico, she then moved to North Carolina to complete a subspecialty in Child and Adolescent Psychiatry at Duke University Health System. There, she transitioned into an assistant professor position, focused on structuring pediatric emergency psychiatric services, and helped support the consult and liaison pediatric service. Her years of experience have included working as an integrated care child psychiatrist within outpatient clinics at Duke University Health System, and she trained and worked as a staff psychiatrist at the Inpatient State Facility in North Carolina. She also served in the Dayton Children's Hospital outpatient clinics in Dayton, Ohio, the Appalachian Health System outpatient clinics in Linville, North Carolina, and more recently has been serving the Child and Adolescent inpatient population in Bangor, Maine. Dr. Sanchez Rivera has an approachable style aimed at providing a comprehensive evaluation for all age ranges and is comfortable managing various levels of diagnostic complexities. She provides supportive psychotherapy while using psychodynamic therapy skills to clarify her patient's constellation of symptoms, identify unifying themes and provide thorough psychoeducation throughout the process to drive positive outcomes. She integrates psychodynamic medication management approaches and is adept at family therapy interventions.

Dr. Holly Shiao is a psychiatrist who has worked extensively with medically complex patients, including a special focus in psycho-oncology with cancer patients. She is double board-certified in Consultation-Liaison Psychiatry and Adult Psychiatry. She has been practicing for over 7 years. Before Talkiatry, Dr. Shiao worked as an Assistant Professor at the University of Washington and Fred Hutchinson Cancer Center. She also worked as an Assistant Professor and was Director of Emergency Psychiatry at the University of Chicago. She has presented nationally at the Academy of Consultation-Liaison Psychiatry and written a book chapter about psycho-oncology. Dr. Shiao attended medical school at John P. and Kathrine G. McGovern Medical School at the University of Texas Health Science Center at Houston. She then completed an Adult Psychiatry residency at the University of Texas Medical Branch at Galveston, followed by a Consultation-Liaison fellowship at Dell Medical School at the University of Texas at Austin. Dr. Shiao is interested in the mind-body connection in overall emotional and mental well-being. She likes to integrate therapy modalities, such as cognitive behavioral therapy, supportive therapy, mindfulness and meditation with medication management to optimize a patient's mental health.

Background and credentials    

Dr. Catherine Cashman is triple board-certified by the American Board of  Psychiatry and Neurology in Adult Psychiatry, Child & Adolescent  Psychiatry, and Forensic Psychiatry. She holds two Bachelor’s degrees: one in  Finance from New York University, and another in Biology from the University  of New Orleans. She earned her medical degree from Nova Southeastern  University and completed an Adult Psychiatry residency at LSU Health Sciences  Center in New Orleans. Dr. Cashman subsequently completed two fellowships:  the first in Child & Adolescent Psychiatry at LSU New Orleans, along with  a certification in Infant Mental Health (working with children ages 0–6 years  and their caregivers); the second fellowship was in Forensic Psychiatry at  the University of Rochester and the Rochester Regional Forensic Unit.    

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Treatment approach    

Dr. Cashman brings an extensive and specialized skillset to psychiatry,  informed by her triple board-certifications. Her treatment approach  integrates clinical expertise from adult, child and adolescent, and forensic  psychiatry, emphasizing accurate diagnosis, risk assessment, and  evidence-based care. With specialized expertise in forensic psychiatry and  competency assessments, she employs rigorous evaluation methods to accurately  inform treatment planning and risk management, particularly in complex or  legally-involved cases.    

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What you can expect in a first visit    

Patients visiting Dr. Cashman for the first time can expect a detailed and  comprehensive psychiatric evaluation. Given her forensic and clinical  experience, initial assessments are thorough, focusing on clear diagnostic  understanding, individualized risk assessment, and appropriate treatment  planning. Patients can anticipate a collaborative, professional, and  structured environment aimed at clarifying diagnoses and addressing their  unique mental health needs effectively.    

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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.