Prit Patel, MD

Garmis Sena, LMHC, is a licensed therapist with experience supporting children, adolescents, adults, and families. She brings a background in community mental health, school-based services, and outpatient therapy. Her clinical work includes treating trauma, anxiety, depression, emotional regulation challenges, family conflict, and life transitions. She holds a bachelor’s degree in Psychology and a master’s degree in Mental Health Counseling.

Garmis believes therapy should feel safe while also encouraging growth. She values honesty, trust, and emotional safety, and incorporates a holistic lens that considers mind, body, relationships, and life experiences. Patients can expect to be heard without judgment as she meets them where they are and supports them in building toward meaningful change.

Garmis begins by learning each patient’s story, stressors, and goals. She works collaboratively to identify patterns, triggers, and emotional blocks, and together develops realistic and personalized treatment goals. Sessions are structured yet adaptable, incorporating practical tools patients can use outside the therapy room. She regularly reviews progress and adjusts the approach as growth evolves.

Dr. Goel holds the position of Staff Psychiatrist at Talkiatry. She has completed adult psychiatry training and is board certified. She has been actively involved in mental health care in various capacities over the past 7 years.

Dr. Goel's practice focuses on psychopharmacological interventions. Typically, she combines this with a strong emphasis on Cognitive Behavior Therapy (CBT). Dr. Goel also strongly believes that the best outcomes are achieved, when you treat a person and not just illness.

She received her medical degree from one of the largest publicly funded medical schools in India, L.L.R.M. Medical College, Meerut, India, before moving to the US. She gained experience in mental and behavioral health in various roles at some of the most prestigious institutions in the US, namely Northwestern University, Emory University, and North Shore-LIJ. She completed her residency at Nassau University Medical Center, East Meadow, NY. Dr. Goel has been a co-author of several research papers. Her team's research work has also been presented at national and international meetings as well.

While Dr. Goel enjoys working with adults with various psychiatric disorders, her primary focus is on treating adults with various anxiety and depressive disorders. Dr. Goel also has a special interest in co-occuring sleep disorders with these conditions.

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Dr. Mary O'Malley is board certified in Adult Psychiatry and Sleep Medicine. She received her medical degree from Weill Cornell Medical School and PhD in Neurobiology from The Rockefeller University. She completed her Psychiatry residency and Sleep Medicine Fellowship training at the New York University Medical Center. In her psychiatric practice, Dr. O'Malley uses an integrative approach to health, combining evidence-based concepts in neurobiology with psychological, social and spiritual/existential worldviews to understand and treat every patient. Her primary practice is medication management. She also integrates elements of psychotherapy into her work, typically within 30-minute follow-up visits. In addition to medication and psychotherapy, she incorporates wellness tools into visits, such as mindfulness exercises and sleep management strategies. If she believes that additional psychotherapy is needed, she will recommend that you add a therapist to your care team. Dr. O'Malley has extensive experience working with people from many stages of life, with diverse world views and cultural backgrounds. She has always had an inclusive practice and welcomes people who identify as LBGTQIA+. As part of her own life path she became an Interfaith Minister and enjoys including spirituality and the supportive role it can play in healing for her patients. Her primary focus is working with adults with mood and anxiety disorders, trauma symptoms, ADHD, and problems with sleep. She enjoys working with people facing life transitions, especially older adults and women who are struggling with mental health challenges related to pregnancy and post-partum health. Prior to joining Talkiatry, Dr. O'Malley was working at Hartford Healthcare with adults in intensive outpatient programs and at Hackensack Meridian Health outpatient clinics. She was the medical director of the Consultation Liaison Service at Berkshire Medical Center in Pittsfield, Massachusetts, and an assistant professor at UMass Medical School. She has published and presented widely on topics related to Wellness in Psychiatry, Ethics and Sleep Medicine. She is an advocate for finding your voice in medical decision-making and enjoys using sound healing for relaxation and stress management.

Background and credentials

Dr. Nilesh Tannu is a board-certified psychiatrist by the American Board of Psychiatry and Neurology. He earned his medical degree from B.J. Medical College in Pune and completed his adult psychiatry residency at the University of Texas Medical School at Houston, where he served as chief resident. During his training, he received awards from the Society of Biological Psychiatry, the American Academy of Addiction Psychiatry, and the American Psychiatric Institute for Research and Education. He has been practicing General Psychiatry and Consultation-Liaison Psychiatry for the past seven years at Texas Medical Center in Houston, Texas. Additionally, he has served as an assistant professor of psychiatry at the Texas Medical Center, working at UT Physicians Clinics and Memorial Hermann Hospital. He is also a member of the Editorial Board for BMC Genomics Journal.

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Treatment approach

Dr. Tannu follows the bio-psycho-social model to provide evidence-based psychopharmacologic treatment. He integrates supportive therapy and cognitive-behavioral therapy (CBT) modalities into his practice to create personalized and comprehensive treatment plans. He is committed to mental health care, education, and helping patients achieve optimal functioning in their personal and professional lives. His clinical expertise includes ADHD, anxiety disorders, depressive disorders, bipolar disorder, psychotic disorders, insomnia, eating disorders, and complex medical comorbidities.

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What you can expect in a first visit

During the first visit, patients can expect a comprehensive assessment where Dr. Tannu takes the time to understand their symptoms, treatment history, and personal goals. He employs a collaborative approach to develop a tailored treatment plan that may include medication management and therapy interventions. His focus is on evidence-based care, ensuring that patients receive treatments that are scientifically backed and aligned with their individual 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. Michael S. Fruchter is a psychiatrist with over 40 years of experience across private practice, telemedicine, and national behavioral health leadership. He has served in medical director roles within commercial, Medicare, and Medicaid systems, as well as in the U.S. Navy. A graduate of Ross University School of Medicine, he is licensed in multiple states, board-certified in forensic medicine, and fluent in English and Spanish.

Dr. Fruchter emphasizes respectful, collaborative care grounded in safety and quality. He values clear communication and culturally responsive treatment, working closely with patients to understand their goals. His approach integrates clinical expertise with practical strategies, ensuring care plans are individualized, evidence-based, and aligned with each patient’s needs.

Dr. Fruchter begins with a comprehensive evaluation, reviewing psychiatric, medical, and psychosocial factors. He partners with patients to develop a thoughtful treatment plan that may include medication management, supportive therapy, and coordination of care when needed. Ongoing follow-up focuses on progress monitoring, education, and adjustments to optimize outcomes.

Dr. Sabrina Lefcochilos-Fogelquist earned her bachelor’s degree from Georgetown University and her medical degree from Sidney Kimmel Medical College at Thomas Jefferson University. She completed her psychiatry residency at the Icahn School of Medicine at Mount Sinai Morningside/West in New York City. She has experience in outpatient, inpatient, and emergency psychiatry, treating a broad spectrum of mental health conditions across diverse populations.

Dr. Lefcochilos-Fogelquist values compassionate, holistic care and strives to build long-term, collaborative relationships with her patients. She is particularly drawn to the outpatient setting, where she can engage with the evolving narratives of her patients’ lives. She creates a warm, supportive environment where individuals feel safe, respected, and heard.

Her process begins with a comprehensive evaluation to understand each patient’s history, concerns, and goals. Treatment plans are individualized and may include medication management and psychotherapy. She integrates supportive, cognitive behavioral, psychodynamic, and mindfulness-based techniques to meet patients' evolving needs.