Rachel Cash, MD

Dr. Pipalia is board-certified in both adult psychiatry and internal medicine. Since graduation from residency, he gained specialized experience in treating veterans with terminal illness, specifically Amyotrophic Lateral Sclerosis (aka Lou Gehrig's Disease), at the VA Medical Center in Portland, OR. He combines both psychotherapy and medication treatment to provide holistic care that addresses not only your mental health but also the parts of your life that surround and are deeply intertwined with your mental health. When more intensive psychotherapy is warranted, he collaborates with an experienced psychotherapist to serve you better. With his experience of internal medicine, he is also comfortable with navigating complex medical issues that may interact with your mental health. Dr. Pipalia is a graduate of St. George's University School of Medicine. He completed a combined Psychiatry & Internal Medicine residency training program at East Carolina University. He went on to complete a fellowship in Clinical Informatics at Oregon Health & Science University, learning how to use modern digital technologies and patient data to improve patient care. His academic activities include a presentation he has given multiple times on Illness Identity, teaching other clinicians how having an illness can change how we perceive our place in the world and how to help patients manage their relationship with illness.

* THIS PROVIDER CANNOT PRESCRIBE CONTROLLED SUBSTANCES FOR MN PATIENTS * Dr. Dung ("Young”) Truong is board-certified in both psychiatry and family medicine. Prior to joining Talkiatry, he worked in a busy Minneapolis emergency room for 20 years. He cared for patients presenting in mental health crisis, treating their acute presentation and helping find solutions to their concerns, ranging from starting and adjusting medications to identifying and addressing contributing factors such as medical illness, substance use, and life stressors. Dr. Truong has extensive experience and can comfortably manage a wide range of illnesses and problems. He sees patients of all ages and ethnicities, including LGBTQ+ populations. He has interests in mood disorders during and after pregnancy, and immigrant and refugee mental health. Dr. Truong's approach is to help you ultimately feel better and move forward with a hopeful plan involving medication management, education about your illness, and therapy to manage your emotional and environmental stressors. He is known for his calm demeanor and his excellent instincts. He strives to meet your expectations. Recognizing the challenges and complexities of the mental health condition, he also encourages input from your established care provider, therapist, and loved ones who want to be involved in your care. He feels such collaboration provides optimal treatment .Dr. Truong has also worked as a psychiatrist in an integrated primary care clinic. He has taught and supervised medical students, psychiatric residents/fellows and family medicine residents. He has collaborated extensively with social workers, therapists, and other health care providers to achieve the best outcomes for his patients. He works on staying current with the latest evidence-based care and mental health treatments.

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. 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!

Steven Warren, PMHNP, has over 25 years of psychiatric nursing experience in both inpatient and outpatient settings. He has provided extensive individual and group psychotherapy and education, and since 2017, has offered medication management and brief therapy in a collaborative community mental health setting. Steven earned his Bachelor of Nursing in 2011 and Master of Nursing in 2017 from Indiana University, and is ANCC board-certified as a Psychiatric Mental Health Nurse Practitioner.

Steven values open and honest communication, working directly with patients to set clear, achievable treatment goals. He is dedicated to ensuring each person he works with feels heard, respected, and supported throughout their mental health journey. His approach emphasizes collaboration, empathy, and trust.

During the first session, Steven takes time to understand each patient’s history, concerns, and goals. He develops individualized treatment plans that reflect patient values, adapting them as needs evolve. Through a strong therapeutic relationship, he provides guidance and support to help patients achieve meaningful and lasting progress.

Amber Gordon, PMHNP-BC, is a board-certified psychiatric nurse practitioner dedicated to providing personalized mental health care. She holds a Bachelor of Science in Healthcare Administration from the University of Memphis, a Bachelor of Science in Nursing from Union University, and a nursing practice degree from the University of Tennessee Health Science Center.

With over a decade of clinical experience, Gordon has worked in a variety of settings, including psychiatry, intensive care, and dialysis. Her psychiatric experience spans inpatient and outpatient care, as well as residential and correctional facilities. She has served diverse populations, addressing a wide range of mental health conditions such as mood disorders, anxiety disorders, substance use disorders, trauma- and stressor-related disorders, and perinatal psychiatric conditions.

Gordon’s approach to mental health emphasizes the complex interplay between mental and physical well-being, lifestyle choices, and environmental factors. She integrates conventional medicine with alternative therapies, recognizing the importance of medication while also advocating for therapy, nutrition, and lifestyle changes. This holistic philosophy reflects her belief in each patient’s unique journey to mental wellness. Her therapeutic style is described as warm, empathetic, and empowering, with a strong focus on building a trusting and connected therapeutic relationship.

‍