Rayal Gorrepati, MD

Dr. Nelson is a board-certified psychiatrist who attended the University of Iowa Medical School and completed her psychiatry residency and child and adolescent psychiatry fellowship at Walter Reed National Military Medical Center.  She has extensive experience treating active-duty service members, family members of active duty and the veteran population.  She feels comfortable working with a wide range of age groups and enjoys treating challenges with anxiety, mood, sleep, and concentration.

Dr. Nelson believes that the key to success in mental health care is being able to establish a trusting and open relationship between psychiatrist and patient.

While initial sessions include the need to gather background information about the patient overall as well as the symptoms of concern, subsequent sessions are focused on learning the impact of the treatment.

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Dr. Alton Williams is a board-certified psychiatrist with experience practicing in both outpatient and inpatient psychiatry settings. He earned his medical degree from Washington University in Saint Louis and completed his psychiatry residency at the Medical University of South Carolina. His clinical background allows him to support patients across a wide range of mental health needs with a thoughtful, well-rounded perspective.

Dr. Williams values open communication and works collaboratively with patients to set clear, meaningful treatment goals. Respect, compassion, and a non-judgmental approach are central to his practice. He believes mental health care is most effective when patients feel heard, understood, and empowered to take an active role in their care.

Dr. Williams begins by developing a thorough understanding of each patient’s history, concerns, and goals during the initial session. He creates individualized treatment plans that align with patient priorities and integrates medication management with supportive therapy and other evidence-based tools to promote lasting progress.

Gabrielle Delarose is a dually boarded Psychiatric Mental Health and Family nurse practitioner with over ten years of clinical experience. Gabrielle is dedicated to providing culturally competent and evidence-based medication management and psychotherapy to assist individuals in achieving their goals to live their best life. I believe in holistic treatment of individuals, and focus on the individual’s overall well-being, including how they are functioning socially and professionally. In addition to medication and psychotherapy, she is a proponent of incorporating research-supported alternative modalities, including dietary changes, exercise, social interaction, and yoga. She also advocates of forest bathing (“shinrin-yoku”), a practice of spending time in nature that yields both medical and mental health benefits as discovered in research trials from around the world. As a professionally trained cellist, she also frequently incorporates art and music into appointments and treatment plans with patients. Her goal for all her patients is to improve all facets of a person’s life with treatment. Gabrielle is an LGBTQ+ affirming provider and has extensive experience working with diverse populations.

New patients should know that the initial appointment will consist of obtaining their social history in addition to their medical history. This is an important part of establishing a therapeutic relationship in addition to obtaining health information to use in formulating treatment plans. A person’s identity and life experiences are a significant influence on a person’s health and well-being, and Gabrielle believes in discussing these experiences in order to best understand a patient’s background and incorporate that into their care. Patients are encouraged to write down any questions they may have prior to the appointment, as well as any significant points they want to discuss. This is encouraged because, as patients, we may forget to address these points without a prompt from the provider. Gabrielle also encourages patients to actively participate in their care and firmly believes in a patient’s right to autonomy and agency. This patient-centered approach empowers patients to help guide treatment plans that best fit the patient’s needs and abilities at any given time. Patients are also encouraged to discuss any concerns about medications or treatment, particularly if there are concerns about side effects.

Gabrielle works collaboratively with patients to determine appropriate and preferred treatment plans, including medication and therapy. She uses cognitive behavioral therapy (CBT) as the primary therapy modality, in conjunction with existential therapy, depending on the patient’s needs and preferences. She prefers to allow patients flexibility in their treatment, so the process may look less structured depending on the immediate needs of the patient. Other times, particularly while working through a specific problem in therapy, appointment agendas may be planned out for several weeks. If at any time, however, a need arises to deviate from preplanned appointment agenda, patients are encouraged to discuss this at the beginning of the appointment. Above all, patients’ needs will guide the agenda.

Dr. Perington is a Staff Psychiatrist with Talkiatry. She previously served in the US Air Force, where she completed her residency training in psychiatry (Lackland AFB) and was the medical director for a small-sized mental health clinic (Hill AFB). Dr. Perington uses a person-centered approach to tailor treatment to the individual, with an emphasis on shared decision making. She prefers to focus on psychotherapy and behavioral interventions as a primary part of the treatment plan, in addition to any indicated medication.

Motivation for change is a large part of the healing process, and for many people recovery doesn't happen with medication alone. Dr. Perington asks all her patients to play an active role in their treatment.

A thorough diagnostic assessment with discussion of the best treatment setting and modality, then regular follow up visits with emphasis on psychotherapy in addition to medication management (if indicated).

Dr. Taj Deen earned his medical degree from Dow Medical College in Karachi, Pakistan, and completed psychiatry residency training at Maimonides Medical Center in Brooklyn. He has over 20 years of experience at Jacobi Medical Center’s acute inpatient psychiatric unit, led an acute psychiatric unit for 10 years at Montrose VA Hospital in New York, and served for 25 years in the psychiatric emergency room at Westchester Medical Center.  

Dr. Deen prioritizes building a genuine therapeutic alliance with all patients, fostering open communication and collaboration. He works closely with patients to set clear treatment goals and objectives while creating a warm, supportive environment in which patients feel heard, respected, and empowered.  

Dr. Deen begins with a comprehensive interview to understand each patient’s history, concerns, and goals. From there, he develops individualized treatment plans tailored to the patient’s objectives, combining compassionate guidance with evidence-based psychiatric care to support meaningful progress.

Dr. Jaime Thomas, DO, earned her Doctor of Osteopathic Medicine from Oklahoma State University Center for Health Sciences and completed her psychiatry residency at Einstein Medical Center in Philadelphia. She is dedicated to providing culturally sensitive, holistic mental-health care, supporting patients through life’s most challenging moments by addressing the whole person—mind, body, and environment.

Dr. Thomas emphasizes understanding each patient’s unique story and identifying meaningful avenues for change. Her approach integrates lifestyle modifications, nutrition, spirituality, physical activity, community, and medication when appropriate, ensuring care is thoughtful, personalized, and collaborative.

Treatment begins with comprehensive sessions to explore a patient’s life story, concerns, and goals. Follow-up visits focus on fostering growth, maintaining stability, and supporting long-term well-being, creating a safe space for sustainable mental-health improvement.