Richard Rise, MD

Dr. Pilar Bare is an adult psychiatrist who completed her psychiatry residency at TriStar Centennial Medical Center in Nashville, Tennessee, where she served as Chief Resident. She earned her medical degree from Western University of Health Sciences College of Osteopathic Medicine of the Pacific Northwest in Oregon, where she studied osteopathic medicine which shaped her holistic view of health. She completed an intern year in Family Medicine at the University of Arkansas for Medical Sciences West. She holds a bachelor's degree in chemistry and biology from the University of Arkansas, where she graduated with honors.

Outside of work, she enjoys hiking, backpacking, visiting national parks, and spending time with her senior dog.

Dr. Bare believes that each individual's background plays a significant role in their mental health, and understanding a patient's personal story is critical to their healing journey. She believes in a respectful, collaborative relationship built on trust and open communication. While Dr. Bare integrates evidence-based medication management when clinically appropriate, she also emphasizes the therapeutic benefit of addressing lifestyle, relationships, and internal narratives.

Dr. Bare begins care with a thorough evaluation, exploring developmental history, impactful life events, and emotional patterns. From there, she develops a comprehensive treatment plan that may include medications, wellness strategies, and therapist collaboration. She considers each patient's strengths and challenges to guide care that promotes long-term recovery and personal growth.

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Dr. Dominique Holley is a triple board-certified psychiatrist in Adult Psychiatry, Child and Adolescent Psychiatry, and Addiction Medicine. Dr. Holley completed her post-doctoral residency and fellowship training at Walter Reed National Military Medical Center. She has served as an active US Army officer and recently separated from the US Army after 11 years of service. In her most recent role, she served as the Deputy Chief of the Department of Behavioral Health at Fort Campbell, KY where she provided clinical and administrative supervision, as well as mentorship and guidance for an interdisciplinary team of over 140 personnel. She maintained oversight of behavioral health care being delivered through 11 clinics and satellite locations, providing patient care for over 30,000 beneficiaries. While in leadership, she continued to provide direct patient care for service members and dependents including child and adolescent populations. Due to her experience with this unique population, she has extensive experience in treating individuals with trauma. She offers an holistic approach when caring for individuals dealing with mental illness as well as phase of life circumstances. She believes in treating the whole person and attending to physical, spiritual, and mental health. Dr. Holley provides supportive, cognitive behavioral, acceptance and commitment, and psychodynamic therapy skills that complement medication management in order to help improve wellness.

Dr. Laura Rosas is an adult psychiatrist at Talkiatry who practices compassionate, patient-centered care. As a multiracial psychiatrist, she serves diverse communities and focuses on treatment plans that respect each patient's background. She treats various diagnoses, including trauma, mood, personality, and eating disorders, with a particular interest in the student and LGBTQ+ communities. Using a range of skills and interventions from psychodynamic therapy, cognitive behavioral therapy (CBT), dialectical behavior therapy (DBT), acceptance and commitment therapy (ACT), and mentalization-based therapy (MBT), Dr. Rosas prioritizes a collaborative approach. She ensures patients are actively involved in shaping their treatment, including decisions about medication and supplements. This cooperation allows for personalized care plans that align with each patient's needs, values, and goals. Recognizing that cultural influences, substance use, financial constraints, and other societal factors impact mental health, Dr. Rosas examines these personal aspects to provide effective, holistic care in a non-judgmental space. She graduated from McGovern Medical School (UT Houston) and completed her residency in psychiatry at the University of Chicago. She aims to make healthcare more accessible and affordable, driving systemic changes in mental health care.

Dr. Mennella is a board-certified adult psychiatrist. Her practice focuses on medication management and supportive therapy. Treatment emphasizes patient education and autonomy. Dr. Mennella is a proponent of shared decision-making and believes this facilitates a strong therapeutic relationship, greater satisfaction with care, and improved clinical outcomes. She completed an undergraduate degree in Information Technology from Purdue University and a master's degree in information systems from DePaul University. She received her medical degree from the University of Toledo College of Medicine and then completed her psychiatry residency at Loyola University Medical Center. Areas of interest include depression, bipolar, anxiety, and PTSD.

Dr. Mark Varela is a board-certified psychiatrist joining Talkiatry directly out of residency. He focuses primarily on medication management, often accompanied by brief cognitive, motivational, or supportive therapy. He may request that you also meet with a therapist regularly for your benefit. Dr. Varela received his medical degree and general psychiatric residency training both from Texas Tech University Health Sciences Center in West Texas. He treats young adults and adults with a wide variety of mental health concerns, including ADHD, mood disorders, anxiety, OCD, and PTSD.

Dr. Fatemeh Safian is a board-certified psychiatrist with experience in outpatient, inpatient, and telepsychiatry settings. She completed her residency at Larkin Community Hospital, caring for a diverse range of patients. Dr. Safian diagnoses and treats a wide variety of conditions, including depression, anxiety, OCD, PTSD, trauma-related disorders, phobias, personality disorders, ADHD, bipolar disorder, postpartum depression, and concerns across all age groups. She is dedicated to creating a safe, supportive space where people feel truly heard—believing good psychiatry starts with listening.

Dr. Safian fosters a warm, respectful, and judgment-free environment where patients can share openly. She takes time to understand each person’s symptoms, story, values, and goals. Medication is just one option; she also considers therapy, lifestyle changes, and other supports. Collaboration and trust are central to her approach, with patients guiding the care decisions.

During the first appointment, Dr. Safian conducts an in-depth, unhurried conversation to explore the patient’s history and goals. Together, they develop a personalized treatment plan that may include medication, therapy referrals, and practical strategies. Ongoing follow-ups provide space to track progress, make adjustments, and ensure the patient feels comfortable and empowered.