Rita Shaughnessy, MD

Dr. Varsha Narasimhan is a physician with experience working in outpatient integrated medical settings, where she has collaborated closely with primary care and obstetric providers to support patients’ mental health within the context of their overall health. She earned her medical degree from SUNY Downstate Medical Center and completed her psychiatry residency and integrated care fellowship at Montefiore Medical Center. Dr. Narasimhan also holds additional training in bioethics and medical humanities, which informs her thoughtful and reflective approach to care.

Dr. Narasimhan’s style is practical, respectful, and grounded in shared decision-making. She works collaboratively with patients to ensure they feel informed and empowered in their care. She treats depression, anxiety, PTSD, ADHD, bipolar disorder, and cognitive concerns, with a focus on patient-centered care and careful, individualized medication management.

Dr. Narasimhan tailors treatment to each patient’s unique concerns, values, and goals. She prioritizes compassion and a whole-person perspective during the initial assessment and throughout treatment, working with patients to develop plans that support both mental health and overall well-being.

Dr. Alexa Hall is a board-certified adult psychiatrist with extensive training and experience across inpatient, partial hospitalization, intensive outpatient, and outpatient psychiatry settings. She earned her medical degree from Saint Louis University School of Medicine and completed her psychiatry residency at Harvard South Shore. Through her clinical work with the Harvard Medical School system and the Boston VA Healthcare System, Dr. Hall developed expertise in caring for diverse patient populations. She has also served as Medical Director for multiple psychiatry practices, overseeing services such as outpatient medication management, Spravato, IV Ketamine, and Transcranial Magnetic Stimulation (TMS). Outside of work, she enjoys cooking and spending time with her family.

Dr. Hall provides a supportive, non-judgmental environment where patients feel heard, respected, and understood. She takes a collaborative approach, working in partnership with patients to set and achieve individualized wellness goals. Her practice emphasizes whole-person care, integrating both mental and physical well-being into each treatment plan.

Dr. Hall begins by listening closely to understand each patient’s history, experiences, and concerns. From there, she collaborates with patients to identify their personal treatment and wellness goals. She develops individualized treatment plans tailored to these goals, focusing on supporting meaningful progress and long-term well-being.

Background and credentials

Dr. Lillian Cole is a board-certified adult psychiatrist. She completed her undergraduate education at the University of North Carolina Wilmington and went on to earn both a master’s in biomedical sciences and a medical degree from Texas Tech University. She completed her psychiatry residency training at the University of Texas Southwestern Medical Center, where she gained experience working with a diverse range of patient populations across different ethnic, socioeconomic, and clinical backgrounds.

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Treatment approach

Dr. Cole emphasizes a holistic, patient-centered approach that integrates evidence-based medicine, psychotherapeutic techniques, lifestyle interventions, and psychoeducation. She believes that listening, collaboration, and compassion are essential to guiding patients toward recovery. Her practice primarily focuses on psychiatric medication management, and she has extensive experience treating mood disorders, anxiety, trauma-related disorders, and substance use disorders. When additional therapy is necessary for the best outcome, she may recommend integrating a therapist into the treatment plan.

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What you can expect in a first visit

Patients can expect a thorough and compassionate initial evaluation, where Dr. Cole takes the time to understand their symptoms, medical history, and treatment goals. She focuses on fostering a strong doctor-patient relationship and collaborates with each patient to create a personalized treatment plan that may include medication management, therapy, and lifestyle interventions. If additional therapy is indicated, she will coordinate with other providers to ensure comprehensive care tailored to the patient’s 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. Mathews is an adult psychiatrist who works with young adults and adults struggling with anxiety and depressive disorders. She uses a compassionate, non-judgmental, and reflective approach to listening and working with clients. Dr. Mathews' practice focuses on medication management, offered in conjunction with supportive therapy in 30-minute follow-up visits. Dr. Mathews completed medical school at Stony Brook University School of Medicine where she also earned her masters in Medical Humanities, Compassionate Care, and Bioethics. She completed her adult psychiatry residency training program at Montefiore/Albert Einstein College of Medicine. The philosophy of Dr. Mathews' practice is to help promote each individual's natural capacity for healing. She ultimately strives to help clients create rich and meaningful lives while also offering mindfulness skills to empower clients to effectively cope with the pain and suffering that life can bring.

Dr. Lauren McClairen is a psychiatrist board certified in General Psychiatry and Addiction Medicine. She completed her medical and psychiatric training at Meharry Medical College in Nashville, TN and a fellowship in Addiction Medicine at Baptist Memorial Hospital in collaboration with IAC (Integrated Addiction Care) in Memphis, TN. Dr. McClairen has clinical experience and practice working with other specialties and disciplines in treatment teams and integrated care models both in the inpatient and outpatient setting. She has held an academic appointment at Baptist Memorial Hospital where she enjoyed teaching and supervising medical residents and fellows in training. She most recently served as the Regional Behavioral Health Medical Director for a group of mental health clinics throughout Tennessee, and as the Chief of Psychiatric Services for a residential treatment facility in Mississippi that also had Partial Hospital and Intensive Outpatient Programming (PHP/IOP). She is experienced in treating patients with a variety of mental health diagnoses including but not limited to depression, bipolar disorder, anxiety disorders, ADHD, OCD, PTSD, and those with a history of substance use disorders. Dr. McClairen works collaboratively with her patients to provide treatments tailored to each patient's individualized needs. She prioritizes building trusting relationships and fostering open communication. Patients can expect a compassionate approach often with utilization of supportive therapy, mindfulness, and at times cognitive behavioral and psychodynamic psychotherapy techniques to address their psychosocial stressors and unique needs.

Dr. Morales is a board-certified psychiatrist who is dedicated to the bio-psycho-sociocultural model. This has been reflected in Dr. Morales' pursuit of treating patients suffering from diverse medical and psychiatric conditions, respective psychological mindedness, and varied socio-economic and cultural backgrounds. As an individual, Dr. Morales is fascinated by the human mind, its mechanisms to pursue goals, and the cyclical patterns seen in maladaptation and suffering. He believes in understanding patients' experiences and developing comprehensive treatment plans towards reconciliation. After completing his medical education at the East Carolina Brody School of Medicine, as a Brody Scholar, he subsequently completed psychiatry residency at Jackson Health System/University of Miami. Dr. Morales has had the opportunity to work with a diverse array of patients including high-functioning patients, veterans, trafficking victims, the severely mentally ill of low socio-economic status, and cancer patients across three distinct hospital systems via telemedicine and face-to-face interactions. His experience includes working with patients suffering from post-traumatic stress disorder, adjustment disorder, mood disorders, generalized anxiety disorder, panic disorder, and more. He honors active listening, analytic understanding, supportive psychotherapy techniques, and evidence-based and methodological treatment for patient care and actualization. His goal is to assist patients in navigating short- and long-term goals as well as improved quality of life. As a result, Dr. Morales focuses on medication management, which is offered in conjunction with supportive therapy, which is offered in 1-hour initial and 30-minute follow-up visits. Dr. Morales believes that appropriate patients can benefit from additional exploratory and self-actualizing therapy from other valued and specialized therapists to support targeted goals. He will not hesitate to recommend and promote consultations with therapists for such patients who are ready to pursue. Ultimately, Dr. Morales seeks to understand, validate, and treat patients in a collaborative therapeutic alliance.