Robynn Cavaliere, PMHNP

More Clinicians

Sherra StClair, PMHNP

Staff Nurse Practitioner

Sherra St Clair is a board-certified Psychiatric Mental Health Doctor of Nursing. She has more than a decade of experience working with individuals with a wide range of mental health concerns including attention deficit hyperactivity disorder, depressive and anxious disorders, obsessive compulsive disorder, bipolar disorder, and trauma responses. Sherra completed her Doctor of Nursing degree at the University of Wyoming and was recognized for her compassionate and welcoming approach in patient interactions. Prior to becoming a nurse practitioner, she was inspired to pursue further education while working as part of an inpatient treatment team that included psychiatrists, psychologists, patients, and their families. Witnessing the profound improvements that patients can experience after a crisis motivated her to shift to an outpatient, preventative approach. Previous to nursing, Sherra was a medical illustrator and animator, educated through the University of Michigan's medical school and enjoyed creating medical education for patients, physicians, and attorneys.

Sherra enjoys working with patients of all genders and socioeconomic backgrounds. Through shared decision making, she complements patients' strengths with evidence-based medication, psychotherapy, and education. Sherra recognizes that each individual is the expert in their life experiences. She strives to empower people to build on their self-worth, progress, and potential.

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Avishay Adri, PMHNP

Staff Psychiatric Nurse Practitioner

Avi Adri is a board-certified psychiatric nurse practitioner with a passion for helping others achieve their goals through medication management and psychotherapy. He is trained in cognitive behavioral therapy, psychodynamic therapy, and supportive therapy. He has experience helping others with depression, anxiety, OCD, bipolar disorder, PTSD and ADHD. He is an LGBTQIA+ affirming provider believing in empowering others in their life. He received his Master of Science in Nursing with a specialty in psychiatry from Stony Brook University and his Doctorate Degree in Nursing Practice from Chatham University. Avi believes in providing evidence-based compassionate treatment for mental health conditions to improve quality of life. His previous experience includes working at Columbia University Medical Center for 2 years on an inpatient psychiatric unit and for four years on the medical consultation liaison psychiatric team treating patients with an array of acute and chronic medical conditions while providing medication management and psychotherapy. His experience at Columbia includes treating an array of psychiatric conditions with the goal of reaching remission of symptoms. Additionally, he has experience practicing at a private practice in New York City focusing on interventional techniques such as TMS and Ketamine while providing medication management and psychotherapy. Through mindful techniques and compassionate care, Avi strives for the well-being of his clients. He believes clients are more than a diagnosis through the lens of client-centered holistic care.

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Margaret Reyes, PMHNP

Staff Nurse Practitioner

Margaret Mary Reyes DNP, APRN, PMHNP-BC is a board certified Psychiatric Mental Health Nurse Practitioner dedicated to providing patient centered, and compassionate mental health care. As a Florida native, she is a proud graduate of Florida Atlantic University (FAU), where she obtained her Bachelor of Science in Nursing (BSN), Master of Science in Nursing (MSN), and Doctor of Nursing Practice (DNP) with a specialty in Psychiatric Mental Health Nursing. Her doctoral research focused on improving outcomes for women living with Premenstrual Dysphoric Disorder (PMDD).

Dr. Reyes has advanced practice nursing experience in both inpatient and outpatient psychiatric settings. She has cared for individuals with a wide variety of mental health conditions such as Psychotic disorders, Bipolar spectrum disorders, Depressive and anxiety disorders, Trauma-related reactions/disorders, Attention deficit disorders, Personality disorders, substance use disorders, co-occurring disorders, Eating disorders, Suicidality, Homelessness and Severe mental illness (SMI) in the criminal justice system. She also has acute nursing practice experience in oncology, medical-surgical, telemetry/cardiac step-down, intensive care, and nursing research, as well as in Consultation Liaison Psychiatry while in graduate training.

Dr. Reyes implements an integrative and comprehensive approach to mental health care. She focuses on a combination of medication management and evidence based complementary and alternative interventions, with respect to the interconnectedness between mind, body, and spirit as well as the gut-brain axis. She utilizes supportive therapy, motivation interviewing and mindfulness cognitive based therapeutic techniques.

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Ashley Arora, PMHNP

Staff Nurse Practitioner

Ashley is an ANCC board-certified Psychiatric Mental Health Nurse Practitioner with over a decade of experience in Psychiatry. She has worked in inpatient and outpatient settings, crisis centers, and psychiatric emergency rooms. Ashley is deeply committed to working collaboratively with individuals to enhance their well-being, creating a personalized care plan tailored to each person’s unique needs.

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Her approach integrates medication management, supportive psychotherapy, and lifestyle interventions. As a prescriber specializing in psychopharmacology, Ashley provides comprehensive medication management while utilizing a shared decision-making model. She actively involves clients in their treatment planning, discussing various options to determine the most effective path forward.

During the initial session, Ashley prioritizes establishing a comfortable, open environment where clients feel at ease. She will review medical and psychiatric history, discuss treatment goals, and explore different therapeutic options based on individual preferences. Ashley encourages questions throughout the process to ensure a collaborative and supportive treatment experience.

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Ashlyn Tellers, PMHNP

Staff Nurse Practitioner

Dr. Ashlyn Tellers is a board certified Psychiatric Mental Health Nurse Practitioner. She received her Doctorate degree in nursing with an emphasis in psychiatry, in 2020 from the University of Arizona. She has been caring for mental health patients for twelve plus years in the long-term care, inpatient, residential, and outpatient settings. She specializes in treating adults with depression, anxiety disorders, bipolar disorder, ADHD, and OCD with medication management and supportive therapy. She focuses on educating her patients to build a therapeutic and safe treatment plan with every patient. Dr. Tellers encourages her patients to discuss their past mental history and current stressors to finding the root cause of their triggers and identify healthy coping skills, while also referring patients to therapists for more specialized therapies.

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Irene Pastis, MD

Staff Psychiatrist

Dr. Irene Pastis is a board-certified psychiatrist who specializes in adult psychiatry.  She completed residency training at East Carolina University in both internal medicine and psychiatry.  After residency, she pursued her passion in psychiatry and stayed on as a clinical assistant professor in the department of psychiatry at East Carolina University.  In this role she specialized in treating adults with mental illness in both the inpatient and outpatient settings.  She has spent a considerable amount of time teaching residents and medical students and has published several papers focusing on the neuroscience pathways of mental health conditions.  In her daily practice, Dr. Pastis focuses on evidence-based treatments utilizing the latest clinical guidelines and current approved treatments.  In addition to medication management, she also incorporates psychotherapy in the treatment of mental health conditions.  Dr. Pastis is passionate about taking a collaborative approach with her patients to help them reach their potential.

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Other Clinicians

Catherine Cashman, DO

Staff Psychiatrist

Background and credentials

Dr. Catherine Cashman is triple board-certified by the American Board of Psychiatry and Neurology in Adult Psychiatry, Child & Adolescent Psychiatry, and Forensic Psychiatry. She holds two Bachelor’s degrees: one in Finance from New York University, and another in Biology from the University of New Orleans. She earned her medical degree from Nova Southeastern University and completed an Adult Psychiatry residency at LSU Health Sciences Center in New Orleans. Dr. Cashman subsequently completed two fellowships: the first in Child & Adolescent Psychiatry at LSU New Orleans, along with a certification in Infant Mental Health (working with children ages 0–6 years and their caregivers); the second fellowship was in Forensic Psychiatry at the University of Rochester and the Rochester Regional Forensic Unit.

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Treatment approach

Dr. Cashman brings an extensive and specialized skillset to psychiatry, informed by her triple board-certifications. Her treatment approach integrates clinical expertise from adult, child and adolescent, and forensic psychiatry, emphasizing accurate diagnosis, risk assessment, and evidence-based care. With specialized expertise in forensic psychiatry and competency assessments, she employs rigorous evaluation methods to accurately inform treatment planning and risk management, particularly in complex or legally-involved cases.

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What you can expect in a first visit

Patients visiting Dr. Cashman for the first time can expect a detailed and comprehensive psychiatric evaluation. Given her forensic and clinical experience, initial assessments are thorough, focusing on clear diagnostic understanding, individualized risk assessment, and appropriate treatment planning. Patients can anticipate a collaborative, professional, and structured environment aimed at clarifying diagnoses and addressing their unique mental health needs effectively.

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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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Gira Borad, MD

Staff Psychiatrist

Dr. Borad is a Board Certified Psychiatrist and has specialized in Addiction Psychiatry. She finished her residency at the WVU campus of Charleston, WV, and finished the Addiction Psychiatry Fellowship at UPMC/Western Psychiatry Institute in Pittsburgh, PA. She has previously worked as an Assistant Professor at WVU of Charleston, where she was involved in working with residents in inpatient and outpatient settings, provided psychiatric consult services to hospitalized patients, and was part of the Outpatient Comprehensive Opioid treatment program where she provided Medication Assisted Treatment for patients with substance use disorders. She has an interest in treating patients with mood, anxiety, and psychotic disorders. Dr. Borad has a special interest in treating individuals having a substance use history and struggling to quit, and has expertise in treating patients with a dual diagnosis of substance use with other psychiatric conditions. She primarily does medication management, in addition to providing some supportive therapy and motivational interviewing to her patients in her 30-minute follow-up appointments. In addition, she may suggest bringing in a therapist to add to your care if clinically necessary.

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Albert Luong, MD

Staff Psychiatrist

Dr. Albert Luong is a Board Certified adult psychiatrist who integrates a friendly and collaborative approach to treating psychiatric conditions. For him, building strong therapeutic relationships is key to helping patients achieve their goals. In line with holistic treatment, Dr. Luong utilizes psychotherapy and medication management to implement a safe, empathic, and individualistic framework that allows for healing and wellness. Dr. Luong works primarily with patients dealing with depression, anxiety, stress management, and lack of fulfillment, among other life challenges. Dr. Luong completed undergraduate studies at the University of California, Berkeley, majoring in biological sciences and graduating with the highest distinction. He received his medical degree from New York University School of Medicine and completed an adult psychiatry residency at Albert Einstein College of Medicine. As part of his training, he was the Chief Resident of the Adult Outpatient Psychiatry Department, supervising trainees and treating patients with various psychiatric illnesses.

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Barbara Pack, LPCC

Staff Therapist

Barbara (Barb) Pack is a Licensed Professional Clinical Counselor with the Supervision Endorsement and a Licensed Independent Chemical Dependency Counselor, Clinical Supervisor Endorsement who has been providing mental health treatment for over 24 years and addiction treatment for over 27 years. Barb utilizes a combination of approaches in working with her clients, including person-centered, cognitive behavioral therapy, motivational interviewing, solution focused techniques, and a variety of other techniques. She has experience in several different types of treatment settings and treatment modalities in both Ohio and Florida. Barb enjoys working with individuals who also have co-occurring disorders, both mental health and substance use. Barb has experience working with a wide range of age groups and mental health issues including but not limited to depression, anxiety, trauma, stress management, grief, relationship issues, and a wide range of substance use issues. She will assess individuals' needs in their first few visits and work with them to develop an individualized treatment plan. Barb works to provide the empathetic listening and emotional support that her clients need to reach their goals. Her dream has been to work herself out of a job, as she wants to help her clients find healing and happiness. Barb attended the University of Akron for graduate school in a Community Counseling Program and attended Malone College, now University, and majored in Psychology.

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Marnie Stefan, MD

Staff Psychiatrist

Background and credentials

Dr. Stefan is a psychiatrist with extensive experience in outpatient care, inpatient care, and assertive community treatment. She has served as a medical director for large institutions, overseeing the treatment of individuals with complex mental illnesses. Born and raised in Puerto Rico, she is fluent in both English and Spanish. She earned her medical degree from the University of Puerto Rico School of Medicine and completed her psychiatry residency at the University of Florida, where she received recognition for her skills as a psychotherapist.

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Treatment approach

Dr. Stefan is deeply committed to patient-centered care, adapting her role to the individual needs of each patient. She believes in treating the whole person, rather than just a diagnosis, recognizing that each patient has unique psychosocial circumstances. She has a strong foundation in psychotherapeutic interventions and is dedicated to providing engaging, compassionate, and meaningful therapy in every patient interaction. With over 10 years of experience as a psychiatrist, she has worked extensively in telemedicine since 2013, ensuring that remote care is as effective and personal as in-person visits.

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What you can expect in a first visit

Patients meeting Dr. Stefan for the first time can expect a comprehensive and holistic evaluation that considers their symptoms, personal history, and life circumstances. She takes the time to build strong therapeutic relationships, fostering a caring and engaging environment where patients feel understood and supported. Whether through telemedicine or in-person care, she prioritizes personalized treatment plans that integrate medication management and psychotherapy, ensuring the highest quality of care tailored to each patient’s needs.

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Why Talkiatry?

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Nirupama Natarajan, MD

Staff Psychiatrist

Dr. Natarajan is a Psychiatrist at Talkiatry providing psychiatric services to adults ages 18 and older. In her practice, Dr. Natarajan focuses on medication management and psychoeducation, often along with supportive therapy. She is committed to providing evidence-based and patient-centered quality care for her patients. She is dedicated to working collaboratively with patients as a team in order to help patients to the best of her ability. Dr. Natarajan received her medical degree from Rutgers Robert Wood Johnson in NJ. She then completed her psychiatry residency at Rutgers Robert Wood Johnson as well, where she served as Chief Resident. Dr. Natarajan has a vast array of clinical interests in psychiatry and behavioral health, including anxiety and mood disorders as well as wellness. In her free time, she enjoys traveling to new places, and spending time with her family and friends.

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Robynn Cavaliere, PMHNP

Education and training

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