Saba Mughal, MD

Dr. Delane Casiano is a board-certified adult psychiatrist with specialized interest and expertise in cultural psychiatry. She earned her undergraduate degree from Brown University and her medical degree from Morehouse School of Medicine. She completed psychiatry residency and research fellowship at the University of Pennsylvania. Such organizations as the American Psychiatric Association, National Institute of Mental Health, and Philadelphia Department of Behavioral Health have recognized her research examining cultural influences on mental health beliefs and service utilization.

Dr. Casiano brings a systems-based, culturally informed perspective to her work. With over 15 years of experience, she has supported individuals with diverse backgrounds and identities. Examples of her leadership of multidisciplinary teams include serving as associate medical director of a women's trauma program and founding an integrated care program for underserved communities. She has directed academic training programs, presented at national conferences, and led numerous community-based events focused on mental health awareness and stigma reduction.

Dr. Casiano values compassion and collaboration in the treatment relationship. She helps patients navigate depression, anxiety, ADHD, and post-traumatic stress, while also supporting those facing major life transitions.

Her approach combines evidence-based medication management, supportive therapy, and

psychoeducation. She tailors each treatment plan to the individual while offering encouragement and structure.

Dr. Meyen graduated from the University of Missouri School of Medicine and completed her psychiatry residency training at Harvard South Shore. She completed a fellowship in geriatric psychiatry through Massachusetts General Hospital in Boston, MA. Dr. Meyen was employed by the Department of Veteran Affairs for 10 years prior to joining Talkiatry. She is board certified in both adult and geriatric psychiatry. She specializes in depression, anxiety, PTSD, bipolar disorder, OCD, ADHD, and many other mental health disorders.

Dr. Meyen is a Harvard trained, board certified, adult psychiatrist who specializes in creating individually tailored treatment plans for patients using high quality evidence and up-to-date clinical guidelines. She has a passion for shared decision making, which means empathetic listening to each patient, and making a customized plan that supports their individual values and preferences.  

When meeting with a patient for the first time, Dr. Meyen carefully reviews current symptoms, past history, patient values/preferences. She works with the patient to develop individual treatment goals. Dr. Meyen values developing a trusting relationship with each patient and wants each patient to feel heard and valued.

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Dr. Scot McKay is board certified in Psychiatry and Child/Adolescent Psychiatry. He graduated medical school from the Medical University of South Carolina in Charleston, SC. He completed his residency and child/adolescent fellowship trainings at the University of Colorado - Anschutz Medical Center in Denver, CO. Previously, he has worked on the inpatient and partial hospitalization child/adolescent psychiatric units at Children's Hospital Colorado as well as in the school-based health clinics through Denver Health in partnership with Denver Public Schools. He has also worked in community mental health at the Mental Health Cooperative clinics throughout the Middle Tennessee region. He most recently joined a private practice before joining Talkiatry. He has been named to the Nashville Lifestyles Magazine's Top Doctors list in 2022, 2023, and 2024. He is a fellow of the American Psychiatric Association, and a member of the American Academy of Child and Adolescent Psychiatry. Dr. McKay enjoys working with patients going through life transitions such as high school to college and college to adult life. He believes it is important to understand the whole person (mind, body, and spirit) when treating them. He treats people struggling with depression, anxiety, bipolar, and ADHD, as well as trouble with relationships and family conflict. Dr. McKay provides both medication management and therapy. He believes that medication is just one of the items in a psychiatrist's toolbox and that therapy is equally important as medication.

Dr. Gregory Marc Varhely is a board-certified general adult psychiatrist. He grew up in Austin, Texas, and attended Texas State University, where he earned a BA in Psychology and a Master's degree in Biology/Biochemistry. After graduating from medical school at Ross University, he completed his residency in Psychiatry at the Medical College of Wisconsin. Dr. Varhely has served as an outpatient psychiatrist at the Department of Veterans Affairs and acted as an attending physician for resident psychiatrists at Texas A&M and UT Dell Medical Schools. He then acted as a sole proprietor of an outpatient psychiatric medication management and psychotherapy practice in Georgetown, Texas and later started contracting for North Central Health Care Mental Health Clinic, applying psychotropic medication management expertise to community-based treatment facilities in Wisconsin. Dr. Varhely's approach is rooted in forming meaningful connections with his patients. He wholeheartedly believes that psychological suffering stems from a blend of biological, psychological, social, and environmental factors. Dr. Varhely works together with his patients to uncover these factors and create treatment plans tailored to their specific needs using an eclectic blend of the latest in psychopharmacology, as well as psychodynamic, supportive, and cognitive-behavioral therapy.

Dr. Amada holds the position of staff psychiatrist at Talkiatry. She was born and raised in Queens, NY. She completed her undergraduate education at New York University, followed by medical school at SUNY Downstate College of Medicine in Brooklyn, NY. She went on to complete her psychiatry residency at Stony Brook University Hospital, where she received an award for academic achievement. Dr. Amada believes in a holistic approach to mental health that addresses lifestyle factors alongside medication management. She values the importance of both therapy and medication in treating mental illness.

Dr. Amada takes a collaborative approach to care and strives to involve her patients in every step of the treatment process. She believes in creating a safe, supportive, and nonjudgmental space where patients can openly discuss their concerns. While her focus is on medication management, she often recommends incorporating additional therapy into the treatment plan and may ask that patients work with a therapist to help achieve the best outcomes.

Dr. Amada works closely with her patients to develop personalized treatment plans. She believes in open communication, shared decision-making, and taking into account the whole person when addressing mental health concerns. Her goal is to ensure that patients feel heard, supported, and actively engaged in their care.

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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.