Saisha Saint-Cyr, MD

Dr. Shafi completed his undergraduate studies in biology at the University of Nevada Las Vegas. He then earned his medical degree from Touro University Nevada College of Osteopathic Medicine. He went on to complete his psychiatry residency at the Kirk Kerkorian School of Medicine at UNLV, where he was awarded “Master of the PRITE” for achieving the highest score on the Psychiatry Resident In-Training Examination.

Dr. Shafi specializes in the treatment of various psychiatric conditions including anxiety, depression, bipolar disorder, ADHD, and PTSD. He has practiced in multiple settings including inpatient psychiatric facilities, outpatient mental health clinics, and the VA system.  

Dr. Shafi primarily focuses on medication management in conjunction with supportive psychotherapy. Using a collaborative and patient-centered approach, he provides personalized care by tailoring treatment to his patients’ unique needs. Dr. Shafi’s curiosity and compassionate nature allow him to connect with patients from all walks of life. He is committed to creating a supportive environment where patients feel comfortable expressing their mental health concerns.

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Dr. Tanvi Gupta, a native Marylander who recently finished her fellowship training in Child and Adolescent Psychiatry from the University of Maryland. She completed her residency in general psychiatry from San Antonio, Texas and is a Board Certified Psychiatrist. Prior to training, Dr. Gupta attended medical school at Touro College of Osteopathic Medicine in in New York. She also holds a master's in biomedical science from Rutgers University in New Jersey and a bachelor's in public health from the University of Maryland. She is on the Early Career Psychiatrist Committee for the Child and Adolescent Psychiatrists of Greater Washington Area. Dr. Gupta has worked in various settings, ranging from academic centers, schools, state hospitals and residential treatment centers. She also provided medication management and therapy to Medicaid patients in an outpatient setting, delivering care to children and adolescents with various mental health disorders. Dr. Gupta has experience in Emergency Psychiatry as well.

Dr. Gupta greatly values connecting with her patients. She is gentle yet direct in her approach. She uses a shared decision-making process to design a treatment plan that align with her patient’s goals. Dr. Gupta provides psycho education for diagnoses and medication recommendations. She has a special interest in ADHD and trauma. She appreciates a family-based approach.

Dr. Gupta uses a comprehensive biopsychosocial evaluation, psychotherapy and medication management to treat a variety of mood disorders, anxiety disorders, as well as ADHD. Dr. Gupta promotes non-pharmaceutical interventions, when appropriate, with patient-oriented lifestyle and behavioral modifications.

Melissa Racklin is a licensed clinical social worker with over 20 years of experience. She works with individuals who have a wide variety of mental health challenges. Melissa helps individuals to work through symptoms that are holding them back and help them live a better, more fulfilling life.‍Melissa is experienced in the areas of panic disorders, generalized anxiety, OCD, phobias, separation anxiety. She particularly enjoys working with adults who are motivated to grow through the process of therapy. Melissa has worked extensively with clients who have depression, bipolar disorder, women's issues, ADHD, personality disorders, marital/relationship issues along with couples counseling, divorce, self-harm, adjustment disorders, and more. Melissa holds certification in clinical supervision as well as school social worker certification. And has training in red flags for suicidality.‍Melissa's approach is custom-tailored for each individual client. She has a supportive, genuine, and authentic style of treatment. Melissa is warm and empathic and strives to create a safe and trusting therapeutic environment for her clients. She utilizes active listening skills and is intuitive and skilled in various modalities of treatment. Most often, Melissa uses CBT, DBT, and a psychodynamic approach in her work with clients.

Dr. Kira Posteraro is double board-certified in Adult and Addiction Psychiatry and has over 10 years of clinical experience. She completed her General Adult Psychiatry Residency at Allegheny General Hospital in Pittsburgh, PA, followed by a fellowship in Addiction Psychiatry at Beth Israel Medical Center in New York, NY.

Dr. Posteraro’s career has included serving as Director of Psychiatric Services at an addiction treatment center in Pittsburgh, PA, where she provided care across the full continuum of substance use disorder treatment—including residential, acute PHP, IOP, outpatient, and aftercare services. She later held the role of Section Chief Psychiatrist for the Center for Treatment of Addictive Disorders at VA Pittsburgh Healthcare System, offering both residential and outpatient services and acting as Medical Director for the SAMHSA-certified Opioid Treatment Program. Most recently, she served as Chief of Psychiatry for the Behavioral Health Service Line at VA Pittsburgh, where she had the honor of caring for our nation’s Veterans.

While her clinical expertise centers on the diagnosis and treatment of substance use disorders, Dr. Posteraro also has extensive experience treating a wide range of psychiatric conditions, including depressive and bipolar spectrum disorders, anxiety disorders, and trauma-related disorders.

Dr. Posteraro uses a collaborative, supportive approach to care, incorporating motivational interviewing to help guide patients on their journey to wellness. She integrates holistic strategies alongside medication management and is dedicated to meeting patients where they are in treatment to build individualized, effective recovery plans.

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Background and credentials

Dr. Jonathan Myrtil is a board-certified adult psychiatrist. He earned his medical degree from Ross University School of Medicine and completed his residency in Adult Psychiatry at the University of Central Florida, affiliated with North Florida Regional Medical Center. After completing his training, he remained at North Florida Regional as an adult psychiatrist and supervising physician, gaining experience treating patients in inpatient, outpatient, partial hospitalization, and intensive outpatient program (IOP) settings.

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Treatment approach

Dr. Myrtil takes a collaborative approach to psychiatric care, integrating medication management with supportive therapy to provide well-rounded treatment. His primary focus is on treating adults with mood and anxiety disorders, PTSD, and ADHD. He prioritizes patient involvement in treatment decisions, ensuring that care plans align with individual needs and goals.

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What you can expect in a first visit

Patients meeting Dr. Myrtil for the first time can expect a thorough evaluation where he assesses their symptoms, treatment history, and personal goals. He fosters a supportive and collaborative environment, working closely with patients to create a personalized treatment plan that incorporates medication management and therapeutic interventions tailored to their specific 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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Erika Zarco is a Licensed Marriage & Family Therapist and Telehealth provider. She has extensive experience working in non-profits, schools, academic settings, and private practice. Erika is certified in Trauma-Informed Interventions, Advanced Grief Counseling, Addictions-Informed Care, Narrative Therapy, Emotional Freedom Techniques (EFT), Solution-Focused Brief Therapy, and Nutrition & Integrative Medicine for trauma. She holds a BA in Humanities from New College of California and a master’s in Counseling from the Wright Institute.

Erika values open communication and helps clients set clear treatment goals. She fosters a collaborative environment using narrative counseling, Internal Family Systems, and “parts” work to help clients re-story their experiences. She also offers EFT Tapping for trauma, anxiety, depression, and pain. Erika works from the belief that clients are the experts in their own lives and promotes self-determination through Motivational Interviewing, Harm Reduction, and Energy Psychology.

Erika begins by understanding what brings clients to therapy and building a strong therapeutic relationship. She tailors Narrative Counseling and EFT sessions to each individual, collaboratively creating personalized treatment plans with achievable, transformational goals. Her approach is holistic, supportive, and designed to empower clients to recognize their strengths and motivation for meaningful change.