Sarah Debrey, MD

Dr. Nora Feldpausch earned her medical degree with AOA honors from Michigan State University and completed a general psychiatry residency there, with a focus on psychotherapy and medication management for adults 18 and older. She has been board certified in General Adult Psychiatry since 2012. Dr. Feldpausch has extensive experience working with college and transitional-age young adults, including nine years at Colorado State University Health Network and work with Michigan State University CAPS. She serves as an advisor on telehealth and college and graduate student health for the American Psychiatric Association and as Secretary for the Association for College Psychiatry. She also supports rural mental health initiatives and has lived and worked in rural Colorado for over 12 years.

Dr. Feldpausch views psychiatric care as a collaborative partnership grounded in trust, mutual respect, and open communication. She prioritizes listening carefully to each patient’s experiences and values to develop an accurate, evidence-based diagnosis and treatment plan. While experienced in medication management, she emphasizes balancing psychotherapy, nutrition, exercise, and medication to support long-term wellness and minimize side effects.

Dr. Feldpausch uses initial sessions to gather a thorough psychiatric, medical, and family history, review prior treatments, and clarify patient goals. She incorporates relevant biological data, such as vitals and labs, to guide care. Treatment plans are continuously revisited and refined through follow-up, collaboration with the broader care team, and ongoing alignment with patient priorities.

Dr. Merna Guirguis is a general psychiatrist known for her patient-centered and accessible approach. She blends compassion with evidence-based care, creating a supportive environment where patients feel heard. Her practice integrates psychiatric medication management with psychoeducation, empowering patients to make informed decisions about their treatment.

Dr. Guirguis emphasizes collaboration and transparency. She listens carefully to each patient’s concerns, encourages questions, and works to build a trusting therapeutic relationship. Her style is approachable and adaptable, ensuring patients feel comfortable sharing their experiences and actively participating in their care.

She begins by reviewing each patient’s history, concerns, and goals to craft personalized treatment plans. Dr. Guirguis combines current clinical needs with long-term wellness objectives, adjusting care collaboratively over time. When appropriate, she may recommend additional therapy to complement medication management and optimize outcomes.

Dr. Sheena Dohar is a board certified general psychiatrist. Before joining Talkiatry, she practiced extensively in community mental health with adults of all ages in both outpatient and inpatient settings and as the medical director of several intensive outpatient and dialectical behavioral therapy (DBT) based programs. She has experience in private practice and in the dual diagnoses of mental health and substance abuse disorders. Dr. Dohar graduated from Carnegie Mellon University with a Bachelor of Science in Biology and Psychology and then completed medical school at West Virginia University School of Medicine. She trained during her residency at WVU, where she served as a chief resident and received the Brandon K. Fuller Award for Physician Empathy in 2017. Dr. Dohar's practice focuses on medication management. Her goals include helping people feel comfortable seeking treatment as well as promoting an understanding of the purpose and reasoning behind the use of various medications to treat psychiatric disorders. Typically, she offers this in conjunction with supportive or emotionally focused therapy in 30-minute follow-up visits. When Dr. Dohar may believe that additional therapy is also needed, she will ask that you bring a therapist into your care team to provide the best outcome. Dr. Dohar appreciates and values working with therapists within the Talkiatry practice and in the community in a collaborative effort to promote wellness. She strives to build strong therapeutic relationships with the people that she sees in her practice. Her passions include working in the community at large to encourage a better understanding of mental health disorders and to promote suicide awareness and prevention. She has interests in pharmacogenomics as well as treatment resistant approaches to depression. Dr. Dohar appears in several professional publications.‍

Kara Burdelski is a Licensed Professional Counselor who has been working as an experienced psychotherapist for over the last twelve years. She has worked with a variety of demographics in various settings such as health care settings, community mental health, and even mobile therapy. Kara attended undergraduate school in Springfield, MO and obtained her graduate degree, a Master's of Science in Counseling Psychology, from Chatham University in Pittsburgh, PA. Over the last six years, she has worked predominately with adults with serious and persistent mental illness (SPMI) in a health care setting with patients who have been diagnosed with HIV/AIDS as well as other varieties of chronic conditions. Kara has experience in working with individuals who have disorders like depression, anxiety, psychosis, PTSD, bipolar, trauma, chronic medical issues, grief, and substance abuse disorders. She allows her clients to direct the type of treatment they need since every human is an expert of their own experience. The style of treatment Kara uses is tailored to meet the needs of each individual client with compassion and respect. She values the entire person. Kara utilizes unconditional positive regard with each individual she works with. Kara specializes in working with minorities, and the LGBTQAI+ community, and has considerable experience serving individuals who face chronic pain and disabling health conditions. She also practices in a harm reduction approach. Kara engages in a respectful position towards people using substances including alcohol and can assist with strategies for reduction including abstinence-based recovery. She believes in an all-inclusive approach that utilizes mindfulness, cognitive behavioral therapy, solution focused, behavioral activation techniques, and acceptance and commitment therapy. Kara is committed to providing you with a space to grow, learn self-acceptance, and focus on your commitment to yourself.

Shelah Radke, MD, JD, is a double board-certified Child and Adolescent and Adult Psychiatrist with over a decade of extensive experience in mental health care, specializing in the well-being of children, adolescents, and young adults. She currently serves in St. Louis, MO, where she is known for her dynamic leadership as a Medical Director and her robust clinical practice. Throughout her career, Dr. Radke has held pivotal roles, including Medical Director of Crisis Psychiatry Services at Mercy Hospital and key positions in several reputable outpatient clinics across the U.S. Her clinical acumen spans a diverse range of settings, from private practice and crisis care to specialized programs in residential and educational institutions.

A staunch advocate for evidence-based approaches, Dr. Radke integrates lifestyle and pharmacological interventions to foster mental health resilience among her patients. She is particularly passionate about the shared decision-making model, which enhances patient empowerment and satisfaction by actively involving them in their treatment plans. Dr. Radke's academic contributions are equally notable. She has developed educational curriculums that significantly improve health outcomes and has shared her expertise through numerous media appearances and professional talks. Her commitment to medical education is reflected in her mentorship of nurse practitioners and her involvement in creating community psychiatry programs.

Complementing her medical expertise, Dr. Radke holds a Juris Doctorate, with a focus on public health and social policy, which enriches her understanding of the legal and systemic aspects of healthcare. Her approach is deeply holistic, informed by her training in integrative medicine and her personal commitment to wellness, which she practices through nutrition, exercise, and travel with her family. Dr. Radke's professional journey is driven by a commitment to optimizing mental health outcomes and enhancing the quality of life for her patients and their families.

‍

Kristen Soukup, LCSW is a mental health therapist at Talkiatry. Kristen completed her undergraduate degree at the University of Rochester where she studied Psychology and Brain & Cognitive Science. She then went on to pursue her Master's degree in Social Work at the State University of New York at Buffalo. After completing her Master's degree, Kristen began working at an outpatient cancer center where she provided care coordination and therapeutic support to patients and their families enduring cancer diagnoses, treatments, and end of life. She then worked to pursue her clinical license in working with adults with significant and persistent mental illness in an outpatient setting. Kristen functioned not only as a primary therapist but also as the crisis team leader, providing supervision to other clinicians and assisting clients both in the clinic and the community. Kristen believes in looking at the whole person in their environment when working with her patients. She comes from a nonjudgmental and empathetic standpoint and genuinely wants to put the patient's goals and values first. Kristen has experience in treating patients with anxiety, depression, OCD, Bipolar disorder, and personality disorders. Kristen is trained in Dialectical Behavioral Therapy and tends to utilize Cognitive Behavioral Therapy techniques in treatment. She has knowledge and interest in human motivation and performance related issues, and utilizes Motivational Interviewing and mindfulness skills to assist her patients with these concerns. Kristen also has training in treating anxiety and Obsessive Compulsive disorders and uses exposure therapy to assist patients in overcoming these struggles.‍