Shaily Desai, MD

Background and credentials

Dr. Nilesh Tannu is a board-certified psychiatrist by the American Board of Psychiatry and Neurology. He earned his medical degree from B.J. Medical College in Pune and completed his adult psychiatry residency at the University of Texas Medical School at Houston, where he served as chief resident. During his training, he received awards from the Society of Biological Psychiatry, the American Academy of Addiction Psychiatry, and the American Psychiatric Institute for Research and Education. He has been practicing General Psychiatry and Consultation-Liaison Psychiatry for the past seven years at Texas Medical Center in Houston, Texas. Additionally, he has served as an assistant professor of psychiatry at the Texas Medical Center, working at UT Physicians Clinics and Memorial Hermann Hospital. He is also a member of the Editorial Board for BMC Genomics Journal.

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Treatment approach

Dr. Tannu follows the bio-psycho-social model to provide evidence-based psychopharmacologic treatment. He integrates supportive therapy and cognitive-behavioral therapy (CBT) modalities into his practice to create personalized and comprehensive treatment plans. He is committed to mental health care, education, and helping patients achieve optimal functioning in their personal and professional lives. His clinical expertise includes ADHD, anxiety disorders, depressive disorders, bipolar disorder, psychotic disorders, insomnia, eating disorders, and complex medical comorbidities.

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What you can expect in a first visit

During the first visit, patients can expect a comprehensive assessment where Dr. Tannu takes the time to understand their symptoms, treatment history, and personal goals. He employs a collaborative approach to develop a tailored treatment plan that may include medication management and therapy interventions. His focus is on evidence-based care, ensuring that patients receive treatments that are scientifically backed and aligned with their individual 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. Zadoo graduated from the University of Texas at Austin. She attended medical school at Texas Tech University Health Sciences Center and went on to complete her residency at UT Health San Antonio.

Dr. Zadoo is passionate about getting to know her patients and helping them live happier, healthier, and more productive lives. She specializes in treating a wide range of mental health conditions, including depression, anxiety, bipolar disorder, OCD, and trauma-related disorders. Her approach is rooted in empathy, active listening, and shared decision-making. She believes that every patient’s story matters and tailors treatment plans to meet each patient’s needs, values, and goals. By fostering a safe and respectful space, Dr. Zadoo helps patients navigate times of stress, life transitions, behavioral problems, communication issues, relationship difficulties, poor self-esteem, grief, loss, and other concerns.

Dr. Zadoo first completes an initial psychiatric evaluation to establish diagnoses and create a comprehensive plan for treatment. She is passionate about forming a strong therapeutic alliance and empowering patients to improve their lives through a variety of holistic modalities. While medications are a mainstay of psychiatric care, Dr. Zadoo is also skilled at using existential, psychodynamic, cognitive behavioral, and Gestalt psychotherapy techniques.

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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.

Dr. Alicia Garcete is a board-certified child, adolescent, and adult psychiatrist in practice for over 12 years. Her practice focuses on medication management, recognizing  family involvement is extremely important and is an integral part of treatment. Dr Garcete has treated a wide variety of patients. Her primary focus is treating depression, anxiety disorders, ADHD, PTSD and OCD. Additionally, she can provide supportive therapy and elements of cognitive-behavioral therapy but on occasions more therapy support may be needed, and the recommendation to bring a psychotherapist on the care team may occur to provide an optimal outcome. Dr. Garcete is bilingual and provides care in both Spanish and English.

Prior to Talkiatry, Dr Garcete treated children, adolescents, and adults was at the intensive outpatient and partial hospitalization levels of care with focus on behavioral approaches in the Depression recovery and Anxiety/OCD programs.

Dr. Garcete earned her Medical Degree from the Universidad Nacional de Asuncion, Facultad de Ciencias Medicas in Paraguay. She completed her general psychiatrist residency at Maimonides Medical Center in New York. She was also a Fellow in Psychoanalysis at the Psychoanalytic Institute, Affiliate to New York University School of Medicine, and completed her child and adolescent psychiatrist fellowship at Elmhurst Hospital Center, affiliate to Mount Sinai Hospital. Dr. Garcete also held a clinical assistant professor appointment from the department of psychiatry at SUNY Downstate Medical Center.

Ashlyn Tellers is a board-certified Psychiatric Mental Health Nurse Practitioner. She earned her nursing degree with an emphasis in psychiatry in 2020 from the University of Arizona. With over twelve years of experience, she has cared for mental health patients across long-term care, inpatient, residential, and outpatient settings.

Ashlyn specializes in treating adults with depression, anxiety disorders, bipolar disorder, ADHD, and OCD through medication management and supportive therapy. She emphasizes patient education and works collaboratively to build therapeutic and safe treatment plans. She encourages open discussions about past mental health history and current stressors to help identify root causes and develop healthy coping strategies. When appropriate, she refers patients to therapists for more specialized care.

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Languages: English and Burmese

Dr. Pe Win is a board-certified psychiatrist.  He earned his medical degree (M.B.,B.S) from Institute of Medicine (1), Rangoon, Burma.  He went to obtain master’s degree in public health (MPH, Epidemiology and Biostatistics) from New York Medical College, Valhalla, New York.  He worked as a researcher in the area of Behavioral Health associated with drug use among HIV patients and Colombian youth.  He published several papers together with principal investigators on NIMH grants.  He received his residency training in psychiatry at Westchester Medical Center, Valhalla, New York.

Dr. Win has extensive experience in working with veterans (23 years in VA health care system) in outpatient setting. He has plethora of experience in dealing with different levels of PTSD (combat-related and military sexual trauma), anxiety, bipolar disorder, depression, OCD, mood disorders as well as behavioral issues related with memory impairment (e.g. Traumatic Brain Injury and  dementia).      

Dr. Win also worked in inpatient setting for both adolescents and adults for 5 years on a part-time basis in Four Winds Hospital, Katonah, New York.

During the first visit, patients can expect comprehensive interview focusing on patient- center approach.  After attentive, compassionate interview and open communication, patients will be evaluated thoroughly of their symptoms, mental and medical heath history, social history, family history, risk assessment, patient’s goals and needs, and treatment plan will be discussed.

He will provide warm and supportive environment by active listening and giving constructive suggestions.  He will explore possible coping strategies, assess patient’s readiness to change, and provide mindfulness, behavioral modification, CBT, motivational interview as well as medication management emphasizing on personalized treatment plan.

Dr. Win is committed to ongoing follow-up visit, reviewing prior discussions, any changes in patient’s mental/medical condition, stress level, side effects of medication, psychoeducation, coping strategies, psychotherapy, and adjustment of care as needed (medication as well as behavioral therapy)