Shivani Borhara, LMFT

Dr. Mark Varela is a board-certified psychiatrist joining Talkiatry directly out of residency. He focuses primarily on medication management, often accompanied by brief cognitive, motivational, or supportive therapy. He may request that you also meet with a therapist regularly for your benefit. Dr. Varela received his medical degree and general psychiatric residency training both from Texas Tech University Health Sciences Center in West Texas. He treats young adults and adults with a wide variety of mental health concerns, including ADHD, mood disorders, anxiety, OCD, and PTSD.

Dr. Lucky Ly is a board-eligible psychiatrist who received his medical degree at Lake Erie College of Osteopathic Medicine and completed training in the psychiatric residency program at Millcreek Community Hospital. He has experience treating various psychiatric disorders including depression, anxiety, obsessive-compulsive disorder, bipolar disorder, attention deficit/hyperactivity disorder, and other related disorders. Dr. Ly uses evidence-based treatments and supportive psychotherapy such as cognitive behavioral therapy and interpersonal psychotherapy to help his patients. He encourages open communication and active participation as he believes they are key to successful treatment.

Tiffany Chaille is a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP) with nearly a decade of clinical practice and over 15 years of experience working in behavioral health. Her background includes inpatient and outpatient psychiatry, crisis-focused care, community mental health, integrated pain and psychiatry care, and telepsychiatry. She has a growing interest in functional and integrative approaches to mental health. Tiffany earned her Master of Science in Nursing as a PMHNP from Indiana University and her Bachelor of Science in Nursing from Indiana State University.

Tiffany believes mental health care is most effective when patients feel comfortable, supported, and truly heard. She takes a calm, compassionate, and nonjudgmental approach, meeting patients where they are. Her care focuses on practical, real-life treatment plans while considering sleep, stress, medical factors, and lifestyle influences. She values collaboration and aims for patients to feel informed, involved, safe, and confident throughout their care.

Tiffany begins by getting to know the person beyond the symptoms and understanding what brought them to care. She works collaboratively to develop individualized, realistic treatment plans using evidence-based medication management. Ongoing follow-up, thoughtful adjustments, clear communication, and a whole-person approach guide her work, with an emphasis on consistency and long-term support.

Madison Maynes is a Licensed Marriage and Family Therapist (LMFT) who is passionate about creating a safe, supportive, and nonjudgmental space where clients feel heard and understood. She values compassion, trust, and open communication, and believes therapy is most effective when it is collaborative and tailored to each individual’s unique needs, goals, and lived experiences.

Madison approaches therapy as a partnership, meeting clients where they are while offering guidance rooted in empathy and evidence-based care. She integrates Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), and Motivational Interviewing, while remaining flexible to ensure treatment aligns with each client’s priorities and comfort level.

Madison begins by getting to know each client’s story, concerns, and goals. Together, they develop individualized treatment plans focused on building insight, emotional resilience, and practical coping skills. Her work emphasizes meaningful, sustainable change that supports clients both in and outside of sessions.

Dr. Jaime Thomas, DO, earned her Doctor of Osteopathic Medicine from Oklahoma State University Center for Health Sciences and completed her psychiatry residency at Einstein Medical Center in Philadelphia. She is dedicated to providing culturally sensitive, holistic mental-health care, supporting patients through life’s most challenging moments by addressing the whole person—mind, body, and environment.

Dr. Thomas emphasizes understanding each patient’s unique story and identifying meaningful avenues for change. Her approach integrates lifestyle modifications, nutrition, spirituality, physical activity, community, and medication when appropriate, ensuring care is thoughtful, personalized, and collaborative.

Treatment begins with comprehensive sessions to explore a patient’s life story, concerns, and goals. Follow-up visits focus on fostering growth, maintaining stability, and supporting long-term well-being, creating a safe space for sustainable mental-health improvement.

Dr. Jonathan Hertz is board-certified in adult psychiatry. He completed fellowships in child and adolescent and public psychiatry and has been practicing psychiatry for over 18 years. Dr. Hertz's practice focuses on medication management which is offered with supportive and/or dynamic psychotherapy within 30-minute follow-up sessions. If patients have individual psychotherapists, Dr. Hertz will work collaboratively with these providers within a treatment-team approach to patient care delivery. Dr. Hertz received his medical degree from Tufts University School of Medicine in Boston. He remained in Boston to complete a residency in adult psychiatry at Cambridge Health Alliance and a fellowship in child and adolescent psychiatry at Children's Hospital Boston. Dr. Hertz subsequently returned to his hometown of NYC and completed a fellowship in public psychiatry. Dr. Hertz has clinical and administrative experience in the field of psychiatry. These positions include ACT Team community psychiatrist, director of adult outpatient clinic, and medical directorship in behavioral health within community hospitals. With training in child/adolescent, adult, and public psychiatry, Dr. Hertz has a developmental approach to mental health care. That is, he collaboratively explores the bio-psychosocial factors that may have influenced the development of mental disorders. Dr. Hertz believes an ecological approach enables a broader view of the multip