Stephen Byrd, MD

Dr. Varma grew up in an immigrant family surrounded by aspiring doctors, and her passion for understanding the human mind and behavior blossomed early. This curiosity led her to pursue extensive medical training abroad, beginning at Kasturba Medical College in Southern India, followed by clerkships at the University of the West Indies in Trinidad and Tobago. She completed her Adult psychiatry residency at the University of Florida in Gainesville and specialized further with a child/adolescent fellowship at Brookdale University Hospital in Brooklyn, NY.

Dr. Varma believes in a holistic, integrative approach to mental health. Her philosophy centers on identifying the root causes of ailments rather than merely addressing symptoms. She views mental health care as a partnership, where the mind, body, and spirit work together to achieve wellness. Dr. Varma is committed to fostering a safe, confidential therapeutic alliance to help you explore your potential for healing.

Dr. Varma embraces integrative psychiatry, which combines the best of conventional Western medicine with complementary approaches. This involves a comprehensive biopsychosocial assessment tailored to each individual, incorporating psychopharmacology alongside lifestyle adjustments in diet, movement, and breathwork. She collaborates with therapists and other professionals to create a well-rounded treatment plan that honors your unique journey.

Dr. Vitaly Chernish is a board-certified psychiatrist. He earned his medical degree from the University of Tennessee Health Science Center, where he also completed his psychiatry residency training. Following residency, he relocated to New York City and worked at NewYork-Presbyterian Brooklyn Methodist Hospital. He also held an academic appointment as Assistant Professor of Clinical Psychiatry at Weill Cornell Medical College. Dr. Chernish specializes in the treatment of anxiety disorders, depression, bipolar disorder, post-traumatic stress disorder (PTSD), and obsessive-compulsive disorder (OCD).

Dr. Chernish strives to create a therapeutic environment that balances empathy and compassion with structure and clinical clarity. Patients can expect a thoughtful, respectful approach that prioritizes understanding their concerns while providing clear guidance and evidence-based recommendations.

Initial visits involve a comprehensive evaluation of psychiatric, medical, and psychosocial history, current symptoms, and medication use to ensure care is individualized and appropriate. Dr. Chernish emphasizes collaborative, multidisciplinary treatment and regularly coordinates care with primary care physicians, specialists, and therapists when clinically indicated.

Background and credentials

Dr. Shama Milon is a triple-board eligible physician in Pediatrics, Psychiatry, and Child and Adolescent Psychiatry. She earned her undergraduate degree from Duke University and her medical degree from the University of Cincinnati College of Medicine. She completed her combined training in Pediatrics, Psychiatry, and Child and Adolescent Psychiatry at the Icahn School of Medicine at Mount Sinai in New York, where she served as chief resident during her final year of training.

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Treatment approach

Dr. Milon specializes in treating mood disorders, anxiety, PTSD, ADHD, OCD, and patients with co-occurring psychiatric and medical conditions. She is dedicated to outpatient care, focusing on long-term relationships with her patients. Her treatment approach is comprehensive, integrating medication management with psychotherapy, including psychodynamic psychotherapy, cognitive-behavioral therapy (CBT), dialectical behavior therapy (DBT), play therapy, dyadic therapy, and family therapy. She emphasizes creating an empathetic, judgment-free space where patients and families feel supported and understood. If she believes additional therapy is necessary, she may recommend adding a therapist to the care team.

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What you can expect in a first visit

During the first visit, patients can expect a comprehensive psychiatric evaluation, where Dr. Milon carefully assesses physical, emotional, and psychological needs. She takes a holistic and patient-centered approach, ensuring that treatment plans are tailored to each individual’s unique circumstances. She prioritizes open communication and collaboration with both patients and families to create a structured, effective treatment plan that may include medication management and therapy interventions.

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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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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.

Nicole Estevez is a licensed mental health counselor in New York and an out-of-state telehealth provider in Florida. She received her Master of Mental Health Counseling from Alliance Graduate School of Counseling (now Alliance University). Nicole has 9 years of experience providing client-centered individual and family therapy services to a wide variety of clients. Nicole has worked in a variety of settings including an outpatient community clinic, in-home family therapy, treating undocumented minors with trauma history, and telehealth. Nicole has experience working with clients who are experiencing anxiety, depression, bipolar disorder, borderline personality disorder, grief, post traumatic stress disorder, and other mental health concerns. Over the years in the mental health field, she believes that the best approach to therapy is a collaborative process with the client to assist in achieving their goals. Nicole has experience with modalities including cognitive behavioral therapy, psychodynamic, motivational interviewing, and dialectical behavioral therapy.

Natisha Joseph is a Licensed Mental Health Counselor (LMHC) with a Master of Science in Mental Health Counseling from Mercy University and certification as a Trauma Specialist. Her career began even before completing graduate school in 2014, with more than 10 years of experience providing services to youth in residential treatment. She has also served adults with developmental and intellectual disabilities as a Residential Coordinator for 8 years, supported patients in palliative care for 5 years, and has spent the last 4+ years as a dedicated Mental Health Counselor in both inpatient and outpatient settings.

Natisha values open communication and collaboration, working with clients to set clear treatment goals. She creates a warm, respectful, and nonjudgmental environment where individuals feel supported and validated in their therapeutic journey. With a structured yet flexible approach, she helps patients navigate challenges such as trauma, emotional dysregulation, and self-care while fostering healing, growth, and problem-solving.

In the first session, Natisha takes time to understand each patient’s history, concerns, and goals. She builds therapeutic relationships rooted in trust, confidentiality, and respect, and co-develops individualized treatment plans tailored to each person’s needs. Drawing from CBT, ACT, and trauma-informed interventions, she provides active treatment through weekly or biweekly sessions, reviewing and adjusting goals to support ongoing progress.