Tahira Akbar, MD

Dr. Marianne Marsh has more than 30 years of experience. She earned her medical degree and completed her psychiatry residency at the University of Vermont and holds a bachelor’s degree in Nutrition Science from the University of California, Davis. Dr. Marsh has practiced extensively in outpatient settings, serving patients of all ages with a wide range of mental health concerns. She has worked in clinical roles, trained psychiatry residents and staff, and developed innovative programs to meet community needs. Prior to joining Talkiatry, she served as Chief Medical Officer at Monadnock Family Services in Keene, NH. She also brings expertise in trauma therapy, Dialectical Behavioral Therapy, and women’s psychology.

Dr. Marsh strives to create an open, warm, and accepting environment where patients feel safe to share their experiences. She values and honors diversity, welcoming all belief systems and cultural backgrounds. Her approach is holistic, integrating the mind-body connection and drawing on both ancient traditions and modern medicine. She emphasizes compassion, trust, and respect to build a supportive relationship that empowers patients to heal and grow.

Dr. Marsh begins treatment by thoroughly exploring a patient’s history and how it connects to their current concerns. She works collaboratively to understand each individual’s values and incorporates them into care. Ongoing sessions continue to explore how symptoms relate to life experiences, and together, Dr. Marsh and her patients create treatment goals that align with their beliefs and vision for the future.

Dr. Amara (She/Her) is an American Board of Psychiatry and Neurology certified psychiatrist. She earned her bachelor's degree in psychology and arts from the University of Albany. She then graduated from St. Matthews University's School of Medicine in the Grand Cayman Islands. After completing her residency at LSUHSC-Ochsner program in 2016, she worked at Ochsner Medical Center, New Orleans for 7 years. Her roles there included working with patients in the field of Consultation Liaison psychiatry. In addition, she was the medical director of the behavioral medical unit (IOP) and the lead of the transcranial magnetic stimulation clinic. Dr. Amara has been very involved in academics and won the Faculty Member of the year, Adult Psychiatry Program, LSU-Ochsner 2021, Teaching Excellence Award in Psychiatry University of Queensland 2019 and Roger Hatchette Award of Excellence in Emergency Psychiatry 2016. She then served in her community at Crescent Care FQHC clinic in 2023. Her interests include providing care for various behavioral health concerns, including Adjustment disorder, Mood disorders, including Treatment resistant depression, Anxiety disorders, PTSD, Neurodegenerative illnesses, Somatic disorders, Gender Dysphoria, and LGBTQIA2S+ community inclusive care. Dr. Amara's practice is focused on the functionality of a person in their life, including relationships, career, physical wellness and living a robust life. She provides primarily medication management but also includes Supportive therapy, Action Oriented therapy, Cognitive Behavioral Therapy, and Motivational interviewing when appropriate. Her style is very approachable, inclusive and always grounded in humanistic values.**THIS PROVIDER CANNOT PRESCRIBE CONTROLLED SUBSTANCES FOR LOUISIANA PATIENTS**

Dr Mark Giordano is a board-certified psychiatrist with over ten years of experience in adult psychiatry, addiction medication, pregnancy and post-partum care, complex medical consultation, and military health. Dr G practices psychodynamic psychotherapy as well as evidenced based medication management. Dr G has extensive experience working with culturally diverse populations, and is an Army veteran who deployed to Korea and Afghanistan.

Patients often describe Dr G as caring, providing clear explanations, and responsive to concerns.   Dr G highly values his patients trusting him to listen and respect them, as well as in his clinicial skills.  He works hard at helping his patients understand his approach to treatment, and what is happening along the way and why. He may be the medical expert, but he and his patients are partners working together in the process of achieving better health and functionality for them so they can live their best lives.

Dr G starts by explaining his overall approach to medication management and his goal of helping his patients live a better life free of disability. He conducts a detailed evaluation of your concerns, your experiences, and your priorities in treatment.  Dr G develops a unique treatment plan based on your unique needs. He emphasizes positive developments over the course of your work together and makes sure you always have a chance to discuss any questions or concerns you want him to know and answer.

Dr. Katherine Vital-Daley is an adult psychiatrist at Talkiatry. She treats all adults and her passion lies in providing accessible care for women facing challenges throughout pregnancy, childbirth, and postpartum and in reproductive psychiatry. Dr. Vital-Daley's academic background is rooted in science, with an undergraduate degree in biochemistry and molecular biology from the University of California, Merced. She then pursued her medical doctorate at the Medical University of the Americas. Following medical school, she completed her psychiatry residency training. The first two years were spent at East Carolina University, Brody School of Medicine, with a culmination of her last two years of residency at Allegheny Health Network in Pittsburgh, Pennsylvania, to further specialize in women's mental health, which solidified her expertise in this vital area.‍At Allegheny Health Network's Women's Behavioral Health clinic, Dr. Vital-Daley honed her skills in treating a range of conditions, including depression, anxiety, PTSD, OCD, bipolar disorder, and related issues, and served as a medical provider for their intensive perinatal/postpartum outpatient clinic. She also developed a deep understanding of perinatal mental health, supporting patients coping with perinatal loss and traumatic birthing experiences. In her practice, she employs supportive psychotherapy and mindfulness along with evidence-based medication management, utilizing the most current clinical guidelines and treatment modalities. ‍Dr. Vital-Daley's approach is rooted in a collaborative treatment approach. She works closely with patients, exploring past and current stressors and any relevant medical conditions to develop a comprehensive understanding of their individual needs. Recognizing the importance of cultural competency, she incorporates patients' unique backgrounds, beliefs, and core values into her care plans.

Dr. Jerry Sayers is a double board-certified psychiatrist in General Psychiatry and Consultation-Liaison Psychiatry. Dr. Sayers completed an Internal Medicine internship in Youngstown, Ohio. He then completed his residency in General Psychiatry at The Johns Hopkins Hospital followed by fellowship training in Neuropsychiatry and Behavioral Neurology at Johns Hopkins Bayview. He most recently finished his fellowship in Consultation-Liaison Psychiatry at the University of Maryland. Dr. Sayers has had the opportunity to care for a diverse group of patients with neuropsychiatric, neurological, and other general medical conditions. His work allowed him to work on a proactive, collaborative psychiatric consultation team designed to be involved early in the care of vulnerable patients with complex neuropsychiatric conditions. Dr. Sayers has experience in outpatient, inpatient, residential, and partial hospitalization programs. He works hard to tailor therapy to the needs of the individual patient by adapting techniques that have been successful across different treatment settings. His desire to ensure exceptional care is evident in his ability to relate to and understand an individual patient's needs and concerns.

Dr. Michael Gravenstein earned his medical degree from the University of Florida College of Medicine, where he also completed his psychiatry residency. During training, he was recognized with multiple awards, including the Malcom Randall VA Resident of the Year Award, the Ross A. McElroy Psychotherapy Award, and the John “J.D.” Dorian Award for best sense of humor. He has worked across outpatient, inpatient, and consult liaison settings, and has experience treating a wide range of conditions including depression, anxiety, ADHD, OCD, personality disorders, and transitional age concerns. He also has expertise working with LGBTQIA+ patients and provides psychodynamic, CBT, and supportive therapies.

Dr. Gravenstein believes in a comprehensive approach to treatment that integrates medications, therapy, and lifestyle interventions. While medications can be very effective, he views them as just one part of a broader treatment plan tailored to each patient’s needs. He emphasizes individualized care and sees treatment as a team effort, meeting patients where they are and progressing at a pace they feel ready for.

Dr. Gravenstein strives to create a warm, collaborative environment that fosters open communication and genuine connection. He may challenge patients therapeutically but always with careful attention to their readiness and comfort. His goal is to build trust so that meaningful conversations and progress can occur. For him, success is always shared—when patients succeed, they succeed together; when challenges arise, they regroup and move forward together.