Thomas Spina, MD

Dr. Sarah Ramos, MD, has experience practicing in a variety of outpatient settings, including community mental health and military care, serving active-duty service members, their families, and veterans. She earned her medical degree from Vanderbilt School of Medicine and completed psychiatry residency training at the University of California San Diego and Thomas Jefferson University in Philadelphia.

Dr. Ramos values open communication, privacy, and a collaborative approach with her patients. She creates a warm, supportive environment where individuals feel heard, respected, and empowered to participate in their care.

In initial sessions, Dr. Ramos thoroughly assesses patients’ history, concerns, and goals to ensure care is personalized and effective. She develops comprehensive treatment plans that align with each patient’s objectives, providing ongoing support to help them achieve meaningful outcomes.

Dr. Gregory Marc Varhely is a board-certified general adult psychiatrist. He grew up in Austin, Texas, and attended Texas State University, where he earned a BA in Psychology and a Master's degree in Biology/Biochemistry. After graduating from medical school at Ross University, he completed his residency in Psychiatry at the Medical College of Wisconsin. Dr. Varhely has served as an outpatient psychiatrist at the Department of Veterans Affairs and acted as an attending physician for resident psychiatrists at Texas A&M and UT Dell Medical Schools. He then acted as a sole proprietor of an outpatient psychiatric medication management and psychotherapy practice in Georgetown, Texas and later started contracting for North Central Health Care Mental Health Clinic, applying psychotropic medication management expertise to community-based treatment facilities in Wisconsin. Dr. Varhely's approach is rooted in forming meaningful connections with his patients. He wholeheartedly believes that psychological suffering stems from a blend of biological, psychological, social, and environmental factors. Dr. Varhely works together with his patients to uncover these factors and create treatment plans tailored to their specific needs using an eclectic blend of the latest in psychopharmacology, as well as psychodynamic, supportive, and cognitive-behavioral therapy.

Dr. Cheryl Person is the National Director of Clinical Quality at Talkiatry. She is board certified in general adult psychiatry and has been in practice for 20 years. Dr. Person focuses on medication management but believes that is only part of successful treatment. She will spend her time providing motivational interviewing or supportive therapy, and believes it is often critical to have a therapist as part of the treatment team. Dr. Person received her medical degree from Tulane University School of Medicine. She completed her psychiatric residency at Johns Hopkins and a psychiatric epidemiology fellowship at Johns Hopkins Bloomberg School of Public Health with a focus on disaster mental health. After relocating to Texas in 2010, she worked as Director of Psychiatric Services of a large safety-net hospital in Houston. Prior to Talkiatry, she most recently was the executive director/chief physician of a large university student health center and campus pharmacy. In addition to adult psychiatry, Dr. Person has worked extensively with victims of acute trauma and her primary focus is on working with patients who have anxiety and mood disorders.

Dr. Kat Atadjanova is a board-certified psychiatrist dedicated to providing holistic and compassionate care for individuals navigating mental health challenges. She earned her MD from Tulane University School of Medicine and completed a combined residency in Internal Medicine and Psychiatry at Tulane. With experience in both fields, she is especially comfortable caring for patients with medical comorbidities and takes an integrative approach to treatment.

Dr. Atadjanova values collaboration and believes that treatment works best when patients are active participants in their own care. She is committed to creating a safe, supportive environment where patients feel heard and respected. Her approach combines evidence-based medication management with psychotherapy and lifestyle guidance, tailoring each treatment plan to the unique needs and goals of the individual.

In her work, Dr. Atadjanova begins by taking time to understand a patient’s history, strengths, and challenges. From there, she develops a personalized plan that may include medication, therapy, or supportive interventions. She emphasizes shared decision-making, patient education, and holistic strategies—such as nutrition, exercise, and sleep hygiene—to help patients achieve sustainable improvements in their mental health and overall well-being.

Dr. Telonis is a board-eligible adult psychiatrist who had been in practice for four years. Her focus is on using a collaborative approach and shared-decision making to help patients achieve their treatment goals. Dr. Telonis typically provides monthly 30-minute follow-ups with a focus on medication management and supportive therapy. In some instances, she may recommend a separate therapist to help facilitate the best care possible. Dr. Telonis earned her bachelor's degree in History of Art from Johns Hopkins University and then completed her master's at King's College London in international development with a focus on climate change. She received her medical degree from St. George's University School of Medicine and completed her psychiatry training at Mount Sinai Morningside and West Hospitals. Dr. Telonis has worked with a diverse patient population while training at Mount Sinai Morningside.‍

Background and credentials

Dr. Gerald Matthews is a board-certified adult psychiatrist. He earned his medical degree from the University of Louisville School of Medicine in Louisville, KY. Following medical school, he entered active duty service in the U.S. Army, where he completed his psychiatry residency at Tripler Army Medical Center in Honolulu, HI. After completing his training, he practiced as a staff psychiatrist at Fort Hood, TX, fulfilling his service obligation.

‍

Treatment approach

Dr. Matthews specializes in medication management, working primarily with adult patients in an outpatient setting. While his primary focus is pharmacological treatment, he frequently collaborates with therapists to provide comprehensive care when indicated. He has extensive experience treating civilians, active-duty military personnel, and veterans, addressing conditions such as mood and anxiety disorders, psychosis, and trauma-related disorders.

‍

What you can expect in a first visit

During the first visit, patients can expect a thorough psychiatric evaluation where Dr. Matthews takes time to understand their history, symptoms, and treatment goals. He provides a structured yet compassionate approach to care, discussing medication options and potential therapeutic interventions. For patients who may benefit from additional therapy, he collaborates with therapists to ensure a well-rounded treatment plan tailored to each individual's needs.

‍

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.

‍