Tobias Murphy, MD

Dr. Shaily C. Desai, MD is a board-certified psychiatrist who treats adults. She graduated Magna Cum Laude and with General Honors from University of Miami. She completed medical school at the University of Miami Miller School of Medicine in the prestigious Honors Program in Medicine. She continued her medical education at Jackson Memorial Hospital & University of Miami Hospital for her 4-year psychiatry residency training program. After completing her training, Dr. Desai held an academic appointment at the University of Miami while working at the Miami Veterans Affairs Hospital initially as a behavioral health consultant in the Primary Care Mental Health Integration (PCMHI) model and later as a Behavioral Health Interdisciplinary Program (BHIP) psychiatrist in the Mental Health Treatment Coordinator (MHTC) role.

Dr. Desai’s background spans clinical care, academic research, and community service, giving a comprehensive understanding of mental healthcare delivery across different settings. Dr. Desai developed expertise in quickly building rapport with patients, conducting medication management assessments, and implementing effective interventions. These experiences taught Dr. Desai how to maintain clinical excellence while showing patience and respect for each patient's unique circumstances. She understands the delicate balance of providing thorough care within the constraints of virtual sessions and she has developed strategies to ensure patients feel supported and understood, even though a screen.

By combining clinical expertise with genuine empathy and persistence, Dr. Desai helps her patients navigate their treatment journey with confidence and hope. Dr. Desai’s practice focuses on medication management and supportive psychotherapy in typically 30-minute follow up visits. At times, additional psychotherapy is needed, and a therapist may be added to provide the best outcome.

Dr. Laura Rosas is an adult psychiatrist at Talkiatry who practices compassionate, patient-centered care. As a multiracial psychiatrist, she serves diverse communities and focuses on treatment plans that respect each patient's background. She treats various diagnoses, including trauma, mood, personality, and eating disorders, with a particular interest in the student and LGBTQ+ communities. Using a range of skills and interventions from psychodynamic therapy, cognitive behavioral therapy (CBT), dialectical behavior therapy (DBT), acceptance and commitment therapy (ACT), and mentalization-based therapy (MBT), Dr. Rosas prioritizes a collaborative approach. She ensures patients are actively involved in shaping their treatment, including decisions about medication and supplements. This cooperation allows for personalized care plans that align with each patient's needs, values, and goals. Recognizing that cultural influences, substance use, financial constraints, and other societal factors impact mental health, Dr. Rosas examines these personal aspects to provide effective, holistic care in a non-judgmental space. She graduated from McGovern Medical School (UT Houston) and completed her residency in psychiatry at the University of Chicago. She aims to make healthcare more accessible and affordable, driving systemic changes in mental health care.

Dr. Macdonnell is a double-boarded psychiatrist with over 25 years of experience in adult psychiatry and geriatric psychiatry. Dr. Macdonnell focuses on treating individuals with medication management. Supportive and interpersonal therapy is incorporated as needed. When additional therapy or longer sessions are necessary to enhance the individual's treatment, she invites a therapist to become a member of your care team. Dr. Macdonnell attended undergraduate school at Manhattan School of Music earning a bachelor's and master's degree in violin performance and musicology. She then attended the City University of New York � Hunter College campus majoring in premedical sciences. Dr. Macdonnell attended Albert Einstein College of Medicine in the Bronx, New York, earning a degree in MD. She completed an internship in internal medicine before entering psychiatry residency at New York-Presbyterian Hospital � Westchester Division. After completing her residency, she stayed for an additional year, completing a fellowship in geriatric psychiatry. She was promoted to Attending Psychiatrist and Unit Chief of the Geriatric Partial Hospital Program. After two years in academic psychiatry, she entered private practice in New York and Connecticut for 8 years. She then served 2 years in the National Health Service providing outpatient care to an underserved area in central Florida. Moving to Georgia, she has worked in private practice and academic psychiatry at Mercer University College of Medicine before moving on to Veterans' care at Atlanta VA and Carl Vinson VA Medical Center. While Dr. Macdonnell has a wide range of experience, she focuses on general adult psychiatry.

Dr. Tetyana Tarnavsky is a board-certified psychiatrist trained in Adult Psychiatry. She attended Dnipropetrovsk State Medical Academy in Ukraine where she received her M.D., M.S. and Ph.D. degrees in Psychiatry. Dr. Tarnavsky completed her residency at Harvard South Shore Psychiatry Residency Training Program in MA, where she was elected chief resident. Dr. Tarnavsky has an extensive research experience in Ukraine and the USA. She had studied computer addiction for her dissertation; had multiple abstracts and presentations; published several articles in peer-reviewed psychiatric journals as well as a book entitled Computer Addiction: Formation, Diagnosis, Correction and Prophylaxis. She has helped organize international conferences with the goal of improving access to and quality of healthcare in Dnipropetrovsk, Ukraine, and providing a national model for health care reform. Dr. Tarnavsky has worked with a variety of patients with diverse backgrounds in a Community Health Center and in the Partial Hospitalization Program as well as supervised medical students, psychiatry residents, and nurse practitioners. She has been a lecturer on psychiatry at Harvard Medical School and was involved in the training of psychiatry residents in the Harvard South Shore Psychiatry Training Program. Her primary focus has been on treating adults with depression, anxiety, post traumatic stress disorder, adjustment disorder, ADHD and other disorders. Dr. Tarnavsky strives to provide quality and compassionate treatment to individuals and their families.‍

Dr. Megan Freeman is board certified by the American Board of Psychiatry and Neurology in Adult Psychiatry. She completed her residency training at Vidant Medical Center at East Carolina University in Greenville, North Carolina in 2021 where she was the chief resident. Since then, she has worked as an attending physician at an inpatient adult psychiatric unit in Burlington, North Carolina. As a resident and attending she has treated adults of all ages and in all areas of mental health. Dr. Freeman's talkiatry practice will mostly focus on medication management in conjunction with support or acceptance-based therapy during 30-minute follow-up visits. During this time, Dr. Freeman hopes to collaborate with her patients to help set treatment goals and ways to track progress in between appointments. Dr. Freeman is board certified in adult psychiatry. She enjoys seeing patients with a wide variety of diagnoses including, but not limited to, major depressive disorder, bipolar disorder, post-traumatic stress disorder, obsessive-compulsive disorder, and generalized anxiety disorder. She enjoys combining medication management with various therapy techniques.‍

Dr. Nicholas Sahagian is a Psychiatrist in Colorado who has been practicing since 2023. He completed his MD and Adult Psychiatry Residency at the Chicago Medical School at Rosalind Franklin University and earned his BA in Neuroscience at Skidmore College. Dr. Sahagian has experience managing a broad array of complex psychiatric diagnoses in patients of diverse socioeconomic, cultural, and clinical backgrounds. Outside of work, he enjoys hiking, biking, skiing, playing guitar, reading, and collecting board games.

Dr. Sahagian offers psychiatric medication management while also incorporating elements of cognitive behavioral therapy, motivational interviewing, internal family systems, and lifestyle interventions. He believes that every patient is unique, and he works to create a supportive environment where individuals feel heard and empowered in their care.

Grounded in the biopsychosocial model, Dr. Sahagian takes a collaborative, patient-centered approach. He partners with patients to develop personalized treatment plans that integrate biological, psychological, and social factors, with the goal of guiding them along their path to improved wellness.