Tobias Murphy, MD

Dr. Mitchell Laski earned a Bachelor of Science in Psychology from the University of Nebraska–Lincoln in 2011 and completed his medical degree at the University of Nebraska College of Medicine in 2017. He completed his residency in psychiatry at Naval Medical Center Portsmouth, Virginia, in 2021, where he was selected as Chief Resident. Dr. Laski has extensive experience in both outpatient and deployed settings, having completed two operational tours with the U.S. Navy. During these tours, he served in Embedded Mental Health Clinics and aboard deployed ships, working directly with Sailors.

Dr. Laski brings empathy, attentiveness, and a non-judgmental approach to every patient interaction. He is deeply committed to ensuring patients feel heard, respected, and understood. Patients can expect him to be thorough and dedicated, consistently advocating for their overall wellness throughout the course of treatment.

Understanding that beginning mental health care can be difficult, Dr. Laski starts with friendly, casual questions to build rapport—asking about patients’ background, interests, and current life situation. He then reviews their medical and psychiatric history before exploring current symptoms and stressors. Together, he and the patient collaborate to create a personalized treatment plan.

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Dr. Khandie Graham is a board-certified psychiatrist who completed her medical training at UCLA/Drew Medical Education and her psychiatry training at University of California, San Francisco/Fresno in 2013. She has served as a psychiatrist in the United States Air Force and prior to joining Talkiatry, was an inpatient psychiatrist. Dr. Graham's practice focuses on medication management. Typically, she offers this in conjunction with supportive therapy in 30-minute follow-up visits. However, occasionally Dr. Graham may believe that additional therapy is also needed and ask that you bring a therapist into your care team to provide the best outcome. Dr. Graham treats all adults and specializes in depression, bipolar disorder, anxiety disorders, ADHD, and life changes. She prides herself in partnering with patients to create individualized treatment plans. Dr. Graham is a great listener and spends time with her patients.

Angie Catlin DNP has been working in mental health for over a decade. She has experience working inpatient, outpatient, and intensive outpatient clinics. She has also worked as a provider in residential care centers and long-term care. She began as a BSN nurse, after graduating from Pittstate University in Kansas, in the critical care field before finding psychiatry at an inpatient child and adolescent hospital. Working with young patients in crisis led her to want to continue her education to become a psychiatric provider to address lack of access to care for those with mental health needs. Angie continued to help ensure those in need have access to care, and assisting her patients obtain the best outcomes became her passion.

She then enrolled in a dual master’s program to obtain her Master’s in Nursing and Master’s in Business for health care administration as she wanted to gather as much knowledge as she could on the barriers to care and to address those barriers. After finishing her dual Master’s with a MSN and MBA/HA from University of Phoenix, she enrolled in the Doctor of Nursing Practice program at University of Missouri in Columbia to become a Psychiatric Nurse Practitioner. While in her Doctorate program she completed residencies in rural outpatient clinics, urban outpatient clinics, and nursing homes to understand the barriers for patients of all age groups in each level of care. Since graduating from Mizzou, Angie maintained her zealousness in making care available to all; working with diverse populations in every setting. She enjoys reading up on the latest research pertinent to her clients, including new medications and treatments on the horizon. Angie is an avid football fan and enjoys cooking, reading, live music, and spending quality time with her family including her Saint Bernard and two English bull dogs during her downtime.

Angie Catlin DNP has worked with patients suffering from anxiety, depression, OCD, PTSD, ADHD personality disorders, learning disabilities, insomnia, Autism, bipolar disorder, Alzheimer’s and dementia, Parkinson’s, Psychosis, Depression, Schizoaffective disorder, and schizophrenia. Angie has always been an advocate for those with mental health issues and is willing to do what is needed to help patient’s feel supported, educating her patients on current treatments and treatment options, and best practices. Moreover, Angie advocates for LGBT issues and understands the issues facing those who are LGBT in society.

She is compassionate about the care she provides as she wants patients to achieve their best life. She will always spend time with patients discussing medications to ensure decisions are a team decision between patient and provider. She has always included counseling and education as part of her practice to ensure her patient receive best evidenced based outcomes She believes that psychiatric care decisions should be made with the patient, not for the patient, so patients feel heard respected and understood.

Angie Catlin DNP begins her sessions with new patients by gathering a thorough history including family history, medical history, surgical history, medication and psychiatric history. This ensures that the whole patient is treated and their entire histories are considered in influencing how the patient came to her and what their issues may be. Angie is careful to listen to each patient and assess what is important to them along with goals they may have for their treatment. Angie collaborates with her patients in a team approach to develop treatment plans that the patient feels comfortable with in achieving their goals.  

She values open communication and individualized treatment plans that focus on each patient’s needs and the barriers they face helping to address those barriers so patients can achieve to live their best lives. Angie wants the best for all patients she treats and accepts her patients as they are and supports what they believe is vital to their needs. Angie is a firm believer that the patient knows what works for them and is always patient centered in her approach.

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.

Gabrielle Delarose is a dually boarded Psychiatric Mental Health and Family nurse practitioner with over ten years of clinical experience. Gabrielle is dedicated to providing culturally competent and evidence-based medication management and psychotherapy to assist individuals in achieving their goals to live their best life. I believe in holistic treatment of individuals, and focus on the individual’s overall well-being, including how they are functioning socially and professionally. In addition to medication and psychotherapy, she is a proponent of incorporating research-supported alternative modalities, including dietary changes, exercise, social interaction, and yoga. She also advocates of forest bathing (“shinrin-yoku”), a practice of spending time in nature that yields both medical and mental health benefits as discovered in research trials from around the world. As a professionally trained cellist, she also frequently incorporates art and music into appointments and treatment plans with patients. Her goal for all her patients is to improve all facets of a person’s life with treatment. Gabrielle is an LGBTQ+ affirming provider and has extensive experience working with diverse populations.

New patients should know that the initial appointment will consist of obtaining their social history in addition to their medical history. This is an important part of establishing a therapeutic relationship in addition to obtaining health information to use in formulating treatment plans. A person’s identity and life experiences are a significant influence on a person’s health and well-being, and Gabrielle believes in discussing these experiences in order to best understand a patient’s background and incorporate that into their care. Patients are encouraged to write down any questions they may have prior to the appointment, as well as any significant points they want to discuss. This is encouraged because, as patients, we may forget to address these points without a prompt from the provider. Gabrielle also encourages patients to actively participate in their care and firmly believes in a patient’s right to autonomy and agency. This patient-centered approach empowers patients to help guide treatment plans that best fit the patient’s needs and abilities at any given time. Patients are also encouraged to discuss any concerns about medications or treatment, particularly if there are concerns about side effects.

Gabrielle works collaboratively with patients to determine appropriate and preferred treatment plans, including medication and therapy. She uses cognitive behavioral therapy (CBT) as the primary therapy modality, in conjunction with existential therapy, depending on the patient’s needs and preferences. She prefers to allow patients flexibility in their treatment, so the process may look less structured depending on the immediate needs of the patient. Other times, particularly while working through a specific problem in therapy, appointment agendas may be planned out for several weeks. If at any time, however, a need arises to deviate from preplanned appointment agenda, patients are encouraged to discuss this at the beginning of the appointment. Above all, patients’ needs will guide the agenda.

Michael Huang is a psychiatric mental health nurse practitioner who takes a holistic, collaborative, and non-judgmental approach to mental health care. He graduated from Boston College with his MSN after many years of working in inpatient psychiatry at McLean Hospital in Belmont, MA, and has over a decade of experience in mental health care. He has worked in various outpatient settings, first in Boston and more recently in Las Vegas, gaining extensive experience with individuals from diverse socio-economic and cultural backgrounds.

Michael strongly believes that each person’s struggle is unique, and the solutions and treatments should be individualized based on the person’s goals. Having experienced childhood trauma himself, he is particularly passionate about and experienced in treating C-PTSD, OCD, ADHD, and borderline personality disorder. His focus is on helping others find peace, whether momentary or lasting, in their chaotic and often overwhelming lives.

The first appointment with Michael includes a comprehensive psychiatric evaluation and a discussion about your goals for treatment. While pharmacological treatment may be part of the plan, Michael prefers to focus on the therapeutic aspect of care, as he believes therapy is an essential component of healing. With Michael, you can expect to collaboratively create a treatment plan that you feel comfortable with, rather than simply being told what to do.

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