Tyler O'Brien, MD

Dr. Julie Rodriguez is an ABPN boarded adult psychiatrist with over 15 years of clinical experience. Dr. Rodriguez's practice focuses on medication management, which is offered in conjunction with supportive therapy. Dr. Rodriguez obtained her medical degree from the Universidad Cat�lica Madre y Maestra Dominican Republic. She then completed her residency in adult psychiatry at the University of Florida, in Gainesville. After completing training, Dr. Rodriguez became a Clinical Assistant Professor for the University of Florida Department of Psychiatry. In this role she served students at UF Student Mental Health at the Counseling and Wellness Center. She also provided treatment to adults in inpatient services and other settings. While doctor Dr. Rodriguez treats a variety of age ranges and diagnoses, she is most passionate about college student mental health with a clinical expertise in the area of mood and anxiety disorders.

Dr. Panchal is a board-certified adult psychiatrist who works with motivated adults to navigate and discover the root of their mental health struggles. Since working in private practice, Dr. Panchal knows that discovering the root of difficulties allows clients to find healthy perceptions of themselves and strengthen their relationships so they can know themselves as a whole. She is trained in multiple therapeutic modalities as well as medication management, implementing individually tailored treatment. Her educational background includes training in psychodynamic psychotherapy with the Psychoanalytic Association of New York. She has completed her psychiatry training at Delaware Psychiatry Residency Program in New Castle, Delaware.

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. Fisher is a psychiatrist with over 20 years of experience in adult psychiatry, military health, addiction medicine, business leadership, and executive consultation.  His background has given him the opportunity to work with a diverse range of individuals, and he brings that breadth of experience to every patient relationship. In addition to his medical training, Dr. Fisher completed advanced training in psychodynamic and person-centered psychotherapy, which helps him provide care that’s not only evidence-based, but also deeply respectful of each person’s unique story.

Patients often describe Dr. Fisher as easygoing, kind, and patient. He takes pride in being someone who truly listens. he strives to create a safe, nonjudgmental space where you can be yourself—no matter where you're starting from. His goal is to meet you where you are, both emotionally and practically, and help you move toward where you want to be.

Dr. Fisher's approach is collaborative and flexible. He begins by getting to know you—your history, your concerns, and your goals. From there, we work together to create a treatment plan that may include therapy, medication, or both, depending on what’s appropriate for your needs. He integrate both psychodynamic insight and person-centered techniques, always with an emphasis on mutual respect and open communication. Progress takes time, and he's here to support you every step of the way.

Dr. Namrata Shah is a board-certified adult psychiatrist who completed her undergraduate training at the University of Wisconsin-Madison and earned her medical degree at the American University of Antigua. She completed her psychiatry residency at Creedmoor Psychiatric Center, where she trained at New York-Presbyterian/Columbia University Irving Medical Center. In addition to experience providing inpatient and outpatient care, Dr. Shah has worked with a wide variety of patient populations. The conditions she treats include depression, bipolar disorder, anxiety disorders, panic disorder, OCD, and ADHD. In addition, Dr. Shah is particularly interested in issues related to women's mental health, including perinatal mental health issues. Dr. Shah emphasizes the importance of a strong doctor-patient therapeutic alliance and a patient-centered approach. To provide the best care, she believes in compassion, open communication, and collaboration. As a primary treatment method, she combines psychopharmacological medication and supportive therapy.

Dr. Scot McKay is board certified in Psychiatry and Child/Adolescent Psychiatry. He graduated medical school from the Medical University of South Carolina in Charleston, SC. He completed his residency and child/adolescent fellowship trainings at the University of Colorado - Anschutz Medical Center in Denver, CO. Previously, he has worked on the inpatient and partial hospitalization child/adolescent psychiatric units at Children's Hospital Colorado as well as in the school-based health clinics through Denver Health in partnership with Denver Public Schools. He has also worked in community mental health at the Mental Health Cooperative clinics throughout the Middle Tennessee region. He most recently joined a private practice before joining Talkiatry. He has been named to the Nashville Lifestyles Magazine's Top Doctors list in 2022, 2023, and 2024. He is a fellow of the American Psychiatric Association, and a member of the American Academy of Child and Adolescent Psychiatry. Dr. McKay enjoys working with patients going through life transitions such as high school to college and college to adult life. He believes it is important to understand the whole person (mind, body, and spirit) when treating them. He treats people struggling with depression, anxiety, bipolar, and ADHD, as well as trouble with relationships and family conflict. Dr. McKay provides both medication management and therapy. He believes that medication is just one of the items in a psychiatrist's toolbox and that therapy is equally important as medication.