Transgender Psychiatrists in Tennessee

Photo of Chanel Thomas, Psychiatric Nurse Practitioner in Tennessee
Chanel Thomas
Psychiatric Nurse Practitioner, DNP, PMHNP, FNP
Verified Verified
3 Endorsed
Nashville, TN 37203
As a provider who is neurodivergent, queer, and Black, I know I provide a unique perspective when it comes to mental health and wellbeing. If you are tired of rushed appointments that do not get to the root of your distress, then you are ready for an integrative approach! I work primarily with young adults of various backgrounds with emphasis on BIPOC and queer/questioning/transgender folx. I work with you to develop a personalized treatment plan that may include medications, herbal alternatives/supplements, and psychotherapy to empower your journey to sustainable wellness. +I do not accept insurance at this time+
As a provider who is neurodivergent, queer, and Black, I know I provide a unique perspective when it comes to mental health and wellbeing. If you are tired of rushed appointments that do not get to the root of your distress, then you are ready for an integrative approach! I work primarily with young adults of various backgrounds with emphasis on BIPOC and queer/questioning/transgender folx. I work with you to develop a personalized treatment plan that may include medications, herbal alternatives/supplements, and psychotherapy to empower your journey to sustainable wellness. +I do not accept insurance at this time+
(615) 437-8506 View (615) 437-8506
Photo of Mackenzie Grimes, Psychiatric Nurse Practitioner in Tennessee
Mackenzie Grimes
Psychiatric Nurse Practitioner, PMHNP, MSN
Verified Verified
1 Endorsed
Franklin, TN 37067
Mackenzie’s clinical specialties include mood disorders, anxiety, substance use disorders, gender dysphoria, insomnia, ADHD, and post-traumatic stress.
Mackenzie is an ANCC Board Certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC). She has five years of psychiatry experience caring for adults and adolescents in acute inpatient, residential, outpatient, and correctional release settings. Mackenzie holds a Bachelor of Science in Psychology and Master of Science in Criminal Justice from The University of Tennessee at Chattanooga, as well as a Bachelor of Science in Nursing from Marian University and a Master of Science in Nursing from The University of South Alabama.
Mackenzie’s clinical specialties include mood disorders, anxiety, substance use disorders, gender dysphoria, insomnia, ADHD, and post-traumatic stress.
Mackenzie is an ANCC Board Certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC). She has five years of psychiatry experience caring for adults and adolescents in acute inpatient, residential, outpatient, and correctional release settings. Mackenzie holds a Bachelor of Science in Psychology and Master of Science in Criminal Justice from The University of Tennessee at Chattanooga, as well as a Bachelor of Science in Nursing from Marian University and a Master of Science in Nursing from The University of South Alabama.
(615) 437-2614 View (615) 437-2614
Photo of Brent Necaise, Psychiatrist in Tennessee
Brent Necaise
Psychiatrist, MD
Verified Verified
1 Endorsed
Nashville, TN 37206
I also offer additional expertise in providing hormone therapy for transgender and non-binary individuals wanting to embrace their true self as well as pre-surgical clearance for gender-affirming surgeries.
I specialize in treatment-resistant depression, anxiety, bipolar disorder, PTSD, and many other psychiatric illness through medication management and interventional treatments (such as Spravato and Transcranial Magnetic Stimulation) all through a collaborative approach with my patients. I have a passion for working with the LGBTQ+ and HIV+ patient populations. I aim to prioritize my patient's goals and provide recommendations to achieve their desired outcomes.
I also offer additional expertise in providing hormone therapy for transgender and non-binary individuals wanting to embrace their true self as well as pre-surgical clearance for gender-affirming surgeries.
I specialize in treatment-resistant depression, anxiety, bipolar disorder, PTSD, and many other psychiatric illness through medication management and interventional treatments (such as Spravato and Transcranial Magnetic Stimulation) all through a collaborative approach with my patients. I have a passion for working with the LGBTQ+ and HIV+ patient populations. I aim to prioritize my patient's goals and provide recommendations to achieve their desired outcomes.
(615) 551-4879 x132 View (615) 551-4879 x132
Photo of Ocean Ray, Psychiatric Nurse Practitioner in Tennessee
Ocean Ray
Psychiatric Nurse Practitioner, MSN, APRN, PMHNP
Verified Verified
1 Endorsed
Nashville, TN 37212
I am a psychiatric mental health nurse practitioner serving clients in Nashville and the surrounding rural areas. I specialize in helping adult clients manage depression, anxiety, OCD, ADHD, insomnia, PTSD, substance abuse, and bipolar disorder with a combination of medication and therapy. I enjoy thoroughly educating clients, their families and caregivers about treatment options and working collaboratively to make sure clients have the information they need to make the best decisions for their care. I also adopt a health at every size approach in my practice and encourage seeing the good and strength in all bodies and all beings.
I am a psychiatric mental health nurse practitioner serving clients in Nashville and the surrounding rural areas. I specialize in helping adult clients manage depression, anxiety, OCD, ADHD, insomnia, PTSD, substance abuse, and bipolar disorder with a combination of medication and therapy. I enjoy thoroughly educating clients, their families and caregivers about treatment options and working collaboratively to make sure clients have the information they need to make the best decisions for their care. I also adopt a health at every size approach in my practice and encourage seeing the good and strength in all bodies and all beings.
(615) 544-6755 View (615) 544-6755
Photo of Dr. Chenhang Zou, Psychiatrist in Tennessee
Dr. Chenhang Zou
Psychiatrist, MD
Verified Verified
Nashville, TN 37219
Embark on your healing journey with Dr. Zou, a Board-certified psychiatrist who blends the precision of medicine with the art of psychotherapy. Trained at Emory and UAlabama, Dr. Zou is expert at integrating medication management and psychotherapy, including CBT. But her approach is not just about effective treatment; it's about empowering you with self-knowledge and tools for sustainable mental well-being. With Dr. Zou, you can explore a personalized, empathetic approach that resonates uniquely with you.
Embark on your healing journey with Dr. Zou, a Board-certified psychiatrist who blends the precision of medicine with the art of psychotherapy. Trained at Emory and UAlabama, Dr. Zou is expert at integrating medication management and psychotherapy, including CBT. But her approach is not just about effective treatment; it's about empowering you with self-knowledge and tools for sustainable mental well-being. With Dr. Zou, you can explore a personalized, empathetic approach that resonates uniquely with you.
View
Photo of Dr. Chenhang Zou, Psychiatrist in Tennessee
Dr. Chenhang Zou
Psychiatrist, MD
Verified Verified
Chattanooga, TN 37408
Embark on your healing journey with Dr. Zou, a Board-certified psychiatrist who blends the precision of medicine with the art of psychotherapy. Trained at Emory and UAlabama, Dr. Zou is expert at integrating medication management and psychotherapy, including CBT. But her approach is not just about effective treatment; it's about empowering you with self-knowledge and tools for sustainable mental well-being. With Dr. Zou, you can explore a personalized, empathetic approach that resonates uniquely with you.
Embark on your healing journey with Dr. Zou, a Board-certified psychiatrist who blends the precision of medicine with the art of psychotherapy. Trained at Emory and UAlabama, Dr. Zou is expert at integrating medication management and psychotherapy, including CBT. But her approach is not just about effective treatment; it's about empowering you with self-knowledge and tools for sustainable mental well-being. With Dr. Zou, you can explore a personalized, empathetic approach that resonates uniquely with you.
View
Photo of Dr. Chenhang Zou, Psychiatrist in Tennessee
Dr. Chenhang Zou
Psychiatrist, MD
Verified Verified
Clarksville, TN 37040
Embark on your healing journey with Dr. Zou, a Board-certified psychiatrist who blends the precision of medicine with the art of psychotherapy. Trained at Emory and UAlabama, Dr. Zou is expert at integrating medication management and psychotherapy, including CBT. But her approach is not just about effective treatment; it's about empowering you with self-knowledge and tools for sustainable mental well-being. With Dr. Zou, you can explore a personalized, empathetic approach that resonates uniquely with you.
Embark on your healing journey with Dr. Zou, a Board-certified psychiatrist who blends the precision of medicine with the art of psychotherapy. Trained at Emory and UAlabama, Dr. Zou is expert at integrating medication management and psychotherapy, including CBT. But her approach is not just about effective treatment; it's about empowering you with self-knowledge and tools for sustainable mental well-being. With Dr. Zou, you can explore a personalized, empathetic approach that resonates uniquely with you.
View
Photo of Dr. Chenhang Zou, Psychiatrist in Tennessee
Dr. Chenhang Zou
Psychiatrist, MD
Verified Verified
Knoxville, TN 37902
Embark on your healing journey with Dr. Zou, a Board-certified psychiatrist who blends the precision of medicine with the art of psychotherapy. Trained at Emory and UAlabama, Dr. Zou is expert at integrating medication management and psychotherapy, including CBT. But her approach is not just about effective treatment; it's about empowering you with self-knowledge and tools for sustainable mental well-being. With Dr. Zou, you can explore a personalized, empathetic approach that resonates uniquely with you.
Embark on your healing journey with Dr. Zou, a Board-certified psychiatrist who blends the precision of medicine with the art of psychotherapy. Trained at Emory and UAlabama, Dr. Zou is expert at integrating medication management and psychotherapy, including CBT. But her approach is not just about effective treatment; it's about empowering you with self-knowledge and tools for sustainable mental well-being. With Dr. Zou, you can explore a personalized, empathetic approach that resonates uniquely with you.
View
Photo of Dr. Chenhang Zou, Psychiatrist in Tennessee
Dr. Chenhang Zou
Psychiatrist, MD
Verified Verified
Memphis, TN 38104
Embark on your healing journey with Dr. Zou, a Board-certified psychiatrist who blends the precision of medicine with the art of psychotherapy. Trained at Emory and UAlabama, Dr. Zou is expert at integrating medication management and psychotherapy, including CBT. But her approach is not just about effective treatment; it's about empowering you with self-knowledge and tools for sustainable mental well-being. With Dr. Zou, you can explore a personalized, empathetic approach that resonates uniquely with you.
Embark on your healing journey with Dr. Zou, a Board-certified psychiatrist who blends the precision of medicine with the art of psychotherapy. Trained at Emory and UAlabama, Dr. Zou is expert at integrating medication management and psychotherapy, including CBT. But her approach is not just about effective treatment; it's about empowering you with self-knowledge and tools for sustainable mental well-being. With Dr. Zou, you can explore a personalized, empathetic approach that resonates uniquely with you.
View
Photo of Gundu Reddy, Psychiatrist in Tennessee
Gundu Reddy
Psychiatrist, MD, MBBS
Verified Verified
2 Endorsed
Bartlett, TN 38134  (Online Only)
I am a Board Certified Psychiatrist in Tennessee. I have trained in Psychodynamic psychotherapy, Cognitive Behavioral Therapy, Family and Marital therapy, as well as Psychiatric Medication Management. I have always believed that brain health is the key to every form of well being and every individual regardless of their diagnosis or symptoms has the potential to be healthier. Whether your reasons for seeking treatment include treatment-resistant hallucinations, persistent irritability, dysphoria, insomnia, wanting to perform better at work- the core principles of treatment are often similar.
I am a Board Certified Psychiatrist in Tennessee. I have trained in Psychodynamic psychotherapy, Cognitive Behavioral Therapy, Family and Marital therapy, as well as Psychiatric Medication Management. I have always believed that brain health is the key to every form of well being and every individual regardless of their diagnosis or symptoms has the potential to be healthier. Whether your reasons for seeking treatment include treatment-resistant hallucinations, persistent irritability, dysphoria, insomnia, wanting to perform better at work- the core principles of treatment are often similar.
(901) 676-8564 View (901) 676-8564
Photo of Amanda L Eaves, Psychiatric Nurse Practitioner in Tennessee
Amanda L Eaves
Psychiatric Nurse Practitioner, PMHNPBC, RN
Verified Verified
2 Endorsed
Memphis, TN 38103
I bring a humanistic philosophy of holistic care for both mind and body, and an abiding commitment to individualized, comprehensive care for my patients. I specialize in medication management of depression, anxiety, attention deficits, bipolar, schizophrenia, and other psychiatric diagnoses, while providing brief supportive psychotherapy.
I bring a humanistic philosophy of holistic care for both mind and body, and an abiding commitment to individualized, comprehensive care for my patients. I specialize in medication management of depression, anxiety, attention deficits, bipolar, schizophrenia, and other psychiatric diagnoses, while providing brief supportive psychotherapy.
(901) 495-2430 View (901) 495-2430
Photo of Elise Scott, M.D., Psychiatrist in Tennessee
Elise Scott, M.D.
Psychiatrist, MD
Verified Verified
1 Endorsed
Brentwood, TN 37027
I believe connection is the foundation of healing, and strong therapeutic relationships begin from a place of compassion and mutual respect. You are the expert of your mind and body, and I am an experienced partner when stress and mental illness get in the way of a healthy and joyful life. I take a holistic, neuroscience-informed, and integrated approach to mental health treatment, combining a thorough medical assessment with open-minded listening, psychotherapy, lifestyle interventions, and brain-based medication management to help individuals heal, grow, and work toward authentic, value-driven lives.
I believe connection is the foundation of healing, and strong therapeutic relationships begin from a place of compassion and mutual respect. You are the expert of your mind and body, and I am an experienced partner when stress and mental illness get in the way of a healthy and joyful life. I take a holistic, neuroscience-informed, and integrated approach to mental health treatment, combining a thorough medical assessment with open-minded listening, psychotherapy, lifestyle interventions, and brain-based medication management to help individuals heal, grow, and work toward authentic, value-driven lives.
(629) 263-7573 View (629) 263-7573
Photo of Betty Jane Kohal, Psychiatric Nurse in Tennessee
Betty Jane Kohal
Psychiatric Nurse, DNP, PMHCNS, BC
Verified Verified
Brentwood, TN 37027
I have been in private practice for over 30 years and my best source of referrals are satisfied clients. I work with individuals experiencing all aspects of trauma, grief, bereavement concerns and assist them into recovery. I use a variety of approaches in my therapy with the core being cognitive psychotherapy. I am experienced in marital therapy and assisting individuals to meet their goals. I also have much experience assisting individuals with both depression and anxiety finding healthy coping mechanisms so they can be at their optimum level of functioning. I strive to see clients on a regular basis.
I have been in private practice for over 30 years and my best source of referrals are satisfied clients. I work with individuals experiencing all aspects of trauma, grief, bereavement concerns and assist them into recovery. I use a variety of approaches in my therapy with the core being cognitive psychotherapy. I am experienced in marital therapy and assisting individuals to meet their goals. I also have much experience assisting individuals with both depression and anxiety finding healthy coping mechanisms so they can be at their optimum level of functioning. I strive to see clients on a regular basis.
(615) 987-0993 View (615) 987-0993
Photo of Corinne (Cori) Powell, Psychiatric Nurse Practitioner in Tennessee
Corinne (Cori) Powell
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
Corinne (Cori) Powell is a Board-Certified Psychiatric Mental Health Nurse Practitioner. Her training and experience qualify her to diagnose, treat, and prescribe medication for patients across the lifespan. Cori's primary focus is to deliver evidence-based mental health care services and provide quality resources for patients involved. She offers telemedicine and in-person services. Some of her practice specialties include (but not limited to): depression, anxiety, bipolar, schizophrenia, PTSD, and support for members of the LGBTQIA community.
Corinne (Cori) Powell is a Board-Certified Psychiatric Mental Health Nurse Practitioner. Her training and experience qualify her to diagnose, treat, and prescribe medication for patients across the lifespan. Cori's primary focus is to deliver evidence-based mental health care services and provide quality resources for patients involved. She offers telemedicine and in-person services. Some of her practice specialties include (but not limited to): depression, anxiety, bipolar, schizophrenia, PTSD, and support for members of the LGBTQIA community.
(615) 212-8887 View (615) 212-8887
Photo of Hannah Street, Psychiatric Nurse Practitioner in Tennessee
Hannah Street
Psychiatric Nurse Practitioner, PMHNPBC, APRN, MSN, RN
Verified Verified
2 Endorsed
Nashville, TN 37204  (Online Only)
I am so eager to be a resource to you and our community about treating mental health! If you or your child are struggling with their mental health, I am here to guide you to success using medication management as a tool. You and I will work together as a team by designing a treatment plan that helps you achieve your goals in a holistic manner so you can obtain better health mentally, physically, and spiritually. You are not alone in this journey. If you would like to book an appointment with me, go to www.amethystmentalhealth.com/book-an-appointment.
I am so eager to be a resource to you and our community about treating mental health! If you or your child are struggling with their mental health, I am here to guide you to success using medication management as a tool. You and I will work together as a team by designing a treatment plan that helps you achieve your goals in a holistic manner so you can obtain better health mentally, physically, and spiritually. You are not alone in this journey. If you would like to book an appointment with me, go to www.amethystmentalhealth.com/book-an-appointment.
(629) 465-4388 View (629) 465-4388
Photo of Sricharan Moturi, Psychiatrist in Tennessee
Sricharan Moturi
Psychiatrist, MD, MPH, FAPA
Verified Verified
Brentwood, TN 37027
My predominant clinical focuses include areas of Childhood and adult Sleep Disorders, Attention-Deficit Hyperactivity Disorder (ADD/ ADHD), Mood& Anxiety Disorders, Early-onset Psychotic Disorders and Psychopharmacology (medication use). I believe in conservative medication management, holistic approaches, and building healthy lifestyles through sleep-wake training. I hope to bring a new perspective to how to tackle mental health and sleep issues that affect you personally, within your family or your workplace. Please click on my website for more info on how to set up an appointment. (Adult Psychiatry, Child& Adolescent Psychiatry, Adult and Pediatric Sleep Medicine)
My predominant clinical focuses include areas of Childhood and adult Sleep Disorders, Attention-Deficit Hyperactivity Disorder (ADD/ ADHD), Mood& Anxiety Disorders, Early-onset Psychotic Disorders and Psychopharmacology (medication use). I believe in conservative medication management, holistic approaches, and building healthy lifestyles through sleep-wake training. I hope to bring a new perspective to how to tackle mental health and sleep issues that affect you personally, within your family or your workplace. Please click on my website for more info on how to set up an appointment. (Adult Psychiatry, Child& Adolescent Psychiatry, Adult and Pediatric Sleep Medicine)
(615) 229-6187 View (615) 229-6187
Photo of Spring Creek Mental Health Services , Psychiatric Nurse Practitioner in Tennessee
Spring Creek Mental Health Services
Psychiatric Nurse Practitioner
Verified Verified
1 Endorsed
Spring Creek Mental Health consists of Board-Certified Psychiatric Mental Health Nurse Practitioners. Their training and experience qualify them to diagnose, treat, and prescribe medication for patients across the lifespan. Our primary focus is to deliver evidence-based mental health care services and provide quality resources for patients involved. We offer telemedicine and in-person services. Some of our practice specialties include (but not limited to): ADHD, depression, anxiety, bipolar, schizophrenia, PTSD, and support for members of the LGBTQIA community.
Spring Creek Mental Health consists of Board-Certified Psychiatric Mental Health Nurse Practitioners. Their training and experience qualify them to diagnose, treat, and prescribe medication for patients across the lifespan. Our primary focus is to deliver evidence-based mental health care services and provide quality resources for patients involved. We offer telemedicine and in-person services. Some of our practice specialties include (but not limited to): ADHD, depression, anxiety, bipolar, schizophrenia, PTSD, and support for members of the LGBTQIA community.
(629) 258-9555 View (629) 258-9555
Photo of Ashley Lawhorn, Psychiatric Nurse Practitioner in Tennessee
Ashley Lawhorn
Psychiatric Nurse Practitioner, ARNP
Verified Verified
Knoxville, TN 37934
Ashley Lawhorn is a Psychiatric Mental Health Nurse Practitioner in Tennessee who has been practicing since 2016 in a variety of settings, including community mental health, dual diagnosis centers for substance abuse/mental health and private practice. Ashley provides psychiatric evaluations, with diagnoses and medication management, for ages 5-99. She enjoys all ages and will continue to treat the lifespan. Ashley's clients are from all backgrounds and cultures. Ashley believes your input, as her client, is the most important part of your treatment journey together.
Ashley Lawhorn is a Psychiatric Mental Health Nurse Practitioner in Tennessee who has been practicing since 2016 in a variety of settings, including community mental health, dual diagnosis centers for substance abuse/mental health and private practice. Ashley provides psychiatric evaluations, with diagnoses and medication management, for ages 5-99. She enjoys all ages and will continue to treat the lifespan. Ashley's clients are from all backgrounds and cultures. Ashley believes your input, as her client, is the most important part of your treatment journey together.
(865) 412-8863 View (865) 412-8863
Photo of Caroline Drake, Psychiatric Nurse Practitioner in Tennessee
Caroline Drake
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
Brentwood, TN 37027
Stacie (Caroline) Drake, a Psychiatric Nurse Practitioner-BC. She practices with the belief that people need empathy, compassion, and the whole person understanding to live authentically. Caroline meets patients where they are. She treats mental health issues holistically from a patient-centered perspective: Supportive Therapy, Medications, Patient Education, and Integrative Natural Approaches Caroline is a graduate of Maryville University in St Louis, MO; she graduated Sigma Theta Tau International Honor Society of Nursing; She is also a member of the American Nurses Association.
Stacie (Caroline) Drake, a Psychiatric Nurse Practitioner-BC. She practices with the belief that people need empathy, compassion, and the whole person understanding to live authentically. Caroline meets patients where they are. She treats mental health issues holistically from a patient-centered perspective: Supportive Therapy, Medications, Patient Education, and Integrative Natural Approaches Caroline is a graduate of Maryville University in St Louis, MO; she graduated Sigma Theta Tau International Honor Society of Nursing; She is also a member of the American Nurses Association.
(615) 240-2397 View (615) 240-2397
Photo of Mikayla Vican, Psychiatric Nurse Practitioner in Tennessee
Mikayla Vican
Psychiatric Nurse Practitioner, DNP, PMHNPBC
Verified Verified
Knoxville, TN 37922
Mikayla Vican is a board certified Psychiatric Mental Health Nurse Practitioner. She obtained a Bachelor of Nursing degree from South College in 2018 and a Doctor of Nursing Practice degree from the University of Tennessee Health Science Center in 2022. She also serves in the United States Air Force as an Aerospace Medical Technician since 2014. She has experience in caring for patients in both inpatient and outpatient settings. She provides psychiatric evaluation and medication management to patients that are 8 years of age and older.
Mikayla Vican is a board certified Psychiatric Mental Health Nurse Practitioner. She obtained a Bachelor of Nursing degree from South College in 2018 and a Doctor of Nursing Practice degree from the University of Tennessee Health Science Center in 2022. She also serves in the United States Air Force as an Aerospace Medical Technician since 2014. She has experience in caring for patients in both inpatient and outpatient settings. She provides psychiatric evaluation and medication management to patients that are 8 years of age and older.
(865) 395-6096 View (865) 395-6096

Transgender Psychiatrists

As a gender-diverse individual, why might I want to see a therapist who is also gender diverse?

A trans or gender-diverse client may want to see a therapist who is also trans or gender diverse because the client may feel safer sharing their experiences and more confident that the therapist will understand, validate, and support them. But trans or gender-diverse clients can also benefit from therapy with cisgender therapists; this is a personal decision based on the connection between the client and the therapist, and if that connection is strong, therapy will be successful.

What if I cannot find a therapist who shares my gender identity?

Therapy can still be effective if a therapist does not share a client’s gender identity; a large body of research indicates that the most important factor in successful therapy is the therapeutic alliance. A therapist can also be interviewed for sensitivity and competence on gender identity and expression to ensure they possess appropriate knowledge and skills. Many therapists have excellent training and extensive experience working with gender-diverse clients, and that expertise can be invaluable despite a therapist not sharing the same firsthand experiences.

How can I recognize a good therapist for working with gender-diverse clients?

An experienced therapist should be able to help clients explore their gender identity and expression, alleviate discomfort related to their gender identity, treat mental health challenges and trauma, address existing relationships and communication with family members and loved ones, and determine the next steps pertaining to nonmedical or medical gender-affirming interventions. To recognize a good therapist, clients can ask about these topics and explore their comfort and connection with the clinician.

How might I inquire about a therapist’s experience working with transgender clients?

Clients should feel comfortable asking therapists directly about their experience working with transgender or gender-diverse clientele. For example, clients may ask about the therapist’s training and education with regard to gender identity, how many trans clients they’ve worked with in the past, and what sorts of matters were discussed. You may wish to inquire how a therapist specifically supports the needs of transgender clients or clients questioning their gender identity. A good clinician who is nonetheless not the right fit for you is often happy to make referrals to others based on the concerns you articulate in a preliminary conversation.