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Matthew Koller, MD
Staff Psychiatrist
Medication Management

Dr. Matthew Koller is a board-certified adult psychiatrist who joined Talkiatry after he completed his psychiatry residency. Dr. Koller believes that a person must be known before they are treated, and he works with patients to understand their goals of care while prioritizing a collaborative treatment approach. His practice focuses on medication management, however he allows space for supportive therapy and other therapeutic modalities within sessions. He may include a therapist in the treatment plan for optimal care.

Dr. Koller completed his undergraduate training at The University of Texas at Austin before pursuing his medical degree from The University of Texas Health Science Center at San Antonio. He completed his general adult psychiatry training at Baylor College of Medicine in Houston, TX, where he served as Chief Resident of Education during his final year of training. Dr. Koller focuses on treating the adult population from ages 18+.

He has training in both psychopharmacological and psychotherapeutic treatment and emphasizes a patient-centered, interprofessional approach to care. He has experience in treating a variety of mental health illness, including depression, anxiety, insomnia, personality disorders, bipolar disorder, PTSD, and psychotic disorders.

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Gerald Matthews, MD
Staff Psychiatrist
Medication Management

Dr. Gerald Matthews is a staff psychiatrist at Talkiatry. He is board-certified in adult psychiatry, and has experience treating civilians, as well as active duty military and veterans. The majority of Dr. Matthews's practice is in providing medication management, however he often collaborates with therapists in caring for his patients, where indicated.

He received his medical degree from the University of Louisville School of Medicine in Louisville, KY, and then entered active duty service in the US Army at Tripler Army Medical Center in Honolulu, HI, where he completed his residency training. Upon completion, he moved to Fort Hood, TX, where he practiced as a staff psychiatrist as he completed his service obligation.

Dr. Matthews is board-certified in general psychiatry and treats mostly adults, on an outpatient basis. Some examples of conditions he has experience in treating during his time in practice include mood and anxiety disorders, psychosis, and trauma-related disorders.

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Shelley Sellinger, MD
Staff Psychiatrist
Medication Management, LGBTQ+

Dr. Shelley Sellinger is a board-certified psychiatrist in practice for 25 years. Her career has been devoted to serving both her local community as well as high-risk and underserved patients. As a pioneer and advocate for the use of telepsychiatry years prior to the pandemic, she has presented at the American Telehealth conference as well as at grand rounds.

Dr. Sellinger’s practice focuses on medication management as well as supportive and insight-oriented psychotherapy. She believes that a combination of therapy, as well as the use of medications, helps provide a patient with the best outcome. Her goal is to help patients live their best and most fulfilling lives. In addition to general psychiatry, she has a keen interest in mood disorders, helping creatives achieve their goals and the LGBTQ community.

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How it works

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Online assessment
Tell us how you've been feeling. It only takes about 10 minutes.
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Meet your psychiatrist
Have your first visit in days with a psychiatrist that fits your needs.
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Treatment plan
Treatment typically includes medication and supportive therapy.
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Insurance accepted

The majority of our visits cost patients $30 or less after insurance.*

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*Includes all types of patient costs: copayment, deductible, coinsurance, and $0 payments. Excludes no-shows. Your medical visit costs can vary depending on insurance coverage. Learn more.

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Mental health care that cares

Our team of psychiatrists are vetted for experience, expertise, and empathy and adhere to the highest standards of care.
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Frequently asked questions

What is a psychiatrist?

Psychiatrists are medical doctors who specialize in diagnosing and treating mental health conditions through medication management and supportive therapy. Think of a psychiatrist as a doctor for your mind. If you’re struggling with your mental health and aren’t sure where to start, a psychiatrist can help.

Take our 10-minute assessment to see if Talkiatry is right for you and get matched with a psychiatrist in


who meets your needs.

Is it better to see a psychiatrist or psychologist?

You may not need to choose between a psychologist and a psychiatrist—although there are differences in the types of treatment and expertise mental health professionals can provide, they often collaborate on your care.

That said, here’s a quick guide to help you decide if a psychologist or psychiatrist is the best starting place.

See a psychiatrist if:

  • You’re experiencing symptoms of a mental health condition that are making it hard to go about your day-to-day life.
  • You’re experiencing symptoms of a mental health condition and/or have a family history of mental health issues.
  • You’re interested in exploring psychiatric medications, such as antidepressants, for mental health treatment.

See a psychologist if:

  • You’re looking for a psychotherapy outlet to help address behavioral or emotional challenges.
  • The concern you’re hoping to address is specific to relationship challenges, stress, grieving, or a life transition.  

Not sure if your symptoms are severe enough to warrant medication? We always recommend consulting with a psychiatrist first to discuss your options. Also, keep in mind that if you’re looking for virtual care, you need to be sure your doctor or psychologist is registered to practice in


(or, for non-


residents, the state where you live).

What is a psychiatrist vs therapist?

The term “therapist” can apply to a range of professionals including social workers, mental health counselors, psychologists, professional counselors, marriage and family therapists, and psychoanalysts. Working with a therapist generally involves regular talk therapy sessions where you discuss your feelings, problem-solving strategies, and coping mechanisms to help with your condition.

Psychiatrists are doctors who have specialized training in diagnosing and treating complex mental health conditions through medication management. If you are experiencing symptoms of a mental health condition such as depression, anxiety, bipolar disorder, PTSD, or similar, a psychiatrist may be a good place to start. Other signs that you should see a psychiatrist include:

  • Your primary care doctor or another doctor thinks you may benefit from the services of a psychiatrist and provides a referral
  • You are interested in taking medication to treat a mental health condition
  • Your symptoms are severe enough to regularly interfere with your everyday life

While both therapy and psychiatry are both available online, you’ll still need to be sure that the therapist or clinician is licensed to practice in


(or, for non-


residents, the state where you live).

What to expect from your first psychiatrist visit?

It’s ok to be a little nervous about your first visit with your psychiatrist. But remember, they’re there to help you feel better. Psychiatrists have years of experience working with new patients and will help you feel comfortable during your sessions.

Here’s what to expect in your first visit at Talkiatry:

Evaluation: During your first visit with a Talkiatry psychiatrist, you’ll get to meet each other and answer questions about your current symptoms, personal history, medical history, and mental health goals.

Diagnosis: Based on the information you’ve shared, your psychiatrist will be able to provide a diagnosis of your condition, if you have one. Getting a diagnosis can feel scary, but it can also feel validating to finally put a name to what you've been experiencing. Your psychiatrist will help you navigate any emotions that come up and work with you on a path to move forward.

Treatment plan: You’ll collaborate with your psychiatrist on the best way to manage your symptoms. If medication is appropriate, you’ll discuss your options, including the benefits and potential side effects of each medication. Your psychiatrist will provide supportive therapy throughout your session and may also recommend working with one of our therapists. Our therapists partner with our psychiatrists in a collaborative model to provide holistic care.

To get started, take our free online assessment, to see if Talkiatry is right for you and get matched with a psychiatrist.

Will I need medication?

Medication can be an effective part of your treatment plan but medication is not right for everyone. Your psychiatrist will work with you to determine if medication is right for you.  

Ready to talk with a psychiatrist? Take our 10-minute online assessment

to see if Talkiatry is right for you and get matched with a psychiatrist who serves in



Also note that prescribing laws can vary from state to state. During your first visit, your doctor will be able to talk you through how it works in


(or, for non-


residents, the state where you live).

What is the cost of a psychiatrist visit in

The main factor that determines the cost of your visit is your insurance coverage. The majority of our patients pay $25 or less per visit.* If you have a deductible plan and haven’t met your deductible yet, the average cost is between $325 and $414. The best way to get an estimate of your total cost is to contact your insurance company and ask about their coverage for outpatient psychiatric services.

*Includes all types of patient costs: copayment, deductible, and coinsurance. Excludes no-shows and includes $0 payments.

What treatments are available for mental disorders?

Medication and talk therapy (also called psychotherapy) are the gold standard for treating mental health conditions but treatment is highly personalized. A treatment that works for you may not work for someone else. Luckily, psychiatrists are experts in treating mental health conditions and can guide you through different treatment options and help you find one that’s right for you.

At Talkiatry, we make it easy to find a psychiatrist in


who matches your needs. Take our 10-minute online assessment to see if Talkiatry is right for you.

What can’t Talkiatry treat?

Our goal is to help you find the best treatment option for your needs and there may be some cases where virtual care isn't the right fit. If this is the case, your psychiatrist will be able to recommend other treatment options within your first visit. Our 10-minute online assessment will also help you determine whether or not Talkiatry is the right fit for your care.

What we can’t treat: Schizophrenia or schizoaffective disorders: This is a complex condition that responds best to treatments that aren’t safe to provide in an online-only setting. Since we’re a virtual practice, we aren’t able to treat patients with schizophrenia or schizoaffective disorders.

Certain personality disorders, like borderline personality disorder: Generally, borderline personality disorder doesn’t respond well to medication. As a psychiatry practice, one of our main focuses is medication management. One of the most effective treatments for borderline personality disorder is dialectical behavioral therapy, which is something our clinicians aren’t specialized in.

Patients who have been hospitalized or required to stay overnight in a clinic or in-patient setting for a mental health condition in the last 6 months: Our goal is to provide safe, effective care. For patients who have been required to stay overnight for a condition, a virtual practice can’t provide the right level of care.

Patients looking for therapy only: Our psychiatrists specialize in medication management. While we do have some therapists on staff to support patients who’d benefit from both medication and dedicated therapy, we don’t treat patients looking for talk therapy only.

We have excellent clinicians serving in


states, including


. Want to find a psychiatrist in


? We’ll match you with one through our online assessment. It just takes 10 minutes.

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