Adam Keller, PMHNP

Dr. Victoria Diaz earned her medical degree from Texas Tech Health Sciences El Paso Foster School of Medicine and completed her adult psychiatry residency at TTUHSC El Paso. She has experience practicing in outpatient and inpatient settings in a culturally diverse U.S./Mexico border city. She also has training in psychotherapy, including trauma-focused cognitive behavioral therapy, and transcranial magnetic stimulation.

Dr. Diaz values a collaborative, patient-centered approach and understands that every treatment plan should be tailored to the individual. She actively listens with empathy and support to build a strong therapeutic alliance.

Dr. Diaz begins by learning about each patient's unique background and clarifying their goals of care. Together, they develop a personalized treatment plan, followed by regular check-ins throughout treatment to monitor symptoms and adjust care as needed.

Joy Mynatt, DNP, PMHNP-BC, is an ANCC board-certified Psychiatric Mental Health Nurse Practitioner across the lifespan. She earned her Doctor of Nursing Practice from New Mexico State University and has years of experience in both outpatient and inpatient settings. Dr. Mynatt specializes in medication management for anxiety disorders, OCD, major depression, bipolar spectrum disorders, and ADHD.

Joy Mynatt values open communication and partners with patients to set clear, meaningful treatment goals. She creates a warm, supportive environment where individuals feel heard and respected. Her approach emphasizes holistic, evidence-based care tailored to each patient’s unique needs.

Joy begins by gaining a thorough understanding of each patient’s history, concerns, and goals. She develops individualized treatment plans aligned with those goals, provides medication management, and incorporates targeted psychotherapies to support overall progress and well-being.

I have a particular passion and specialty in working with the LGBTQ population, and I also enjoy helping patients address depression and mood concerns, anxiety disorders, trauma, self-criticism and shame, grief and loss, major life transitions, social discontent, and medical conditions such as HIV/AIDS. I work with adults across the lifespan and strive to create an affirming and inclusive therapeutic environment. My work with each patient is individualized and guided by their needs and collaboratively defined goals. Patients can expect a warm, authentic, and direct therapeutic style. My approach is primarily skills-based, most often drawing from Cognitive Behavioral Therapy, within a client-centered and attachment-focused relationship. Therapy often explores how perspective, assumptions, and self-narratives contribute to distress, with practical action plans to support growth. I view therapy as a collaborative process aimed at meaningful change and a more fulfilling, values-driven life.

I am a Licensed Clinical Social Worker with over 15 years of experience across a wide range of mental health and social service settings, including academic outpatient clinics, community health centers, residential programs, clinical research, the VA, EAP services, and HIV/AIDS service organizations. I earned a Bachelor of Arts in Psychology from Saint Louis University and a Master of Social Work in Clinical Social Work/Mental Health from Washington University in St. Louis.

I offer a compassionate, client-centered approach that honors each person's unique journey. I am passionate about supporting individuals through significant life changes, addressing interpersonal challenges, and helping clients develop deeper self-understanding and resilience. Patients can expect a respectful, collaborative environment where they feel heard, supported, and empowered. I begin by learning each patient's best hopes for therapy while gaining an understanding of their personal history and current concerns. I work collaboratively with patients to develop an individualized treatment plan that aligns with their goals, values, and vision for growth, adjusting the approach as needed over time.

I completed my Doctorate in Psychology at the University of St. Thomas in St. Paul, Minnesota, and have specialized training in grief and trauma counseling. I have extensive experience practicing in both outpatient and residential treatment settings. My clinical background allows me to support individuals facing complex emotional challenges with depth, insight, and professionalism.

My presence at Talkiatry brings my career full circle and back to my greatest joy as a psychiatrist: working directly with patients one-on-one to help them integrate the complexity of their feelings, beliefs, and personal reality in the context of an increasingly complicated world around them. I take a compassionate, individualized, and pragmatic approach to treatment, beginning in the first visit with a full history and discussion with the patient of their symptoms, challenges, and goals. Follow-up visits are tailored to the patient's evolving needs and combine shared insights and tools such as medications and behavioral practices to support them as I guide them on their unique journey toward their best life, on their terms.

My qualifications include a B.A. in biology from Harvard University and an M.D. from Tufts School of Medicine. I completed psychiatry residencies at Mt. Sinai and Brown and am board certified in both Psychiatry and Addiction Medicine. My four decades of practice have exposed me to an eclectic range of cultures, ethnicities, and pathologies in a wide variety of settings, from solo practice to regional medical centers to academic institutions. This breadth and depth of clinical and life experience have helped me transcend cultural biases and institutional conventions and to more clearly see each patient as a uniquely complex and lovable individual.

I value creating a compassionate and collaborative environment where patients feel comfortable sharing their experiences. I take a patient-centered approach, meeting individuals where they are and working together to identify treatment goals. Patients can expect a nonjudgmental space where their concerns are heard, respected, and addressed with empathy and understanding.

When working with patients, I begin by taking time to understand their history, symptoms, and current challenges. I develop individualized treatment plans that may include a combination of medication management, lifestyle strategies, and coordination with therapy or other supports. My goal is to provide evidence-based care while empowering patients to actively participate in their mental health journey and achieve lasting well-being.

I am a board-certified psychiatric mental health nurse practitioner (PMHNP-BC) with a Master of Science in Nursing from the University of Alabama at Birmingham. Certified by the American Nurses Credentialing Center (ANCC), I have over 10 years of experience providing mental health care in psychiatric emergency rooms, outpatient psychiatry, and telehealth settings. I am committed to delivering comprehensive and accessible care that supports patients across diverse needs and backgrounds.

I am dedicated to providing a safe and nonjudgmental environment where patients can expect to be heard, emotionally validated, and supported. I ensure that patients are well-informed, empowering them to be active participants in managing their care. By fostering a strong therapeutic relationship, I support my patients in achieving long-term mental wellness and resilience. I provide comprehensive mental health care to individuals across the lifespan, helping them navigate their mental health challenges with a holistic, compassionate approach. My approach to patient care is grounded in empathy, respect, and evidence-based practices, and I am committed to fostering a supportive, collaborative environment where patients feel empowered to achieve their mental health goals.

My clinical practice involves conducting thorough assessments and gathering relevant information from patients about their medical, psychiatric, and social history. Through open and empathetic communication, I ensure a deep understanding of their symptoms, challenges, and goals. Based on the assessment, I work closely with my patients to develop an individualized treatment plan and lifestyle recommendations. I offer education on mental health conditions, coping strategies, and self-care techniques, and I provide referrals to therapists and other support services, helping patients develop the skills they need to thrive. I also believe in providing psychoeducation to patients, families, and caregivers. I am skilled in assessing and treating a variety of mental health disorders including, but not limited to, anxiety, major depression, PTSD, ADHD, OCD, and other mood disorders across the life span, and I am trained in psychiatric diagnosis, medication management, and supportive therapy.

I am a dual certified Family Psychiatric Nurse Practitioner with over 12 years of experience in healthcare. I completed my Masters of Science in Nursing (MSN) with a concentration in Family Nurse Practitioner at Chamberlain University and a Post Master's in Psychiatric Mental Health Nurse Practitioner at Valdosta State University. Over the past 7 years, I have gained valuable experience in a number of settings, including outpatient, inpatient, and residential facilities, community mental health clinics, and private practice.

I take a team-based, individualized approach to care. I believe in the importance of education, open communication, and empowering patients in their treatment journey. I emphasize a holistic perspective, incorporating medication management, therapy, and lifestyle modifications. I prioritize a trauma-informed approach, recognizing the significant role trauma plays in mental health, and I integrate mindfulness techniques, motivational interviewing, and lifestyle changes to support overall well-being. I am passionate about mental health advocacy, particularly within the LGBTQ+ community. By fostering a collaborative and supportive environment, I help patients build resilience and achieve their mental health goals.

I am a board-certified psychiatric-mental health nurse practitioner (PMHNP-BC) with a strong background in treating patients across the mental health spectrum. I earned my Bachelor of Science in Nursing from Illinois State University and began my career in a women's residential facility specializing in mood disorders, eating disorders, and PTSD. I then transitioned to inpatient adolescent psychiatry, where I became a charge nurse and obtained my Psychiatric-Mental Health Nursing Certification (PMH-BC) from the American Nurses Credentialing Center (ANCC). Inspired by my passion for mental health, I pursued my master's degree at the University of St. Francis to become a PMHNP. I have extensive experience treating patients at all levels of care, including inpatient, PHP/IOP, and outpatient settings. I later transitioned to telehealth, providing medication management to college students.

I feel strongly about treating each client as a unique individual and meeting them wherever they are on their mental health journey. I am committed to creating a supportive and nonjudgmental environment where clients feel seen, heard, and empowered to make meaningful changes in their lives. While I provide a holistic, individualized treatment approach, I have a strong background in Cognitive Behavioral Therapy, and I am compassionate and direct, encouraging clients to challenge and reframe distorted thoughts while reinforcing positive adaptive behaviors. I specialize in anxiety, depression, trauma, and grief and loss issues.

I am a Licensed Professional Counselor in Texas and a Licensed Professional Clinical Counselor in California and New Mexico. I have been in the mental health field for over 24 years in a variety of clinical settings. Early in my career, I worked in an inpatient psychiatric hospital on the child and adolescent unit. Most recently, I have spent over a decade in the private practice setting working with adults. I am a Certified Clinical Trauma Professional (CCTP) and a Certified Grief Educator.

I believe in client-centered care, where clients get a say in their treatment in order to help make them feel their best. I truly believe that therapy is a crucial part of successfully treating any mental health diagnosis, in combination with medication management when warranted. I enjoy treating a variety of mental health diagnoses including depression, anxiety, obsessive compulsive disorder, mood disorders such as bipolar disorder, and various psychotic disorders. I also like to add mindfulness and cognitive behavioral therapy techniques to my medication management appointments to help individuals receive effective, quality care.

I am a board certified psychiatric mental health nurse practitioner (PMHNP) and have been practicing since 2018, with experience working with individuals of all ages. Prior to becoming a PMHNP, I worked as a registered nurse in critical care and psychiatry. As a PMHNP, I have experience working on inpatient adult and geriatric psychiatric units, as well as providing psychiatric evaluations and consultations to individuals on medical units and emergency rooms at hospitals. I am very experienced working in outpatient settings managing various psychiatric diagnoses, and have also helped manage individuals in long term care facilities and assisted living facilities. I graduated with my Master's of Science in Nursing from Kent State University and am board certified as a Psychiatric Mental Health Nurse Practitioner through the American Nurse Credentialing Center.

When I am not providing direct patient care, I will on occasion help with instructing future nurses at Kent State University.

I am a board-certified adult psychiatrist known for making my patients feel seen and heard. I use both medication management and supportive psychotherapy, and as a seasoned psychopharmacologist, I emphasize the importance of nutrition, exercise, and community in mental health. I enjoy all aspects of medicine and combine my extensive knowledge with a patient-centered approach.

I completed my medical school and residency at the University of New Mexico, where I later served as a psychiatrist and assistant professor, treating high-need patients and teaching residents and medical students. During the pandemic, I transitioned to telehealth and have been dedicated to this field for the past four years. My academic journey began as a physics major at UNM; I then studied biophysics at the University of San Diego, California. During my postdoctoral fellowship at Los Alamos National Laboratories, I was inspired by presentations about professionals working with patients in African countries, which sparked my interest in medicine.

During that time, my father died of cancer, and I witnessed the impact of mental health therapy on his quality of life, further solidifying my motivation to attend medical school. Witnessing the profound impact of mental health on my patients and family, I specialized in psychiatry.

I emphasize the importance of addressing both physical and mental health to achieve a good quality of life. I believe that mental health is interconnected with physical well-being and that treating one aspect without the other leads to incomplete care. My holistic approach involves medication management, psychotherapy, and lifestyle modifications to promote overall health. I am skilled in providing supportive psychotherapy and using psychodynamic therapy techniques to help patients understand and address their current stressors and underlying issues.

I completed my Residency and Fellowship at Texas Tech University Health Science Center in El Paso, gaining extensive training in diagnosing and treating various psychiatric conditions. As a Child and Adolescent Psychiatrist at Texas Tech, I work with a diverse patient population, addressing psychiatric disorders like depression, anxiety, bipolar disorders, PTSD, and OCD.

I have shown a genuine commitment to my patients and a passion for helping them achieve their best possible outcomes. I am dedicated to staying current with the latest advancements in psychiatry and continuously improving my skills to provide the highest standard of care. My compassionate and patient-centered approach has earned me the respect and trust of my patients and colleagues alike.